Evidence map›Paper›PMID 33824476›Full record

Trial reportBritish journal of cancer2021

Phase 1b/2 trial of tepotinib in sorafenib pretreated advanced hepatocellular carcinoma with MET overexpression.

Thomas Decaens, Carlo Barone, Eric Assenat, Martin Wermke, Angelica Fasolo, Philippe Merle, Jean-Frédéric Blanc, Véronique Grando, Angelo Iacobellis, Erica Villa and 7 more

Erratum issued Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in British journal of cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT02115373 (A Multicenter, Single Arm, Phase Ib/II Study to Evaluate Efficacy, Safety, and PK of MSC2156119J as Monotherapy in Subjects With MET+ Advanced Hepatocellular Carcinoma With Child Pugh Class A Liver Function Who Have Failed Sorafenib Treatment), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02115373 phase1 / phase2completednot on this map

A Multicenter, Single Arm, Phase Ib/II Study to Evaluate Efficacy, Safety, and PK of MSC2156119J as Monotherapy in Subjects With MET+ Advanced Hepatocellular Carcinoma With Child Pugh Class A Liver Function Who Have Failed Sorafenib Treatment

TypeinterventionalSponsorMerck KGaA, Darmstadt, GermanyRan2014 to 2018Enrolled66ConditionsCarcinoma, HepatocellularArmsTepotinib
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Hepatocellular carcinoma: signaling pathways and therapeutic advances.Signal transduction and targeted therapy · 2025
    Review
  8. Article
  9. A phase Ib/II trial of capmatinib plus spartalizumabJHEP reports : innovation in hepatology · 2024
    Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. An Observatory for theCancers · 2023
    Review
  16. Review
  17. Review
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 14 institutions in 3 countries.

Thomas DecaensUniversity Grenoble Alpes, Department of Hepato-Gastroenterology and Digestive Oncology, CHU Grenoble Alpes, Institute for Advanced Biosciences INSERM U1209, Grenoble, France. tdecaens@chu-grenoble.fr.ORCID http://orcid.org/0000-0003-0928-0048
Carlo BaroneMedical Oncology, Policlinico Universitario A. Gemelli, Roma, Italy.
Eric AssenatMedical Oncology, CHU Saint Eloi, Montpellier, France.
Martin WermkeNCT/UCC Early Clinical Trial Unit, University Hospital Carl-Gustav-Carus, Dresden, Germany.
Angelica FasoloOncology, IRCCS San Raffaele, Milan, Italy.
Philippe MerleService d'Hépato-Gastro-Entérologie, Hôpital de la Croix Rousse, Lyon, France.
Jean-Frédéric BlancService d'Hépato-Gastroentérologie et d'Oncologie Digestive, Groupe Hospitalier Haut-Lévêque, CHU Bordeaux, Pessac, France.
Véronique GrandoService Hépatologie, Hôpital Jean-Verdier, Bondy, France.
Angelo IacobellisReparto di Gastroenterologia ed Endoscopia Digestiva, Ospedale Casa Sollievo della Sofferenza IRCCS, San Giovanni Rotondo, Italy.
Erica VillaDivision of Gastroenterology Policlinico di Modena, Modena, Italy.
Joerg TrojanGastrointestinal Oncology, Goethe University Hospital, Frankfurt, Germany.
Josef StraubClinical Biomarker & Companion Diagnostics, Merck KGaA, Darmstadt, Germany.
Rolf BrunsBiostatistics, Merck KGaA, Darmstadt, Germany.
Karin BerghoffGlobal Patient Safety Innovation, Merck KGaA, Darmstadt, Germany.
Juergen ScheeleGlobal Clinical Development Oncology, Merck KGaA, Darmstadt, Germany.
Eric RaymondMedical Oncology, Paris-St Joseph Hospital, Paris, France.
Sandrine FaivreMedical Oncology, Saint-Louis Hospital & Paris 7 University, Paris, France.
Merck (Germany) · DEAgostino Gemelli University Polyclinic · ITAssistance Publique – Hôpitaux de Paris · FRAzienda Ospedaliero-Universitaria di Modena · ITCasa Sollievo della Sofferenza · ITCentre Hospitalier Universitaire de Bordeaux · FRCentre Hospitalier Universitaire de Montpellier · FRGoethe University Frankfurt · DEHôpital de la Croix-Rousse · FRHôpital Paris Saint-Joseph · FRInserm · FRIRCCS Ospedale San Raffaele · ITUniversité Paris Cité · FRUniversity Hospital Carl Gustav Carus · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis Phase 1b/2 study evaluated tepotinib, a highly selective MET inhibitor, in US/European patients with sorafenib pretreated advanced hepatocellular carcinoma (aHCC) with MET overexpression.

methodsEligible adults had aHCC, progression after ≥4 weeks of sorafenib, and, for Phase 2 only, MET overexpression. Tepotinib was administered once daily at 300 or 500 mg in Phase 1b ('3 + 3' design), and at the recommended Phase 2 dose (RP2D) in Phase 2. Primary endpoints were dose-liming toxicities (DLTs; Phase 1b) and 12-week investigator-assessed progression-free survival (PFS; Phase 2).

resultsIn Phase 1b (n = 17), no DLTs occurred and the RP2D was confirmed as 500 mg. In Phase 2 (n = 49), the primary endpoint was met: 12-week PFS was 63.3% (90% CI: 50.5-74.7), which was significantly greater than the predefined null hypothesis of ≤15% (one-sided binomial exact test: P < 0.0001). Median time to progression was 4 months. In Phase 2, 28.6% of patients had treatment-related Grade ≥3 adverse events, including peripheral oedema and lipase increase (both 6.1%).

conclusionsTepotinib was generally well tolerated and the RP2D (500 mg) showed promising efficacy and, therefore, a positive benefit-risk balance in sorafenib pretreated aHCC with MET overexpression.

trial registrationClinicalTrials.gov: NCT02115373.

Indexed as

Up-RegulationAdultAgedAged, 80 and overAntineoplastic AgentsCarcinoma, HepatocellularDrug Administration ScheduleFemaleGene Expression Regulation, NeoplasticHumansLiver NeoplasmsMaleMaximum Tolerated DoseMiddle AgedPiperidinesProto-Oncogene Proteins c-metAntineoplastic AgentsMET protein, humanPiperidinesProto-Oncogene Proteins c-metPyridazinesPyrimidinesSorafenibtepotinib

Identifiers

PMID33824476
PMCPMC8292404
OpenAlexW3148676932

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.