Evidence map›Paper›PMID 34789481›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2022

Tepotinib Efficacy and Safety in Patients with MET Exon 14 Skipping NSCLC: Outcomes in Patient Subgroups from the VISION Study with Relevance for Clinical Practice.

Xiuning Le, Hiroshi Sakai, Enriqueta Felip, Remi Veillon, Marina Chiara Garassino, Jo Raskin, Alexis B Cortot, Santiago Viteri, Julien Mazieres, Egbert F Smit and 20 more

Open access · bronzeAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed
11.7field-weighted citation impact, top 1% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 99 citations in OpenAlex.

  1. Liquid and Tissue Biopsies for Identifying MET Exon 14 Skipping NSCLC: Analyses from the Phase II VISION Study of Tepotinib.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
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  7. The evolving landscape of leptomeningeal metastases from NSCLC: an international, contemporary, multicenter cohort study.Annals of oncology : official journal of the European Society for Medical Oncology · 2026
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  19. Efficacy and safety analysis of immunotherapy in non-small cell lung cancer patients with MET alterations.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Article
  20. Review

2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

30 authors at 20 institutions in 13 countries.

Xiuning LeDepartment of Thoracic Head and Neck Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0002-8554-1185
Hiroshi SakaiDepartment of Thoracic Oncology, Saitama Cancer Center, Kitaadachi-gun, Japan.ORCID 0000-0002-3185-0804
Enriqueta FelipDepartment of Oncology, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.
Remi VeillonCHU Bordeaux, Service des Maladies Respiratoires, Bordeaux, France.
Marina Chiara GarassinoDepartment of Medical Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Jo RaskinDepartment of Pulmonology and Thoracic Oncology, Antwerp University Hospital (UZA), Edegem, Belgium.ORCID 0000-0001-8029-4093
Alexis B CortotUniv. Lille, CHU Lille, CNRS, Inserm, Institut Pasteur de Lille, UMR9020 - UMR-S 1277 - Canther, Lille, France.ORCID 0000-0003-0098-2238
Santiago ViteriInstituto Oncológico Dr. Rosell, Hospital Universitario Dexeus, Grupo Quiron Salud, Barcelona, Spain.ORCID 0000-0002-7572-1123
Julien MazieresCHU de Toulouse, Institut Universitaire du Cancer, Toulouse, France.ORCID 0000-0002-5921-7613
Egbert F SmitDepartment of Thoracic Oncology, Netherlands Cancer Institute, Amsterdam, the Netherlands.
Michael ThomasThoraxklinik, University Heidelberg and Translational Lung Research Center Heidelberg (TLRC-H), The German Center for Lung Research (DZL), Heidelberg, Germany.
Wade T IamsDivision of Hematology/Oncology, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Byoung Chul ChoYonsei Cancer Center, Yonsei University College of Medicine, Seoul, Republic of Korea.ORCID 0000-0002-5562-270X
Hye Ryun KimYonsei Cancer Center, Yonsei University College of Medicine, Seoul, Republic of Korea.
James Chih-Hsin YangDepartment of Medical Oncology, National Taiwan University Cancer Center, Taipei, Taiwan.
Yuh-Min ChenDepartment of Chest Medicine, Taipei Veterans General Hospital, and School of Medicine, National Yang-Ming University, Taipei, Taiwan.
Jyoti D PatelLurie Cancer Center, Northwestern University-Feinberg School of Medicine, Chicago, Illinois.
Christine M BestvinaDepartment of Medicine, University of Chicago Medical Center, Chicago, Illinois.ORCID 0000-0001-7189-1590
Keunchil ParkSamsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.ORCID 0000-0002-4846-7449
Frank GriesingerPius-Hospital, University Medicine Oldenburg, Department of Hematology and Oncology, University Department Internal Medicine-Oncology, Oldenburg, Germany.
Melissa JohnsonDepartment of Medicine, Sarah Cannon Research Institute/Tennessee Oncology, PLLC, Nashville, Tennessee.
Maya GottfriedDepartment of Oncology, Meir Medical Center, Tchernichovsky St 59, Kefar Sava, Israel.
Christian BritschgiDepartment of Medical Oncology and Hematology, Comprehensive Cancer Center Zurich, University Hospital Zurich, Zurich, Switzerland.
John HeymachDepartment of Thoracic Head and Neck Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0001-9068-8942
Elif SikogluCalyx, Patient Technology Solutions, Medical Imaging, Billerica, Massachusetts.
Karin BerghoffGlobal Patient Safety, the healthcare business of Merck KGaA, Darmstadt, Germany.
Karl-Maria SchumacherGlobal Clinical Development, the healthcare business of Merck KGaA, Darmstadt, Germany.
Rolf BrunsDepartment of Biostatistics, the healthcare business of Merck KGaA, Darmstadt, Germany.
Gordon OttoGlobal Clinical Development, the healthcare business of Merck KGaA, Darmstadt, Germany.
Paul K PaikThoracic Oncology Service, Memorial Sloan-Kettering Cancer Center, New York, New York.
Merck (Germany) · DEThe University of Texas MD Anderson Cancer Center · USYonsei University · KRAntwerp University Hospital · BECentre Hospitalier Universitaire de Toulouse · FRCentre National de la Recherche Scientifique · FRDutch Cancer Society · NLHebron University · PSHeidelberg University · DEInstituto Oncológico Dr. Rosell · ESLantheus Medical Imaging (United States) · USMeir Medical Center · ILMemorial Sloan Kettering Cancer Center · USNational Taiwan University Hospital · TWNational Yang Ming Chiao Tung University · TWNorthwestern University · USPhysiopathologie et Epidémiologie des Maladies Respiratoires · FRPius Hospital Oldenburg · DESaitama Cancer Center · JPSamsung Medical Center · KR

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
Vanderbilt Clinical Oncology Research Career Development ProgramK12CA090625 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Debra L. Friedman, Paula Jill Hurley · 2001 to 2026
$16.9M
NCI NIH HHS K12 CA090625NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

purposePrimary analysis of VISION showed tepotinib had durable clinical activity in patients with MET exon 14 (METex14) skipping non-small cell lung cancer (NSCLC). We present updated outcomes for clinically relevant subgroups. PATIENTS AND

methodsThis phase II, open-label, multi-cohort study of 500 mg (450 mg active moiety) tepotinib in patients with METex14 skipping NSCLC assessed efficacy and safety in predefined subgroups according to age, prior therapies (chemotherapy and immune checkpoint inhibitors), and brain metastases. An ad hoc retrospective analysis using Response Assessment in Neuro-Oncology Brain Metastases (RANO-BM) criteria assessed intracranial activity.

results152 patients were evaluable for efficacy (median age: 73.1). Overall, objective response rate (ORR) was 44.7% [95% confidence interval (CI): 36.7-53.0]. Patients aged <75 (n = 84) and ≥75 (n = 68) had ORRs of 48.8% (95% CI: 37.7-60.0) and 39.7% (95% CI: 28.0-52.3), respectively. Treatment-naïve (n = 69) versus previously treated (n = 83) patients showed consistent efficacy [ORR (95% CI): 44.9% (32.9-57.4) vs. 44.6% (33.7-55.9); median duration of response (95% CI): 10.8 (6.9-not estimable) vs. 11.1 (9.5-18.5) months]. Of 15 patients analyzed by RANO-BM (12 received prior radiotherapy), 13 achieved intracranial disease control; 5 of 7 patients with measurable brain metastases had partial intracranial responses. Of 255 patients evaluable for safety, 64 (25.1%) experienced grade ≥3 treatment-related adverse events (TRAE), leading to discontinuation in 27 patients (10.6%). Rates of adverse events (AE) were broadly consistent irrespective of prior therapies.

conclusionsTepotinib showed meaningful activity across subgroups by age, prior therapies, and brain metastases, with a manageable safety profile and few treatment discontinuations. See related commentary by Rosner and Spira, p. 1055.

Indexed as

Brain NeoplasmsCarcinoma, Non-Small-Cell LungLung NeoplasmsPiperidinesPyridazinesPyrimidinesAgedAntineoplastic AgentsCohort StudiesExonsHumansRetrospective StudiesAntineoplastic AgentsPiperidinesPyridazinesPyrimidinestepotinib

Identifiers

PMID34789481
PMCPMC9365370
OpenAlexW3214261332

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.