Evidence map›Paper›PMID 40579378›Full record

ArticleJapanese journal of clinical oncology2025

Safety and effectiveness of tepotinib in patients with unresectable, advanced or recurrent non-small cell lung cancer with METex14 skipping alterations: post-marketing surveillance in Japan.

Terufumi Kato, Tatsuya Ogura, Masashi Sato, Risa Kojima, Bingbing Song, Eisuke Horii, Kazuhiko Nakagawa

Abstract readMulticenter Study
In one paragraph

Article in Japanese journal of clinical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Terufumi KatoDepartment of Thoracic Oncology, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, Yokohama, Kanagawa 241-8515, Japan.ORCID 0000-0002-5853-1424
Tatsuya OguraPMS Planning & Strategy, Merck Biopharma Co, Ltd. (an affiliate of Merck KGaA), 1.3.1 Azabudai, Minato-ku, Tokyo 106-0041, Japan.
Masashi SatoGlobal Research & Development, Clinical Measurement Sciences, Biostatistics, Merck Biopharma Co, Ltd. (an affiliate of Merck KGaA), 1-3-1 Azabudai, Minato-ku, Tokyo 106-0041, Japan.
Risa KojimaGlobal Patient Safety Japan, Merck Biopharma Co, Ltd. (an affiliate of Merck KGaA), 1-3-1 Azabudai, Minato-ku, Tokyo 106-0041, Japan.
Bingbing SongGlobal Development Operations Japan, R&D, Merck Biopharma Co, Ltd. (an affiliate of Merck KGaA), 1-3-1 Azabudai, Minato-ku, Tokyo 106-0041, Japan.
Eisuke HoriiOncology Medical Affairs, Merck Biopharma Co, Ltd. (an affiliate of Merck KGaA), 1-3-1 Azabudai, Minato-ku, Tokyo 106-0041, Japan.
Kazuhiko NakagawaDepartment of Medical Oncology, Kindai University Faculty of Medicine, 377-2 Ohno-higashi, Osaka-Sayama, Osaka 589-8511, Japan.

Funding

Merck Biopharma Co, Ltd
6 · The paper itself

Abstract

objectiveTepotinib has shown clinical benefits in patients with non-small cell lung cancer (NSCLC) harboring MET exon 14 (METex14) skipping alterations. The objective of this post-marketing surveillance (PMS) was to assess the safety and effectiveness of tepotinib in general clinical practice in Japan.

methodsThis multicenter, non-interventional PMS included patients with unresectable, advanced, or recurrent NSCLC with METex14 skipping alterations who received at least one dose of tepotinib. The primary endpoint was the incidence of adverse drug reactions (ADRs) identified as safety specifications (SS) for tepotinib according to the Japanese Risk Management Plan (ADRs of SS); i.e. interstitial lung disease (ILD), fluid retention, hepatic function disorder, renal impairment, and QT interval prolongation (classified by preferred term). The secondary endpoints were ADRs of SS in patient subgroups and the effectiveness of tepotinib in clinical practice. In total, 147 patients were included (median age 72.0 years).

resultsThe incidence of ILD, fluid retention, hepatic function disorder, and renal impairment was 7.5%, 47.6%, 13.6%, and 36.1%, respectively; incidence of grade ≥3 ADRs of SS were 3.4%, 9.5%, 4.8%, and 2.7%, respectively. No instances of QT interval prolongation occurred. Four patients (2.7%) died due to ILD. The objective response rate was 51.0% [95% confidence interval (CI) 42.7, 59.3] and disease control rate was 77.6% (95% CI 69.9, 84.0).

conclusionsTepotinib was generally well tolerated and effective in patients with NSCLC and METex14 skipping alterations in general clinical practice in Japan; no new safety issues or concerns were identified.

Indexed as

Antineoplastic AgentsCarcinoma, Non-Small-Cell LungLung NeoplasmsNeoplasm Recurrence, LocalPiperidinesProto-Oncogene Proteins c-metPyrimidinesAdultAgedAged, 80 and overExonsFemaleHumansJapanMaleMiddle AgedAntineoplastic AgentsPiperidinesProto-Oncogene Proteins c-metPyridazinesPyrimidinestepotinibJapaneseMET receptor tyrosine kinasenon-small cell lung cancerpost-marketing surveillancetepotinib

Identifiers

PMID40579378
PMCPMC12501971

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