Evidence map›Paper›PMID 40679917›Full record

ArticleClinical and translational science2025

Sensitivity of Tepotinib to Inhibitors or Inducers of CYP3A4 and P-Gp: Drug Interaction Studies and Physiologically-Based Pharmacokinetic Analysis.

Rainer Strotmann, Christian Lüpfert, Axel Krebs-Brown, Alice Ke, Matthias Boedding, Jürgen Heuer, Karen Rowland Yeo, Lisa Benincosa, Karthik Venkatakrishnan

2 registry-linked trialsAbstract readClinical Trial, Phase I
In one paragraph

Article in Clinical and translational science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this 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.

NCT05203822 phase1completednot on this map

Phase I, Open-label, Single-sequence, Cross-over Study of the Effect of Multiple Doses of Itraconazole on Single-dose Tepotinib Pharmacokinetics in Healthy Participants

TypeinterventionalSponsorMerck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, GermanyRan2022 to 2022Enrolled18ConditionsHealthyArmsTepotinib (HydroChloride hydrate), Itraconazole
NCT05213481 phase1completednot on this map

Phase I, Open-Label, Single-sequence, Cross-Over Study of the Effect of Multiple Doses of Carbamazepine on Single-Dose Tepotinib Pharmacokinetics in Healthy Participants

TypeinterventionalSponsorMerck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, GermanyRan2021 to 2022Enrolled18ConditionsHealthyArmsTepotinib, Carbamazepine
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
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

9 authors.

Rainer StrotmannThe healthcare business of Merck KGaA, Darmstadt, Germany.ORCID 0000-0003-0543-7984
Christian LüpfertThe healthcare business of Merck KGaA, Darmstadt, Germany.
Axel Krebs-BrownThe healthcare business of Merck KGaA, Darmstadt, Germany.ORCID 0009-0004-2682-4670
Alice KeCertara UK Limited, Simcyp Division, Sheffield, UK.ORCID 0000-0003-3122-7120
Matthias BoeddingThe healthcare business of Merck KGaA, Darmstadt, Germany.
Jürgen HeuerClinical Services, Nuvisan GmbH, Neu-Ulm, Germany.
Karen Rowland YeoCertara UK Limited, Simcyp Division, Sheffield, UK.ORCID 0000-0002-7020-1970
Lisa BenincosaEMD Serono, Billerica, Massachusetts, USA.
Karthik VenkatakrishnanEMD Serono, Billerica, Massachusetts, USA.ORCID 0000-0003-4039-9813

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tepotinib is a highly selective, potent, mesenchymal-epithelial transition factor (MET) inhibitor, approved for the treatment of non-small cell lung cancer harboring MET exon 14 skipping alterations. This work aimed to investigate the potential for drug-drug interactions with strong inhibitors and inducers of both cytochrome P450 (CYP) 3A4/5 and P-glycoprotein (P-gp) with tepotinib. Two clinical studies were conducted to investigate the effect of the strong CYP3A4/P-gp inhibitor itraconazole (200 mg once daily) (NCT05203822) and the strong CYP3A4/P-gp inducer carbamazepine (titrated to 300 mg twice daily) (NCT05213481) on the pharmacokinetics of single dose tepotinib 500 mg (450 mg active moiety) in healthy participants. An investigational physiologically-based pharmacokinetic model, developed leveraging mass balance data, was used to evaluate the mechanisms underlying these interactions. Itraconazole increased tepotinib area under the curve extrapolated to infinity (AUC

Indexed as

ATP Binding Cassette Transporter, Subfamily B, Member 1Cytochrome P-450 CYP3ACytochrome P-450 CYP3A InducersCytochrome P-450 CYP3A InhibitorsPiperidinesPyridazinesPyrimidinesAdultArea Under CurveCarbamazepineDrug InteractionsFemaleHealthy VolunteersHumansItraconazoleMaleATP Binding Cassette Transporter, Subfamily B, Member 1CarbamazepineCYP3A4 protein, humanCytochrome P-450 CYP3ACytochrome P-450 CYP3A InducersCytochrome P-450 CYP3A InhibitorsItraconazolePiperidinesPyridazinesPyrimidinestepotinibcancersclinical trialsCYPdrug–drug interactionsinductioninhibitorspharmacokineticsphase Iphysiology‐based pharmacokineticstransporters

Identifiers

PMID40679917
PMCPMC12273743

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.