文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

一项评估 MET 抑制剂卡马替尼联合西妥昔单抗治疗抗 EGFR 单克隆抗体治疗后进展的 MET 阳性结直肠癌患者的 1b 期研究。

A phase 1b study of the MET inhibitor capmatinib combined with cetuximab in patients with MET-positive colorectal cancer who had progressed following anti-EGFR monoclonal antibody treatment.

机构信息

Department of Medical Oncology, Institut Universitaire du Cancer de Toulouse (IUCT) - Oncopole, 1 avenue Irène Joliot-Curie, 31059, Toulouse Cedex 9, France.

Gastrointestinal Malignancies Division, Vall d'Hebron University Hospital, Barcelona, Spain.

出版信息

Invest New Drugs. 2020 Dec;38(6):1774-1783. doi: 10.1007/s10637-020-00928-z. Epub 2020 May 14.


DOI:10.1007/s10637-020-00928-z
PMID:32410080
Abstract

Background Overcoming resistance to anti-epidermal growth factor receptor (EGFR) monoclonal antibodies (mAbs) in patients with KRAS wildtype (WT) metastatic colorectal cancer (mCRC) could help meet the needs of patients with limited treatment options. Methods In this phase 1b study, patients with N/KRAS WT, MET-positive mCRC who had progressed following anti-EGFR mAb treatment received escalating oral doses of capmatinib (150, 300, and 400 mg) twice daily plus weekly intravenous cetuximab (at the approved dose). The primary objective was to establish a recommended dose for expansion (RDE) of capmatinib in combination with cetuximab. Safety, preliminary activity, pharmacokinetics, and pharmacodynamics were also explored. Results Thirteen patients were enrolled. No patients experienced a dose-limiting toxicity at investigated doses; the RDE was established as capmatinib 400 mg twice daily plus cetuximab. All patients experienced adverse events (AEs) suspected to be related to the study treatment. Five patients (38.5%) reported study-drug-related AEs of grade 3/4 in severity. No patients achieved a complete or partial response according to RECIST v1.1; however, tumor shrinkage of 29-44% was observed in 4 patients. Conclusions Capmatinib plus cetuximab was well tolerated. Preliminary signs of activity were observed. Further investigation is warranted to obtain efficacy data and refine predictive biomarkers of response. Clinical trial registration NCT02205398.

摘要

背景:克服 KRAS 野生型(WT)转移性结直肠癌(mCRC)患者对表皮生长因子受体(EGFR)单克隆抗体(mAb)的耐药性,可以满足治疗选择有限的患者的需求。

方法:在这项 1b 期研究中,既往接受抗 EGFR mAb 治疗后进展的 N/KRAS WT、MET 阳性 mCRC 患者接受卡马替尼(150、300 和 400 mg,每日两次)和每周一次静脉注射西妥昔单抗(批准剂量)递增口服剂量。主要目的是确定卡马替尼联合西妥昔单抗扩展入组(RDE)的推荐剂量。还探索了安全性、初步疗效、药代动力学和药效学。

结果:共纳入 13 例患者。在研究剂量下,无患者发生剂量限制性毒性;确定卡马替尼 400 mg,每日两次联合西妥昔单抗为 RDE。所有患者均发生疑似与研究治疗相关的不良事件(AE)。5 例(38.5%)患者报告有 3/4 级研究药物相关 AE。根据 RECIST v1.1 标准,无患者完全或部分缓解;但 4 例患者的肿瘤缩小 29-44%。

结论:卡马替尼联合西妥昔单抗耐受性良好。观察到初步疗效迹象。需要进一步研究以获得疗效数据并完善反应的预测生物标志物。

临床试验注册:NCT02205398。

相似文献

[1]
A phase 1b study of the MET inhibitor capmatinib combined with cetuximab in patients with MET-positive colorectal cancer who had progressed following anti-EGFR monoclonal antibody treatment.

Invest New Drugs. 2020-12

[2]
Phase Ib/II Study of Capmatinib (INC280) Plus Gefitinib After Failure of Epidermal Growth Factor Receptor (EGFR) Inhibitor Therapy in Patients With EGFR-Mutated, MET Factor-Dysregulated Non-Small-Cell Lung Cancer.

J Clin Oncol. 2018-8-29

[3]
Capmatinib plus nazartinib in patients with EGFR-mutated non-small cell lung cancer.

Eur J Cancer. 2024-9

[4]
Phase 1 study of capmatinib in MET-positive solid tumor patients: Dose escalation and expansion of selected cohorts.

Cancer Sci. 2019-12-30

[5]
Phase II Study of Tivantinib and Cetuximab in Patients With KRAS Wild-type Metastatic Colorectal Cancer With Acquired Resistance to EGFR Inhibitors and Emergence of MET Overexpression: Lesson Learned for Future Trials With EGFR/MET Dual Inhibition.

Clin Colorectal Cancer. 2019-2-14

[6]
A multicenter phase 1 study of PX-866 and cetuximab in patients with metastatic colorectal carcinoma or recurrent/metastatic squamous cell carcinoma of the head and neck.

Invest New Drugs. 2014-12

[7]
Phase I dose-escalation study of capmatinib (INC280) in Japanese patients with advanced solid tumors.

Cancer Sci. 2019-2-20

[8]
Biweekly cetuximab plus irinotecan as second-line chemotherapy for patients with irinotecan-refractory and KRAS wild-type metastatic colorectal cancer according to epidermal growth factor receptor expression status.

Invest New Drugs. 2011-6-25

[9]
Dual Inhibition of EGFR and c-Src by Cetuximab and Dasatinib Combined with FOLFOX Chemotherapy in Patients with Metastatic Colorectal Cancer.

Clin Cancer Res. 2017-8-1

[10]
Neratinib-Plus-Cetuximab in Quadruple-WT () Metastatic Colorectal Cancer Resistant to Cetuximab or Panitumumab: NSABP FC-7, A Phase Ib Study.

Clin Cancer Res. 2021-3-15

引用本文的文献

[1]
The MET Oncogene Network of Interacting Cell Surface Proteins.

Int J Mol Sci. 2024-12-21

[2]
A Phase 2 study of Savolitinib in Patients with MET Amplified Metastatic Colorectal Cancer.

J Gastrointest Cancer. 2024-12-9

[3]
Functional interaction between receptor tyrosine kinase MET and ETS transcription factors promotes prostate cancer progression.

Mol Oncol. 2025-2

[4]
Deciphering treatment resistance in metastatic colorectal cancer: roles of drug transports, EGFR mutations, and HGF/c-MET signaling.

Front Pharmacol. 2024-1-10

[5]
Opportunities and challenges of targeting c-Met in the treatment of digestive tumors.

Front Oncol. 2022-8-1

[6]
Drug Resistance in Colorectal Cancer: From Mechanism to Clinic.

Cancers (Basel). 2022-6-14

[7]
Depleting receptor tyrosine kinases EGFR and HER2 overcomes resistance to EGFR inhibitors in colorectal cancer.

J Exp Clin Cancer Res. 2022-6-2

[8]
Resistance to anti-EGFR therapies in metastatic colorectal cancer: underlying mechanisms and reversal strategies.

J Exp Clin Cancer Res. 2021-10-18

[9]
Lessons to Learn for Adequate Targeted Therapy Development in Metastatic Colorectal Cancer Patients.

Int J Mol Sci. 2021-5-9

[10]
HGF/c-Met Axis: The Advanced Development in Digestive System Cancer.

Front Cell Dev Biol. 2020-10-26

本文引用的文献

[1]
Targeting in cancer therapy.

Chronic Dis Transl Med. 2017-7-19

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索