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盐酸特泊替尼治疗非小细胞肺癌。

Tepotinib hydrochloride for the treatment of non-small cell lung cancer.

机构信息

Department of Pharmaceutical Sciences, College of Pharmacy and Health Sciences, St. John's University, Queens, New York, USA.

Department of Pharmaceutical Sciences, College of Pharmacy and Health Sciences, St. John's University, Queens, New York, USA and Department of Otolaryngology-Head and Neck Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China.

出版信息

Drugs Today (Barc). 2021 Apr;57(4):265-275. doi: 10.1358/dot.2021.57.4.3238323.

DOI:10.1358/dot.2021.57.4.3238323
PMID:33851690
Abstract

Non-small cell lung cancer (NSCLC) is one of the most devastating cancers with high mortality worldwide. By inhibiting the activity of specific molecular targets in the cancer cells, tyrosine kinase inhibitors (TKIs) have become a standard treatment in combating NSCLC. Tepotinib hydrochloride is an orally bioavailable, mesenchymal-epithelial transition (MET) TKI developed mainly for selected NSCLC patients with METex14 skipping mutations. Tepotinib demonstrated durable clinical response in phase II clinical trials, which led to its approval for use in Japan and breakthrough therapy designation and accelerated approval in the U.S. These progresses highlighted tepotinib as a promising candidate for NSCLC patients. This review summarizes the pharmacological profile of tepotinib, preclinical studies and landmark clinical trials of tepotinib. In addition, we share our perspectives on the future direction of tepotinib as a novel anticancer drug.

摘要

非小细胞肺癌(NSCLC)是全球死亡率较高的最具破坏性的癌症之一。通过抑制癌细胞中特定分子靶标的活性,酪氨酸激酶抑制剂(TKI)已成为治疗 NSCLC 的标准方法。盐酸特泊替尼是一种口服生物利用度的间质-上皮转化(MET)TKI,主要针对具有 METex14 跳跃突变的选定 NSCLC 患者开发。盐酸特泊替尼在 II 期临床试验中表现出持久的临床反应,这促使其在日本获得批准,并在美国获得突破性治疗指定和加速批准。这些进展凸显了盐酸特泊替尼作为 NSCLC 患者有前途的候选药物。本综述总结了盐酸特泊替尼的药理学特征、盐酸特泊替尼的临床前研究和里程碑式临床试验。此外,我们还分享了我们对盐酸特泊替尼作为一种新型抗癌药物的未来发展方向的看法。

相似文献

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Tepotinib hydrochloride for the treatment of non-small cell lung cancer.盐酸特泊替尼治疗非小细胞肺癌。
Drugs Today (Barc). 2021 Apr;57(4):265-275. doi: 10.1358/dot.2021.57.4.3238323.
2
Tepotinib in patients with NSCLC harbouring MET exon 14 skipping: Japanese subset analysis from the Phase II VISION study.MET 外显子 14 跳跃型非小细胞肺癌患者接受 tepotinib 治疗:来自 II 期 VISION 研究的日本亚组分析。
Jpn J Clin Oncol. 2021 Aug 1;51(8):1261-1268. doi: 10.1093/jjco/hyab072.
3
Long-term experience with tepotinib in Japanese patients with MET exon 14 skipping NSCLC from the Phase II VISION study.来自 II 期 VISION 研究的 MET 外显子 14 跳跃 NSCLC 日本患者中 tepotinib 的长期经验。
Cancer Sci. 2024 Apr;115(4):1296-1305. doi: 10.1111/cas.16107. Epub 2024 Feb 25.
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Foretinib can overcome common on-target resistance mutations after capmatinib/tepotinib treatment in NSCLCs with MET exon 14 skipping mutation.福雷替尼可克服 MET 外显子 14 跳跃突变的 NSCLC 患者接受卡马替尼/替泊替尼治疗后的常见靶标耐药突变。
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Tepotinib in Non-Small-Cell Lung Cancer with Exon 14 Skipping Mutations.特泊替尼治疗伴有外显子 14 跳跃突变的非小细胞肺癌。
N Engl J Med. 2020 Sep 3;383(10):931-943. doi: 10.1056/NEJMoa2004407. Epub 2020 May 29.
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Therapeutic strategies in METex14 skipping mutated non-small cell lung cancer.METex14跳跃突变型非小细胞肺癌的治疗策略
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Tepotinib plus gefitinib in patients with EGFR-mutant non-small-cell lung cancer with MET overexpression or MET amplification and acquired resistance to previous EGFR inhibitor (INSIGHT study): an open-label, phase 1b/2, multicentre, randomised trial.特泊替尼联合吉非替尼治疗既往 EGFR 抑制剂治疗后出现 MET 过表达或扩增的 EGFR 突变型非小细胞肺癌患者:一项开放标签、Ib/II 期、多中心、随机试验(INSIGHT 研究)。
Lancet Respir Med. 2020 Nov;8(11):1132-1143. doi: 10.1016/S2213-2600(20)30154-5. Epub 2020 May 29.
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Tepotinib Efficacy in a Patient with Non-Small Cell Lung Cancer with Brain Metastasis Harboring an HLA-DRB1-MET Gene Fusion.特泊替尼治疗携带 HLA-DRB1-MET 基因融合的非小细胞肺癌伴脑转移患者的疗效。
Oncologist. 2020 Nov;25(11):916-920. doi: 10.1634/theoncologist.2020-0502. Epub 2020 Sep 8.
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Spatial profiling of METex14-altered NSCLC under tepotinib treatment: Shifting the immunosuppressive landscape.替波替尼治疗下 METex14 改变的非小细胞肺癌的空间分析:改变免疫抑制景观。
Neoplasia. 2024 Nov;57:101063. doi: 10.1016/j.neo.2024.101063. Epub 2024 Oct 3.
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Dramatic intracranial response to tepotinib in a patient with lung adenocarcinoma harboring MET exon 14 skipping mutation.患者肺腺癌存在 MET 外显子 14 跳跃突变,使用 tepotinib 后颅内反应显著。
Thorac Cancer. 2021 Mar;12(6):978-980. doi: 10.1111/1759-7714.13871. Epub 2021 Feb 3.

引用本文的文献

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Front Chem. 2024 Dec 10;12:1501844. doi: 10.3389/fchem.2024.1501844. eCollection 2024.
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RNA splicing alterations in lung cancer pathogenesis and therapy.肺癌发病机制与治疗中的RNA剪接改变
Cancer Pathog Ther. 2023 Apr 28;1(4):272-283. doi: 10.1016/j.cpt.2023.04.004. eCollection 2023 Oct.
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METTL14 Regulates PLAGL2/-Catenin Signaling Axis to Promote the Development of Nonsmall Cell Lung Cancer.
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The Bile Acid Membrane Receptor TGR5 in Cancer: Friend or Foe?胆汁酸膜受体 TGR5 在癌症中的作用:是敌是友?
Molecules. 2022 Aug 19;27(16):5292. doi: 10.3390/molecules27165292.
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Acta Pharm Sin B. 2022 May;12(5):2609-2618. doi: 10.1016/j.apsb.2021.12.018. Epub 2021 Dec 30.