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接受卡马替尼治疗的伴有MET外显子14跳跃突变和脑转移的非小细胞肺癌患者的真实世界疗效

Real-world outcomes in non-small-cell lung cancer patients with MET Exon 14 skipping mutation and brain metastases treated with capmatinib.

作者信息

Paik Paul K, Goyal Ravi K, Cai Beilei, Price Mark A, Davis Keith L, Ansquer Valerie Derrien, Caro Nydia, Saliba Teddy R

机构信息

Memorial Sloan Kettering Cancer Center, 1275 York Avenue, Manhattan, NY 10065, USA.

Weill Cornell Medical College, 1300 York Avenue, New York, NY 10065, USA.

出版信息

Future Oncol. 2023 Jan;19(3):217-228. doi: 10.2217/fon-2022-1133. Epub 2023 Feb 7.

Abstract

To assess real-world clinical outcomes in patients with non-small-cell lung cancer with MET exon 14 skipping mutation and brain metastases (BM) who received capmatinib, a recently approved MET inhibitor, in routine US clinical practice. Patient data were collected using a retrospective medical record review, led by participating oncologists. Eligible patients initiated treatment with capmatinib in any line, after BM diagnosis, between May 2020 and June 2021. Data on real-world overall response rate (rwORR) and real-world progression-free survival (rwPFS) were descriptively analyzed. 68 eligible patients were analyzed. In patients treated with first-line (1L) capmatinib (n = 55), the rwORR was 90.9% systemically and 87.3% intracranially; median systemic rwPFS was 14.1 months. Among radiation-naive patients on 1L capmatinib (n = 20), rwORR was 85.0%, both systemically and intracranially; median systemic rwPFS was 14.1 months. This study showed substantial systemic and intracranial effectiveness for capmatinib in real-world setting; findings were consistent for RT-naive patients.

摘要

为评估在接受卡马替尼(一种最近获批的MET抑制剂)治疗的、伴有MET外显子14跳跃突变和脑转移(BM)的非小细胞肺癌患者中的真实世界临床结局,该研究在美国常规临床实践中开展。患者数据通过回顾性病历审查收集,由参与研究的肿瘤学家主导。符合条件的患者在2020年5月至2021年6月期间,于脑转移诊断后开始使用卡马替尼进行任何线治疗。对真实世界总缓解率(rwORR)和真实世界无进展生存期(rwPFS)的数据进行描述性分析。共分析了68例符合条件的患者。在接受一线(1L)卡马替尼治疗的患者(n = 55)中,全身rwORR为90.9%,颅内rwORR为87.3%;全身rwPFS中位数为14.1个月。在接受1L卡马替尼治疗且未接受过放疗的患者(n = 20)中,全身和颅内rwORR均为85.0%;全身rwPFS中位数为14.1个月。本研究表明,在真实世界中,卡马替尼具有显著的全身和颅内有效性;对于未接受过放疗的患者,研究结果一致。

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