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赛沃替尼:一种有前景的癌症靶向药物。

Savolitinib: A Promising Targeting Agent for Cancer.

作者信息

Lee Tae Seung, Kim Jun Yeol, Lee Myeong Hwan, Cho In Rae, Paik Woo Hyun, Ryu Ji Kon, Kim Yong-Tae, Lee Sang Hyub

机构信息

Department of Internal Medicine and Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine, Seoul 03080, Republic of Korea.

出版信息

Cancers (Basel). 2023 Sep 25;15(19):4708. doi: 10.3390/cancers15194708.

DOI:10.3390/cancers15194708
PMID:37835402
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10571651/
Abstract

Savolitinib is a highly selective small molecule inhibitor of the mesenchymal epithelial transition factor (MET) tyrosine kinase, primarily developed for the treatment of non-small cell lung cancer (NSCLC) with mutations. It is also being investigated as a treatment for breast, head and neck, colorectal, gastric, pancreatic, and other gastrointestinal cancers. In both preclinical and clinical studies, it has demonstrated efficacy in lung, kidney, and stomach cancers. Savolitinib is an oral anti-cancer medication taken as a 600 mg dose once daily. It can be used as a monotherapy in patients with non-small cell lung cancer with mutations and in combination with epidermal growth factor receptor (EGFR) inhibitors for patients who have developed resistance to them. Furthermore, savolitinib has shown positive results in gastric cancer treatment, particularly in combination with docetaxel. As a result, this review aims to validate its efficacy in NSCLC and suggests its potential application in other gastrointestinal cancers, such as pancreatic cancer, based on related research in gastric and renal cancer.

摘要

赛沃替尼是一种对间充质上皮转化因子(MET)酪氨酸激酶具有高度选择性的小分子抑制剂,主要用于治疗具有特定突变的非小细胞肺癌(NSCLC)。它也正在被研究用于治疗乳腺癌、头颈癌、结直肠癌、胃癌、胰腺癌和其他胃肠道癌症。在临床前和临床研究中,它已在肺癌、肾癌和胃癌中显示出疗效。赛沃替尼是一种口服抗癌药物,每日服用一次,剂量为600毫克。它可用于治疗具有特定突变的非小细胞肺癌患者的单药治疗,也可与表皮生长因子受体(EGFR)抑制剂联合用于对其产生耐药性的患者。此外,赛沃替尼在胃癌治疗中显示出积极结果,特别是与多西他赛联合使用时。因此,本综述旨在验证其在非小细胞肺癌中的疗效,并根据胃癌和肾癌的相关研究,提出其在其他胃肠道癌症(如胰腺癌)中的潜在应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7687/10571651/1ba7918d4c89/cancers-15-04708-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7687/10571651/527eac2d3b01/cancers-15-04708-g001a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7687/10571651/1ba7918d4c89/cancers-15-04708-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7687/10571651/527eac2d3b01/cancers-15-04708-g001a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7687/10571651/1ba7918d4c89/cancers-15-04708-g002.jpg

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Savolitinib: A Promising Targeting Agent for Cancer.赛沃替尼:一种有前景的癌症靶向药物。
Cancers (Basel). 2023 Sep 25;15(19):4708. doi: 10.3390/cancers15194708.
2
Landscape of Savolitinib Development for the Treatment of Non-Small Cell Lung Cancer with MET Alteration-A Narrative Review.赛沃替尼治疗MET改变的非小细胞肺癌的研发概况——一篇叙述性综述
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Savolitinib ± Osimertinib in Japanese Patients with Advanced Solid Malignancies or EGFRm NSCLC: Ph1b TATTON Part C.索凡替尼±奥希替尼用于晚期实体瘤或 EGFRm NSCLC 日本患者的 Ph1b TATTON 研究 C 部分。
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Clin Lung Cancer. 2023 Jan;24(1):82-88. doi: 10.1016/j.cllc.2022.09.009. Epub 2022 Sep 30.
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Savolitinib for non-small cell lung cancer.赛沃替尼用于治疗非小细胞肺癌。
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A phase Ib study of the highly selective MET-TKI savolitinib plus gefitinib in patients with EGFR-mutated, MET-amplified advanced non-small-cell lung cancer.一项评估高度选择性 MET-TKI savolitinib 联合 gefitinib 治疗 EGFR 突变、MET 扩增的晚期非小细胞肺癌患者的 Ib 期研究。
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引用本文的文献

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Case Report: A novel MET exon 14 skipping mutation after EGFR-TKI resistance in advanced lung adenocarcinoma and sustained clinical response to savolitinib.病例报告:晚期肺腺癌患者在表皮生长因子受体酪氨酸激酶抑制剂(EGFR-TKI)耐药后出现一种新的MET外显子14跳跃突变,并对赛沃替尼持续产生临床反应。
Front Pharmacol. 2025 Mar 10;16:1489696. doi: 10.3389/fphar.2025.1489696. eCollection 2025.
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Are Probiotics Beneficial or Harmful for Pancreatic Cancer Outcomes?益生菌对胰腺癌预后有益还是有害?
Probiotics Antimicrob Proteins. 2024 Dec 23. doi: 10.1007/s12602-024-10437-7.
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Disulfidptosis‑related lncRNA prognosis model to predict survival therapeutic response prediction in lung adenocarcinoma.

本文引用的文献

1
The Treatment of a New Entity in Advanced Non-small Cell Lung Cancer: MET Exon 14 Skipping Mutation.晚期非小细胞肺癌新实体的治疗:MET 外显子 14 跳跃突变。
Curr Med Chem. 2024;31(21):3043-3056. doi: 10.2174/0929867331666230803094432.
2
Advanced HCC with amplified mesenchymal epithelial transition factor receptor responds well to savolitinib: a case report.具有间充质上皮转化因子受体扩增的晚期肝细胞癌对赛沃替尼反应良好:病例报告
Front Med (Lausanne). 2023 May 24;10:1130012. doi: 10.3389/fmed.2023.1130012. eCollection 2023.
3
A durable response to savolitinib in a patient with lung adenocarcinoma harboring two novel MET exon 14 skipping sites.
用于预测肺腺癌生存治疗反应的二硫化物诱导细胞焦亡相关长链非编码RNA预后模型。
Oncol Lett. 2024 May 29;28(2):342. doi: 10.3892/ol.2024.14476. eCollection 2024 Aug.
4
Role of savolitinib in advanced gastric adenocarcinoma with meningeal carcinomatosis and cerebellar metastasis: A case report.赛沃替尼在伴有脑膜癌病和小脑转移的晚期胃腺癌中的作用:一例报告
World J Clin Cases. 2024 May 26;12(15):2636-2641. doi: 10.12998/wjcc.v12.i15.2636.
5
Structural Perspectives in the Development of Novel EGFR Inhibitors for the Treatment of NSCLC.新型表皮生长因子受体抑制剂治疗非小细胞肺癌的结构观点。
Mini Rev Med Chem. 2024;24(19):1746-1783. doi: 10.2174/0113895575296174240323172754.
患者肺腺癌存在两个新型 MET 外显子 14 跳跃突变,对 savolitinib 有持久应答。
Anticancer Drugs. 2023 Sep 1;34(8):949-953. doi: 10.1097/CAD.0000000000001495. Epub 2023 Feb 10.
4
Case report: Savolitinib induced severe adverse reactions resembling septic shock in an HIV-1-positive patient with advanced non-small cell lung cancer.病例报告:在一名患有晚期非小细胞肺癌的HIV-1阳性患者中,赛沃替尼引发了类似感染性休克的严重不良反应。
Front Pharmacol. 2023 Feb 2;14:1089184. doi: 10.3389/fphar.2023.1089184. eCollection 2023.
5
Savolitinib for non-small cell lung cancer.赛沃替尼用于治疗非小细胞肺癌。
Drugs Today (Barc). 2023 Jan;59(1):17-36. doi: 10.1358/dot.2023.59.1.3425324.
6
Phase II Study Investigating the Safety and Efficacy of Savolitinib and Durvalumab in Metastatic Papillary Renal Cancer (CALYPSO).Ⅱ期研究调查索凡替尼联合度伐利尤单抗治疗转移性乳头状肾细胞癌(CALYPSO)的安全性和疗效。
J Clin Oncol. 2023 May 10;41(14):2493-2502. doi: 10.1200/JCO.22.01414. Epub 2023 Feb 21.
7
A case of lung adenocarcinoma with MET∆ex14 mutation regressed after preoperative treatment with savolitinib, and successfully underwent radical resection.一例伴有MET∆ex14突变的肺腺癌患者在接受赛沃替尼术前治疗后病情缓解,并成功接受了根治性切除术。
Anticancer Drugs. 2023 Feb 1;34(2):302-305. doi: 10.1097/CAD.0000000000001417. Epub 2023 Nov 17.
8
Landscape of Savolitinib Development for the Treatment of Non-Small Cell Lung Cancer with MET Alteration-A Narrative Review.赛沃替尼治疗MET改变的非小细胞肺癌的研发概况——一篇叙述性综述
Cancers (Basel). 2022 Dec 12;14(24):6122. doi: 10.3390/cancers14246122.
9
Significant role of savolitinib in a case of advanced gastric cancer with abnormal mesenchymal-epithelial transition factor (MET): A case report.索凡替尼治疗异常间充质-上皮转化因子(MET)的晚期胃癌病例:一例报告。
Medicine (Baltimore). 2022 Dec 2;101(48):e32072. doi: 10.1097/MD.0000000000032072.
10
MET-targeted therapies for the treatment of non-small-cell lung cancer: A systematic review and meta-analysis.用于治疗非小细胞肺癌的MET靶向疗法:一项系统评价与荟萃分析
Front Oncol. 2022 Oct 27;12:1013299. doi: 10.3389/fonc.2022.1013299. eCollection 2022.