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Capmatinib 卡马替尼(Tabrecta)是治疗METEX14突变的靶向药吗?


印度代购提示您,本品卡马替尼(Capmatinib,INC280)是一种是一种口服的高度选择性的IaMET抑制剂,也是FDA批准的首个针对METex14转移性NSCLC的靶向治疗药物(2020.5),获批的适应症为治疗携带MET外显子14跳跃突变的转移性NSCLC患者,包括一线治疗(初治)患者和先前接受过治疗(经治)的患者。

 Capmatinib (INC280) is an oral, highly selective type Ia MET inhibitor and the first FDA-approved targeted therapy for METex14 metastatic NSCLC (2020.5). The approved indication is for the treatment of patients with metastatic NSCLC who carry a jump mutation in MET exon 14, including first-line (untreated) patients and patients who have previously been treated (treated).

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  印度代购提示您,此次批准是基于II期的GEOMETRY mono-1研究结果。该研究是一项前瞻性,非随机,开放标签的II期研究,共招募94例携带MET外显子14跳跃突变的晚期或转移性NSCLC成人患者,经双盲独立审查委员会(BIRC)评估卡马替尼一线治疗的总缓解率为68%,先前接受过一种治疗方案的患者ORR48%,先前经历过两种以上方案的METex14患者ORR41%。中位反应持续时间分别为12.6个月和9.7个月。结果显示,无论患者既往是否接受过治疗(一线和后线),Capmatinib均能带来显著治疗效果。但是无进展生存(PFS)不是特别长,仅4个月左右,所以我们也期待该药后面更多的数据。

 

  印度代购提示您,此外,卡马替尼还显示出很好的颅内反应。GEOMETRY mono-1试验中,有13位具有神经放射学数据的患者,有92%的患者合并颅内转移,54%的患者显示出很好的颅内反应(31%的患者显示出完全缓解)。在所有接受卡马替尼治疗的患者中,最常见的AE(任何原因;≥20%)为外周水肿,恶心,呕吐,血肌酐增加,呼吸困难,疲劳和食欲不振。

In addition, camatinib also shows a good intracranial response. The GEOMETRY Mono-1 trial included 13 patients with neuroradiological data, of whom 92% had intracranial metastasis and 54% showed good intracranial response (31% showed complete response). Among all patients treated with camatinib, AE (for any cause; 20%) peripheral edema, nausea, vomiting, increased serum creatinine, dyspnea, fatigue, and loss of appetite.


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