Targeted therapy for non-small cell lung cancer (NSCLC) with HER2, BRAF, or hedgehog alterations: Interim data from MyPathway.

Authors

null

John D. Hainsworth

Sarah Cannon Research Institute and Tennessee Oncology, PLLC, Nashville, TN

John D. Hainsworth , Ron Bose , Christopher Sweeney , Funda Meric-Bernstam , Herbert Hurwitz , Charles Swanton , Howard A. Burris III, Razelle Kurzrock , Bongin Yoo , Mary Stanley Beattie , Ravindra Gupta , Rajesh D. Patel , Katja Schulze , David R. Spigel

Organizations

Sarah Cannon Research Institute and Tennessee Oncology, PLLC, Nashville, TN, Washington University School of Medicine in St. Louis, St. Louis, MO, Dana-Farber Cancer Institute/Harvard Medical School, Boston, MA, The University of Texas MD Anderson Cancer Center, Houston, TX, Duke University Medical Center, Durham, NC, Francis Crick Institute, London, United Kingdom, Moores Cancer Center, University of California San Diego School of Medicine, San Diego, CA, Genentech, Inc., San Francisco, CA

Research Funding

Pharmaceutical/Biotech Company

Background: Treatments targeting critical molecular alterations (EGFR, ALK, and ROS1) in NSCLC are highly effective. MyPathway (NCT02091141) is an ongoing, phase 2, multi-basket study evaluating the efficacy of targeted treatment in non-indicated tumor types harboring alterations in the HER2, BRAF, Hedgehog (Hh), or EGFR pathways. Interim results in NSCLC are presented. Methods: Patients with previously treated advanced NSCLC and alterations in the HER2 (amplification and/or mutation), BRAF (V600E or other mutations), Hh (SMO or PTCH-1 mutations), or EGFR (mutations other than known activating mutations) pathways received standard doses of pertuzumab + trastuzumab, vemurafenib, vismodegib, or erlotinib, respectively, until disease progression or unacceptable toxicity. The HER2, BRAF, and Hh cohorts are included in this analysis. The primary endpoint is investigator-assessed objective response rate (ORR, defined as complete response [CR] + partial response [PR]) by RECIST v1.1. Results: As of November 30, 2016, 61 patients with NSCLC and HER2 (n = 36), BRAF (n = 22), or Hh (n = 3) alterations have been treated (median age of 64 years, 49% male, 85% adenocarcinoma, and a median of 2 previous regimens). Median treatment duration was 1.8 (range, 0–21.4) months. Efficacy in the 55 patients with the minimum required follow-up for efficacy analysis is summarized in the table. Conclusions: Targeted therapy is active in patients with previously treated NSCLC harboring BRAF V600E mutations or HER2 alterations (amplifications and/or mutations). These cohorts have been expanded as MyPathway accrual continues. Additional efficacy data and details regarding molecular alterations will be presented. Clinical trial information: NCT02091141

Patients, nORR, n (%)Clinical benefit ratea,
n (%)
Durations of objective
responses, months
HER2 alterationsb316 (19)10 (32)< 1+, 3+, 5+, 6, 8, 10
BRAF V600E146 (43) (1 CR)8 (57)4, 4, 5, 5+, 10+, 14
BRAF other701 (14)NA
Hh301 (33)NA

+ indicates response is ongoing. aCR + PR + stable disease > 4 months. bHER2 amplified and/or mutated.

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Abstract Details

Meeting

2017 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Lung Cancer—Non-Small Cell Metastatic

Track

Lung Cancer

Sub Track

Metastatic Non–Small Cell Lung Cancer

Clinical Trial Registration Number

NCT02091141

Citation

J Clin Oncol 35, 2017 (suppl; abstr 9073)

DOI

10.1200/JCO.2017.35.15_suppl.9073

Abstract #

9073

Poster Bd #

399

Abstract Disclosures

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