Capmatinib in patients with METex14-mutated or high-level MET-amplified advanced non–small-cell lung cancer (NSCLC): results from cohort 6 of the phase 2 GEOMETRY mono-1 study.

Authors

Harry Groen

Harry J.M. Groen

University of Groningen and University Medical Center Groningen, Groningen, Netherlands

Harry J.M. Groen , Wallace L. Akerley , Pierre Jean Souquet , Eckart Laack , Ji-Youn Han , Egbert F. Smit , Aaron Scott Mansfield , Edward B. Garon , Juergen Wolf , Daniel Shao-Weng Tan , Rebecca Suk Heist , Maeve Waldron-Lynch , Sylvie Le Mouhaer , Ngozi Nwana , Monica Giovannini , Sergey Orlov

Organizations

University of Groningen and University Medical Center Groningen, Groningen, Netherlands, Huntsman Cancer Institute, Salt Lake City, UT, Centre Hospitalier Lyon-Sud, Lyon, France, Studiengesellschaft Hämato-Onkologie Hamburg, Hamburg, Germany, National Cancer Center, Gyeonggi-Do, South Korea, Antoni van Leeuwenhoek, Amsterdam, Netherlands, Mayo Clinic, Rochester, MN, David Geffen School of Medicine at UCLA, Los Angeles, CA, Center for Integrated Oncology, University Hospital Cologne, Cologne, Germany, National Cancer Centre, Singapore, Singapore, Massachusetts General Hospital, Boston, MA, Novartis Pharma AG, Basel, Switzerland, Novartis Pharma S.A.S, Rueil-Malmaison, France, Novartis Pharmaceutical Corporation, East Hanover, NJ, Novartis Pharmaceuticals Corporation, East Hanover, NJ, LLC Medicinskie Tekhnologii, St. Petersburg, Russian Federation

Research Funding

Pharmaceutical/Biotech Company
Novartis Pharmaceuticals

Background: Capmatinib (INC280) has shown promising efficacy in patients (pts) with MET exon 14 (METex14)–mutated NSCLC who were pretreated (cohort 4) or treatment (tx)-naïve (cohort 5b) in the ongoing, multicohort, phase 2 GEOMETRY mono-1 study. We report the results for pts enrolled in the expansion cohort 6 with either high-level MET amplification (gene copy number [GCN] ≥10) or METex14 mutation (any MET GCN) whose disease progressed on 1 prior line of systemic therapy. Methods: Adult pts (≥18 years), ECOG PS 0–1 who had ALK and EGFR wt, stage IIIB/IV NSCLC (any histology) received capmatinib tablets 400 mg twice daily (with or without food). Key efficacy endpoints were overall response rate (ORR) and duration of response (DOR) by blinded independent review committee (BIRC) per RECIST v1.1. Other secondary endpoints included investigator-assessed ORR, DOR, disease control rate (DCR), progression-free survival (PFS; BIRC and investigator assessment) and safety. Results: As of Jan 6, 2020, 34 NSCLC pts with METex14 mutation (n = 31) or high-level MET amplification (n = 3) were included in this analysis. Tx was ongoing for 38.2% of pts. In METex14-mutated NSCLC pts, per BIRC assessment: ORR was 48.4%, median DOR was 6.93 months (mo, not yet mature, 95% CI: 4.17–NE) and median PFS was 8.11 mo (not yet mature, 95% CI: 4.17–9.86). Investigator-assessed responses were similar to BIRC assessment (Table). Only 3 pts with high-level MET amplification were included in this cohort due to challenges in enrollment. All 3 pts had stable disease per BIRC assessment and were on treatment for 48, 85 and 97 days. Most common AEs (≥25%, all grades, N = 34) were peripheral edema (64.7%), nausea (35.3%), fatigue (29.4%), back pain (26.5%) and vomiting (26.5%). Data for pts with brain metastasis will be presented at the ASCO 2020 meeting. Conclusions: Capmatinib was confirmed to be efficacious in 2nd line, METex14-mutated NSCLC pts. This is the first cohort where capmatinib has been administered without fasting restriction and data confirm the favorable safety profile. Clinical trial information: NCT02414139.

Cohort 6
(2L, METex14-mutated)
N = 31
BIRCInvestigator
ORR, % (95% CI)48.4 (30.2–66.9)41.9 (24.5–60.9)
DCR, % (95% CI)90.3 (74.2–98.0)90.3 (74.2–98.0)
Median PFS, mo (95% CI)8.11 (4.17–9.86)6.9 (5.55–NE)
Median DOR, mo (95% CI)N = 15N = 13
6.93 (4.17–NE)8.18 (4.17–NE)

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Abstract Details

Meeting

2020 ASCO Virtual Scientific Program

Session Type

Poster Discussion Session

Session Title

Lung Cancer—Non-Small Cell Metastatic

Track

Lung Cancer

Sub Track

Metastatic Non–Small Cell Lung Cancer

Clinical Trial Registration Number

NCT02414139

Citation

J Clin Oncol 38: 2020 (suppl; abstr 9520)

DOI

10.1200/JCO.2020.38.15_suppl.9520

Abstract #

9520

Poster Bd #

286

Abstract Disclosures