Indirect comparison of capmatinib treatment from GEOMETRY mono-1 trial to SOC in German patients with locally advanced or metastatic NSCLC harboring METex14 skipping mutations
Kron A, Scheffler M, Wiesweg M, Hummel HD, Kulhavy J, Gatteloehner S, Kollmeier J, Schubart C, Groß T, Demes MC, Keymel S, Joosten M, Merkelbach-Bruse S, Wölwer CB, Tufman A, Kauffmann-Guerrero D, Oeser K, Zehaczek M, Jeratsch U, Wolf J (2024)
Publication Type: Journal article
Publication year: 2024
Journal
Book Volume: 207
Article Number: 114158
DOI: 10.1016/j.ejca.2024.114158
Abstract
Background: This study provides comparative evidence of the selective MET inhibitor capmatinib versus standard of care (SOC) in first-line (1 L) and second-line (2 L) non-small cell lung cancer (NSCLC) patients with METex14 mutations in German routine care. Methods: SOC data were collected from German routine care via retrospective chart review. Analyses were conducted as naive and propensity score adjusted (PSA) comparisons to capmatinib-treated patients within the GEOMETRY mono-1 trial. Effectiveness endpoints included overall survival (OS), progression-free survival (PFS), overall response rate (ORR), time to CNS progression (CNSprog), and exploratory safety endpoints. Results: The SOC arm included 119 patients in 1 L and 46 in 2 L versus 60 patients in 1 L and 81 in 2 L treated with capmatinib, with balanced baseline characteristics after PSA. In 1 L, the naive comparison showed a significant benefit of capmatinib versus SOC for OS (median: 25.49 vs 14.59 months; HR 0.58; 95 % CI 0.39–0.87; P = 0.011), PFS (median: 12.45 vs 5.03 months; HR: 0.44; 95 % CI: 0.31–0.63; P < 0.001), and ORR (event rate: 68.3 vs 26.9 %; RR 2.54; 95 % CI 1.80–3.58; P < 0.001). In 2 L, OS, PFS, and ORR showed positive trends favoring capmatinib over SOC. Capmatinib treatment in the 1 L and 2 L led to significant benefit in CNSprog. PSA analyses showed consistent results to naive analysis. Exploratory safety endpoints indicated a manageable safety profile for capmatinib. Conclusions: The present study demonstrates the important role of capmatinib in providing robust clinically meaningful benefit to patients with NSCLC harboring METex14 mutations and its significant role in preventing the development of brain metastases.
Authors with CRIS profile
Involved external institutions
Universitätsklinikum Würzburg
Germany (DE)
Universitätsklinikum Köln
Germany (DE)
Universitätsklinikum Essen
Germany (DE)
Universitätsklinikum Gießen und Marburg (UKGM)
Germany (DE)
HELIOS Kliniken
Germany (DE)
Eberhard Karls Universität Tübingen
Germany (DE)
Universitätsklinikum Frankfurt am Main (KGU)
Germany (DE)
Universitätsklinikum Düsseldorf
Germany (DE)
Charité - Universitätsmedizin Berlin
Germany (DE)
Klinikum der Universität München
Germany (DE)
Novartis AG
Switzerland (CH)
Germany (DE)
Universitätsklinikum Köln
Germany (DE)
Universitätsklinikum Essen
Germany (DE)
Universitätsklinikum Gießen und Marburg (UKGM)
Germany (DE)
HELIOS Kliniken
Germany (DE)
Eberhard Karls Universität Tübingen
Germany (DE)
Universitätsklinikum Frankfurt am Main (KGU)
Germany (DE)
Universitätsklinikum Düsseldorf
Germany (DE)
Charité - Universitätsmedizin Berlin
Germany (DE)
Klinikum der Universität München
Germany (DE)
Novartis AG
Switzerland (CH)
How to cite
APA:
Kron, A., Scheffler, M., Wiesweg, M., Hummel, H.D., Kulhavy, J., Gatteloehner, S.,... Wolf, J. (2024). Indirect comparison of capmatinib treatment from GEOMETRY mono-1 trial to SOC in German patients with locally advanced or metastatic NSCLC harboring METex14 skipping mutations. European Journal of Cancer, 207. https://doi.org/10.1016/j.ejca.2024.114158
MLA:
Kron, Anna, et al. "Indirect comparison of capmatinib treatment from GEOMETRY mono-1 trial to SOC in German patients with locally advanced or metastatic NSCLC harboring METex14 skipping mutations." European Journal of Cancer 207 (2024).
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