Tepotinib hydrochloride for the treatment of non-small cell lung cancer

Drugs Today (Barc). 2021 Apr;57(4):265-275. doi: 10.1358/dot.2021.57.4.3238323.

Abstract

Non-small cell lung cancer (NSCLC) is one of the most devastating cancers with high mortality worldwide. By inhibiting the activity of specific molecular targets in the cancer cells, tyrosine kinase inhibitors (TKIs) have become a standard treatment in combating NSCLC. Tepotinib hydrochloride is an orally bioavailable, mesenchymal-epithelial transition (MET) TKI developed mainly for selected NSCLC patients with METex14 skipping mutations. Tepotinib demonstrated durable clinical response in phase II clinical trials, which led to its approval for use in Japan and breakthrough therapy designation and accelerated approval in the U.S. These progresses highlighted tepotinib as a promising candidate for NSCLC patients. This review summarizes the pharmacological profile of tepotinib, preclinical studies and landmark clinical trials of tepotinib. In addition, we share our perspectives on the future direction of tepotinib as a novel anticancer drug.

Keywords: Mesenchymal-epithelial transition (MET) inhibitors; Non-small cell lung cancer (NSCLC); Targeted therapy; Tepotinib hydrochloride; Tyrosine kinase inhibitors.

Publication types

  • Review

MeSH terms

  • Carcinoma, Non-Small-Cell Lung* / drug therapy
  • Carcinoma, Non-Small-Cell Lung* / genetics
  • Drug Resistance, Neoplasm
  • Humans
  • Japan
  • Lung Neoplasms* / drug therapy
  • Lung Neoplasms* / genetics
  • Mutation
  • Piperidines
  • Protein Kinase Inhibitors / adverse effects
  • Proto-Oncogene Proteins c-met / genetics
  • Pyridazines
  • Pyrimidines

Substances

  • Piperidines
  • Protein Kinase Inhibitors
  • Pyridazines
  • Pyrimidines
  • tepotinib
  • Proto-Oncogene Proteins c-met