33P Real-world outcomes (RWO) of oral MET-inhibition in EGFR MET-amplified (MET-amp) NSCLC
CEP2; IHC: 50% of tumor cells were MET 3+) were enrolled into 4 cohorts based on the treatment history of 1 st to 3 rd generation (G) EGFR-TKIs.All pts received HS-10241 (300 mg, twice a day) and aumolertinib (110 mg, once a day).The primary endpoint was objective response rate (ORR) by investigator.Results: As of Jul 31 th , 2025, 132 pts were enrolled and received 1 dose of study treatment.Of them, 93.9% was lung adenocarcinoma and 96.2% was at stage IV; 12.1% pts received 1 st /2 nd G TKIs (subgroup 1), 45.5% only received 3 rd G TKIs (subgroup 2) and 37.1% received both 1 st /2 nd G and 3 rd G TKIs (subgroup 3).The median follow-up time was 15.7 months (mo).Of 115 efficacy-evaluable pts with METamp, the confirmed ORR (cORR) and disease control rate (DCR) was 48.7% (95% CI: 39.3, 58.2) and 84.3% (95% CI: 76.4, 90.5), with median duration of response (mDoR) of 11.1 (95%CI: 7.5, 16.7) mo, median progression free survival (mPFS) of 7.4 (95% CI: 5.6, 10.1) mo and median overall survival of 25.4 (95% CI: 18.9, 27.8) mo.Further analysis showed cORR in subgroup 1-3 was 60.0%, 41.8%, and 53.3%, with mPFS of 17.3, 7.3 and 7.4 mo, respectively.The treatment related adverse events (TRAEs) leading to discontinuation were reported in 5.3% of pts.The grade 3 TRAEs occurring in 15% of pts were gamma-glutamyltransferase increased (15.9%), alanine aminotransferase increased (15.9%) and, aspartate aminotransferase increased (15.2%); the incidence of grade 3 oedema peripheral was only 3.0%. Conclusions:The combination of HS-10241 and aumolertinib showed a favorable safety profile and promising efficacy in pts with NSCLC harboring EGFR mutation and METamp.
Authors
- P.L.S. Saw
- M.-K. Ang
- L.Y. Wang
- Y.L. Teh
- A. Seet (ORCID: https://orcid.org/0000-0001-8650-6173)
- Dong-Jun Lim (ORCID: https://orcid.org/0000-0002-2396-692X)
- Q.S. Ng
- S.Y.N. Wong
- W. Tan
- J. Chan
- R. Kanesvaran
- J. Chew
- Y-H. Chuang
- G. Lai
- A. Tan Chia-Ken
- R. Sim
- D.S.W. Tan
- A. Jain
Institutions
- National Cancer Centre Singapore (SG)
Publication Details
- Journal
- ESMO Open
- Published
- 2026-03-17
- DOI
- https://doi.org/10.1016/j.esmoop.2026.106340
- Primary Topic
- Lung Cancer Treatments and Mutations
- Type
- article
- Field-Weighted Citation Impact
- 0.00