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Cocktail and Poster Display session

50P - Comparison of pelitinib, tepotinib, and docetaxel efficacy according to the copy number or gene alteration status of the EGFR, MET, HRAS, KRAS, and NRAS genes

Date

26 Feb 2024

Session

Cocktail and Poster Display session

Topics

Targeted Therapy

Tumour Site

Presenters

Dae Young Zang

Citation

Annals of Oncology (2024) 9 (suppl_1): 1-11. 10.1016/esmoop/esmoop102271

Authors

D.Y. Zang1, S. Kim1, S. Sohn2, H.J. Sul2, B. Kim1

Author affiliations

  • 1 Internal Medicine, Hematology-oncology Division, HUMC - Hallym University Sacred Heart Hospital (HUSHH), 14068 - Anyang/KR
  • 2 Translational Research Institute, HUMC - Hallym University Sacred Heart Hospital (HUSHH), 14068 - Anyang/KR

Resources

This content is available to ESMO members and event participants.

Abstract 50P

Background

In gastric cancer (GC), MET and EGFR amplification have been identified in 2∼24% and 27∼64% of patients, respectively. This study characterized 286 carcinogenesis-related gene alterations and copy number variation (CNV) in four human GC cell lines, and analyzed difference in the susceptibilities of these cells to pelitinib, tepotinib, and docetaxel.

Methods

Using a next-generation sequencing panel, we evaluated the 286 gene alterations and CNV in four GC cells. We also assessed the antitumor activity of pelitinib, tepotinib, and docetaxel in the GC cell lines and a xenograft model. The effects of pelitinib, tepotinib, and docetaxel on cell viability (IC50), apoptotic cell death, tumor volume, and H&E staining were evaluated by MTS (cell proliferation assay) and flow cytometry. Antitumor efficacy was assessed in MKN45 xenograft mice.

Results

Compared to tepotinib, pelitinib inhibited the growth of GC cells with a gained EGFR (CNV > 3, without HRAS, KRAS, and NRAS mutations) and amplified MET (CNV > 30) in a dose-dependent manner with a concomitant induction of cell death. In the murine xenograft model, tumor volumes were significantly reduced in the pelitinib, tepotinib, and docetaxel-treated groups when administered by daily oral gavage at doses of 10, 10, and 5 mg/kg/day respectively. Histologically, pelitinib, tepotinib, and docetaxel induced more necrosis than that observed in the control group.

Conclusions

Pelitinib has anti-tumor activity not only in EGFR gain GCs without mutated HRAS, KRAS and NRAS but also in MET amplified GCs.

Clinical trial identification

Editorial acknowledgement

Legal entity responsible for the study

The authors.

Funding

The research was funded by the Korea Health Technology R&D Project (grant number HI22C1375), the National Research and Development Program for Cancer Control (grant number HA17C0054) of the Ministry of Health and Welfare, and the Hallym University Research Fund.

Disclosure

All authors have declared no conflicts of interest.

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