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Book ChapterDOI

8.08 – Tepotinib

O. Schadt, +1 more
- Vol. 8, pp 178-203
TLDR
This article is dedicated to the identification and in-depth characterization of tepotinib, an exquisitely selective c-Met inhibitor that is currently evaluated in clinical trials.
Abstract
The activation of c-Met (mesenchymal–epithelial transition factor receptor), also known as hepatocyte growth factor receptor (HGFR), is associated with a variety of oncological malignancies including cancers of the lung, kidney, stomach, liver, and brain. Our efforts to develop an inhibitor for this highly validated target started with the identification of N-(3-(3,6-Dihydro-5-(3,4-dimethoxyphenyl)-2-oxo-2H-1,3,4-thiadiazin-3-ylmethyl)-phenyl)-carbaminic acid-(3-(N,N-diethylamino)-propylester) as an already highly selective and reasonably potent hit in our high-throughput screening campaign. Guided by c-Met cocrystal structures and rational drug design, suitable thiadiazinone core replacements like pyridazinones or benzoxazolones were identified. This optimization followed by a subsequent exchange of the generic carbamate hinge-binding element with a more versatile 1,5-disubstituted pyrimidine finally led to the identification of a potent and selective inhibitor of the proto-oncogene c-Met. This article is dedicated to the identification and in-depth characterization of tepotinib, an exquisitely selective c-Met inhibitor that is currently evaluated in clinical trials.

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Citations
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Journal ArticleDOI

Phase I trial of the MET inhibitor tepotinib in Japanese patients with solid tumors.

TL;DR: The observed safety profile and pharmacokinetics are comparable with those in patients from the USA and Europe, and the recommended Phase II dose of tepotinib in Japanese patients was confirmed as 500 mg once daily.
Journal ArticleDOI

Open-label, single-center, phase I trial to investigate the mass balance and absolute bioavailability of the highly selective oral MET inhibitor tepotinib in healthy volunteers

TL;DR: Oral bioavailability of tepotinib is high, supporting the use of the current tablet formulation in clinical trials, and the parent drug is the major eliminated constituent.
Journal ArticleDOI

Randomized Trial of Tepotinib Plus Gefitinib Versus Chemotherapy in EGFR-Mutant NSCLC with EGFR Inhibitor Resistance Due to MET Amplification: INSIGHT Final Analysis

TL;DR: The final analysis of the INSIGHT trial as discussed by the authors suggests improved PFS and overall survival with tepotinib plus gefitinib versus chemotherapy in a subgroup of patients with MET-amplified EGFR-mutant NSCLC, after progression on EGFR inhibitors.
References
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Journal ArticleDOI

Met, metastasis, motility and more

TL;DR: Pivotal roles for Met in development and cancer have been established: Met controls cell migration and growth in embryogenesis; it also controls growth, invasion and metastasis in cancer cells; and activating Met mutations predispose to human cancer.
Journal ArticleDOI

Synopsis of some recent tactical application of bioisosteres in drug design.

TL;DR: In this Perspective, some contemporary themes exploring the role of isosteres in drug design are sampled, with an emphasis placed on tactical applications designed to solve the kinds of problems that impinge on compound optimization and the long-term success of drug candidates.
Journal ArticleDOI

Cyclic Nucleotide Phosphodiesterases: Molecular Regulation to Clinical Use

TL;DR: Basic biochemical properties, cellular regulation, expression patterns, and physiological functions of the different PDE isoforms will be discussed and how these properties relate to the current and future development of PDE inhibitors as pharmacological agents is especially considered.
Journal ArticleDOI

Scatter factor/hepatocyte growth factor is essential for liver development

TL;DR: It is reported that mice lacking SF/HGF fail to complete development and die in utero, and the mutation affects the embryonic liver, which is reduced in size and shows extensive loss of parenchymal cells.
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