Advanced (Stage IIIB/IV) Non-small Cell Lung Cancer (NSCLC) With MET Exon 14 (METex14) Skipping Alterations or MET AmplificationPhase 2NCT02864992
Tepotinib Phase II in NSCLC Harboring MET Alterations (VISION)
A Phase 2 study testing Tepotinib in people with Advanced (Stage IIIB/IV) Non-small Cell Lung Cancer (NSCLC) With MET Exon 14 (METex14) Skipping Alterations or MET Amplification and Lung Adenocarcinoma Stage IIIB/IV, run by EMD Serono Research & Development Institute, Inc. at 176 sites in 15 countries.
Trial summary
This study looked at how effective the study drug (tepotinib) was at stopping the growth and spread of lung cancer. This study also measures a number of other things including safety of the study drug and the side effects, how body processes the study drug, or how the study drug affects your quality of life. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Advanced (Stage IIIB/IV) Non-small Cell Lung Cancer (NSCLC) With MET Exon 14 (METex14) Skipping Alterations or MET Amplification, Lung Adenocarcinoma Stage IIIB/IV
- What is being tested?
- Tepotinib
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 337 participants
- Where
- 176 sitesin 15 countries
- Study dates
- 13 Sep 2016to 31 Aug 2026
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Signed, written informed consent by participant or legal representative prior to any trial-specific screening procedure
- Male or female, greater than or equal to (>=) 18 years of age (or have reached the age of majority according to local laws and regulations)
- Measurable disease confirmed by an independent review committee (IRC) in accordance with RECIST version 1.1
- Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 or 1
- A female participant was eligible to participate if she is not pregnant, not breastfeeding, and at least one of the following conditions applies:
- Not a woman of childbearing potential OR
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- A woman of childbearing potential who agrees to use a highly effective contraception
- A male participant must agree to use and to have their female partners of childbearing potential to use a highly effective contraception
- Histologically or cytologically confirmed advanced (locally advanced or metastatic) NSCLC (all types including squamous and sarcomatoid)
- Treatment naïve participant in first-line or pretreated participant with no more than 2 lines of prior therapy
- Participants with MET alterations, namely METex14 skipping alterations in plasma and/or tissue as determined by the central laboratory or by an assay with appropriate regulatory status
Who cannot join
- Participants with characterized Epidermal Growth Factor Receptor (EGFR) activating mutations that predict sensitivity to anti-EGFR-therapy
- Participants with characterized Anaplastic Lymphoma Kinase (ALK) rearrangements that predict sensitivity to anti-ALK therapy
- Participants with symptomatic brain metastases who are neurologically unstable
- Any unresolved toxicity Grade 2 or more according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) from previous anticancer therapy
- Need for transfusion within 14 days prior to the first dose of trial treatment
- Prior chemotherapy, biological therapy, radiation therapy, hormonal therapy for anti-cancer purposes, targeted therapy, or other investigational anticancer therapy (not including palliative radiotherapy at focal sites) within 21 days prior to the first dose of trial treatment;
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- Participants who have brain metastasis as the only measurable lesion
- Inadequate hematological, liver, renal, cardiac function
- Prior treatment with other agents targeting the Hepatocyte Growth Factor c(HGF/c) -Met pathway
- Hypertension uncontrolled by standard therapies (not stabilized to < 150/90 mmHg)
- Past or current history of neoplasm other than Non-small Cell Lung Cancer (NSCLC), except for curatively treated non-melanoma skin cancer, in situ carcinoma of the cervix, or other cancer curatively treated and with no evidence of disease for at least 5 years
- Medical history of difficulty swallowing, malabsorption, or other chronic gastrointestinal disease, or conditions that may hamper compliance and/or absorption of the test product
- Major surgery within 28 days prior to Day 1 of trial treatment
- Known infection with human immunodeficiency virus, or an active infection with hepatitis B or hepatitis C virus
- Substance abuse, active infection, or other acute or chronic medical or psychiatric condition or laboratory abnormalities that might increase the risk associated with trial participation at the discretion of Investigators
- Known hypersensitivity to any of the trial treatment ingredients
- Legal incapacity or limited legal capacity
- Any other reason that, in the opinion of the Principal Investigator, precludes the participant from participating in the trial
- Participation in another clinical trial within the past 30 days
Trial locations and contacts
176 sites in 15 countries.
176 sites in 15 countries
United States39 sites
University Cancer & Blood Center, LLC
Athens, Georgia, 30607
Winship Cancer Institute
Atlanta, Georgia, 30322
Texas Oncology, P.A. - Austin
Austin, Texas, 78731
Texas Oncology, PA
Beaumont, Texas, 77702-1449
Summit Medical Group, P.A.
Berkeley Heights, New Jersey, 07922
Summit Medical Group
Berkeley Heights, New Jersey, 07922
Center for Cancer and Blood Disorders
Bethesda, Maryland, 20817
St. Louis Cancer Care, LLP
Bridgeton, Missouri, 63044
University of Chicago Medical Center
Chicago, Illinois, 60637
UC Health Clinical Trials Office
Cincinnati, Ohio, 45229
University of Cincinnati - PARENT
Cincinnati, Ohio, 45267-0502
Memorial Sloan Kettering Cancer Center - Commack
Commack, New York, 11725
Rocky Mountain Cancer Centers, LLP
Denver, Colorado, 80218
City of Hope Cancer Center
Duarte, California, 91010
Regional Cancer Care Associates East Brunswick
East Brunswick, New Jersey, 08816
Somerset Hematology Oncology Associates - Somerville Location
East Brunswick, New Jersey, 8816
California Cancer Associates for Research & Excellence, Inc.
Encinitas, California, 92024
Virginia Cancer Specialists, PC
Fairfax, Virginia, 22031
Holy Cross Hospital Inc.
Fort Lauderdale, Florida, 33308
Hackensack University Medical Center PARTNER
Hackensack, New Jersey, 07601
Memorial Sloan Kettering Cancer Center, West Harrison Regional Outpatient Pavilion
Harrison, New York, 10604
Ingalls Hospital
Harvey, Illinois, 60426-3558
University of Texas MD Anderson Cancer Center
Houston, Texas, 77030
Community Regional Cancer Care
Indianapolis, Indiana, 46250
Prospect Medical Offices, LLC
Midland Park, New Jersey, 07432
Tennessee Oncology
Nashville, Tennessee, 37203
Vanderbilt University Medical Center
Nashville, Tennessee, 37232
Memorial Sloan Kettering Cancer Center
New York, New York, 10022
St. Joseph Hospital
Orange, California, 92868-4225
Torrance Health Association
Redondo Beach, California, 90277
The Valley Hospital
Ridgewood, New Jersey, 07450
For Recruiting Locations in the United States, please Contact U.S. Medical Information
Rockland, Massachusetts
St Joseph Heritage Healthcare
Santa Rosa, California, 95403
Swedish Medical Center
Seattle, Washington, 98104
Saint Louis University Cancer Center
St Louis, Missouri, 63110
Saint Louis University
St Louis, Missouri, 63110
H. Lee Moffitt Cancer Center and Research Institute, Inc
Tampa, Florida, 33612-9497
Wenatchee Valley Hospital & Clinics - ATTN: Jay Johnson
Wenatchee, Washington, 98801
Wenatchee Valley Medical Center Oncology
Wenatchee, Washington, 98801
France22 sites
ICO - Site Paul Papin
Angers, Maine Et Loire, 49055
ICO - Site Paul Papin
Angers
Centre Hospitalier de la côte Basque
Bayonne, Pyrenees Atlantiques, 64100
Centre Hospitalier de la côte Basque
Bayonne
Centre Hospitalier de Cholet
Cholet, Maine Et Loire, 49300
Centre Hospitalier de Cholet
Cholet
Centre Hospitalier Intercommunal de Créteil
Créteil
Centre Hospitalier Départemental Les Oudairies
La Roche-sur-Yon, Vendee, 85925
Centre Hospitalier Départemental Les Oudairies
La Roche-sur-Yon
Hopital Albert Calmette - CHU Lille
Lille, Nord, 59037
Hopital Albert Calmette - CHU Lille
Lille
Centre Hospitalier de Bretagne Sud
Lorient, Morbihan, 56322
Centre Hospitalier de Bretagne Sud
Lorient
Hôpital Saint-Louis
Paris
Groupe Hospitalier Sud - Hôpital Haut-Lévêque
Pessac, Gironde, 33604
Groupe Hospitalier Sud - Hôpital Haut-Lévêque
Pessac
ICO - Site René Gauducheau
Saint-Herblain, Loire Atlantique, 44805
ICO - Site René Gauducheau
Saint-Herblain
Clinique Mutualiste de l'Estuaire
Saint-Nazaire, Loire Atlantique, 44606
Clinique Mutualiste de l'Estuaire
Saint-Nazaire
CHU de Toulouse - Hôpital Larrey
Toulouse, Haute Garonne, 31059
CHU de Toulouse - Hôpital Larrey
Toulouse
Spain17 sites
Hospital Universitari Vall d'Hebron
Barcelona, 08035
Hospital Universitari Quiron Dexeus
Barcelona
Hospital Universitari Sagrat Cor
Barcelona
Hospital Universitari Vall d'Hebron
Barcelona
Hospital General Universitario Santa Lucia
Cartagena
Hospital de Especialidades de Jerez de la Frontera - Servicio de Oncologia
Jerez de la Frontera
Hospital Universitario HM Madrid Sanchinarro
Madrid, 28050
Hospital General Universitario Gregorio Marañon
Madrid
Hospital Universitario 12 de Octubre
Madrid
Hospital Universitario HM Madrid Sanchinarro
Madrid
Hospital Universitario La Paz
Madrid
Hospital Clinico Universitario Virgen de la Victoria
Málaga
Hospital Universitario Infanta Sofia
San Sebastián de los Reyes
Hospital General de Catalunya
Sant Cugat del Vallès
Hospital Universitario Virgen Macarena
Seville, 41009
Hospital Universitario Nuestra Señora de Valme
Seville
Hospital Universitario Virgen Macarena
Seville
China16 sites
Beijing Hospital
Beijing
Peking University Cancer Hospital
Beijing
Jilin Cancer Hospital - Oncology
Changchun
Hunan Cancer Hospital
Changsha
Sichuan Cancer Hospital
Chengdu
West China Hospital, Sichuan University
Chengdu
Guangdong General Hospital
Guangzhou
Zhejiang Cancer Hospita
Hangzhou
Affiliated Tumor Hospital of Harbin Medical University
Harbin
Anhui Provincial Cancer Hospital aka West Branch of Anhui Province Hospital
Hefei
Jinan Central Hospital
Jinan
Linyi Tumor Hospital
Linyi
Jiangsu Province Hospital
Nanjing
Shanghai Cancer Hospital, Fudan University
Shanghai
Liaoning Cancer Hospital & Institute
Shenyang
The Affiliated Cancer Hospital of Xinjiang Medical university
Ürümqi
Germany15 sites
Charite Universitaetsmedizin Berlin - Campus Charite Mitte
Berlin
Klinikum Chemnitz gGmbH
Chemnitz
Staedtisches Klinikum Dresden Standort Dresden-Friedrichstadt
Dresden
Universitaetsklinikum Carl Gustav Carus TU Dresden
Dresden
Helios Klinikum Erfurt
Erfurt
Asklepios Fachkliniken Muenchen-Gauting
Gauting
SRH Wald-Klinikum Gera gGmbH
Gera
Universitaetsmedizin Goettingen
Göttingen
Evangelisches Krankenhaus Hamm GmbH
Hamm
Universitaetsklinikum Heidelberg
Heidelberg
Universitaetsklinikum des Saarlandes
Homburg / Saar
POIS Leipzig GbR
Leipzig, Saxony, 04357
POIS Leipzig GbR
Leipzig
Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz
Mainz
Pius-Hospital Oldenburg
Oldenburg
Japan13 sites
NHO Kyushu Medical Center
Fukuoka
National Cancer Center Hospital East
Kashiwa-shi
Saitama Cancer Center
Kitaadachi-gun
Kurume University Hospital
Kurume-shi
NHO Shikoku Cancer Center
Matsuyama
Nagoya University Hospital
Nagoya
Niigata Cancer Center Hospital
Niigata
Osaka International Cancer Institute
Osaka
NHO Kinki-Chuo Chest Medical Center
Sakaishi
Hokkaido University Hospital
Sapporo
NHO Yamaguchi - Ube Medical Center
Ube-shi
Kanagawa Cancer Center
Yokohama
Tottori University Hospital
Yonago-shi
South Korea12 sites
Dong-A University Hospital
Busan
Kosin University Gospel Hospital
Busan
Kyungpook National University Medical Center
Daegu
National Cancer Center
Goyang-si
Chonnam National University Hwasun Hospital
Hwasun-gun
Gachon University Gil Medical Center
Incheon
Seoul National University Bundang Hospital
Seongnam-si
Korea University Anam Hospital
Seoul
Samsung Medical Center
Seoul
Severance Hospital, Yonsei University
Seoul
The Catholic University of Korea, Seoul St. Mary's Hospital
Seoul
The Catholic University of Korea, St. Vincent's Hospital
Suwon
Italy11 sites
Istituto Nazionale per la Ricerca sul Cancro di Genova
Genova
Fondazione IRCCS Istituto Nazionale dei Tumori
Milan, 20133
Fondazione IRCCS Istituto Nazionale dei Tumori
Milan
IEO Istituto Europeo di Oncologia
Milan
Seconda Università degli Studi di Napoli
Naples
Azienda Ospedaliera di Padova
Padova
IOV - Istituto Oncologico Veneto IRCCS
Padova
Ospedale Santa Maria di Cà Foncello
Padova
Azienda Ospedaliera San Camillo Forlanini
Roma
Università Campus Bio-Medico di Roma
Roma
Istituto Clinico Humanitas
Rozzano
Poland8 sites
Uniwersytecki Szpital Kliniczny w Bialymstoku - Dept of Pulmonology & Tuberculosis
Bialystok
Centrum Pulmonologii i Torakochirurgii w Bystrej
Bystra
Dr n med. Slawomir Mandziuk Specjalistyczna Praktyka Lekarska
Lublin
NZOZ Olsztynski Osr. Onkologiczny "Kopernik" Sp.z o.o
Olsztyn
Przychodnia Med-Polonia Sp. z o.o.
Poznan, 60-693
Przychodnia Med-Polonia Sp. z o.o.
Poznan
Centrum Onkologii-Instytut im. M. Sklodowskiej Curie
Warsaw, 02-781
Centrum Onkologii-Instytut im. M. Sklodowskiej Curie
Warsaw
Belgium6 sites
UZ Antwerpen
Edegem, 2650
UZ Antwerpen
Edegem
CHU Ambroise Paré
Mons, 7000
CHU Ambroise Paré
Mons
AZ Delta
Roeselare, 8800
AZ Delta
Roeselare
Taiwan6 sites
Kaohsiung Chang Gung Memorial Hospital
Kaohsiung City
China Medical University Hospital
Taichung
Taichung Veterans General Hospital
Taichung
National Taiwan University Hospital
Taipei
Taipei Veterans General Hospital
Taipei
Tri-Service General Hospital
Taipei
Israel5 sites
Soroka University Medical Center
Beersheba
Hadassah University Hospital - Ein Kerem
Jerusalem
Meir Medical Center
Kfar Saba
Rabin Medical Center-Beilinson Campus
Petah Tikva
Tel Aviv Sourasky Medical Center
Tel Aviv
Netherlands3 sites
Antoni van Leeuwenhoek Ziekenhuis
Amsterdam
VU Medisch Centrum
Amsterdam
Universitair Medisch Centrum Groningen (UMCG) - Parent
Groningen
Switzerland2 sites
Inselspital - Universitaetsspital Bern - Klinik und Poliklinik für Medizinische Onkologie
Bern
Universitaetsspital Zuerich - Klinik fuer Onkologie
Zurich
Austria1 site
LKH - Universitätsklinikum der PMU Salzburg - Innere Med III/Hämatologie und Onkologie
Salzburg
About this study
Official title: A Phase II Single-arm Trial to Investigate Tepotinib in Advanced (Locally Advanced or Metastatic) Non-small Cell Lung Cancer With METex14 Skipping Alterations or MET Amplification (VISION)
This study looked at how effective the study drug (tepotinib) was at stopping the growth and spread of lung cancer. This study also measures a number of other things including safety of the study drug and the side effects, how body processes the study drug, or how the study drug affects your quality of life. The study also has an optional pharmacogenetic research part. Pharmacogenetic research is an important way to try to understand the role of genetics in human disease and how genes impact the effectiveness of drugs, because differences in genes can change the way a person responds to a particular drug.
Read the detailed description
The study included 3 cohorts with one primary endpoint (Objective Response Rate). Enrollment number and completion data is changed by new cohorts.
- Conditions
- Advanced (Stage IIIB/IV) Non-small Cell Lung Cancer (NSCLC) With MET Exon 14 (METex14) Skipping Alterations or MET Amplification, Lung Adenocarcinoma Stage IIIB/IV
- Being tested
- Tepotinib
- Keywords
- lung, neoplasm, cancer, tumor, adenocarcinoma, MET exon 14, METex14, pulmonary, stage III, stage IV, c-Met, cMET, NSCLC, advanced non-small cell lung cancer, MET amplification, non-small cell lung cancer
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung, Neoplasms, Adenocarcinoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TepotinibDrug
Subjects will receive 500 milligram (mg) of tepotinib once daily in cycles of 21-day duration until disease progression, death, adverse event (AE) leading to discontinuation or withdrawal of consent.
| Study group | Role | What they receive |
|---|---|---|
| Part 1: Cohort A: METex14 Skipping Alterations | Other | Participants received 500 milligram (mg) of tepotinib once daily in cycles of 21-day duration until disease progression, death, adverse event (AE) leading to discontinuation or withdrawal of consent. Receives: Drug: Tepotinib |
| Part 1: Cohort B: MET Amplification | Other | Participants received 500 milligram (mg) of tepotinib once daily in cycles of 21-day duration until disease progression, death, adverse event (AE) leading to discontinuation or withdrawal of consent. Receives: Drug: Tepotinib |
| Part 2: Cohort C: Confirmatory Part for METex14 Skipping Alterations | Other | Participants received 500 milligram (mg) of tepotinib once daily in cycles of 21-day duration until disease progression, death, adverse event (AE) leading to discontinuation or withdrawal of consent. Receives: Drug: Tepotinib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Part 1: Cohort A: Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Independent Review Committee (IRC)
Objective response will be determined according to RECIST 1.1 and as per IRC. Objective response was defined as number of participants with either a confirmed complete response (CR) or partial response (PR) from first administration of study treatment to first observation of progressive disease (PD) .CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30 percent (%) reduction from baseline in the sum of the longest diameter (SLD) of all lesions. PD was defined as at least a 20% increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions.
Measured: Time from first treatment up to data cutoff (approximately Month 66)
Part 1: Cohort B: Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 as Assessed by Independent Review Committee (IRC)
Objective response will be determined according to RECIST 1.1 and as per IRC. Objective response was defined as number of participants with either a confirmed complete response (CR) or partial response (PR) from first administration of study treatment to first observation of progressive disease (PD) .CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30 percent (%) reduction from baseline in the sum of the longest diameter (SLD) of all lesions. PD was defined as at least a 20% increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions.
Measured: Time from first treatment up to data cutoff (approximately Month 66)
Part 2: Cohort C: Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 as Assessed by Independent Review Committee (IRC)
Objective response will be determined according to RECIST 1.1 and as per IRC. Objective response was defined as number of participants with either a confirmed complete response (CR) or partial response (PR) from first administration of study treatment to first observation of progressive disease (PD) .CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30 percent (%) reduction from baseline in the sum of the longest diameter (SLD) of all lesions. PD was defined as at least a 20% increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions.
Measured: Time from first treatment up to data cutoff (approximately Month 66)
Secondary outcomes (14)
Part 1 & 2: Cohort A + B + C: Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigator
Measured: Time from first treatment up to end of study (approximately Month 101)
Part 1 & 2: Cohort A + B + C: Duration of Response (DOR) Assessed by Investigator
Measured: Time from first treatment up to end of study (approximately Month 101)
Part 1 & 2: Cohort A + B + C: Objective Disease Control Rate Assessed by IRC
Measured: Time from first treatment up to end of study (approximately Month 101)
Part 1 & 2: Cohort A + B + C: Objective Disease Control Rate Assessed by Investigator
Measured: Time from first treatment up to end of study (approximately Month 101)
Part 1 & 2: Cohort A + B + C: Progression-free Survival by IRC Assessment
Measured: Time from first treatment up to end of study (approximately Month 101)
Part 1 & 2: Cohort A + B +C: Progression-free Survival by Investigator Assessment
Measured: Time from first treatment up to end of study (approximately Month 101)
Part 1 & 2: Cohort A + B + C: Overall Survival (OS)
Measured: Time from first treatment up to end of study (approximately Month 101)
Part 1 & 2: Cohort A + B + C: Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs and TEAEs Leading to Death
Measured: Time from first treatment up to end of study (approximately Month 101)
Part 1 & 2: Cohort A + B +C: Number of Participants With Markedly Abnormal Clinical Laboratory Tests
Measured: Time from first treatment up to end of study (approximately Month 101)
Part 1 & 2: Cohort A + B + C: Number of Participants With Markedly Abnormal Vital Signs and Physical Examination
Measured: Time from first treatment up to end of study (approximately Month 101)
Part 1 & 2: Cohort A + B + C: Number of Participants With Clinically Significant Change From Baseline in 12-Lead Electrocardiogram (ECG)
Measured: Time from first treatment up to end of study (approximately Month 101)
Part 1 & 2: Cohort A + B + C: Change From Baseline in Euro Quality of Life Questionnaire With 5 Questions Alternatives (EQ5D-5L) Summary Score
Measured: Time from first treatment up to end of study (approximately Month 101)
Part 1 & 2: Cohort A + B + C: Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30)
Measured: Time from first treatment up to end of study (approximately Month 101)
Part 1 & 2: Cohort A + B + C: Quality of Life (QoL) Assessed by European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30)
Measured: Time from first treatment up to end of study (approximately Month 101)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Aug 2016 (estimated)
- Study start13 Sep 2016
- Primary completion16 May 2022
- Study completion31 Aug 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (7)Papers the sponsor has linked to this study.
- Other trials for Advanced (Stage IIIB/IV) Non-small Cell Lung Cancer (NSCLC) With MET Exon 14 (METex14) Skipping Alterations or MET AmplificationStudies of the same condition, open and under way.
- More trials run by EMD Serono Research & Development Institute, Inc.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 337 participants (actual)
Sponsor and investigators
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Merck KGaA, Darmstadt, Germany
- Responsible party
- Sponsor
- Investigators
- Medical Responsible, Study director, EMD Serono Research & Development Institute, Inc, a business of Merck KGaA, Darmstadt, Germany
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02864992
- Sponsor's protocol ID
- MS200095-0022
- Other IDs
- 2015-005696-24, 2024-512003-39-00, Japic CTI-163370, jRCT2080223315, CTR20192576, 2015
- Status last verified
- Jun 2026
- First submitted
- 29 Jul 2016
- Last updated
- 14 Jul 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- Individual data sharing
- Yes: We are committed to enhancing public health through responsible sharing of clinical trial data. Following approval of a new product or a new indication for an approved product in both the US and European Union, the study sponsor and/or its affiliated companies will share study protocols, anonymized patient data and study level data, and redacted clinical study reports with qualified scientific and medical researchers, upon request, as necessary for conducting legitimate research. Further information on how to request data can be found on our website bit.ly/IPD21
Publications
Paik PK, Felip E, Veillon R, Sakai H, Cortot AB, Garassino MC, Mazieres J, Viteri S, Senellart H, Van Meerbeeck J, Raskin J, Reinmuth N, Conte P, Kowalski D, Cho BC, Patel JD, Horn L, Griesinger F, Han JY, Kim YC, Chang GC, Tsai CL, Yang JC, Chen YM, Smit EF, van der Wekken AJ, Kato T, Juraeva D, Stroh C, Bruns R, Straub J, Johne A, Scheele J, Heymach JV, Le X. Tepotinib in Non-Small-Cell Lung Cancer with MET Exon 14 Skipping Mutations. N Engl J Med. 2020 Sep 3;383(10):931-943. doi: 10.1056/NEJMoa2004407. Epub 2020 May 29.
PubMed 32469185Kato T, Yang JC, Ahn MJ, Sakai H, Morise M, Chen YM, Han JY, Yang JJ, Zhao J, Hsia TC, Berghoff K, Bruns R, Vioix H, Lang S, Johne A, Le X, Paik PK. Efficacy and safety of tepotinib in Asian patients with advanced NSCLC with MET exon 14 skipping enrolled in VISION. Br J Cancer. 2024 Jun;130(10):1679-1686. doi: 10.1038/s41416-024-02615-9. Epub 2024 Apr 4.
PubMed 38575731Le X, Paz-Ares LG, Van Meerbeeck J, Viteri S, Galvez CC, Smit EF, Garassino M, Veillon R, Baz DV, Pradera JF, Sereno M, Kozuki T, Kim YC, Yoo SS, Han JY, Kang JH, Son CH, Choi YJ, Stroh C, Juraeva D, Vioix H, Bruns R, Otto G, Johne A, Paik PK. Tepotinib in patients with non-small cell lung cancer with high-level MET amplification detected by liquid biopsy: VISION Cohort B. Cell Rep Med. 2023 Nov 21;4(11):101280. doi: 10.1016/j.xcrm.2023.101280. Epub 2023 Nov 8.
PubMed 37944528Mazieres J, Paik PK, Garassino MC, Le X, Sakai H, Veillon R, Smit EF, Cortot AB, Raskin J, Viteri S, Wu YL, Yang JCH, Ahn MJ, Ma R, Zhao J, O'Brate A, Berghoff K, Bruns R, Otto G, Johne A, Felip E, Thomas M. Tepotinib Treatment in Patients With MET Exon 14-Skipping Non-Small Cell Lung Cancer: Long-term Follow-up of the VISION Phase 2 Nonrandomized Clinical Trial. JAMA Oncol. 2023 Sep 1;9(9):1260-1266. doi: 10.1001/jamaoncol.2023.1962.
PubMed 37270698Hallick J, Baird AM, Falchook G, Le X, Hong D, Viteri S, Raskin J, Reinmuth N, Vlassak S, Militaru M, Paik PK. Plain language summary of the development of tepotinib: a treatment for a subtype of non-small cell lung cancer called MET exon 14 skipping. Future Oncol. 2023 Mar;19(10):683-696. doi: 10.2217/fon-2022-1035. Epub 2023 Mar 31.
PubMed 36999526Xiong W, Hietala SF, Nyberg J, Papasouliotis O, Johne A, Berghoff K, Goteti K, Dong J, Girard P, Venkatakrishnan K, Strotmann R. Exposure-response analyses for the MET inhibitor tepotinib including patients in the pivotal VISION trial: support for dosage recommendations. Cancer Chemother Pharmacol. 2022 Jul;90(1):53-69. doi: 10.1007/s00280-022-04441-3. Epub 2022 Jun 30.
PubMed 35771259Xiong W, Papasouliotis O, Jonsson EN, Strotmann R, Girard P. Population pharmacokinetic analysis of tepotinib, an oral MET kinase inhibitor, including data from the VISION study. Cancer Chemother Pharmacol. 2022 May;89(5):655-669. doi: 10.1007/s00280-022-04423-5. Epub 2022 Apr 6.
PubMed 35385993
Study at a glance
From the registry record, last updated by the sponsor on 14 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase II Single-arm Trial to Investigate Tepotinib in Advanced (Locally Advanced or Metastatic) Non-small Cell Lung Cancer With METex14 Skipping Alterations or MET Amplification (VISION)
- ClinicalTrials.gov ID
- NCT02864992
- Acronym / sponsor ID
- MS200095-0022
- Conditions
- Advanced (Stage IIIB/IV) Non-small Cell Lung Cancer (NSCLC) With MET Exon 14 (METex14) Skipping Alterations or MET Amplification, Lung Adenocarcinoma Stage IIIB/IV
- Keywords
- lung, neoplasm, cancer, tumor, adenocarcinoma, MET exon 14, METex14, pulmonary
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 337 participants (actual)
- Lead sponsor
- EMD Serono Research & Development Institute, Inc.Industry (pharma, biotech, devices)
- Collaborators
- Merck KGaA, Darmstadt, Germany
- Study start
- 13 Sep 2016 (actual)
- Primary completion
- 16 May 2022 (actual)
- Study completion
- 31 Aug 2026 (estimated)
- First posted
- 12 Aug 2016 (estimated)
- Results
- Posted 9 Jun 2023
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study looked at how effective the study drug (tepotinib) was at stopping the growth and spread of lung cancer. This study also measures a number of other things including safety of the study drug and the side effects, how body processes the study drug, or how the study drug affects your quality of life. The study also has an optional pharmacogenetic research part. Pharmacogenetic research is an important way to try to understand the role of genetics in human disease and how genes impact the effectiveness of drugs, because differences in genes can change the way a person responds to a particular drug.
Detailed description
The study included 3 cohorts with one primary endpoint (Objective Response Rate). Enrollment number and completion data is changed by new cohorts.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Part 1: Cohort A: METex14 Skipping Alterations | Other | Drug: TepotinibParticipants received 500 milligram (mg) of tepotinib once daily in cycles of 21-day duration until disease progression, death, adverse event (AE) leading to discontinuation or withdrawal of consent. |
| Part 1: Cohort B: MET Amplification | Other | Drug: TepotinibParticipants received 500 milligram (mg) of tepotinib once daily in cycles of 21-day duration until disease progression, death, adverse event (AE) leading to discontinuation or withdrawal of consent. |
| Part 2: Cohort C: Confirmatory Part for METex14 Skipping Alterations | Other | Drug: TepotinibParticipants received 500 milligram (mg) of tepotinib once daily in cycles of 21-day duration until disease progression, death, adverse event (AE) leading to discontinuation or withdrawal of consent. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- Signed, written informed consent by participant or legal representative prior to any trial-specific screening procedure
- Male or female, greater than or equal to (>=) 18 years of age (or have reached the age of majority according to local laws and regulations)
- Measurable disease confirmed by an independent review committee (IRC) in accordance with RECIST version 1.1
- Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 or 1
- A female participant was eligible to participate if she is not pregnant, not breastfeeding, and at least one of the following conditions applies:
Key exclusion criteria (19 listed)
- Participants with characterized Epidermal Growth Factor Receptor (EGFR) activating mutations that predict sensitivity to anti-EGFR-therapy
- Participants with characterized Anaplastic Lymphoma Kinase (ALK) rearrangements that predict sensitivity to anti-ALK therapy
- Participants with symptomatic brain metastases who are neurologically unstable
- Any unresolved toxicity Grade 2 or more according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) from previous anticancer therapy
- Need for transfusion within 14 days prior to the first dose of trial treatment
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| TepotinibSubjects will receive 500 milligram (mg) of tepotinib once daily in cycles of 21-day duration until disease progression, death, adverse event (AE) leading to discontinuation or withdrawal of consent. | Drug | Part 1: Cohort A: METex14 Skipping Alterations, Part 1: Cohort B: MET Amplification, Part 2: Cohort C: Confirmatory Part for METex14 Skipping Alterations |
Primary outcome
Part 1: Cohort A: Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Independent Review Committee (IRC)
Time frame: Time from first treatment up to data cutoff (approximately Month 66)
Objective response will be determined according to RECIST 1.1 and as per IRC. Objective response was defined as number of participants with either a confirmed complete response (CR) or partial response (PR) from first administration of study treatment to first observation of progressive disease (PD) .CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30 percent (%) reduction from baseline in the sum of the longest diameter (SLD) of all lesions. PD was defined as at least a 20% increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions.
Part 1: Cohort B: Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 as Assessed by Independent Review Committee (IRC)
Time frame: Time from first treatment up to data cutoff (approximately Month 66)
Objective response will be determined according to RECIST 1.1 and as per IRC. Objective response was defined as number of participants with either a confirmed complete response (CR) or partial response (PR) from first administration of study treatment to first observation of progressive disease (PD) .CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30 percent (%) reduction from baseline in the sum of the longest diameter (SLD) of all lesions. PD was defined as at least a 20% increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions.
Part 2: Cohort C: Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 as Assessed by Independent Review Committee (IRC)
Time frame: Time from first treatment up to data cutoff (approximately Month 66)
Objective response will be determined according to RECIST 1.1 and as per IRC. Objective response was defined as number of participants with either a confirmed complete response (CR) or partial response (PR) from first administration of study treatment to first observation of progressive disease (PD) .CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30 percent (%) reduction from baseline in the sum of the longest diameter (SLD) of all lesions. PD was defined as at least a 20% increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions.
14 secondary outcomes
Part 1 & 2: Cohort A + B + C: Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigator
Time frame: Time from first treatment up to end of study (approximately Month 101)
Part 1 & 2: Cohort A + B + C: Duration of Response (DOR) Assessed by Investigator
Time frame: Time from first treatment up to end of study (approximately Month 101)
Part 1 & 2: Cohort A + B + C: Objective Disease Control Rate Assessed by IRC
Time frame: Time from first treatment up to end of study (approximately Month 101)
Part 1 & 2: Cohort A + B + C: Objective Disease Control Rate Assessed by Investigator
Time frame: Time from first treatment up to end of study (approximately Month 101)
Part 1 & 2: Cohort A + B + C: Progression-free Survival by IRC Assessment
Time frame: Time from first treatment up to end of study (approximately Month 101)
Part 1 & 2: Cohort A + B +C: Progression-free Survival by Investigator Assessment
Time frame: Time from first treatment up to end of study (approximately Month 101)
Part 1 & 2: Cohort A + B + C: Overall Survival (OS)
Time frame: Time from first treatment up to end of study (approximately Month 101)
Part 1 & 2: Cohort A + B + C: Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs and TEAEs Leading to Death
Time frame: Time from first treatment up to end of study (approximately Month 101)
Part 1 & 2: Cohort A + B +C: Number of Participants With Markedly Abnormal Clinical Laboratory Tests
Time frame: Time from first treatment up to end of study (approximately Month 101)
Part 1 & 2: Cohort A + B + C: Number of Participants With Markedly Abnormal Vital Signs and Physical Examination
Time frame: Time from first treatment up to end of study (approximately Month 101)
Part 1 & 2: Cohort A + B + C: Number of Participants With Clinically Significant Change From Baseline in 12-Lead Electrocardiogram (ECG)
Time frame: Time from first treatment up to end of study (approximately Month 101)
Part 1 & 2: Cohort A + B + C: Change From Baseline in Euro Quality of Life Questionnaire With 5 Questions Alternatives (EQ5D-5L) Summary Score
Time frame: Time from first treatment up to end of study (approximately Month 101)
Part 1 & 2: Cohort A + B + C: Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30)
Time frame: Time from first treatment up to end of study (approximately Month 101)
Part 1 & 2: Cohort A + B + C: Quality of Life (QoL) Assessed by European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30)
Time frame: Time from first treatment up to end of study (approximately Month 101)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Jul 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 32469185Paik PK, Felip E, Veillon R, Sakai H, Cortot AB, Garassino MC, Mazieres J, Viteri S, Senellart H, Van Meerbeeck J, Raskin J, Reinmuth N, Conte P, Kowalski D, Cho BC, Patel JD, Horn L, Griesinger F, Han JY, Kim YC, Chang GC, Tsai CL, Yang JC, Chen YM, Smit EF, van der Wekken AJ, Kato T, Juraeva D, Stroh C, Bruns R, Straub J, Johne A, Scheele J, Heymach JV, Le X. Tepotinib in Non-Small-Cell Lung Cancer with MET Exon 14 Skipping Mutations. N Engl J Med. 2020 Sep 3;383(10):931-943. doi: 10.1056/NEJMoa2004407. Epub 2020 May 29.
- Derived from this study: PubMed 38575731Kato T, Yang JC, Ahn MJ, Sakai H, Morise M, Chen YM, Han JY, Yang JJ, Zhao J, Hsia TC, Berghoff K, Bruns R, Vioix H, Lang S, Johne A, Le X, Paik PK. Efficacy and safety of tepotinib in Asian patients with advanced NSCLC with MET exon 14 skipping enrolled in VISION. Br J Cancer. 2024 Jun;130(10):1679-1686. doi: 10.1038/s41416-024-02615-9. Epub 2024 Apr 4.
- Derived from this study: PubMed 37944528Le X, Paz-Ares LG, Van Meerbeeck J, Viteri S, Galvez CC, Smit EF, Garassino M, Veillon R, Baz DV, Pradera JF, Sereno M, Kozuki T, Kim YC, Yoo SS, Han JY, Kang JH, Son CH, Choi YJ, Stroh C, Juraeva D, Vioix H, Bruns R, Otto G, Johne A, Paik PK. Tepotinib in patients with non-small cell lung cancer with high-level MET amplification detected by liquid biopsy: VISION Cohort B. Cell Rep Med. 2023 Nov 21;4(11):101280. doi: 10.1016/j.xcrm.2023.101280. Epub 2023 Nov 8.
- Derived from this study: PubMed 37270698Mazieres J, Paik PK, Garassino MC, Le X, Sakai H, Veillon R, Smit EF, Cortot AB, Raskin J, Viteri S, Wu YL, Yang JCH, Ahn MJ, Ma R, Zhao J, O'Brate A, Berghoff K, Bruns R, Otto G, Johne A, Felip E, Thomas M. Tepotinib Treatment in Patients With MET Exon 14-Skipping Non-Small Cell Lung Cancer: Long-term Follow-up of the VISION Phase 2 Nonrandomized Clinical Trial. JAMA Oncol. 2023 Sep 1;9(9):1260-1266. doi: 10.1001/jamaoncol.2023.1962.
- Derived from this study: PubMed 36999526Hallick J, Baird AM, Falchook G, Le X, Hong D, Viteri S, Raskin J, Reinmuth N, Vlassak S, Militaru M, Paik PK. Plain language summary of the development of tepotinib: a treatment for a subtype of non-small cell lung cancer called MET exon 14 skipping. Future Oncol. 2023 Mar;19(10):683-696. doi: 10.2217/fon-2022-1035. Epub 2023 Mar 31.
- Derived from this study: PubMed 35771259Xiong W, Hietala SF, Nyberg J, Papasouliotis O, Johne A, Berghoff K, Goteti K, Dong J, Girard P, Venkatakrishnan K, Strotmann R. Exposure-response analyses for the MET inhibitor tepotinib including patients in the pivotal VISION trial: support for dosage recommendations. Cancer Chemother Pharmacol. 2022 Jul;90(1):53-69. doi: 10.1007/s00280-022-04441-3. Epub 2022 Jun 30.
- Derived from this study: PubMed 35385993Xiong W, Papasouliotis O, Jonsson EN, Strotmann R, Girard P. Population pharmacokinetic analysis of tepotinib, an oral MET kinase inhibitor, including data from the VISION study. Cancer Chemother Pharmacol. 2022 May;89(5):655-669. doi: 10.1007/s00280-022-04423-5. Epub 2022 Apr 6.
- Trial Awareness and Transparency websiteLink provided by the sponsor.
- US Medical Information website, Medical ResourcesLink provided by the sponsor.
- Targeting MET Clinical Trial ProgramLink provided by the sponsor.
- Redacted Clinical study report, redacted clinical study protocol and redacted statistical analysis plan for this study is also available at the HC-PRCI portal (Health Canada-Public release of clinical information)Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. We are committed to enhancing public health through responsible sharing of clinical trial data. Following approval of a new product or a new indication for an approved product in both the US and European Union, the study sponsor and/or its affiliated companies will share study protocols, anonymized patient data and study level data, and redacted clinical study reports with qualified scientific and medical researchers, upon request, as necessary for conducting legitimate research. Further information on how to request data can be found on our website bit.ly/IPD21
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Responsible study director
EMD Serono Research & Development Institute, Inc, a business of Merck KGaA, Darmstadt, Germany
176 sites in 15 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Tepotinib in people with Advanced (Stage IIIB/IV) Non-small Cell Lung Cancer (NSCLC) With MET Exon 14 (METex14) Skipping Alterations or MET Amplification and Lung Adenocarcinoma Stage IIIB/IV, run by EMD Serono Research & Development Institute, Inc. at 176 sites in 15 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 11 inclusion and 19 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 14 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 176 sites in United States, France, Spain, China, Germany and 10 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 9 Jun 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Part 1: Cohort A: Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Independent Review Committee (IRC) (time frame: Time from first treatment up to data cutoff (approximately Month 66)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02864992, which also lists 7 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Jul 2026.