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DRUG:

bozitinib (APL-101)

i
Other names: APL-101, PLB-1001, CBI-3103, PLB1001, CBT 101, CBT-101, APL101
Company:
Apollomics, Avistone Biotech
Drug class:
c-MET inhibitor
Related drugs:
4d
New P2 trial • Real-world evidence • Pan tumor • Real-world
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BRAF (B-raf proto-oncogene)
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Lynparza (olaparib) • Mekinist (trametinib) • Ibrance (palbociclib) • Tafinlar (dabrafenib) • Focus V (anlotinib) • temozolomide • Lenvima (lenvatinib) • Piqray (alpelisib) • pazopanib • Epidaza (chidamide) • Trodelvy (sacituzumab govitecan-hziy) • bozitinib (APL-101)
2ms
New P2 trial
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bozitinib (APL-101)
3ms
Safety and Efficacy of Combining APL-101 With Frontline Osimertinib in Patients With EGFR-mutated Metastatic Non-small Cell Lung Cancer (NSCLC) (clinicaltrials.gov)
P1/2, N=24, Recruiting, Washington University School of Medicine | Trial completion date: Sep 2029 --> May 2030 | Trial primary completion date: Sep 2027 --> Jun 2027
Trial completion date • Trial primary completion date • Metastases
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EGFR (Epidermal growth factor receptor)
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EGFR mutation
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Tagrisso (osimertinib) • bozitinib (APL-101)
3ms
New P2 trial
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Loqtorzi (toripalimab-tpzi) • Ensacove (ensartinib) • Qi Xinke (iruplinalkib) • Semena (befotertinib) • bozitinib (APL-101) • Ariely (adebrelimab) • tizetatug rezetecan (SHR-A1921)
3ms
New P1/2 trial • Metastases
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PD-L1 (Programmed death ligand 1) • MET (MET proto-oncogene, receptor tyrosine kinase)
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PD-L1 expression • EGFR mutation • MET amplification • EGFR wild-type • RAS wild-type
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Tevimbra (tislelizumab-jsgr) • bozitinib (APL-101)
3ms
Enrollment open
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MET (MET proto-oncogene, receptor tyrosine kinase)
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MET amplification • MET overexpression
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gemcitabine • pemetrexed • bozitinib (APL-101)
4ms
New P2 trial • Metastases
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Tagrisso (osimertinib) • bozitinib (APL-101) • PLB1004
5ms
Vebreltinib for Advanced Non-Small Cell Lung Cancer Harboring c-Met Exon 14 Skipping Mutation: A Multicenter, Single-Arm, Phase II KUNPENG Study. (PubMed, J Clin Oncol)
Vebreltinib has shown promising efficacy and a favorable safety profile in patients with METex14-mutant NSCLC.
P2 data • Journal • Metastases
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MET (MET proto-oncogene, receptor tyrosine kinase)
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bozitinib (APL-101)
5ms
New P4 trial
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MET (MET proto-oncogene, receptor tyrosine kinase)
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gemcitabine • pemetrexed • bozitinib (APL-101)
7ms
Molecular Characterization and Therapeutic Opportunities in KRAS Wildtype Pancreatic Ductal Adenocarcinoma. (PubMed, Cancers (Basel))
KRASWT PDAC is molecularly distinct from KRASMUT and enriched with potentially actionable genetic variants. In our study, transcriptomic profiling revealed that the KRAS signaling cascade may play a key role in KRASWT PDAC. Our report of a KRASWT PDAC patient with TFG-MET rearrangement who responded to a cMET inhibitor further supports the pursuit of precision oncology in this sub-population. Identification of targetable mutations, perhaps through approaches like RNA-seq, can help enable precision-driven approaches to select optimal treatment based on tumor characteristics.
Journal
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KRAS (KRAS proto-oncogene GTPase)
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Xalkori (crizotinib) • bozitinib (APL-101)
9ms
New P1/2 trial
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bozitinib (APL-101) • PLB1004
11ms
Trial completion
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bozitinib (APL-101) • CBT101
12ms
Safety and Efficacy of Combining APL-101 With Frontline Osimertinib in Patients With EGFR-mutated Metastatic Non-small Cell Lung Cancer (NSCLC) (clinicaltrials.gov)
P1/2, N=22, Recruiting, Washington University School of Medicine | Trial completion date: Sep 2027 --> Sep 2029
Trial completion date • Metastases
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EGFR (Epidermal growth factor receptor)
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EGFR mutation
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Tagrisso (osimertinib) • bozitinib (APL-101)
1year
New P2/3 trial
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MET fusion
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cisplatin • temozolomide • etoposide IV • bozitinib (APL-101)
1year
Phase classification • Enrollment change • Metastases
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HGF (Hepatocyte growth factor) • PTPRZ1 (Protein Tyrosine Phosphatase Receptor Type Z1)
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EGFR mutation • MET amplification • EGFR wild-type • MET exon 14 mutation • MET overexpression • MET expression • EGFR positive • MET fusion
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bozitinib (APL-101)
1year
Safety and Efficacy of Combining APL-101 With Frontline Osimertinib in Patients With EGFR-mutated Metastatic Non-small Cell Lung Cancer (NSCLC) (clinicaltrials.gov)
P1/2, N=22, Recruiting, Washington University School of Medicine | Trial completion date: Nov 2026 --> Sep 2027 | Trial primary completion date: Nov 2026 --> Sep 2027
Trial completion date • Trial primary completion date • Metastases
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EGFR (Epidermal growth factor receptor)
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EGFR mutation
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Tagrisso (osimertinib) • bozitinib (APL-101)
over1year
Treatment sequencing in the VISION study of tepotinib in patients with MET exon 14 ( MET ex14) skipping NSCLC (COSA 2023)
48 patients received subsequent METi (crizotinib, n=20; capmatinib, n=15; bozitinib, n=4; tepotinib, n=3; amivantamab, n=3; cabozantinib, n=3; other, n=4; different METi in subsequent lines, n=4)... Robust and durable efficacy, particularly in the 1L setting, support early use of tepotinib in the treatment sequence. Almost half of this elderly population received subsequent treatment, higher than the 20%–30% reported for 1L CT/IO IPSOS trial in elderly patients (median age 75). METi treatment sequencing analyses are ongoing.
Clinical
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MET (MET proto-oncogene, receptor tyrosine kinase)
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MET exon 14 mutation
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Xalkori (crizotinib) • Cabometyx (cabozantinib tablet) • Rybrevant (amivantamab-vmjw) • Tepmetko (tepotinib) • Tabrecta (capmatinib) • bozitinib (APL-101)
over1year
A Confirmatory Clinical Study in NSCLC Patients With MET Exon 14 Mutation (KUNPENG-2) (clinicaltrials.gov)
P3, N=131, Active, not recruiting, Beijing Pearl Biotechnology Limited Liability Company
New P3 trial • Metastases
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EGFR (Epidermal growth factor receptor) • KRAS (KRAS proto-oncogene GTPase) • ALK (Anaplastic lymphoma kinase) • MET (MET proto-oncogene, receptor tyrosine kinase) • ROS1 (Proto-Oncogene Tyrosine-Protein Kinase ROS)
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ALK rearrangement • EGFR wild-type • MET exon 14 mutation • ROS1 rearrangement • MET mutation
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bozitinib (APL-101)
over1year
A Study of PLB1001 in Non-small Cell Lung Cancer With c-Met Dysregulation(KUNPENG) (clinicaltrials.gov)
P2, N=185, Recruiting, Beijing Pearl Biotechnology Limited Liability Company | Trial primary completion date: Dec 2022 --> Dec 2024
Trial primary completion date • Metastases
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MET (MET proto-oncogene, receptor tyrosine kinase)
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bozitinib (APL-101)
over1year
Preliminary results of phase II KUNPENG study of vebreltinib in patients (Pts) with advanced NSCLC harboring c-MET alterations (ESMO 2023)
Most of the TRAEs were grade 1/2. Conclusions Vebreltinib showed promising efficacy and favorable safety in patients with METex14 mutant NSCLC.
Clinical • P2 data • Metastases
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MET (MET proto-oncogene, receptor tyrosine kinase)
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MET exon 14 mutation
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bozitinib (APL-101)
over1year
Target therapy matched to genomic alterations in patients with recurrent IDH wildtype glioblastoma: A real-life cohort analysis from Veneto Institute of Oncology, Padua (Italy) (ESMO 2023)
All pts received radiotherapy and temozolomide as first-line...TT was dabrafenib/trametinib (9 pts), larotrectinib (2 pts), erdafitinib (4 pts), entrectinib (1 pt), vebreltinib (2 pts), capmatinib (1 pt), alpelisib (6 pts), ipatasertib+/-atezolizumab (12 pts)...We had a dramatic response to a MET inhibitor. Deeper explorations are needed in targeting FGFR e ROS1.
Clinical • PD(L)-1 Biomarker
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PIK3CA (Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) • PTEN (Phosphatase and tensin homolog) • ROS1 (Proto-Oncogene Tyrosine-Protein Kinase ROS) • FGFR1 (Fibroblast growth factor receptor 1) • NTRK (Neurotrophic receptor tyrosine kinase) • PTPRZ1 (Protein Tyrosine Phosphatase Receptor Type Z1)
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BRAF V600E • PIK3CA mutation • BRAF V600 • MET amplification • FGFR1 amplification • ROS1 fusion • FGFR1 fusion • IDH wild-type • PIK3CA mutation + PTEN mutation • MET fusion • NTRK fusion
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Mekinist (trametinib) • Tecentriq (atezolizumab) • Tafinlar (dabrafenib) • Vitrakvi (larotrectinib) • Rozlytrek (entrectinib) • temozolomide • Piqray (alpelisib) • Balversa (erdafitinib) • ipatasertib (RG7440) • Tabrecta (capmatinib) • bozitinib (APL-101)
over1year
Phase I/II Study Exploring Safety and Efficacy of Apl-101 Plus Frontline Osimertinib in EGFR-mutated Metastatic Non-small Cell Lung Cancer (IASLC-WCLC 2023)
Blood and tumor biopsy are collected at baseline, prior to combination treatment (optional tumor biopsy) and at progression for exploratory analyses to help identify genomic alterations leading to drug tolerance and biomarkers that can predict for benefit of combination therapy. Dose level 1 has been completed with 1 dose-limiting toxicity and dose-level 2 began enrolling in August 2022.
Clinical • P1/2 data • IO biomarker • Metastases
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EGFR (Epidermal growth factor receptor)
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EGFR mutation
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Tagrisso (osimertinib) • bozitinib (APL-101)
over1year
PTPRZ1-METFUsion GENe (ZM-FUGEN) trial: study protocol for a multicentric, randomized, open-label phase II/III trial. (PubMed, Chin Neurosurg J)
If proven effective, this targeted multifaceted intervention protocol will be extended for more glioma patients as a protocol to evaluate the safety and efficacy of MET inhibitors.
P2/3 data • Journal
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PTPRZ1 (Protein Tyrosine Phosphatase Receptor Type Z1)
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MET fusion
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bozitinib (APL-101)
almost2years
Treatment sequencing in the VISION study of tepotinib in patients with MET exon 14 (METex14) skipping NSCLC (ELCC 2023)
48 pts received subsequent METi (20 crizotinib, 15 capmatinib, 4 bozitinib, 3 tepotinib, 3 amivantamab, 3 cabozantinib, 4 other; 4 pts received different METi in subsequent lines)...Almost half of this elderly population received subsequent Tx, higher than the 20–30% reported for 1L CT/IO IPSOS trial in elderly pts (median age 75). METi Tx sequencing analyses ongoing.
Clinical
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MET (MET proto-oncogene, receptor tyrosine kinase)
|
MET exon 14 mutation
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Xalkori (crizotinib) • Cabometyx (cabozantinib tablet) • Rybrevant (amivantamab-vmjw) • Tepmetko (tepotinib) • Tabrecta (capmatinib) • bozitinib (APL-101)
over2years
SPARTA: APL-101 Study of Subjects With NSCLC With c-Met EXON 14 Skip Mutations and c-Met Dysregulation Advanced Solid Tumors (clinicaltrials.gov)
P1/2, N=344, Recruiting, Apollomics Inc. | N=201 --> 344 | Trial completion date: Dec 2022 --> Nov 2026 | Trial primary completion date: Dec 2022 --> Mar 2026
Enrollment change • Trial completion date • Trial primary completion date
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EGFR (Epidermal growth factor receptor) • PTPRZ1 (Protein Tyrosine Phosphatase Receptor Type Z1)
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MET amplification • EGFR wild-type • MET exon 14 mutation • MET fusion • MET-H
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bozitinib (APL-101)
almost3years
Enrollment open
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EGFR (Epidermal growth factor receptor)
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EGFR mutation
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Tagrisso (osimertinib) • bozitinib (APL-101)
almost3years
MET overexpression contributes to STAT4-PD-L1 signaling activation associated with tumor-associated, macrophages-mediated immunosuppression in primary glioblastomas. (PubMed, J Immunother Cancer)
These data indicated that the MET-STAT4-PD-L1 axis and tumor-associated macrophages might enforce glioma immune evasion and were associated with poor prognosis in GBM samples, suggesting potential clinical strategies for targeted therapy combined with immunotherapy in patients with primary GBM.
Journal • PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1) • MET (MET proto-oncogene, receptor tyrosine kinase) • HGF (Hepatocyte growth factor) • STAT4 (Signal Transducer And Activator Of Transcription 4)
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MET overexpression • MET expression
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bozitinib (APL-101)
almost3years
Safety and Efficacy of Combining APL-101 With Frontline Osimertinib in Patients With EGFR-mutated Metastatic Non-small Cell Lung Cancer (NSCLC) (clinicaltrials.gov)
P1/2, N=22, Not yet recruiting, Washington University School of Medicine | Trial completion date: Sep 2026 --> Jan 2027 | Initiation date: Nov 2021 --> Mar 2022 | Trial primary completion date: Sep 2026 --> Jan 2027
Clinical • Trial completion date • Trial initiation date • Trial primary completion date
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EGFR (Epidermal growth factor receptor)
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EGFR mutation
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Tagrisso (osimertinib) • bozitinib (APL-101)
almost4years
Clinical • New P1/2 trial
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EGFR (Epidermal growth factor receptor)
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EGFR mutation
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Tagrisso (osimertinib) • bozitinib (APL-101)
over4years
[VIRTUAL] A phase I study of cMET inhibitor bozitinib in patients with advanced NSCLC harboring cMET alterations (AACR-I 2020)
Based on safety profiles, PK and efficacy analyses, 200mg BID was determined to be RP2D. Bozitinib was well-tolerated with manageable safety profiles when administered at RP2D. Preliminary antitumor activity was observed in patients with exon 14 skipping and/or amplification, particularly in those with NGS-identified exon 14 skipping.
Clinical • P1 data
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MET (MET proto-oncogene, receptor tyrosine kinase) • HGF (Hepatocyte growth factor)
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bozitinib (APL-101)
almost5years
A Study of PLB1001 in Non-small Cell Lung Cancer With c-Met Dysregulation (clinicaltrials.gov)
P2, N=185, Recruiting, Beijing Pearl Biotechnology Limited Liability Company
Clinical • New P2 trial
|
MET (MET proto-oncogene, receptor tyrosine kinase)
|
bozitinib (APL-101)