How are you approaching patients with Stage IV EGFR NSCLC who progress on first line TKI and are found to have retained EGFR mutation as well as MET amplification?
2 Answers
Mednet MemberInvited Expert
Medical Oncology · University of Colorado Anschutz Medical Center
Answered on
The nuance here is how the MET amplification was detected and defined. Was it through an NGS platform (such as Guardant) or through FISH-based testing? If the latter, what was the MET gene copy number, and what was the ratio of MET/CEP7?
Nonetheless, assuming MET amplification is an accurate bypass s...
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Mednet MemberInvited Expert
Medical Oncology · Georgetown University Hospital
Answered on
I think it is challenging to give a single answer here as there is a lot of heterogeneity here.
When MET amplification is driving EGFR TKI resistance, that can be overcome by the addition of a MET inhibitor. The INSIGHT 2 study (Tan et al., Journal of Clinical Oncology 2023) included patients with E...
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