A common carcinogenic mechanism in non-small cell lung cancer (NSCLC) is a jump mutation in exon 14 of the mesenchymal epithelial transition factor (MET) gene, which is commonly present in NSCLC cases and accelerates cancer progression. Clinical studies have shown that tepotinib, as the first oral tyrosine kinase inhibitor targeting MET, exhibits significant efficacy in advanced NSCLC, with an overall response rate (ORR) of 44.7% and a median progression free survival (PFS) of 8.9 to 12.2 months. Although drug resistance appears within 6 to 12 months after treatment, combined treatment with epidermal growth factor receptor (EGFR)-tyrosine kinase inhibitors (TKIs) can overcome some of the resistance caused by EGFR mutations and MET expansion. In addition, tepotinib has good safety in different patient populations, with common adverse reactions including peripheral edema, nausea, and diarrhea. Tepotinib significantly prolongs the PFS of patients. In addition, other novel MET-TKI such as carbamatinib and sevotinib have also shown good efficacy in the treatment of MET mutant NSCLC. This article summarizes the pharmacological effects, resistance mechanisms, adverse reactions, and clinical application progress of terbotinib in NSCLC.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |