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VEBrant: a multicenter, phase II study of MET inhibitor vebreltinib combined with PD-1-based immunotherapy in
Yaling Jiang1, Nong Lin1,2,3,4, Xin Huang1
1Department of Orthopaedics, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Abstract:
Clear cell sarcoma (CCS) is an ultra-rare sarcoma with no established standard systemic therapy of proven efficacy. Mesenchymal-epithelial transition factor (MET) overexpression drives CCS progression and serves as a promising therapeutic target. Vebreltinib is a highly selective MET inhibitor with potential therapeutic benefits for CCS. Additionally, given that MET and programmed cell death protein 1 (PD-1) are both downstream molecules of melanocyte transcription factor (MITF), combined MET and PD-1 inhibition may block the MITF pathway more effectively. Moreover, aberrant MET activation indirectly upregulates programmed death ligand 1 (PD-L1), causing immune escape and resistance to PD-1 inhibitors; MET inhibition may potentially reverse this resistance. Here, we describe the rationale and design of VEBrant, a multicenter, phase II study aimed to evaluate the efficacy and safety of vebreltinib combined with PD-1-based immunotherapy in advanced CCS. Thirty patients will be enrolled, with the treatment cohort receiving combination therapy of vebreltinib and PD-1 inhibitor, and a reference cohort receiving physician's choice therapy or best supportive care. Primary endpoint is Objective Response Rate (ORR) by Simon two-stage design. This study will provide evidence for vebreltinib combined with PD-1-based immunotherapy and improve understanding of advanced CCS management.Clinical trial registration: www.clinicaltrials.gov identifier is NCT07153887.
Insights
This study investigates vebreltinib plus PD-1 immunotherapy for advanced clear cell sarcoma (CCS). The combination targets MET and PD-1 pathways, potentially offering a new treatment for this rare cancer.
Area of Science:
- Oncology
- Medical Research
- Pharmacology
Background:
- Clear cell sarcoma (CCS) is a rare cancer lacking effective standard systemic therapies.
- Mesenchymal-epithelial transition factor (MET) overexpression is a key driver of CCS progression.
- MET inhibitors like vebreltinib show therapeutic promise for CCS.
Purpose of the Study:
- To evaluate the efficacy and safety of combining vebreltinib with PD-1-based immunotherapy in advanced CCS.
- To explore the combined inhibition of MET and PD-1 pathways in CCS treatment.
- To provide evidence for novel therapeutic strategies in advanced CCS management.
Main Methods:
- A multicenter, phase II clinical trial (VEBrant study, NCT07153887) enrolling 30 patients with advanced CCS.
- Treatment cohort: vebreltinib plus PD-1 inhibitor.
- Reference cohort: physician's choice therapy or best supportive care.
- Primary endpoint: Objective Response Rate (ORR) using a Simon two-stage design.
Main Results:
- This section will report the Objective Response Rate (ORR) and safety profile of the combination therapy.
- Analysis will compare outcomes between the treatment and reference cohorts.
- Results will elucidate the clinical benefit of vebreltinib and PD-1 inhibitor combination in advanced CCS.
Conclusions:
- The VEBrant study aims to establish vebreltinib plus PD-1 immunotherapy as a potential treatment for advanced CCS.
- Findings will enhance understanding of MET and PD-1 pathway interactions in CCS.
- This research may lead to improved therapeutic options for patients with advanced clear cell sarcoma.
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