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.

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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