TEPMETKO demonstrated a manageable safety profile that maintained quality of life*1–4

Common AEs

Most common AEs were mild to moderate2

  • Few discontinuations: only 14.7% of TrAEs led to discontinuation1
  • TrAEs occurred in 91.7% of patients with a low rate of grade ≥3 (34.8%) and grade ≥4 (3.8%) TrAEs1
  • TrAEs occurring in >20% of patients: peripheral edema (67.1%), hypoalbuminemia (23.6%), nausea (23.3%), diarrhea (22.4%) and increased blood creatinine (22.0%)1
  • Favorable gastrointestinal tolerability: low rates of all-grade nausea (31%), diarrhea (29%) and vomiting (14%)5
  • When required, AEs were effectively managed by simple dose modifications5
  • 33.5% of patients experienced dose reduction and 43.1% treatment interruption1

TrAEs occurring in ≥10% of patients2

SYSTEM ORGAN CLASS/AR OVERALL (N=313), %
ALL GRADES GRADE ≥3
Metabolism and nutrition disorders
Hypoalbuminemia 23.6 3.5
Gastrointestinal disorders
Nausea 23.3 0.6
Diarrhea 22.4 0.3
Decreased appetite 11.2 0.3
Hepatobiliary, renal and urinary disorders
Increase in ALT 14.1 2.2
Increase in blood creatinine 22.0 1.0
General disorders
Peripheral edema 67.1 11.2

Adapted from Mazieres et al. 20232

Quality of life

Quality of life was maintained throughout treatment3

Change in HRQoL scores from baseline**3

Adapted from Paik et al. 20233

Maintenance of QoL

As demonstrated by global functioning scores3

Adapted from Paik et al. 20233

Dosing

Choose simplicity: TEPMETKO is the only MET inhibitor with once-daily oral dosing††5

Patient satisfaction

Limit the tablet burden with a once-daily oral dosing regimen, proven to improve patient satisfaction, adherence and quality of life5

Dosing

450 mg daily dose of 2 x 225 mg tablets‡5

Dose modification

If your patient requires an easy dose modification due to AEs, TEPMETKO is the only MET inhibitor that offers a prescription-free drop from two tablets to one‡‡5

Symptom reduction and stabilisation

Patients experienced a reduction in cough and stability in dyspnea and pain symptoms†3

Recommended dose modifications

If your patient requires an easy dose modification due to AEs, TEPMETKO is the only MET inhibitor that offers a prescription-free drop from two tablets to one5

Dose modification table

ADVERSE REACTION SEVERITY DOSE MODIFICATION
Interstitial lung disease (ILD) Any grade Withhold TEPMETKO if ILD is suspected. Permanently discontinue TEPMETKO if ILD is confirmed
Increased ALT and/or AST without increased total bilirubin Grade 3 Withhold TEPMETKO until recovery to baseline ALT/AST. If recovered to baseline within 7 days, then resume TEPMETKO at the same dose; otherwise resume TEPMETKO at a reduced dose
Grade 4 Permanently discontinue TEPMETKO
Increased ALT and/or AST with increased total bilirubin in the absence of cholestasis or hemolysis ALT and/or AST greater than 3 times ULN with total bilirubin greater than 2 times ULN Permanently discontinue TEPMETKO
Increased total bilirubin without concurrent increased ALT and/or AST Grade 3 Withhold TEPMETKO until recovery to baseline bilirubin. If recovered to baseline within 7 days, then resume TEPMETKO at a reduced dose; otherwise permanently discontinue
Grade 4 Permanently discontinue TEPMETKO
Other adverse reactions Grade 2 Maintain dose level. If intolerable, consider withholding TEPMETKO until resolved, then resume TEPMETKO at a reduced dose
Grade 3 Withhold TEPMETKO until resolved, then resume TEPMETKO at a reduced dose
Grade 4 Permanently discontinue TEPMETKO

Identify and manage AEs early on to maximize treatment benefits and minimize impact on patients’ QoL4,6

Managing peripheral edema

Peripheral edema is a class effect – identifying and managing it early on helps to maximize treatment benefit6,7

Amongst the 313 patients involved in the VISION study, peripheral edema was mostly mild to moderate; 11.2% of patients experienced a grade 3 event and none experienced a grade 4 event.1,6

Most patients with peripheral edema can continue treatment with TEPMETKO as reflected by the low rate (4.3%) of permanent treatment discontinuation in the VISION study4,6

Manage peripheral edema with a multimodal approach to help patients stay on TEPMETKO for as long as needed4,6,8

Effective management of peripheral edema includes:

Incorporating preventative measures at the start of therapy can help patients derive maximum benefit from TEPMETKO1,6

Regular monitoring

Check body weight and limb size, and perform visual checks for swelling and skin changes6

Lifestyle changes

Encourage physical activity to help manage edema before it becomes hard to treat6

Physical changes

Limb elevation and compression stockings help to reduce edema6,8

Help patients stay on TEPMETKO for as long as possible with individualized AE management strategies6,8,9

Diuretics

Increase fluid excretion via urine6

Complementary therapies

Improve blood flow and reduce swelling with lymphatic massage and kinesiotherapy6,8,10

Dose reduction

Apply when necessary and restart once edema improves to grade ≤25,6,10

Tailored communication can empower patients to make informed choices, help mitigate the impact of AEs on their QoL and improve treatment adherence6

With TEPMETKO, give your patients more moments that matter

3–4% of your patients with NSCLC may have METex14 skipping9,11,12

Explore the importance of timely targeted therapy for your NSCLC patients

Explore the VISION trial

Learn more about the patient characteristics, efficacy outcomes and design of VISION, a single-arm, open-label, multicenter, non-randomized, multi-cohort study that analyzed patients with METex14 skipping NSCLC (N=313)1,9

TEPMETKO may offer substantially increased mDOR vs. capmatinib13

A matching-adjusted indirect comparison (MAIC) of TEPMETKO vs. capmatinib has shown improved mDOR, mOS and mPFS13