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Epidermal growth factor receptor (EGFR) and Hepatocyte growth factor receptor (c-MET) (EGFR/c-MET)

Target
EGFR/c-MET
Molecular classification
Receptor, Enzyme, Receptor tyrosine kinase
01

Overview

The target refers to the dual inhibition of the Epidermal growth factor receptor (EGFR) and the Hepatocyte growth factor receptor (c-MET), both of which are receptor tyrosine kinases (RTKs) essential for cell signaling (Source: UniProt, P00533; P08581). These receptors are frequently co-expressed or mutated in various solid tumors, including non-small cell lung cancer (NSCLC) and head and neck squamous cell carcinoma (HNSCC), where they drive oncogenic processes such as cell proliferation, survival, and metastasis (Source: PubMed, PMID: 33163435). MCLA-129 (petosemtamab) is a bispecific antibody that targets both EGFR and c-MET to provide a more robust blockade of tumor growth and to overcome resistance to standard EGFR inhibitors, which often occurs through the activation of the MET pathway (Source: Merus, Petosemtamab (MCLA-129)). The therapeutic mechanism involves the simultaneous inhibition of ligand binding, receptor degradation, and the recruitment of immune cells via antibody-dependent cellular cytotoxicity (ADCC) to enhance anti-tumor activity (Source: ClinicalTrials.gov, NCT04394624). This dual-targeting strategy is particularly relevant for patients who have progressed on prior tyrosine kinase inhibitors or who exhibit MET-driven resistance (Source: PubMed, PMID: 34534445).

Other names
EGFR/METErbB-1/HGFRHER1/METErbB-1/MET
02

Mechanism of action

Simultaneous binding and inhibition of EGFR and c-MET signaling, induction of receptor degradation, and activation of antibody-dependent cellular cytotoxicity (ADCC).

03

Biological functions

Signal transductionCell proliferationCell survivalCell migrationAngiogenesis
04

Disease associations

CancerNon-small cell lung cancerHead and neck squamous cell carcinomaEsophageal cancerGastric cancer
05

Safety considerations

Infusion-related reactionsDermatological toxicity (rash)ParonychiaStomatitisHypomagnesemiaDiarrhea
06

Interacting drugs

Petosemtamab (MCLA-129)

1 more in the full profile.

07

Biomarkers

EGFR mutationMET amplificationMET exon 14 skipping mutationEGFR protein expressionMET protein expression

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