P1.13-44 Safety, PK, and Preliminary Antitumor Activity of the Oral EGFR/HER2 Exon 20 Inhibitor TAK-788 in NSCLC
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A phase I/II study of TAK-788 in 39 patients with EGFR exon 20 insertions showed a 39% ORR at doses of 80-160 mg/day and 94% DCR.
“The results of a phase I/II study (NCT02716116) confirmed the preclinical activity in 39 patients harboring EGFR exon 20 insertions, with a 39% ORR at doses of 80–160 mg/day and 94% DCR.”
TAK-788 inhibits in vitro EGFR exon 20 insertion mutants more potently than WT EGFR.
“TAK-788 (AP32788) is a novel EGFR/HER2 that inhibits in vitro EGFR exon 20 insertion mutants more potently than WT EGFR.”
Cited by
Sorted by citations
Riudavets, M., Sullivan, I., Abdayem, P., & Planchard, D. (2021) · ESMO Open · doi:10.1016/j.esmoop.2021.100260 · Cited by 196 · see citing works
“Early results of a phase I/II first-in-human multicentre study of 34 refractory NSCLC patients with EGFR/HER2 exon 20 insertions reported objective responses in 3 out of 14 assessable patients, all of them harbouring an EGFR exon 20 insertion.(58) The recommended dose was 160 mg daily and toxicity was consistent with…”
BackgroundEmerging therapies for non-small cell lung cancer
Zhang, C., Leighl, N. B., Wu, Y.-L. L. C., & Zhong, W. (2019) · Journal of Hematology & Oncology · doi:10.1186/s13045-019-0731-8 · Cited by 153 · see citing works
“Another novel agent for EGFR exon 20 insertion, TAK-788, has also been reported in 2018 WCLC [80].”
BackgroundInfluentialEGFR exon 20 insertions in advanced non-small cell lung cancer: A new history begins
Remón, J., Hendriks, L. E. L., Cardona, A. F., & Besse, B. (2020) · Cancer Treatment Reviews · doi:10.1016/j.ctrv.2020.102105 · Cited by 127 · see citing works
Russo, A., Franchina, T., Ricciardi, G., Battaglia, A., Picciotto, M., & Adamo, V. (2019) · International Journal of Molecular Sciences · doi:10.3390/ijms20061431 · Cited by 110 · see citing works
“Four phase II expansion cohorts have been opened and are evaluating TAK-788 in different molecularly defined subgroups, including patients with EGFR exon 20 insertions, with or without CNS metastases [78].”
BackgroundAdvanced-Stage Non–Small Cell Lung Cancer: Advances in Thoracic Oncology 2018
Remón, J., Ahn, M., Girard, N., Johnson, M. L., Kim, D., Lopes, G. D. L., Jr., Pillai, R. N., Solomon, B., Villacampa, G. J., & Zhou, Q. H. (2019) · Journal of Thoracic Oncology · doi:10.1016/j.jtho.2019.03.022 · Cited by 83 · see citing works
Masood, A., Kancha, R. K., & Subramanian, J. (2019) · Seminars in Oncology · doi:10.1053/j.seminoncol.2019.08.004 · Cited by 83 · see citing works
Novel drugs targeting EGFR and HER2 exon 20 mutations in metastatic NSCLC
Baraibar, I., Mezquita, L., Bazo, I. G., & Planchard, D. (2020) · Critical Reviews in Oncology/Hematology · doi:10.1016/j.critrevonc.2020.102906 · Cited by 66 · see citing works
Khaddour, K., Jonna, S., Deneka, A. Y., Patel, J. D., Abazeed, M. E., Golemis, E. A., Borghaei, H., & Boumber, Y. (2021) · Cancers · doi:10.3390/cancers13133164 · Cited by 65 · see citing works
Han, H., Li, S., Chen, T., Fitzgerald, M., Liu, S., Peng, C., Tang, K. H., Cao, S., Chouitar, J., Wu, J., et al. (2021) · Cancer Research · doi:10.1158/0008-5472.can-21-1526 · Cited by 57 · see citing works
“In a phase I/II clinical trial, NSCLC patients with EGFR exon 20 insertions showed promising responses to mobocertinib with an objective response rate of 43% (13, 14).”
Self-citationAttili, I., Corvaja, C., Spitaleri, G., Signore, E. D., Aliaga, P. T., Passaro, A., & de Marinis, F. (2023) · Cancers · doi:10.3390/cancers15205079 · Cited by 53 · see citing works
“These agents showed only modest activity and severe gastrointestinal and cutaneous AEs, owing to EGFR inhibition, that hindered further development [28–30].”
BackgroundHER2-Altered Non-Small Cell Lung Cancer: Biology, Clinicopathologic Features, and Emerging Therapies
Yu, X., Ji, X., & Su, C. (2022) · Frontiers in Oncology · doi:10.3389/fonc.2022.860313 · Cited by 43 · see citing works
“A phase I/II trial (NCT02716116) showed promising antitumor activities of mobocertinib in advanced NSCLC patients harboring EGFR ex20ins, with a similar safety profile compared to other EGFR-TKIs (78, 79).”
BackgroundInfluentialUpadhya, A., Yadav, K. S., & Misra, A. R. (2020) · Expert Opinion on Drug Delivery · doi:10.1080/17425247.2021.1825377 · Cited by 37 · see citing works
Ismail, A., Desai, A. P., & Boumber, Y. (2025) · Frontiers in Oncology · doi:10.3389/fonc.2025.1624124 · Cited by 31 · see citing works
Chen, J. A., & Riess, J. W. (2020) · Journal of Thoracic Disease · doi:10.21037/jtd.2019.08.32 · Cited by 20 · see citing works
“TAK-788 is a small molecular inhibitor of EGFR and HER2 with activity against EGFR exon 20 insertions (103).”
BackgroundHER2-Altered Non-Small Cell Lung Cancer: A Journey from Current Approaches to Emerging Strategies
Ferrari, G., Rio, B. D., Novello, S., & Passiglia, F. (2024) · Cancers · doi:10.3390/cancers16112018 · Cited by 19 · see citing works
“…an oral EGFR/HER2 inhibitor targeting exon 20 insertions, demonstrated antitumor activity in a phase I/II trial involving advanced NSCLC patients with EGFR exon 20 insertion, while results from an expansion cohort focusing on patients harbouring HER2 exon 20 alterations are still pending [39,40].”
BackgroundCase Report: Afatinib Treatment in a Patient With NSCLC Harboring a Rare EGFR Exon 20 Mutation
Zöchbauer‐Müller, S., Kaserer, B., Prosch, H., Cseh, A., Solca, F., Bauer, M. J., & Müllauer, L. (2021) · Frontiers in Oncology · doi:10.3389/fonc.2020.593852 · Cited by 19 · see citing works
Vathiotis, I. A., Bafaloukos, D. I., Syrigos, K. N., & Samonis, G. (2023) · Cancers · doi:10.3390/cancers15041286 · Cited by 18 · see citing works
“harboring EGFR exon 20 insertions (NCT02716116), resulting in an expansion cohort of patients with HER2 exon 20 insertions [44,45].”
BackgroundTargeting Infrequent Driver Alterations in Non-Small Cell Lung Cancer
Nokin, M., Ambrogio, C., Nadal, E., & Santamarı́a, D. (2020) · Trends in cancer · doi:10.1016/j.trecan.2020.11.005 · Cited by 19 · see citing works
Epidermal growth factor receptor exon 20 insertion variants in non-small cell lung cancer patients
Malapelle, U., Pilotto, S., Reale, M. L., Passiglia, F., Pisapia, P., Pepe, F., Belluomini, L., Galetta, D., Cortinovis, D. L., Tiseo, M., et al. (2021) · Critical Reviews in Oncology/Hematology · doi:10.1016/j.critrevonc.2021.103536 · Cited by 13 · see citing works
Scodes, S., & Cappuzzo, F. (2020) · Expert Review of Respiratory Medicine · doi:10.1080/17476348.2020.1746646 · Cited by 10 · see citing works
Man, X., Sun, X., Chen, C., Xiang, Y., Zhang, J., & Yang, L. (2024) · Frontiers in Oncology · doi:10.3389/fonc.2024.1367204 · Cited by 7 · see citing works
Hitting the Right Spot: Advances in the Treatment of NSCLC With Uncommon EGFR Mutations
Sabari, J. K., Heymach, J. V., & Sandy, B. (2021) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2021.0200 · Cited by 6 · see citing works
Bai, R., Chen, X., Song, W., Tian, H., & Cui, J. (2021) · Journal of Cancer Research and Clinical Oncology · doi:10.1007/s00432-021-03840-y · Cited by 7 · see citing works
Zhu, Y., Jean‐Baptiste, M., Lenderking, W. R., Bell, J. A., Revicki, D. A., Lin, H. M., Brake, R. L., & Reeve, B. B. (2022) · Cancer Medicine · doi:10.1002/cam4.5376 · Cited by 2 · see citing works
Absenger, G. (2019) · memo - Magazine of European Medical Oncology · doi:10.1007/s12254-019-0488-3 · Cited by 1 · see citing works
Ishida, M., Yamada, T., Katayama, Y., Kawachi, H., Sawada, R., Nakamura, R., Hirai, S., Matsui, Y., Morimoto, K., Onoi, K., et al. (2025) · SSRN Electronic Journal · doi:10.2139/ssrn.5126664
Ishida, M., Yamada, T., Katayama, Y., Kawachi, H., Sawada, R., Nakamura, R., Hirai, S., Matsui, Y., Morimoto, K., Onoi, K., et al. (2026) · npj Precision Oncology · doi:10.1038/s41698-026-01385-2
Innovative therapies for HER2-altered non-small cell lung cancer: A narrative review
Arrieta, O. G., Caballé‐Perez, E., Cabrera-Miranda, L. A., Cardona, A. F., Davila-Dupont, D., Velasco-Córdoba, M., & Treviño, L. A. C. (2026) · Critical Reviews in Oncology/Hematology · doi:10.1016/j.critrevonc.2026.105619
- Authors
- Neal, J., Doebele, R., Riely, G., Spira, A., Horn, L., Piotrowska, Z., Costa, D., Zhang, S., Bottino, D., Zhu, J., Kerstein, D., Li, S., & Jänne, P.
- Affiliations
- Stanford Medicine (US)
- University of Colorado Cancer Center (US)
- Memorial Sloan Kettering Cancer Center (US)
- Virginia Cancer Specialists (US)
- Vanderbilt University (US)
- Massachusetts General Hospital (US)
- Beth Israel Deaconess Medical Center (US)
- Takeda Oncology (United States) (US)
- Venue
- Journal of Thoracic Oncology
- Publisher
- Elsevier BV
- Published
- 2018-10
- Volume
- 13
- Issue
- 10
- Pages
- S599
- ISSN
- 1556-0864 (ISSN-L)
- OpenAlex
- W2898375329
- Cited by
- 28
- References
- 0
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 7 · 2020: 6 · 2019: 5
- FWCI
- 3.39
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Thoracic Oncology (publishedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Treatments and Mutations
- Health Sciences › Medicine › Oncology › HER2/EGFR in Cancer Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer Genomics and Diagnostics
- Keywords
- EGFR exon 20 insertion, HER2 exon 20 insertion, tyrosine kinase inhibitors, non-small cell lung cancer, anticancer activity, pharmacokinetics, drug safety
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