Aims: METex14 skipping occurs in 3–4% of NSCLC cases, and real-world data in patients receiving conventional therapies are limited. The MOMENT registry (NCT05376891) prospectively collects data from patients with advanced NSCLC harboring METex14 skipping treated in routine clinical practice. This registry is ongoing and continuously collects further data. Here, we provide an overview based on approximately 50% enrolment.
Methods: The MOMENT registry is currently active at >60 sites in 14 countries and will enroll ~700 patients with advanced NSCLC and confirmed METex14 skipping receiving systemic treatment. Collected data include biomarker testing results, demographics, baseline clinical characteristics, and treatment details.
Results: At about 50% enrollment (data cut-off: Oct 2025), 360 patients had been enrolled (start date: Oct 2022). Median age was 75 years; 54.2% were female, 39.4% never smoked, 46.1% had ECOG PS of 1, 64.7% had positive PD-L1 status, and 78.3% were enrolled in Europe. Most common baseline distant metastatic sites were bone (44.6%), brain (22.6%), and contralateral lung (16.0%). Most reported comorbidity category was vascular disorders (8.9%). TKI monotherapy was the most common systemic treatment with 36.3% of patients in 1L (n=122), 59.1% in 2L (n=94), and 37.5% in 3L (n=18). Among TKI monotherapy in 1L, 56.6% patients received tepotinib and 24.6% received capmatinib; in 2L, 62.8% and 24.5% received tepotinib and capmatinib, respectively. Other TKIs included bozitinib, cabozantinib, crizotinib, erlotinib, gefitinib, osimertinib, and vebreltinib. Similarly, other treatment types were immunotherapy-chemotherapy combination, immunotherapy only, chemotherapy only, others/unknown and TKI combination.
Conclusions: This interim descriptive analysis highlights progress in the MOMENT registry, yielding a growing dataset with improving quality. The analysis showed integration of targeted treatment into routine clinical practice either in treatment-naïve or previously treated patients with advanced NSCLC harboring METex14 skipping. These data are from an ongoing registry and may be incomplete or subject to change.