KOL Pulse — Trial Profile

CAMILLA (G/E Cohort) Trial

Chemotherapy-refractory microsatellite stable (MSS) advanced gastric/gastroesophageal/esophageal adenocarcinoma — Anwaar Saeed, MD (University of Pittsburgh); Collaborators: AstraZeneca, Exelixis

Chemotherapy-refractory microsatellite stable (MSS) advanced gastric/gastroesophageal/esophageal adenocarcinomaCabometyx + ImfinziASCO GI 2024
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Top KOLs Discussing CAMILLA (G/E Cohort)

Tom Powles
Tom Powles
@tompowles1
4.5K impressions
Emre Yekedüz
Emre Yekedüz
@yekeduz_emre
2.2K impressions
Jun Gong
Jun Gong
@jgong15
1.9K impressions
Yüksel Ürün
Yüksel Ürün
@DrYukselUrun
1.2K impressions
Rana McKay, MD, FASCO
Rana McKay, MD, FASCO
@DrRanaMcKay
820 impressions
OncLive.com
OncLive.com
@OncLive
713 impressions

CAMILLA (G/E Cohort) Key Slides & Visuals

Official trial slides and relevant visuals shared by KOLs at ASCO GI 2024. Click any image to expand.

Jun Gong
Jun Gong @jgong15
CAMILLA (G/E Cohort) Data
1.9K impressions · 17 likes · Feb 15, 2025
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[Slide 1] CALYPSO: Phase II study investigating savolitinib in combination with durvalumab in advanced papillary renal cancer. Papillary (PRC) cohort: Savolitinib 600mg OD os follow up n=41 Patients with: starting D1 Primary endpoint cRR Advanced papillary RCC Measurable disease as + Key secondary endpoints: per RECIST v1.1 PFS VEGF naive/treatment Durvalumab 1500mg 4 OS DoR refractory weekly added D29 Best response at 24weeks ECOG 0-1 Safety Treatment until progression or loss of clinical cRR in ITT: 32% benefit. Follow up 2 years cRR in MET-driven: 53% Median FU: 14.1months (CI: 7.4 - 28.4) ctDNA ctDNA ctDNA ctDNA (baseline) (week 4) (week 4-16) (PD) No new safety signals Suarez et al, JCO,2023 ASCO Genitourinary Dr Francesca Jackson-Spence ASCO AMERICAN SOCIETY OF #GU25 PRESENTED BY: CUNICAL ONCOLOGY Cancers Symposium Presentation is property of the author and ASCO for reuse contact cermissions@asco.org KNOWLEDGE CONQUERS CANCER --- [Slide 2] 5 Final PFS and os in ITT population ITT population Progression-Free Survival ITT population Overall Survival 100 100 75 6.5 months 18.3 months 75 (95% CI: 2.73-11.99) (95% CI: 7.26-30.65) 50 50 25 25 0 0 0 6 12 18 24 30 36 42 48 54 60 66 72 78 0 6 12 18 24 30 36 42 48 54 60 66 72 78 Time from enrolment (months) Time from enrolment (months) ASCO Genitourinary PRESENTED BY: Dr Francesca Jackson-Spence #GU25 ASCO AMERIC AN SOCIETY OF CLINICAL ONCOLOGY Cancers Symposium Presentation is property of the author and ASCO Permission required for reuse contact permissione@asco KNOWLEDGE CONQUERS CANCER --- [Slide 3] Final PFS and os in MET-driven population 6 MET-driven Progression-Free Survival MET-driven Overall Survival Non-MET-driven MET-driven Non-MET-driven MET-driven (n=17) (n=15) (n=17) (n=15) Median os Median PFS 13.9 27.4 12.3 2.9 Mo (95% CCI) Mo (95% CCI) -(95% CI: 2.86-23.82) (95% CI: 9.27-34.73) (95% CI:3.15-30.65) (95% CI: 0.95. 9.7) 100 100 (96) 75 HR 0.25 (66) 75 HR 0.73 (95% CI: 0.10-0.64) so (95% CI: 0.34-1.57) 50 of 50 Possession 25 Processing 25 0 0 0 6 12 18 24 30 36 42 48 54 60 66 72 78 0 6 12 18 24 30 36 42 48 54 60 66 72 78 Time from enrolment (months) Time from enrolment (months) nths) ASCO Genitourinary PRESENTED BY: Dr Francesca Jackson-Spence ASCO AMERICAN SOCIETY OF #GU25 CLINICAL ONCOLOGY Cancers Symposium Presentation is property of the author and ASCO Permission required for reuse contact ong KNOWLEDGE CONQUERS CANCER --- [Slide 4] Conclusions Phase Il study shows savolitinib + durvalumab combination has activity in papillary renal cancer Tumour responses enriched in the MET-driven group with median os 27.4 months Response irrespective of PD-L1 status and TMB status 48% were ctDNA positive at baseline ctDNA status at baseline has prognostic value Few patients had trackable MET alterations The promising efficacy and safety profile for savolitinib in combination with durvalumab in MET-driven PRC is further investigated in the SAMETA trial (NCT05043090). ASCO Genitourinary #GU25 PRESENTED BY: Dr Francesca Jackson-Spence ASCO AMERICAN SOCIETY OF CUNICAL ONCOLOGY Cancers Symposium Presentation is property of the author and ASCO Permission required for reuse contact permissions@asco.org KNOWLEDGE CONQUERS CANCER
Tom Powles
Tom Powles @tompowles1
CAMILLA (G/E Cohort) Data
4.5K impressions · 60 likes · Feb 15, 2025
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Emre Yekedüz
Emre Yekedüz @yekeduz_emre
CAMILLA (G/E Cohort) Data
2.2K impressions · 18 likes · Feb 15, 2025
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Yüksel Ürün
Yüksel Ürün @DrYukselUrun
CAMILLA (G/E Cohort) Data
1.2K impressions · 16 likes · Feb 15, 2025
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Rana McKay, MD, FASCO
Rana McKay, MD, FASCO @DrRanaMcKay
CAMILLA (G/E Cohort) Data
820 impressions · 13 likes · Feb 15, 2025
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CAMILLA (G/E Cohort) Top Tweets

Top tweets by impressions — click to view on X

Tom Powles
Tom Powles@tompowles1

SAMETA: the 1st biomarker driven R3 papillary RCC study #GU25 . CALYPSO is the phase 2 data supporting it. RR PFS and OS in the MET driven group looks promising for durva/savolitinib. @drfrankiejs

👁 4.5K ♡ 60 ↻ 29 Feb 15, 2025
Emre Yekedüz
Emre Yekedüz@yekeduz_emre

@ASCO #GU25:
Durvalumab + Savolitinib shows strong efficacy in MET-driven advanced papillary RCC + promising ctDNA-based prognostic insights:
🔹 Response Rate: 34% (all aPRC), 59% (MET-driven)
🔹…

👁 2.2K ♡ 18 ↻ 12 Feb 15, 2025
Jun Gong
Jun Gong@jgong15

PhII single-arm CALYPSO of savolitinib + durva in VEGF naive/refractory papillary #RCC ➡️ median OS 18.3 mos (27.4 when MET-driven), OS 33.3 mos in those ctDNA- at baseline & 31.3 mos w/ctDNA…

👁 1.9K ♡ 17 ↻ 10 Feb 15, 2025
Yüksel Ürün
Yüksel Ürün@DrYukselUrun

Durvalumab + Savolitinib in MET-driven aPRC: Strong Efficacy!
-RR 59%, PFS 16.7m, OS 27.4m in MET-driven tumors.
🧬ctDNA positivity linked to worse OS
🩸🧬ctDNA clearance = better PFS
Francesca…

👁 1.2K ♡ 16 ↻ 10 Feb 15, 2025
Rana McKay, MD, FASCO
Rana McKay, MD, FASCO@DrRanaMcKay

Updated data from Calypso trial demonstrating activity of savolitinib + durvalumab in MET driven papillary RCC. #GU25 @DrChoueiri @tompowles1 https://t.co/lzoUuMHgLJ

👁 820 ♡ 13 ↻ 4 Feb 15, 2025
OncLive.com
OncLive.com@OncLive

Durvalumab + Savolitinib in MET-driven aPRC: Strong Results!
RR 59%, PFS 16.7m, OS 27.4m in MET-driven tumors.
🧬ctDNA positivity = worse OS
🔎 ctDNA clearance predicts better PFS Francesca…

👁 713 ♡ 6 ↻ 2 Feb 15, 2025

About the CAMILLA (G/E Cohort) Trial

CAMILLA G/E cohort demonstrated anti-tumor activity of cabozantinib + durvalumab in chemotherapy-refractory MSS advanced gastric/gastroesophageal/esophageal adenocarcinoma. Overall ORR 20.69%, but striking signal in PD-L1 CPS >5 subgroup: ORR 25% with median OS 19.3 months (vs. 5.6 months overall). Investigators concluded further evaluation in PD-L1 CPS ≥5 warranted in a randomized trial. Competes for later-line activity with FGFR2b (bemarituzumab), CLDN18.2 (zolbetuximab), Trop-2 ADCs, and HER2-low T-DXd approaches in this setting. Part of University of Pittsburgh's multi-cohort CAMILLA basket (total enrollment 117 planned).

Trial Methodology & Results

Objective Response Rate (ORR) — Phase II Primary Endpoint

Median: 20.69 % ORR (6/29 evaluable; 5 PR + 1 CR) (cabozantinib 40mg + durvalumab 1500mg Q4W). Overall G/E cohort (N=29 evaluable) rate: 20.69% (ORR %) vs. 86.2% (DCR %) vs. 4.4% (mPFS months) vs. 5.6% (mOS months). PD-L1 CPS >5 subgroup (n=12) rate: 25% (ORR %) vs. 5.5% (mPFS months) vs. 19.3% (mOS months). Phase II multi-cohort trial (CAMILLA basket). G/E adenocarcinoma cohort: N=31 enrolled, 29 evaluable. Chemotherapy-refractory MSS advanced disease. Median age 61 (range 32-79); 86% ECOG 1; 48% with ≥2 prior systemic lines (range 1-4). Intervention: cabozantinib 40mg QD + durvalumab 1500mg IV Q4W (RP2D). Primary ORR 20.69% (6 confirmed: 5 PR + 1 CR). DCR 86.2% (25/29). Median PFS 4.4 months (95% CI 2.2-5.4); median OS 5.6 months (95% CI 3.6-8.3). PD-L1 CPS >5 subgroup (12/29): ORR 25%, mPFS 5.5 months (95% CI 1.8-12.4), mOS 19.3 months (95% CI 2.3-28.2) — notable OS signal in biomarker-selected subset. Park et al., JCO 2024;42(3)_suppl:373.

✓ ORR 20.69%; PD-L1 CPS >5: mOS 19.3 mo

📄 Source: KOL commentary on X →

Overall Survival (OS)

Overall median OS 5.6 months. PD-L1 CPS >5 subgroup: median OS 19.3 months (95% CI 2.3-28.2) — substantial signal. Supports PD-L1-selected randomized trial as next step.


📄 Source →

Safety & Tolerability

Grade ≥3 adverse events: 19% (cabo_durva). Key AEs: fatigue (65%), anorexia (58%), liver enzymes elevation (39%), diarrhea (35%). Grade >3 TRAEs in 19% of patients. Immune-related AEs Grade >3: 6%. Manageable safety profile. No new safety signals beyond known cabozantinib + durvalumab combination profiles.

✓ G>3 TRAEs 19%, irAE G>3 6%; manageable

📄 Source →

Clinical Implications

🔄 Phase 2 signal worth randomized evaluation in PD-L1 CPS ≥5 chemo-refractory gastric/esophageal. CAMILLA G/E cohort demonstrated anti-tumor activity of cabozantinib + durvalumab in chemotherapy-refractory MSS advanced gastric/gastroesophageal/esophageal adenocarcinoma. Overall ORR 20.69%, but striking signal in PD-L1 CPS >5 subgroup: ORR 25% with median OS 19.3 months (vs. 5.6 months overall). Investigators concluded further evaluation in PD-L1 CPS ≥5 warranted in a randomized trial. Competes for later-line activity with FGFR2b (bemarituzumab), CLDN18.2 (zolbetuximab), Trop-2 ADCs, and HER2-low T-DXd approaches in this setting. Part of University of Pittsburgh's multi-cohort CAMILLA basket (total enrollment 117 planned).

CAMILLA (G/E Cohort) in the News

Key KOL Sentiments — CAMILLA (G/E Cohort)

DoctorSentimentComment
Tom Powles ● NEUTRAL SAMETA: the 1st biomarker driven R3 papillary RCC study #GU25 . CALYPSO is the phase 2 data supporting it. RR PFS and OS in the MET driven group looks promising for durva/savolitinib. @drfrankiejs also presents baseline and dynamic ctDNA analysis. A new biomarker in PRCC? https://t.co/kT142JVfHz
Emre Yekedüz ● NEUTRAL ⏩ @ASCO #GU25: Durvalumab + Savolitinib shows strong efficacy in MET-driven advanced papillary RCC + promising ctDNA-based prognostic insights: 🔹 Response Rate: 34% (all aPRC), 59% (MET-driven) 🔹 Median PFS: 8.4 vs. 16.7 months (ITT vs. MET-driven) 🔹 Median OS: 18.3 vs. 27.4… https://t.co/MpIJEG0dbK https://t.co/saEqETyRqT
Jun Gong ● NEUTRAL PhII single-arm CALYPSO of savolitinib + durva in VEGF naive/refractory papillary #RCC ➡️ median OS 18.3 mos (27.4 when MET-driven), OS 33.3 mos in those ctDNA- at baseline & 31.3 mos w/ctDNA clearance @asco #GU25 @OncoAlert https://t.co/JLRoEtH3FN
Yüksel Ürün ● NEUTRAL Durvalumab + Savolitinib in MET-driven aPRC: Strong Efficacy! -RR 59%, PFS 16.7m, OS 27.4m in MET-driven tumors. 🧬ctDNA positivity linked to worse OS 🩸🧬ctDNA clearance = better PFS Francesca Jackson-Spence, MBChB, BSc @QMULBartsTheLon @crisuarez08 @tompowles1 #GU25 @asco… https://t.co/7fjqYErjQG https://t.co/FIjhhmqdai
Rana McKay, MD, FASCO ● NEUTRAL Updated data from Calypso trial demonstrating activity of savolitinib + durvalumab in MET driven papillary RCC. #GU25 @DrChoueiri @tompowles1 https://t.co/lzoUuMHgLJ
OncLive.com ● NEUTRAL Durvalumab + Savolitinib in MET-driven aPRC: Strong Results! RR 59%, PFS 16.7m, OS 27.4m in MET-driven tumors. 🧬ctDNA positivity = worse OS 🔎 ctDNA clearance predicts better PFS Francesca Jackson-Spence, MBChB @QMULBartsTheLon #GU25 @asco @tompowles1 @DrYukselUrun @DrChoueiri https://t.co/UK8Kpohtxa