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Trametinib

Generic Name
Trametinib
Brand Names
Mekinist, Spexotras
Drug Type
Small Molecule
Chemical Formula
C26H23FIN5O4
CAS Number
871700-17-3
Unique Ingredient Identifier
33E86K87QN
Background

Trametinib is an orally bioavailable mitogen-activated extracellular signal-regulated kinase 1 (MEK1) and MEK2 inhibitor. It was first approved by the FDA in May 2013 for the treatment of melanoma. It was later approved by Health Canada on July 18, 2013 and by the European Commission on June 30, 2014. Trametinib is currently approved to treat a variety of cancers with BRAF mutations, such as non-small cell lung cancer and thyroid cancer, as monotherapy or in combination with dabrafenib, a BRAF inhibitor, for improved therapeutic efficacy. Originally developed by Japan Tobacco, trametinib was initially investigated for treating inflammation, but further studies for this indication were not pursued.

Indication

Trametinib is indicated as monotherapy for the treatment of BRAF-inhibitor treatment-naïve patients with unresectable or metastatic melanoma with BRAF V600E or V600K mutations.

It is used in combination with dabrafenib for the:

In the US, BRAF V600E or V600K mutations must be detected by an FDA-approved test. Trametinib is not indicated for the treatment of patients with colorectal cancer because of known intrinsic resistance to BRAF inhibition.

Associated Conditions
Advanced Non-Small Cell Lung Cancer (NSCLC), Locally Advanced Anaplastic Thyroid Cancer, Low-Grade Glioma, Melanoma, Metastatic Anaplastic Thyroid Cancer, Metastatic Melanoma, Metastatic Non-Small Cell Lung Cancer, Stage III Melanoma, Unresectable Melanoma, Unresectable or Metastatic Solid Tumors

Dabrafenib and Trametinib in Patients With Non-small Cell Lung Cancer Harboring V600E BRAF Mutation

Phase 2
Conditions
Lung Cancer Metastatic
BRAF V600E
Cancer
First Posted Date
2018-06-01
Last Posted Date
2018-06-01
Lead Sponsor
Asan Medical Center
Target Recruit Count
27
Registration Number
NCT03543306
Locations
🇰🇷

Asan Medical Center, Seoul, Korea, Republic of

EGF816 and Trametinib in Patients With Non-small Cell Lung Cancer Harboring Activating EGFR Mutations

Phase 1
Completed
Conditions
Bronchial Neoplasms
Interventions
First Posted Date
2018-05-04
Last Posted Date
2024-02-15
Lead Sponsor
University of Cologne
Target Recruit Count
18
Registration Number
NCT03516214
Locations
🇩🇪

University Hospital Dresden, Dresden, Germany

🇩🇪

University Hospital of Cologne, Cologne, Germany

🇪🇸

Vall d'Hebron University Hospital, Barcelona, Spain

and more 4 locations

Study of Trametinib + Ceritinib in Patients With Unresectable Melanoma

Phase 1
Active, not recruiting
Conditions
Melanoma
Unresectable Melanoma
Advanced Melanoma
Interventions
First Posted Date
2018-04-18
Last Posted Date
2025-05-21
Lead Sponsor
H. Lee Moffitt Cancer Center and Research Institute
Target Recruit Count
27
Registration Number
NCT03501368
Locations
🇺🇸

H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, United States

MCS110 With BRAF/MEK Inhibition in Patients With Melanoma

Phase 1
Completed
Conditions
Melanoma
Interventions
First Posted Date
2018-03-07
Last Posted Date
2024-07-31
Lead Sponsor
Dana-Farber Cancer Institute
Target Recruit Count
6
Registration Number
NCT03455764
Locations
🇺🇸

Dana Farber Cancer Institute, Boston, Massachusetts, United States

SJDAWN: St. Jude Children's Research Hospital Phase 1 Study Evaluating Molecularly-Driven Doublet Therapies for Children and Young Adults With Recurrent Brain Tumors

Phase 1
Completed
Conditions
Anaplastic Astrocytoma
Anaplastic Ependymoma
Anaplastic Ganglioglioma
Anaplastic Meningioma
Anaplastic Oligodendroglioma
Pleomorphic Xanthoastrocytoma, Anaplastic
Atypical Teratoid/Rhabdoid Tumor
Brain Cancer
Brain Tumor
Central Nervous System Neoplasms
Interventions
First Posted Date
2018-02-15
Last Posted Date
2024-05-31
Lead Sponsor
St. Jude Children's Research Hospital
Target Recruit Count
68
Registration Number
NCT03434262
Locations
🇺🇸

St. Jude Children's Research Hospital, Memphis, Tennessee, United States

Study of Durvalumab (MEDI4736) (Anti-PD-L1) and Trametinib (MEKi) in MSS Metastatic Colon Cancer

Phase 2
Completed
Conditions
Malignant Neoplasms of Digestive Organs
Colorectal Cancer
Colon Cancer
Interventions
First Posted Date
2018-02-09
Last Posted Date
2023-06-15
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
29
Registration Number
NCT03428126
Locations
🇺🇸

University of Texas MD Anderson Cancer Center, Houston, Texas, United States

Compassionate Use: Progressive Metastatic Castrate Resistant Prostate Cancer; Monotherapy Treatment With Trametinib

Conditions
Progressive Metastatic Castrate Resistant Prostate Cancer
First Posted Date
2017-12-29
Last Posted Date
2019-01-16
Lead Sponsor
Jonsson Comprehensive Cancer Center
Registration Number
NCT03386071

An Investigational Immuno-therapy Study Of Nivolumab In Combination With Trametinib With Or Without Ipilimumab In Participants With Previously Treated Cancer of the Colon or Rectum That Has Spread

Phase 1
Completed
Conditions
Colorectal Cancer
Colorectal Neoplasm
Colorectal Tumors
Colorectal Carcinoma
Interventions
First Posted Date
2017-12-19
Last Posted Date
2025-03-13
Lead Sponsor
Bristol-Myers Squibb
Target Recruit Count
325
Registration Number
NCT03377361
Locations
🇺🇸

Local Institution - 0111, Miami, Florida, United States

🇨🇱

Local Institution - 0118, Santiago, Región Metropolitana De Santiago, Chile

🇺🇸

Local Institution - 0002, Madison, Wisconsin, United States

and more 44 locations

Trametinib for Pediatric Neuro-oncology Patients With Refractory Tumor and Activation of the MAPK/ERK Pathway.

Phase 2
Active, not recruiting
Conditions
Low-grade Glioma
Plexiform Neurofibroma
Central Nervous System Glioma
Interventions
First Posted Date
2017-12-06
Last Posted Date
2023-11-27
Lead Sponsor
St. Justine's Hospital
Target Recruit Count
114
Registration Number
NCT03363217
Locations
🇨🇦

Alberta Children's Hospital, Calgary, Alberta, Canada

🇨🇦

CHU Sainte-Justine, Montreal, Quebec, Canada

🇨🇦

CHU de Québec, Quebec City, Quebec, Canada

and more 4 locations

Continuous vs Intermittent Dabrafenib Plus Trametinib in BRAFV600 Mutant Stage 3 Unresectable or Metastatic Melanoma

Phase 2
Completed
Conditions
Melanoma
Interventions
First Posted Date
2017-11-24
Last Posted Date
2020-12-08
Lead Sponsor
Cambridge University Hospitals NHS Foundation Trust
Target Recruit Count
79
Registration Number
NCT03352947
Locations
🇬🇧

Addenbrooke's Hospital, Cambridge, England, United Kingdom

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