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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

An Open-label Study of GSK1120212 Compared With Docetaxel in Stage IV KRAS-mutant Non-small Cell Lung Cancer

Phase 2
Completed
Conditions
Lung Cancer, Non-Small Cell
Interventions
First Posted Date
2011-05-30
Last Posted Date
2014-07-11
Lead Sponsor
GlaxoSmithKline
Target Recruit Count
134
Registration Number
NCT01362296
Locations
🇪🇸

GSK Investigational Site, Pamplona, Spain

Study of Selective BRAF Kinase Inhibitor Dabrafenib Monotherapy Twice Daily and in Combination With Dabrafenib Twice Daily and Trametinib Once Daily in Combination Therapy in Subjects With BRAF V600E Mutation Positive Metastatic (Stage IV) Non-small Cell Lung Cancer.

Phase 2
Completed
Conditions
Cancer
Interventions
First Posted Date
2011-04-18
Last Posted Date
2022-04-04
Lead Sponsor
Novartis Pharmaceuticals
Target Recruit Count
177
Registration Number
NCT01336634
Locations
🇬🇧

Novartis Investigative Site, Sutton, United Kingdom

Efficacy and Safety Study of GSK1120212, a MEK Inhibitor, in Subjects With Uveal Melanoma

Phase 2
Withdrawn
Conditions
GNAQ Mutation-positive Metastatic Melanoma
Cancer
Metastatic Uveal Melanoma
GNA11 Mutation-positive Metastatic Melanoma
Interventions
First Posted Date
2011-04-04
Last Posted Date
2017-12-12
Lead Sponsor
GlaxoSmithKline
Registration Number
NCT01328106

Trial of GSK1120212 and GSK1120212 in Combination With GEM in Japanese Subjects With Solid Tumors

Phase 1
Completed
Conditions
Solid Tumours
Interventions
First Posted Date
2011-03-28
Last Posted Date
2017-11-13
Lead Sponsor
GlaxoSmithKline
Target Recruit Count
19
Registration Number
NCT01324258
Locations
🇯🇵

GSK Investigational Site, Tokyo, Japan

GSK1120212 vs Chemotherapy in Advanced or Metastatic BRAF V600E/K Mutation-positive Melanoma

Phase 3
Completed
Conditions
Melanoma
Interventions
Drug: Chemotherapy
First Posted Date
2010-11-22
Last Posted Date
2018-04-05
Lead Sponsor
GlaxoSmithKline
Target Recruit Count
322
Registration Number
NCT01245062
Locations
🇬🇧

GSK Investigational Site, Southampton, United Kingdom

A Rollover Study to Provide Continued Treatment With GSK2118436 to Subjects With BRAF Mutation-Positive Tumors

Phase 1
Completed
Conditions
Cancer
Interventions
Drug: Other approved anti-cancer agent
First Posted Date
2010-11-01
Last Posted Date
2019-03-22
Lead Sponsor
Novartis Pharmaceuticals
Target Recruit Count
214
Registration Number
NCT01231594
Locations
🇬🇧

Novartis Investigative Site, London, United Kingdom

Study of GSK1120212 Plus Gemcitabine vs Placebo Plus Gemcitabine in Metastatic Pancreatic Cancer

Phase 2
Completed
Conditions
Cancer
Interventions
First Posted Date
2010-11-01
Last Posted Date
2013-09-26
Lead Sponsor
GlaxoSmithKline
Target Recruit Count
160
Registration Number
NCT01231581
Locations
🇨🇳

GSK Investigational Site, Taipei, Taiwan

Safety and Tolerability Study of GSK1120212, a MEK Inhibitor, in Combination With Docetaxel, Erlotinib, Pemetrexed, Pemetrexed + Carboplatin, Pemetrexed + Cisplatin, or Nab-Paclitaxel

First Posted Date
2010-08-31
Last Posted Date
2017-11-13
Lead Sponsor
GlaxoSmithKline
Target Recruit Count
169
Registration Number
NCT01192165
Locations
🇰🇷

GSK Investigational Site, Seoul, Korea, Republic of

A Study to Investigate Safety, Pharmacokinetics (PK) and Pharmacodynamics (PD) of BKM120 Plus GSK1120212 in Selected Advanced Solid Tumor Patients

Phase 1
Completed
Conditions
Advanced and Selected Solid Tumors
Interventions
First Posted Date
2010-07-01
Last Posted Date
2020-12-09
Lead Sponsor
Novartis Pharmaceuticals
Target Recruit Count
113
Registration Number
NCT01155453
Locations
🇺🇸

University of Texas/MD Anderson Cancer Center Dept of MD Anderson (8), Houston, Texas, United States

🇨🇭

Novartis Investigative Site, Bellinzona, Switzerland

🇺🇸

University of California at Los Angeles Div. of Hematology/Oncology, Los Angeles, California, United States

Safety, Pharmacokinetics (PK) of AKT and MEK Combination

Phase 1
Completed
Conditions
Cancer
Interventions
First Posted Date
2010-06-07
Last Posted Date
2017-11-13
Lead Sponsor
GlaxoSmithKline
Target Recruit Count
240
Registration Number
NCT01138085
Locations
🇺🇸

GSK Investigational Site, Salt Lake City, Utah, United States

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