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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

Investigate Safety, Pharmacokinetics and Pharmacodynamics of GSK2118436 & GSK1120212

Phase 2
Completed
Conditions
Cancer
Interventions
First Posted Date
2010-02-19
Last Posted Date
2019-07-05
Lead Sponsor
Novartis Pharmaceuticals
Target Recruit Count
430
Registration Number
NCT01072175
Locations
🇦🇺

Novartis Investigative Site, Heidelberg, Victoria, Australia

Study to Determine the Effectiveness of GSK1120212 in BRAF Mutation-positive Melanoma Previously Treated With or Without a BRAF Inhibitor

Phase 2
Completed
Conditions
Cancer
Interventions
First Posted Date
2009-12-21
Last Posted Date
2014-03-31
Lead Sponsor
GlaxoSmithKline
Target Recruit Count
97
Registration Number
NCT01037127
Locations
🇦🇺

GSK Investigational Site, Nedlands, Western Australia, Australia

Open-label Study to Evaluate the Safety, PK, and PD of MEK Inhibitor GSK1120212 in Subjects With Relapsed or Refractory Leukemias

Phase 2
Completed
Conditions
Cancer
Interventions
First Posted Date
2009-06-15
Last Posted Date
2014-04-02
Lead Sponsor
GlaxoSmithKline
Target Recruit Count
97
Registration Number
NCT00920140
Locations
🇩🇪

GSK Investigational Site, Leipzig, Sachsen, Germany

Open-label Study to Investigate the Safety, PK, and Pharmacodynamics of GSK1120212 in Subjects With Solid Tumors or Lymphoma

Phase 1
Completed
Conditions
Solid Tumours
Interventions
First Posted Date
2008-06-02
Last Posted Date
2017-11-13
Lead Sponsor
GlaxoSmithKline
Target Recruit Count
206
Registration Number
NCT00687622
Locations
🇺🇸

GSK Investigational Site, Norfolk, Virginia, United States

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