Trametinib (GSK-1120212; JTP-74057; Mekinist)

别名: JTP-74057; GSK 1120212; GSK1120212; GSK-1120212; JTP74057; Trametinib. Trade name: Mekinist N-[3-[3-环丙基-5-[(2-氟-4-碘苯基)氨基]-3,4,6,7-四氢-6,8-二甲基-2,4,7-三氧代吡啶并[4,3-D]嘧啶-1(2H)-基]苯基]乙酰胺; Trametinib (GSK1120212) ;Trametinib标准品; 曲美替尼;曲美替尼游离碱
目录号: V0446 纯度: =99.29%
Mirdametinib (PD-0325901) 是一种新型、有效、选择性、口服生物可利用且非 ATP 竞争性的丝裂原激活蛋白激酶 MEK 抑制剂,在无细胞试验中 IC50 为 0.33 nM,比 CI 效力大约 500 倍。 1040 对 ERK1 和 ERK2 磷酸化的影响。
Trametinib (GSK-1120212; JTP-74057; Mekinist) CAS号: 871700-17-3
产品类别: MEK
产品仅用于科学研究,不针对患者销售
规格 价格 库存 数量
10 mM * 1 mL in DMSO
1mg
5mg
10mg
25mg
50mg
100mg
250mg
500mg
1g
Other Sizes

Other Forms of Trametinib (GSK-1120212; JTP-74057; Mekinist):

  • 曲美替尼DSMO 溶剂化
  • Trametinib-d4 (trametinib d4)
  • Trametinib-13C6 (Trametinib 13C6)
  • Trametinib-13C,d3
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InvivoChem产品被CNS等顶刊论文引用
顾客使用InvivoChem 产品曲美替尼发表1篇科研文献
纯度/质量控制文件

纯度: ≥98%

纯度: =99.29%

产品描述
Trametinib(GSK1120212;JTP74057;商品名:Mekinist)是 FDA 批准的抗黑色素瘤药物,是一种新型、高度特异性、口服生物活性 MEK1/2 抑制剂,具有潜在的抗肿瘤活性。在无细胞测定中,它抑制 MEK1/2,IC50 值为 0.92 nM/1.8 nM,并且对 c-Raf、B-Raf 和 ERK1/2 等其他激酶几乎没有抑制作用。 Trametinib最初被认为是p15诱导物质,但后来发现它是MEK激酶的变构抑制剂。当用于对抗 MEK1 和 MEK2 激酶时,曲美替尼表现出 ATP 非竞争性抑制。 Trametinib 结合并特异性抑制 MEK 1 和 2,从而防止多种癌症中生长因子介导的细胞信号传导和细胞增殖。控制细胞生长的 RAS/RAF/MEK/ERK 信号通路由双特异性苏氨酸/酪氨酸激酶 MEK 1 和 2 激活。这些激酶在不同的癌细胞类型中经常上调。 2013年5月29日,FDA批准Trametinib用于治疗黑色素瘤。
生物活性&实验参考方法
靶点
MEK1 (IC50 = 0.92 nM); MEK2 (IC50 = 1.8 nM)
体外研究 (In Vitro)
GSK1120212 的 IC50 范围为 0.92 nM 至 3.4 nM,无论 Raf 和 MEK 的同种型如何,都会抑制 MBP 的磷酸化。 c-Raf、B-Raf、ERK1 和 ERK2 不受 GSK1120212 激酶活性的抑制。此外,GSK1120212 并未显着抑制其他 98 种激酶。 GSK1120212 能有效抑制人结直肠癌细胞系。对 GSK1120212 敏感性最高的细胞的 IC50 值分别为 0.48 nM 和 0.52 nM,并且已知在 HT-29 和 COLO205 中具有组成型活性 B-Raf 突变体。具有 K-Ras 突变的细胞系的 IC50 范围为 2.2–174 nM,对 GSK1120212 表现出广泛的敏感性。 B-Raf 和 K-Ras 中的野生型基因均存在于 COLO320 DM 细胞中,即使在 10 μM 浓度下,该细胞也能抵抗 GSK1120212。所有敏感细胞系在用 GSK1120212 处理 24 小时后都会经历细胞周期停滞在 G1 期。在大多数结直肠癌细胞系中,GSK1120212 治疗后 p15INK4b 和/或 p27KIP1 持续上调。 GSK1120212 的 ERK 磷酸化在所有易感细胞系中均受到抑制。 HT-29 和 COLO205 细胞均经历 GSK1120212 诱导细胞凋亡;然而,COLO205 细胞比 HT-29 细胞更容易受到这种诱导。 [1] 外周血单核细胞 (PBMC) 不能产生肿瘤坏死因子或白细胞介素 6,因为 GSK1120212 抑制此过程。 [2]
曲美替尼/JTP-74057可抑制LPS诱导的ERK1/2磷酸化和促炎细胞因子的产生[2]
JTP-74057是一种强效的MEK1/2抑制剂,特异性抑制MEK1/2,IC50值约为2nM。众所周知,LPS通过COT/Tpl2-MEK1/2途径诱导单核细胞中ERK1/2磷酸化,因此我们检测了JTP-74057对LPS刺激的人、小鼠或大鼠PBMC中ERK1/2磷酸化的抑制活性。ERK1/2磷酸化在LPS刺激后30分钟内迅速磷酸化,在所有物种中,10 nM的JTP-74057完全抑制了ERK1/2的磷酸化,表明该化合物的抑制活性没有物种差异(图1)。使用来自不同供体的人PBMCs以及在小鼠和大鼠PBMCs的重复实验中获得了相同的结果(数据未显示)。由于在RA患者的滑膜组织中已经报道了MEK-ERK通路的激活,并且这种激活导致TNF-α和IL-6等促炎细胞因子的产生,我们接下来研究了MEK1/2抑制剂对LPS刺激的hPBMCs产生细胞因子的影响。如图2所示,与MEK1/2的抑制活性一致,10 nM的JTP-74057抑制TNF-α的产生约为对照的10%。IL-6的产生也受到抑制;然而,即使在100nM的化合物下,最大抑制作用也约为对照的50%,这意味着除了MEK-ERK途径外,可能还有其他途径可以激活IL-6的产生。
曲美替尼/JTP-74057和来氟米特对抗CII抗体产生和CII反应性T细胞再激活的差异作用[2]
为了研究MEK1/2抑制是否影响自身抗体的产生,在第35天通过ELISA测定血清中的抗CII IgG。来氟米特以剂量依赖的方式抑制抗CII IgG的升高。另一方面,即使在最高剂量下,JTP-74057也不影响抗CII IgG的产生(图6a),这表明MEK1/2在自身抗体的产生中不起作用。接下来,我们研究了MEK1/2抑制剂对CIA小鼠抗原特异性记忆T细胞再激活的影响。在第二次CII免疫接种后5天,从用CIA进行非药物治疗的小鼠中收集淋巴结细胞,然后在有或没有试验药物的情况下,用热降解的II型胶原在体外重新刺激。两天后,通过[3H]胸苷掺入评估LN细胞的增殖。JTP-74057在CII刺激下抑制了LN细胞的增殖(图6b),这意味着MEK1/2抑制剂对CIA发育的抑制作用至少部分是由于阻断了抗原特异性记忆T细胞的再激活。来氟米特的活性代谢产物A77 1726对LN细胞的增殖影响很小(图6b)。这些结果清楚地表明,MEK抑制剂与来氟米特具有不同的疾病改善活性。
体内研究 (In Vivo)
当每天口服一次 0.3 mg/kg 或 1 mg/kg 剂量的 GSK1120212,连续 14 天时,可以有效阻止 HT-29 异种移植物的生长。剂量为 1 mg/kg 时,肿瘤生长几乎完全停止。单次口服剂量1 mg/kg GSK1120212完全抑制已形成肿瘤组织中ERK1/2的磷酸化,治疗14天后,蛋白p15INK4b和p27KIP1的水平均升高。即使剂量为 0.3 mg/kg,COLO205 异种移植模型中也可以看到肿瘤消退。接受 1 mg/kg 剂量的六只小鼠中,有四只经历了完全消退,其中肿瘤已消退到不再可检测到其体积的程度。 [1] Lewis 大鼠或 DBA1/J 小鼠的佐剂诱导性关节炎 (AIA) 和 II 型胶原诱导性关节炎 (CIA) 在给予 0.1 mg/kg 的 GSK1120212 后几乎完全被抑制。 [2]
JTP-74057/曲美替尼对大鼠佐剂性关节炎模型的影响[2]
为了证实MEK1/2抑制剂对炎性关节炎发展的药理作用,我们首先采用了大鼠佐剂诱导性关节炎(AIA)模型,该模型被广泛用作RA的模型。在第0天,雄性Lewis大鼠在尾部底部皮内注射含有佐剂的结核分枝杆菌,然后监测后爪的体积。在第21天,对后爪的关节破坏进行了放射学评估。从第0天开始每天口服一次JTP-74057。来氟米特被用作参考药物。如图3所示,曲美替尼/JTP-74057以剂量依赖的方式显著阻断了后爪肿胀,0.1 mg/kg的JTP-74057显示出与10 mg/kg的来氟米特相当的疗效。AIA大鼠在关节炎发展过程中体重减轻,而JTP-74057和来氟米特都抑制了这种体重减轻(数据未显示)。在肉眼观察中,0.1 mg/kg的JTP-74057或10 mg/kg的来氟米特均未发现不良事件的迹象;特别是用0.1mg/kg JTP-74057治疗的大鼠的肝损伤标志物(AST、ALT)或肾损伤标志物的肌酐没有显著变化(数据未显示)。大鼠JTP-74057的最大耐受剂量(MTD)被确认为0.3mg/kg(数据未显示)。在后爪的放射学评估中,在第21天,在受AIA影响的大鼠中检测到骨侵蚀和破坏,尤其是跗骨和踝骨(图4b)。JTP-74057防止了后爪的骨侵蚀和破坏(图4c),表明MEK抑制剂对AIA大鼠既有抗炎作用,也有骨保护作用。
JTP-74057/曲美替尼给药可改善小鼠胶原诱导性关节炎模型中的足肿胀[2]
为了进一步比较曲美替尼/JTP-74057与来氟米特的药理作用,我们在另一种广泛使用的RA模型——小鼠胶原诱导的关节炎模型中测试了这些化合物。在第0天和第21天,将用弗氏完全佐剂乳化的CII皮内注射到DBA1/J小鼠的尾基。在第二次免疫接种后,定期对爪子肿胀进行评分。从第21天至第35天,每天口服一次JTP-74057或来氟米特。如图5a所示,JTP-74057以剂量依赖的方式抑制关节炎的发展,0.3 mg/kg的JTP-74057完全抑制了临床评分的恶化。来氟米特也抑制了关节炎的发展,但即使在10mg/kg的剂量下也没有完全抑制它(图5b)。据报道,JTP-74057在小鼠体内的MTD为3mg/kg。与此一致,在接受0.3mg/kg JTP-74057治疗的组中,没有出现AST升高或体重减轻等不良反应的迹象(数据未显示)。
酶活实验
B-Raf/c-Raf、非磷酸化 MEK1/MEK2 和 EERRK2 以及非磷酸化髓磷脂碱性蛋白 (MBP) 的活性形式在存在以下物质的情况下与含有 12.5 mM MgCl2 和 10 μM ATP 的 MOPS 缓冲液混合不同浓度的 GSK1120212。抗磷酸化MBP抗体可以识别已磷酸化的MBP。
细胞实验
在 96 孔组织培养板中,将指数生长的细胞预培养 24 小时,然后暴露于 GSK1120212。基于磺胺罗丹明 B 的体外毒理学检测试剂盒可测量细胞生长。收集贴壁细胞和漂浮细胞用于细胞凋亡测定并用 70% 乙醇固定。然后用 PBS 洗涤细胞,悬浮在 100 μg/mL RNase 和 25 μg/mL 碘化丙啶 (PI) 中,并在黑暗中加热至 37°C 30 分钟。 Cytomics FC500 或 Guava EasyCyte plus 流式细胞仪用于测量每个细胞的 DNA 含量。
PBMC在添加了10%热灭活胎牛血清(HI-FBS)的RPMI1640中培养,然后在有或没有不同浓度的曲美替尼/JTP-74057的情况下用LPS(人,1μg/ml;小鼠和大鼠,10μg/ml)激活。对于蛋白质印迹分析,在刺激后30分钟裂解细胞,并如前所述通过蛋白质印迹分析ERK1/2的磷酸化。为了分析细胞因子的产生,在刺激过夜后收集细胞上清液,并通过ELISA测定TNF-α和IL-6的浓度。[2]
Affymetrix表达分析[3]
在单独用GSK2118436和曲美替尼/GSK1120212复合处理24小时后,选择16R6-4与A375进行比较。数据分析按照补充方法中的描述进行。微阵列数据保存在NCBI的基因表达综合数据库(GEO,http://www.ncbi.nlm.nih.gov/geo/)可通过GEO系列登录号GSE35230访问。
细胞生长试验[4]
将细胞(2.5 E4)铺在96孔板中,并在第二天用浓度递增的药物或等摩尔二甲亚砜(DMSO)处理三次。72小时后,根据制造商的说明,通过荧光光度法,使用Cell Titer Blue Assay测定每种处理相对于单独DMSO处理的氧化还原染料转化率。等摩尔浓度的DMSO载体对所有细胞系的细胞活力没有显著影响。
流式细胞术[4]
对于细胞周期分析,收集培养上清液,并与通过短暂胰蛋白酶处理去除的培养细胞合并。用PBS洗涤细胞两次,并用70%乙醇固定。细胞在-20°C下储存过夜。然后用PBS洗涤细胞两次,在RNA酶A 100ug/mL和20ug/mL碘化丙啶中复溶,并在分析前储存在4°C下。对于凋亡测量,类似地收集细胞,用膜联蛋白V对洗涤后的细胞进行染色,洗涤一次,然后重新悬浮在20 ug/mL碘化丙啶中。在FACs Canto上分析细胞,并使用FlowJo分析数据。细胞指数被确定为S/G2/M期细胞的百分比,与未处理的基线培养物标准化。使用Graphpad Prism将三次重复实验的平均值与重复测量的单因素方差分析和Bonferroni多重比较检验进行比较。显著性表示在95%的置信区间内,p值小于0.05。
动物实验
小鼠:本研究使用BALB/c-nu/nu雌性小鼠。将悬浮于冰冷HBSS(-)中的HT-29细胞或COLO205细胞,于第0天皮下注射至小鼠右侧腹部,注射密度分别为5×10⁶个细胞/100 µL/点或1×10⁶个细胞/100 µL。当平均肿瘤体积达到100 mm³时,将醋酸溶解的曲美替尼(JTP-74057,0.3 mg/kg或1 mg/kg)溶于10% Cremophor EL-10% PEG400溶液中,每日一次口服给药,连续14天。给药两周后,使用微型测量仪测量肿瘤的长度[L(mm)]和宽度[W(mm)],并使用公式肿瘤体积(mm³)=L×W×W/2计算肿瘤体积。
大鼠佐剂诱导关节炎[2]
将0.5 mg结核分枝杆菌溶于100 μl石蜡油中,皮内注射到6周龄雄性Lewis大鼠尾根部(第0天),诱导关节炎。正常未处理的大鼠作为对照组。曲美替尼DMSO溶剂化物和来氟米特研磨后悬浮于0.5%甲基纤维素溶液中,配制成5 ml/kg的体积。第0天,根据体重将大鼠随机分为6组(每组6只)。从第0天到第21天,每天口服一次试验药物。关节炎诱导后,分别于第6、13、16和21天采用排水法,使用大鼠体积测量仪测量后爪体积。于第21天使用X光机拍摄双侧后肢的X光片。
胶原诱导性关节炎[2]
将牛II型胶原蛋白(CII)溶解于0.01 M乙酸中,浓度为2 mg/ml,然后与等体积的弗氏完全佐剂H37Ra乳化。将100 μl CII乳剂经尾根部皮内注射免疫6周龄雄性DBA/1J小鼠。21天后,根据体重将小鼠随机分为7组(每组16只)。所有小鼠均注射相同量的CII乳剂以诱导关节炎。将曲美替尼乙酸溶剂化物溶解于 10% Cremophor EL/10% 聚乙二醇 400 溶液中,配制成 10 ml/kg 的溶液。将来氟米特研磨后悬浮于 0.5% MC 溶液中,配制成 10 ml/kg 的溶液。从第 21 天到第 35 天,每天口服一次试验药物或赋形剂。通过对每条肢体的视觉严重程度进行评分来计算关节炎的临床评分,其中趾和整个爪的肿胀程度按以下方式评分(每条肢体的最高分为 4 分):趾肿胀(0 分,无肿胀;1 分,一个趾肿胀;2 分,两个或更多趾肿胀);整个爪肿胀(0 分,无肿胀;1 分,轻度肿胀;2 分,整个爪严重肿胀)。评分采用盲法进行。每只小鼠的关节炎评分以 4 条肢体的平均评分表示。在第35天,采用夹心ELISA法检测血清中CII特异性抗体。将500 ng CII溶解于100 μl PBS中,加入96孔EIA板,4℃孵育过夜。洗去多余的CII后,用Block Ace封闭1小时。将CIA小鼠血清稀释后加入孔中。室温孵育2小时后,洗孔,然后用辣根过氧化物酶标记的抗小鼠IgG抗体检测CII特异性抗体。
CIA小鼠淋巴结细胞增殖[2]
在第二次免疫后5天,从未经药物治疗的CIA小鼠中收集腹股沟淋巴结(LN)细胞,并以5 × 10⁵个细胞/孔的浓度接种于96孔培养板中,培养基为含青霉素-链霉素、2-巯基乙醇和10% HI-FBS的RPMI1640培养基。在有或无测试化合物Trametinib或A77 1726的情况下,向细胞中加入终浓度为10 μg/ml的CII溶液。在37°C、5% CO₂条件下孵育42小时后,向每个孔中加入0.5 μCi的[³H]胸苷,并继续培养6小时。使用TopCount微孔板闪烁计数器测量放射性掺入量。
药代性质 (ADME/PK)
吸收、分布和排泄
口服后,曲美替尼吸收迅速且易于吸收。本研究在实体瘤和BRAF V600突变阳性转移性黑色素瘤患者中考察了曲美替尼的吸收情况。每日服用0.125 mg(相当于成人推荐剂量的0.0625倍)至4 mg(相当于成人推荐剂量的2倍)曲美替尼片剂后,Cmax和AUC均呈剂量比例增加。稳态时AUC和Cmax的个体间变异性分别为22%和28%。每日重复给药可使曲美替尼蓄积,每日一次2 mg剂量时的平均蓄积比为6.0。第15天达到稳态。口服片剂的平均绝对生物利用度为72%,口服溶液的平均绝对生物利用度为81%。Tmax为1.5小时。与空腹状态相比,高脂肪、高热量餐(约 1000 卡路里)使曲美替尼的 AUC 降低 24%,Cmax 降低 70%,Tmax 延迟约 4 小时。
口服 [14C]-曲美替尼后,超过 80% 的放射性物质从粪便中排出,而不到 20% 的放射性物质从尿液中排出,其中母体分子占排泄剂量的比例不到 0.1%。
表观分布容积 (Vc/F) 为 214 L。
表观清除率为 4.9 L/h。
代谢/代谢物
曲美替尼主要通过羧酸酯酶(例如羧酸酯酶 1b/c 和 1b/c)介导的脱乙酰化作用代谢。 2) 以及其他水解酶。脱乙酰代谢物可能进一步发生葡萄糖醛酸化。体外研究表明,脱乙酰化可能伴随单加氧、羟基化和葡萄糖醛酸化。CYP3A4 介导的氧化是次要途径。在晚期癌症患者中已鉴定出四种代谢物(M1/2/3/4)。体外研究表明,M1 和 M3 代谢物的磷酸化 MEK1 抑制活性与母体化合物大致相同或低 10 倍。单次注射 [14C]-曲美替尼后,循环放射性中约 50% 为母体化合物。根据曲美替尼重复给药后代谢物分析的结果,血浆中未代谢的母体药物占药物相关物质的75%或以上。
生物半衰期
估计消除半衰期为3.9至4.8天。
毒性/毒理 (Toxicokinetics/TK)
肝毒性
在大型临床试验中,常规肝功能检查异常较为常见,接受曲美替尼治疗的患者中,39%至60%出现血清转氨酶升高,24%至67%出现碱性磷酸酶升高。然而,ALT升高超过正常值上限5倍的情况并不常见,发生率仅为0%至5%,且通常可通过暂时停药或调整剂量迅速恢复正常。在曲美替尼联合或不联合达拉非尼的上市前对照试验中,未报告临床上明显的急性肝损伤或肝功能衰竭病例。目前尚未有已发表的、归因于曲美替尼的临床上明显的肝毒性病例报告。然而,它仅短期使用过。
可能性评分:E(未经证实但怀疑是临床上明显的肝损伤的原因)。
妊娠和哺乳期影响
◉ 哺乳期用药概述
目前尚无关于曲美替尼在哺乳期临床应用的信息。由于曲美替尼与血浆蛋白的结合率高达97%,因此其在乳汁中的含量可能很低。然而,其半衰期为3.9至4.8天,可能会在婴儿体内蓄积。制造商建议在接受曲美替尼治疗期间以及末次给药后 4 个月内停止母乳喂养。
◉ 对母乳喂养婴儿的影响
截至修订日期,未找到相关的已发表信息。
◉ 对泌乳和母乳的影响
截至修订日期,未找到相关的已发表信息。
蛋白结合
曲美替尼与人血浆蛋白的结合率为 97.4%。
参考文献

[1]. Int J Oncol . 2011 Jul;39(1):23-31.

[2]. Inflamm Res . 2012 May;61(5):445-54.

[3]. Mol Cancer Ther . 2012 Apr;11(4):909-20.

[4]. Clin Cancer Res . 2012 Aug 15;18(16):4345-55.

其他信息
药效学
曲美替尼在体外和体内均能抑制多种BRAF V600突变阳性肿瘤细胞的生长。曲美替尼常与BRAF抑制剂达拉非尼联合使用。在BRAF突变型结直肠癌中,EGFR介导的MAPK通路再激活已被确定为BRAF抑制剂的内在耐药机制。
MAPK通路是新型抗癌药物研发中最重要的通路之一。我们对诱导p15INK4b表达的化合物进行了高通量筛选,并鉴定出JTP-74057(GSK1120212),该化合物目前正在进行I期、II期和III期临床试验。我们对其体外和体内抗肿瘤活性进行了表征。JTP-74057能强效抑制MEK1/2激酶活性,但对其他98种激酶活性无抑制作用。 JTP-74057 处理可抑制大多数受试结直肠癌细胞系的生长,并伴有 p15INK4b 和/或 p27KIP1 的上调。每日口服 JTP-74057 14 天可抑制裸鼠体内 HT-29 和 COLO205 异种移植瘤的生长。值得注意的是,仅在 COLO205 异种移植瘤中观察到肿瘤消退,且 COLO205 细胞在体外对 JTP-74057 诱导的细胞凋亡比 HT-29 细胞更为敏感。Akt 抑制剂可增强 JTP-74057 诱导的 HT-29 细胞凋亡。最后,JTP-74057 与标准治疗药物 5-氟尿嘧啶、奥沙利铂或 SN-38 联合用药表现出叠加或协同效应。 JTP-74057 是一种高特异性和强效的 MEK1/2 抑制剂,在体外和体内均表现出良好的抗肿瘤活性。对 JTP-74057 诱导的细胞凋亡的敏感性可能是评估其体内疗效的重要因素,而 Akt 抑制剂可增强这种敏感性。这些结果表明 JTP-74057 在结直肠癌患者的治疗应用中具有潜在价值。[1]
目的和设计:探讨丝裂原活化蛋白激酶/细胞外信号调节激酶激酶 1/2 抑制剂 JTP-74057 对炎症性关节炎发展的影响,并将其抗关节炎作用与来氟米特进行比较。材料:采用人、小鼠和大鼠外周血单核细胞 (PBMC)。本研究采用Lewis大鼠和DBA/1J小鼠作为动物模型。治疗:体外实验中,JTP-74057的浓度范围为0.1-100 nM。体内实验中,分别口服给予JTP-74057(0.01-0.3 mg/kg)和来氟米特(2-10 mg/kg)。方法:用脂多糖刺激外周血单核细胞(PBMC)。分别在Lewis大鼠和DBA1/J小鼠中诱导佐剂诱导性关节炎(AIA)和II型胶原诱导性关节炎(CIA)。结果:JTP-74057抑制PBMC中肿瘤坏死因子-α和白细胞介素-6的产生。0.1 mg/kg的JTP-74057或10 mg/kg的来氟米特几乎完全抑制了AIA和CIA的发生发展。在CIA模型中,JTP-74057(而非来氟米特)可抑制体外胶原反应性T细胞增殖,而来氟米特(而非JTP-74057)可抑制抗胶原抗体的产生。结论:JTP-74057具有强效的抗关节炎作用,其作用机制与来氟米特不同,提示JTP-74057可能作为一种新的治疗药物用于治疗类风湿性关节炎。[2]
近期BRAF抑制剂GSK2118436(达拉非尼)和PLX4032(维莫非尼)的临床试验结果显示出令人鼓舞的缓解率;然而,缓解持续时间有限。为了鉴定获得性耐药 GSK2118436 的决定因素以及克服耐药性的策略,我们从 A375 BRAF(V600E) 和 YUSIT1 BRAF(V600K) 黑色素瘤细胞系中分离出 GSK2118436 耐药克隆。这些克隆对变构丝裂原活化蛋白/细胞外信号调节激酶 (MEK) 抑制剂 GSK1120212(曲美替尼)的敏感性也降低。对这些克隆进行基因表征发现,在 BRAF(V600E) 背景下,存在 MEK1 的框内缺失 (MEK1(K59del)) 或 NRAS 突变 (NRAS(Q61K) 和/或 NRAS(A146T)),伴或不伴 MEK1(P387S);在 BRAF(V600K) 背景下,存在 NRAS(Q61K)。利用短发夹RNA稳定敲低NRAS可部分恢复突变NRAS克隆对GSK2118436的敏感性,而A375亲代细胞中NRAS(Q61K)或NRAS(A146T)的表达则降低了其对GSK2118436的敏感性。类似地,MEK1(K59del)的表达(而非MEK1(P387S)的表达)降低了A375细胞对GSK2118436的敏感性。GSK2118436与GSK1120212的联合应用可有效抑制耐药克隆的细胞生长,降低ERK磷酸化水平,降低细胞周期蛋白D1的表达,并增加p27(kip1)蛋白的表达。此外,GSK2118436 或 GSK1120212 与磷脂酰肌醇 3-激酶/mTOR 抑制剂 GSK2126458 联用可增强细胞生长抑制并降低这些克隆中 S6 核糖体蛋白的磷酸化水平。我们的结果表明,NRAS 和/或 MEK 突变是体外 BRAF 抑制剂耐药的致病因素,而 GSK2118436 与 GSK1120212 联用可克服这种耐药性。此外,这些耐药克隆对 GSK2126458 与 GSK2118436 或 GSK1120212 联用也有反应。目前正在进行或计划开展临床试验以测试这些组合疗法。[3]
*注: 文献方法仅供参考, InvivoChem并未独立验证这些方法的准确性
化学信息 & 存储运输条件
分子式
C26H23FIN5O4
分子量
615.39
精确质量
615.077
元素分析
C, 50.74; H, 3.77; F, 3.09; I, 20.62; N, 11.38; O, 10.40
CAS号
871700-17-3
相关CAS号
Trametinib (DMSO solvate);1187431-43-1;Trametinib-d4;Trametinib-13C6;Trametinib-13C,d3;2712126-59-3
PubChem CID
11707110
外观&性状
white solid powder
密度
1.7±0.1 g/cm3
折射率
1.734
LogP
2.68
tPSA
110.62
氢键供体(HBD)数目
2
氢键受体(HBA)数目
6
可旋转键数目(RBC)
5
重原子数目
37
分子复杂度/Complexity
1090
定义原子立体中心数目
0
SMILES
O=C(C)NC1C=C(N2C3C(=C(N(C)C(C=3C)=O)NC3C(F)=CC(I)=CC=3)C(=O)N(C3CC3)C2=O)C=CC=1
InChi Key
LIRYPHYGHXZJBZ-UHFFFAOYSA-N
InChi Code
InChI=1S/C26H23FIN5O4/c1-13-22-21(23(31(3)24(13)35)30-20-10-7-15(28)11-19(20)27)25(36)33(17-8-9-17)26(37)32(22)18-6-4-5-16(12-18)29-14(2)34/h4-7,10-12,17,30H,8-9H2,1-3H3,(H,29,34)
化学名
N-[3-[3-cyclopropyl-5-(2-fluoro-4-iodoanilino)-6,8-dimethyl-2,4,7-trioxopyrido[4,3-d]pyrimidin-1-yl]phenyl]acetamide
别名
JTP-74057; GSK 1120212; GSK1120212; GSK-1120212; JTP74057; Trametinib. Trade name: Mekinist
HS Tariff Code
2934.99.9001
存储方式

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

运输条件
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
溶解度数据
溶解度 (体外实验)
DMSO: ~22 mg/mL (~35.7 mM)
Water: <1 mg/mL
Ethanol: <1 mg/mL
溶解度 (体内实验)
配方 1 中的溶解度: ≥ 2.5 mg/mL (4.06 mM) (饱和度未知) in 10% DMSO + 40% PEG300 + 5% Tween80 + 45% Saline (这些助溶剂从左到右依次添加,逐一添加), 澄清溶液。
例如,若需制备1 mL的工作液,可将100 μL 25.0 mg/mL澄清DMSO储备液加入到400 μL PEG300中,混匀;然后向上述溶液中加入50 μL Tween-80,混匀;加入450 μL生理盐水定容至1 mL。
*生理盐水的制备:将 0.9 g 氯化钠溶解在 100 mL ddH₂O中,得到澄清溶液。

配方 2 中的溶解度: ≥ 2.5 mg/mL (4.06 mM) (饱和度未知) in 10% DMSO + 90% Corn Oil (这些助溶剂从左到右依次添加,逐一添加), 澄清溶液。
例如,若需制备1 mL的工作液,可将 100 μL 25.0 mg/mL 澄清 DMSO 储备液添加到 900 μL 玉米油中并混合均匀。

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配方 3 中的溶解度: 4% DMSO+corn oil: 3mg/mL


配方 4 中的溶解度: 6.67 mg/mL (10.84 mM) in 0.5%HPMC 1%Tween80 (这些助溶剂从左到右依次添加,逐一添加), 悬浊液; 超声助溶。

请根据您的实验动物和给药方式选择适当的溶解配方/方案:
1、请先配制澄清的储备液(如:用DMSO配置50 或 100 mg/mL母液(储备液));
2、取适量母液,按从左到右的顺序依次添加助溶剂,澄清后再加入下一助溶剂。以 下列配方为例说明 (注意此配方只用于说明,并不一定代表此产品 的实际溶解配方):
10% DMSO → 40% PEG300 → 5% Tween-80 → 45% ddH2O (或 saline);
假设最终工作液的体积为 1 mL, 浓度为5 mg/mL: 取 100 μL 50 mg/mL 的澄清 DMSO 储备液加到 400 μL PEG300 中,混合均匀/澄清;向上述体系中加入50 μL Tween-80,混合均匀/澄清;然后继续加入450 μL ddH2O (或 saline)定容至 1 mL;

3、溶剂前显示的百分比是指该溶剂在最终溶液/工作液中的体积所占比例;
4、 如产品在配制过程中出现沉淀/析出,可通过加热(≤50℃)或超声的方式助溶;
5、为保证最佳实验结果,工作液请现配现用!
6、如不确定怎么将母液配置成体内动物实验的工作液,请查看说明书或联系我们;
7、 以上所有助溶剂都可在 Invivochem.cn网站购买。
制备储备液 1 mg 5 mg 10 mg
1 mM 1.6250 mL 8.1249 mL 16.2499 mL
5 mM 0.3250 mL 1.6250 mL 3.2500 mL
10 mM 0.1625 mL 0.8125 mL 1.6250 mL

1、根据实验需要选择合适的溶剂配制储备液 (母液):对于大多数产品,InvivoChem推荐用DMSO配置母液 (比如:5、10、20mM或者10、20、50 mg/mL浓度),个别水溶性高的产品可直接溶于水。产品在DMSO 、水或其他溶剂中的具体溶解度详见上”溶解度 (体外)”部分;

2、如果您找不到您想要的溶解度信息,或者很难将产品溶解在溶液中,请联系我们;

3、建议使用下列计算器进行相关计算(摩尔浓度计算器、稀释计算器、分子量计算器、重组计算器等);

4、母液配好之后,将其分装到常规用量,并储存在-20°C或-80°C,尽量减少反复冻融循环。

计算器

摩尔浓度计算器可计算特定溶液所需的质量、体积/浓度,具体如下:

  • 计算制备已知体积和浓度的溶液所需的化合物的质量
  • 计算将已知质量的化合物溶解到所需浓度所需的溶液体积
  • 计算特定体积中已知质量的化合物产生的溶液的浓度
使用摩尔浓度计算器计算摩尔浓度的示例如下所示:
假如化合物的分子量为350.26 g/mol,在5mL DMSO中制备10mM储备液所需的化合物的质量是多少?
  • 在分子量(MW)框中输入350.26
  • 在“浓度”框中输入10,然后选择正确的单位(mM)
  • 在“体积”框中输入5,然后选择正确的单位(mL)
  • 单击“计算”按钮
  • 答案17.513 mg出现在“质量”框中。以类似的方式,您可以计算体积和浓度。

稀释计算器可计算如何稀释已知浓度的储备液。例如,可以输入C1、C2和V2来计算V1,具体如下:

制备25毫升25μM溶液需要多少体积的10 mM储备溶液?
使用方程式C1V1=C2V2,其中C1=10mM,C2=25μM,V2=25 ml,V1未知:
  • 在C1框中输入10,然后选择正确的单位(mM)
  • 在C2框中输入25,然后选择正确的单位(μM)
  • 在V2框中输入25,然后选择正确的单位(mL)
  • 单击“计算”按钮
  • 答案62.5μL(0.1 ml)出现在V1框中
g/mol

分子量计算器可计算化合物的分子量 (摩尔质量)和元素组成,具体如下:

注:化学分子式大小写敏感:C12H18N3O4  c12h18n3o4
计算化合物摩尔质量(分子量)的说明:
  • 要计算化合物的分子量 (摩尔质量),请输入化学/分子式,然后单击“计算”按钮。
分子质量、分子量、摩尔质量和摩尔量的定义:
  • 分子质量(或分子量)是一种物质的一个分子的质量,用统一的原子质量单位(u)表示。(1u等于碳-12中一个原子质量的1/12)
  • 摩尔质量(摩尔重量)是一摩尔物质的质量,以g/mol表示。
/

配液计算器可计算将特定质量的产品配成特定浓度所需的溶剂体积 (配液体积)

  • 输入试剂的质量、所需的配液浓度以及正确的单位
  • 单击“计算”按钮
  • 答案显示在体积框中
动物体内实验配方计算器(澄清溶液)
第一步:请输入基本实验信息(考虑到实验过程中的损耗,建议多配一只动物的药量)
第二步:请输入动物体内配方组成(配方适用于不溶/难溶于水的化合物),不同的产品和批次配方组成不同,如对配方有疑问,可先联系我们提供正确的体内实验配方。此外,请注意这只是一个配方计算器,而不是特定产品的确切配方。
+
+
+

计算结果:

工作液浓度 mg/mL;

DMSO母液配制方法 mg 药物溶于 μL DMSO溶液(母液浓度 mg/mL)。如该浓度超过该批次药物DMSO溶解度,请首先与我们联系。

体内配方配制方法μL DMSO母液,加入 μL PEG300,混匀澄清后加入μL Tween 80,混匀澄清后加入 μL ddH2O,混匀澄清。

(1) 请确保溶液澄清之后,再加入下一种溶剂 (助溶剂) 。可利用涡旋、超声或水浴加热等方法助溶;
            (2) 一定要按顺序加入溶剂 (助溶剂) 。

临床试验信息
Pan Tumor Rollover Study
CTID: NCT03899155
Phase: Phase 2    Status: Recruiting
Date: 2024-11-19
Study of Cemiplimab Combined with Dabrafenib and Trametinib in People with Anaplastic Thyroid Cancer
CTID: NCT04238624
Phase: Phase 2    Status: Recruiting
Date: 2024-11-19
A Study to Assess Naporafenib (ERAS-254) Administered With Trametinib in Patients With NRAS-mutant Melanoma (SEACRAFT-2)
CTID: NCT06346067
Phase: Phase 3    Status: Recruiting
Date: 2024-11-18
Targeted Therapy Directed by Genetic Testing in Treating Patients With Advanced Refractory Solid Tumors, Lymphomas, or Multiple Myeloma (The MATCH Screening Trial)
CTID: NCT02465060
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-18
Study of Targeted Therapy vs. Chemotherapy in Patients With Thyroid Cancer
CTID: NCT06475989
Phase: Phase 3    Status: Recruiting
Date: 2024-11-18
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Platform Study of JDQ443 in Combinations in Patients With Advanced Solid Tumors Harboring the KRAS G12C Mutation
CTID: NCT05358249
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-11-15


Study of Efficacy and Safety of LXH254 Combinations in Patients With Previously Treated Unresectable or Metastatic Melanoma
CTID: NCT04417621
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-15
Testing the Addition of Navitoclax to the Combination of Dabrafenib and Trametinib in People Who Have BRAF Mutant Melanoma
CTID: NCT01989585
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-11-15
Pediatric Long-Term Follow-up and Rollover Study
CTID: NCT03975829
Phase: Phase 4    Status: Active, not recruiting
Date: 2024-11-14
A Study of Select Drug Combinations in Adult Patients With Advanced/Metastatic BRAF V600 Colorectal Cancer
CTID: NCT04294160
Phase: Phase 1    Status: Terminated
Date: 2024-11-14
Study of Efficacy and Safety of Dabrafenib Plus Trametinib in Previously Treated Patients With Locally Advanced or Metastatic, Radio-active Iodine Refractory BRAFV600E Mutation-positive Differentiated Thyroid Cancer
CTID: NCT04940052
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-11-14
Trametinib in Treating Patients With Advanced Cancer With or Without Hepatic Dysfunction
CTID: NCT02070549
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-11-14
PDR001 Combination Therapy for Radioiodine-Refractory Thyroid Cancer
CTID: NCT04544111
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-13
Trametinib and Docetaxel in Treating Patients With Recurrent or Stage IV KRAS Mutation Positive Non-small Cell Lung Cancer
CTID: NCT02642042
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-13
HEM ISMART-D: Trametinib + Dexamethasone + Chemotherapy in Children with Relapsed or Refractory Hematological Malignancies
CTID: NCT05658640
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-11-12
Compassionate Use Program BRAF Mutation-positive Patients in the Adjuvant Treatment of Melanoma After Surgical Resection
CTID: NCT04544202
Phase:    Status: No longer available
Date: 2024-11-12
A Phase I/II Study of Trametinib and Azacitidine for Patients With Newly Diagnosed Juvenile Myelomonocytic Leukemia
CTID: NCT05849662
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-11-12
Sotorasib Activity in Subjects With Advanced Solid Tumors With KRAS p.G12C Mutation (CodeBreak 101)
CTID: NCT04185883
Phase: Phase 1    Status: Recruiting
Date: 2024-10-31
Nivolumab With Trametinib and Dabrafenib, or Encorafenib and Binimetinib in Treating Patients With BRAF Mutated Metastatic or Unresectable Stage III-IV Melanoma
CTID: NCT02910700
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-30
Dabrafenib, Trametinib, and Spartalizumab for the Treatment of BRAF V600E or V600K Mutation Positive Stage IIIB/C/D Melanoma
CTID: NCT04310397
Phase: Phase 2    Status: Terminated
Date: 2024-10-30
Trametinib in Treating Patients With Relapsed or Refractory Juvenile Myelomonocytic Leukemia
CTID: NCT03190915
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-30
Clinical Study of Neoadjuvant Targeted Therapy for Ameloblastoma
CTID: NCT06653517
Phase: Phase 2    Status: Recruiting
Date: 2024-10-22
Onalespib, Dabrafenib, and Trametinib in Treating Patients With BRAF-Mutant Melanoma or Solid Tumors That Are Metastatic or Cannot Be Removed by Surgery
CTID: NCT02097225
Phase: Phase 1    Status: Terminated
Date: 2024-10-16
A Study Evaluating the Activity of Anti-cancer Treatments Targeting Tumor Molecular Alterations/characteristics in Advanced / Metastatic Tumors.
CTID: NCT04116541
Phase: Phase 2    Status: Recruiting
Date: 2024-10-16
A Study of the Anti-PD1 Antibody PDR001, in Combination With Dabrafenib and Trametinib in Advanced Melanoma
CTID: NCT02967692
Phase: Phase 3    Status: Completed
Date: 2024-10-15
Dabrafenib and/or Trametinib Rollover Study
CTID: NCT03340506
Phase: Phase 4    Status: Recruiting
Date: 2024-10-15
A Study of Dabrafenib in Combination With Trametinib in Chinese Patients With BRAF V600E Mutant Metastatic NSCLC
CTID: NCT04452877
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-15
Trametinib With or Without Whole Brain Radiation Therapy in Treating Patients With Brain Metastases
CTID: NCT02015117
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-10-10
Dabrafenib, Trametinib, and IMRT in Treating Patients With BRAF Mutated Anaplastic Thyroid Cancer
CTID: NCT03975231
Phase: Phase 1    Status: Recruiting
Date: 2024-10-09
Trametinib and Pembrolizumab in Treating Patients With Recurrent Non-small Cell Lung Cancer That Is Metastatic, Unresectable, or Locally Advanced
CTID: NCT03225664
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-10-04
Neoadjuvant Phase 2 Study Comparing the Effects of AR Inhibition With/Without SRC or MEK Inhibition in Prostate Cancer
CTID: NCT01990196
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-01
PaTcH Study: A Phase 2 Study of Trametinib and Hydroxychloroquine in Patients With Metastatic Refractory Pancreatic Cancer
CTID: NCT05518110
Phase: Phase 2    Status: Recruiting
Date: 2024-09-26
A Study to Test Different Doses of BI 1701963 Alone and Combined With Trametinib in Patients With Different Types of Advanced Cancer (Solid Tumours With KRAS Mutation)
CTID: NCT04111458
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-09-23
Study of EGF816 in Combination With Selected Targeted Agents in EGFR-mutant NSCLC
CTID: NCT03333343
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-09-19
Combined MEK, STAT3 and PD-1 Inhibition in Metastatic Pancreatic Ductal Adenocarcinoma
CTID: NCT05440942
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-09-19
Trametinib in Increasing Tumoral Iodine Incorporation in Patients With Recurrent or Metastatic Thyroid Cancer
CTID: NCT02152995
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-09-05
Targeted Approach to Langerhans Cell Histiocytosis (LCH) Using MEK Inhibitor, Trametinib
CTID: NCT06582745
Phase: Phase 2    Status: Recruiting
Date: 2024-09-03
Pediatric Low Grade Glioma - MEKinhibitor TRIal vs Chemotherapy
CTID: NCT05180825
Phase: Phase 2    Status: Recruiting
Date: 2024-08-29
Neoadjuvant Umbrella Trial for Patients With Unresectable Stage III NSCLC Harboring Rare Mutations.
CTID: NCT06563999
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-08-21
Panitumumab With or Without Trametinib in Treating Patients With Stage IV Colorectal Cancer
CTID: NCT03087071
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-08-21
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
CTID: NCT03377361
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-08-19
MEK Inhibitors for the Treatment of Hypertrophic Cardiomyopathy in Patients With RASopathies
CTID: NCT06555237
Phase: Phase 2    Status: Recruiting
Date: 2024-08-15
ERectile Dysfunctions, gOnadotoxicity and Sexual Health Assessment in Men With Lung Cancer
CTID: NCT06532149
Phase:    Status: Recruiting
Date: 2024-08-09
A Study to Evaluate Safety, Drug Levels and Effectiveness of CC-92480 (BMS-986348) in Combination With Other Treatments in Participants With Relapsed or Refractory Multiple Myeloma
CTID: NCT05372354
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-08-09
Optimization of the Time and Dosage of Trametinib in BRAF Negative Juvenile Patients
CTID: NCT04943224
Phase: Phase 2    Status: Recruiting
Date: 2024-08-09
Combination of Alpelisib and Trametinib in Progressive Refractory Meningiomas
CTID: NCT03631953
Phase: Phase 1    Status: Recruiting
Date: 2024-08-06
Study of Trametinib + Ceritinib in Patients With Unresectable Melanoma
CTID: NCT03501368
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-08-05
MCS110 With BRAF/MEK Inhibition in Patients With Melanoma
CTID: NCT03455764
Phase: Phase 1/Phase 2    Status: Completed
Date: 2024-07-31
A Study to Assess Naporafenib (ERAS-254) Administered With Trametinib in Patients With RAS Q61X Mutations
CTID: NCT05907304
Phase: Phase 1    Status: Recruiting
Date: 2024-07-26
Dabrafenib and Trametinib Before and After Surgery in Treating Patients With Stage IIIB-C Melanoma With BRAF V600 Mutation
CTID: NCT02231775
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-07-26
A Study to Characterize the Safety, Tolerability, and Preliminary Efficacy of CFT1946 as Monotherapy and Combination Therapy in Subjects With BRAF V600 Mutant Solid Tumors
CTID: NCT05668585
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-07-18
The Finnish National Study to Facilitate Patient Access to Targeted Anti-cancer Drugs
CTID: NCT05159245
Phase: Phase 2    Status: Recruiting
Date: 2024-07-15
Pembrolizumab, Dabrafenib, and Trametinib Before Surgery for the Treatment of BRAF-Mutated Anaplastic Thyroid Cancer
CTID: NCT04675710
Phase: Phase 2    Status: Recruiting
Date: 2024-07-03
Trametinib in Combination With Paclitaxel in the Treatment of Anaplastic Thyroid Cancer
CTID: NCT03085056
PhaseEarly Phase 1    Status: Active, not recruiting
Date: 2024-07-03
Nilotinib Plus Dabrafenib/Trametinib in Metastatic Melanoma
CTID: NCT04903119
Phase: Phase 1    Status: Recruiting
Date: 2024-07-01
Efficacy of Organoid-Based Drug Screening to Guide Treatment for Locally Advanced Thyroid Cancer
CTID: NCT06482086
Phase: Phase 2    Status: Recruiting
Date: 2024-07-01
Combination of GNS561 and Trametinib in Patients With Advanced KRAS Mutation Cholangiocarcinoma
CTID: NCT05874414
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-06-27
Neratinib and Everolimus, Palbociclib, or Trametinib in Treating Participants With Refractory and Advanced or Metastatic Solid Tumors With EGFR Mutation/Amplification, HER2 Mutation/Amplification, or HER3/4 Mutation or KRAS Mutation
CTID: NCT03065387
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-06-26
Effectiveness and Safety of Dabrafenib in Combination With Trametinib as Adjuvant Treatment for Chinese Patients With Stage III BRAF V600 Mutation-positive Melanoma After Complete Resection
CTID: NCT04666272
Phase:    Status: Recruiting
Date: 2024-06-24
A Phase 1/2 Study of DCC-3116 in Patients With RAS/MAPK Pathway Mutant Solid Tumors
CTID: NCT04892017
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-06-18
Trametinib Plus Anlotinib Combined With Tislelizumab in KRAS-mutant NSCLC
CTID: NCT06456138
Phase: Phase 1/Phase 2    Status: Not yet recruiting
Date: 2024-06-13
Study of Dabrafenib+Trametinib in the Adjuvant Treatment of Stage III BRAF V600+ Melanoma After Complete Resection to Evaluate the Impact on Pyrexia Related Outcomes
CTID: NCT03551626
Phase: Phase 3    Status: Completed
Date: 2024-06-12
Capmatinib Plus Trametinib for the Treatment of Metastatic Non-small Cell Lung Cancer With MET Exon 14 Skipping Mutation
CTID: NCT05435846
Phase: Phase 1    Status: Terminated
Date: 2024-06-11
SJDAWN: St. Jude Children's Research Hospital Phase 1 Study Evaluating Molecularly-Driven Doublet Therapies for Children and Young Adults With Recurrent Brain Tumors
CTID: NCT03434262
Phase: Phase 1    Status: Completed
Date: 2024-05-31
Pilot Study on Trametinib for Surgical Unruptured AVMs
CTID: NCT06098872
Phase: Phase 2    Status: Recruiting
Date: 2024-05-30
A Phase Ib Study of LXH254-centric Combinations in NSCLC or Melanoma
CTID: NCT02974725
Phase: Phase 1    Status: Terminated
Date: 2024-05-17
Comparative Effectiveness of Targeted Therapies in BRAF Positive Metastatic Melanoma in the US
CTID: NCT05260684
Phase:    Status: Completed
Date: 2024-05-14
Trametinib Plus Anlotinib in Non-G12C KRAS-Mutant NSCLC Patients
CTID: NCT0496707
PaTcH Trial: A phase 2 study to explore primary and emerging
CTID: null
Phase: Phase 2    Status: Trial now transitioned
Date: 2022-03-09
A randomized and controlled phase II national protocol in non NF1 pediatric and AYA (Adolescent and Young Adults) patients bearing a wild type BRAF gene newly diagnosed comparing a daily oral MEK inhibitor (Trametinib) versus weekly vinblastine during 18 months
CTID: null
Phase: Phase 2    Status: Trial now transitioned
Date: 2021-10-13
The Finnish National Study to Facilitate Patient Access to Targeted Anti-cancer Drugs to determine the Efficacy in Treatment of Advanced Cancers with a Known Molecular Profile
CTID: null
Phase: Phase 2    Status: Trial now transitioned
Date: 2021-10-06
Neoadjuvant and postoperative treatment with dabrafenib and trametinib
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2021-07-06
A Phase I/II, multi-centre, open-label, adaptive design, umbrella study assessing the safety, tolerability, immunogenicity and efficacy of IN01 in combination with small-molecule inhibitors in two cohort of patients with either constitutively RAS or BRAF mutated unresectable metastatic colorectal cancer eligible for second line treatment.
CTID: null
Phase: Phase 1, Phase 2    Status: Ongoing
Date: 2021-05-19
A Study Of Nivolumab In Combination With Trametinib With Or Without Ipilimumab In Participants With Previously Treated Metastatic Colorectal Cancers
CTID: null
Phase: Phase 1, Phase 2    Status: Restarted, Completed, Ongoing
Date: 2021-04-12
A randomized, open-label, multi-arm, two-part, phase II study to assess the efficacy and safety of multiple LXH254 combinations in patients with previously treated unresectable or metastatic BRAFV600 or NRAS mutant melanoma
CTID: null
Phase: Phase 2    Status: Ongoing, Completed, Trial now transitioned, GB - no longer in EU/EEA
Date: 2020-11-02
Dabrafenib and trametinib in circulating free DNA BRAFV600 mutated metastatic melanoma patients: a prospective phase II, open label, multicentre study – (Bioliquid TAILOR study – BIO-TAILOR)
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2020-10-07
A phase II trial of an individualized treatment strategy for patients with metastatic non-clear cell renal carcinoma
CTID: null
Phase: Phase 2    Status: Trial now transitioned
Date: 2019-11-20
The TRAIN study: TRAmetinib In Neurofibromatosis type 1 related symptomatic plexiform neurofibromas
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2019-10-30
An open label, multi-center roll-over study to assess long-term effect in pediatric patients treated with Tafinlar (dabrafenib) and/or Mekinist (trametinib)
CTID: null
Phase: Phase 4    Status: GB - no longer in EU/EEA, Trial now transitioned, Ongoing
Date: 2019-07-31
A stratified dual-arm open-label two-stage phase 2 trial of trametinib in patients with advanced pretreated BRAFV600 wild-type melanoma
CTID: null
Phase: Phase 2    Status: Completed
Date: 2018-12-19
MOLECULAR PROFILING OF ADVANCED SOFT-TISSUE SARCOMAS - A phase III study
CTID: null
Phase: Phase 3    Status: Trial now transitioned
Date: 2018-10-08
COMBI-APlus: Open-label, phase IIIb study of dabrafenib in COMBInation with trametinib in the Adjuvant treatment of stage III BRAF V600 mutation-positive melanoma after complete resection to evaluate the impact on pyrexia related outcomes of an adapted pyrexia AE-management algorithm (Plus)
CTID: null
Phase: Phase 3    Status: Completed, GB - no longer in EU/EEA
Date: 2018-09-19
Treatment of NF1-related plexiform neurofibroma with trametinib; a single arm, open-label trial with the goals of volumetric partial remission and pain relief
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2018-09-18
Efficacy of immunotherapy in melanoma patients with brain metastases treated with steroids
CTID: null
Phase: Phase 2    Status: Trial now transitioned
Date: 2018-05-30
Phase II open-label global study to evaluate the effect of dabrafenib in
CTID: null
Phase: Phase 2    Status: Ongoing, Completed, GB - no longer in EU/EEA
Date: 2018-01-09
An open label, multi-center roll-over study to assess long-term safety in patients who are ongoing or have completed a prior global Novartis or GSK sponsored Tafinlar (dabrafenib) and/or Mekinist (trametinib) study and are judged by the investigator to benefit from continued treatment
CTID: null
Phase: Phase 3    Status: Trial now transitioned, Ongoing
Date: 2017-12-18
INTERIM: a randomised phase II feasibility study of INTERmittent versus continuous dosing of oral targeted combination therapy In patients with BRAFV600 mutant stage 3 unresectable or metastatic Melanoma
CTID: null
Phase: Phase 2    Status: GB - no longer in EU/EEA
Date: 2017-10-05
Efficacy of a selective MEK (trametinib) and BRAFV600E (dabrafenib) inhibitors associated with radioactive iodine (RAI) for the treatment of refractory metastatic differentiated thyroid cancer with RAS or BRAFV600E mutation
CTID: null
Phase: Phase 2    Status: Completed
Date: 2017-07-31
A randomized, double-blind, placebo-controlled, phase III study comparing the combination of PDR001, dabrafenib and trametinib versus placebo, dabrafenib and trametinib in previously untreated patients with unresectable or metastatic BRAF V600 mutant melanoma
CTID: null
Phase: Phase 3    Status: Ongoing, Prematurely Ended, Completed, GB - no longer in EU/EEA
Date: 2017-02-20
Enhancing Radioiodine Incorporation into Radio Iodine Refractory Thyroid Cancers with MAPK Inhibition: A single center pilot study
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2017-01-31
A phase I/II study of safety and efficacy of ribociclib (LEE011) in combination with trametinib (TMT212) in patients with metastatic or advanced solid tumors
CTID: null
Phase: Phase 1, Phase 2    Status: Prematurely Ended
Date: 2016-05-24
An Open-Label, Dose-Escalation, Phase I/II Study to Investigate the Safety, Pharmacokinetics, Pharmacodynamics and Clinical Activity of the MEK Inhibitor Trametinib in Children and Adolescents Subjects with Cancer or Plexiform Neurofibromas and Trametinib in Combination with Dabrafenib in Children and Adolescents with Cancers Harboring V600 mutation.
CTID: null
Phase: Phase 1, Phase 2    Status: Completed, GB - no longer in EU/EEA
Date: 2015-12-15
Phase 2 Study Comparing Pembrolizumab with Intermittent/Short-term Dual MAPK Pathway Inhibition Plus Pembrolizumab in patients harboring the BRAFV600 mutation (IMPemBra)
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2015-12-03
A Phase I/II Study to Assess the Safety and Efficacy of MK-3475 in Combination with Trametinib and Dabrafenib in Subjects with Advanced Melanoma
CTID: null
Phase: Phase 1, Phase 2    Status: Completed
Date: 2015-10-06
Molecular-biological tumor profiling for drug treatment selection in patients with advanced and refractory carcinoma
CTID: null
Phase: Phase 2    Status: Completed
Date: 2015-05-04
Phase II biomarker study evaluating the upfront combination of BRAF inhibitor dabrafenib with MEK inhibitor trametinib versus the combination after eight weeks of monotherapy with dabrafenib or trametinib in patients with metastatic and unresectable stage III or IV melanoma harbouring an activating BRAF mutation
CTID: null
Phase: Phase 2    Status: Completed
Date: 2015-03-23
An open label non randomized access study of Trametinib for patients with advanced unresectable (stage IIIc) or distant metastatic (stage IV) BRAF V600E/K mutation positive cutaneous melanoma
CTID: null
Phase: Phase 3    Status: Completed
Date: 2015-02-03
A randomized phase II/III study to assess the efficacy of trametinib (GSK 1120212) in patients with recurrent or progressive low-grade serous ovarian cancer or peritoneal cancer (GOG-0281)
CTID: null
Phase: Phase 2, Phase 3    Status: GB - no longer in EU/EEA
Date: 2014-10-24
Phase I/II study with lapatinib plus trametinib in patients with metastatic
CTID: null
Phase: Phase 1, Phase 2    Status: Completed
Date: 2014-07-30
A phase II clinical trial on the combination of dabrafenib and trametinib for BRAF-inhibitor pretreated patients with advanced BRAF V600 mutant melanoma
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2014-04-30
A Phase II, Open-label, Study in Subjects with BRAF V600E Mutated Rare Cancers with Several Histologies to Investigate the Clinical Efficacy and Safety of the Combination Therapy of Dabrafenib and Trametinib
CTID: null
Phase: Phase 2    Status: Completed, Ongoing
Date: 2014-03-06
BRF117277: A Phase II, Open-Label, Multicentre Study of Dabrafenib plus Trametinib in Subjects with BRAF Mutation-Positive Melanoma that has Metastasized to the Brain.
CTID: null
Phase: Phase 2    Status: Completed
Date: 2014-01-27
Cytoreductive treatment of dabrafenib combined with trametinib to allow complete surgical resection in patients with BRAF mutated, prior unresectable stage III or IV melanoma
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2013-12-04
Biopsy- and biology-driven optimization of targeted therapy of metastatic melanoma in BRAF inhibitor non-pretreated and pretreated subjects with advanced, non-resectable (Stage IIIC) or metastatic (Stage IV) BRAF V600 mutation-positive melanoma
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2013-08-19
COMBI-AD: A phase III randomized double blind study of dabrafenib (GSK2118436) in COMBInation with trametinib (GSK1120212) versus two placebos in the ADjuvant treatment of high-risk BRAF V600 mutation-positive melanoma after surgical resection.
CTID: null
Phase: Phase 3    Status: Completed, Ongoing
Date: 2013-02-13
MEK114375: A Rollover Study to Provide Continued Treatment with GSK1120212 to Subjects with Solid Tumors and Leukemia
CTID: null
Phase: Phase 2    Status: Prematurely Ended, Completed
Date: 2013-01-17
A Phase II study of the BRAF inhibitor dabrafenib as a single agent and in combination with the MEK inhibitor trametinib in subjects with BRAF V600E mutation positive metastatic (stage IV) non-small cell lung cancer
CTID: null
Phase: Phase 2    Status: Completed
Date: 2012-09-20
A phase III, randomised, open-label study comparing the combination of the BRAF inhibitor, dabrafenib and the MEK inhibitor, trametinib to the BRAF inhibitor vemurafenib in subjects with unresectable (stage IIIc) or metastatic (stage IV) BRAF V600E/K mutation positive cutaneous melanoma
CTID: null
Phase: Phase 3    Status: Completed
Date: 2012-06-20
A Phase III, randomized, double-blinded study comparing the combination of the BRAF inhibitor, dabrafenib and the MEK inhibitor, trametinib to dabrafenib and placebo as first-line therapy in subjects with unresectable (Stage IIIC) or metastatic (Stage IV) BRAF V600E/K mutation-positive cutaneous melanoma
CTID: null
Phase: Phase 3    Status: Completed
Date: 2012-04-13
A randomised phase 2 study of paclitaxel with or without GSK1120212 in advanced wt BRAF melanoma
CTID: null
Phase: Phase 2    Status: Completed
Date: 2012-01-23
A Phase II, Open-label, Multicenter, Randomized Study to Assess the Efficacy and Safety of GSK1120212 Compared with Docetaxel in 2nd Line Subjects with Targeted Mutations (KRAS, NRAS, BRAF, MEK1) in Locally Advanced or Metastatic Nonsmall Cell Lung Cancer (NSCLC Stage IIIBwet-IV).
CTID: null
Phase: Phase 2    Status: Temporarily Halted, Completed, Prematurely Ended
Date: 2011-07-12
An Open-Label, Dose-Escalation, Phase I/II Study to Investigate the Safety, Pharmacokinetics, Pharmacodynamics and Clinical Activity of the MEK Inhibitor GSK1120212 in Subjects with Relapsed or Refractory Leukemias
CTID: null
Phase: Phase 2    Status: Completed
Date: 2011-03-15
MEK114267, A Phase III randomized, open-label study comparing GSK1120212 to chemotherapy in subjects with advanced or metastatic BRAF V600E/K mutation-positive melanoma
CTID: null
Phase: Phase 3    Status: Completed
Date: 2010-12-21
A Randomized, Double-Blind Placebo-Controlled Phase II Study of the MEK inhibitor GSK1120212 plus Gemcitabine vs. Placebo plus Gemcitabine in Subjects with Metastatic Pancreatic Cancer
CTID: null
Phase: Phase 2    Status: Completed
Date: 2010-10-25
MEK and Autophagy Inhibition in Metastatic/Locally Advanced, Unresectable NRAS Melanoma: A Phase Ib/II Trial of Trametinib plus Hydroxychloroquine in Patients with NRAS Melanoma. CHLORO TRAM MEL
CTID: null
Phase: Phase 1, Phase 2    Status: Ongoing
Date:
Monocentric pilot trial evaluating efficacy of Trametinib in Arteriovenous Malformations that are refractory to standard treatments or for which standard treatment are contra-indicated
CTID: null
Phase: Phase 2    Status: Ongoing
Date:
An Open-Label, Dose-Escalation, Phase IB/ II Study to Investigate the Safety, Pharmacokinetics, Pharmacodynamics and Clinical Activity of the MEK Inhibitor GSK1120212 in Combination with Oral Everolimus in Subjects with Solid Tumors
CTID: null
Phase: Phase 1, Phase 2    Status: Prematurely Ended, Completed
Date:
Optimalization Of The Time And Dosage Of Trametinib In BRAF Negative Juvenile Patients With Refractory Histiocytosis Or After Failure Of Vemurafenib Treatment.
CTID: null
Phase: Phase 2    Status: Trial now transitioned
Date:

生物数据图片
  • Acquired resistance of A375 clones to GSK2118436. A, structures of the BRAF inhibitors GSK2118436 and PLX4032, MEK inhibitor GSK1120212, and PI3K/mTOR inhibitor GSK2126458. Mol Cancer Ther . 2012 Apr;11(4):909-20.
  • MEK mutation reduces sensitivity in A375 cells. A, front and top views of a MEK1 model showing relative positions of GSK1120212 (yellow), ADP, helix A, Gln56, and Lys59. Mol Cancer Ther . 2012 Apr;11(4):909-20.
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