trametinib
Trade name: mekinist
Approved
May 29, 2013
Trametinib is a reversible and specific inhibitor of mitogen-activated protein kinase kinases MEK1 and MEK2 which are involved in a RAS/RAF/MEK/ERK signaling pathway and control cell growth, survival, and differentiation. By inhibiting MEK1 and MEK2 trametinib blocks dual phosphorylation of ERK1/2 and stops cell cycling. In addition, trametinib blocks BRAF pathway in the cells with BRAF V600E mutations. Trametinib (as a single agent and in combination with dabrafenib) is approved for the treatment of unresectable or metastatic melanoma with BRAF V600E or V600K mutations. — NCATS
Clinical trial activity
245 trials · 171 clinical orgs · 4 marketing orgs
Earliest trial started Jul 1, 2008 (NCT00687622)
Timeline
2000s
- Jan 1, 2008
GlaxoSmithKline — Earliest Phase 1 Sponsor(trial)
- Jan 1, 2009
GlaxoSmithKline — Earliest Phase 2 Sponsor(trial)
2010s
- Jan 1, 2010
GlaxoSmithKline — Earliest Phase 3 Sponsor(trial)
- Dec 20, 2010
Orphan Drug Designation
- May 29, 2013
GlaxoSmithKline — Earliest FDA Approval
- May 29, 2013
GlaxoSmithKline — NDA Organization
- May 29, 2013
Novartis — NDA Secondary Org
- May 29, 2013
Novartis — Marketing Organization
2020s
- Aug 6, 2024
SciTech Development, LLC — Marketing Organization
- Aug 6, 2024
Hikma — Marketing Organization
Indications
Approved for
Studied for
- Adenocarcinoma · Phase 2
- Adenocarcinoma of Lung · Phase 1/Phase 2
- Adenoma, Oxyphilic · Phase 2
- Ameloblastoma · Phase 2/Phase 3
- Amyotrophic Lateral Sclerosis · Phase 1/Phase 2
- Anemia · Phase 1
- Arteriovenous Malformations · Phase 2
- Astrocytoma · Phase 4
- Bile Duct Neoplasms · Phase 2
- Biliary Tract Neoplasms · Phase 2
- Brain Neoplasms · Phase 2
- Breast Neoplasms · Phase 2
- Bronchial Neoplasms · Phase 1
- Carcinoma, Hepatocellular · Phase 2
- Carcinoma, Non-Small-Cell Lung · Phase 4
- Cardiomegaly · Phase 2
- Central Nervous System Neoplasms · Phase 1
- Child · Phase 2
- Cholangiocarcinoma · Phase 2
- Choroid Plexus Neoplasms · Phase 1
- Colonic Neoplasms · Phase 2
- Colorectal Neoplasms · Phase 2
- Craniopharyngioma · Phase 2
- Dermatology · Phase 2
- Endometrial Neoplasms · Phase 2
- Ependymoma · Phase 1
- Epidermal Growth Factor · Phase 2
- ErbB Receptors · Phase 1
- Erdheim-Chester Disease · Phase 2
- Esophageal Neoplasms · Phase 2
- Gallbladder Neoplasms · Phase 2
- Ganglioglioma · Phase 4
- Ganglioneuroma · Phase 4
- Gastrointestinal Stromal Tumors · Phase 2
- Glioblastoma · Phase 4
- Glioma · Phase 4
- Hamartoma · Phase 2/Phase 3
- Hemangioendothelioma · Phase 2
- Histiocytosis · Phase 2
- Histiocytosis, Langerhans-Cell · Phase 2
- Hodgkin Disease · Phase 1
- Kidney Neoplasms · Phase 2
- Klatskin Tumor · Phase 2
- Leukemia · Phase 1
- Leukemia, Lymphocytic, Chronic, B-Cell · Phase 1
- Leukemia, Myelogenous, Chronic, BCR-ABL Positive · Phase 1/Phase 2
- Leukemia, Myeloid, Acute · Phase 2
- Leukemia, Myeloid, Chronic, Atypical, BCR-ABL Negative · Phase 1
- Leukemia, Myeloid, Chronic-Phase · Phase 1
- Leukemia, Myelomonocytic, Chronic · Phase 2
- Leukemia, Myelomonocytic, Juvenile · Phase 2
- Liver Neoplasms · Phase 2
- Lung Neoplasms · Phase 2
- Lymphoma · Phase 2
- Lymphoma, Non-Hodgkin · Phase 1
- Lymphoma, Primary Cutaneous Anaplastic Large Cell · Phase 1
- Medulloblastoma · Phase 1
- Melanoma · Phase 4
- Meningioma · Phase 1
- Metaplasia · Phase 1
- Mouth Neoplasms · Phase 2
- Multiple Myeloma · Phase 2
- Mutation · Phase 2
- Myelodysplastic Syndromes · Phase 2
- Myeloproliferative Disorders · Phase 1
- Neoplasm Metastasis · Phase 2
- Neoplasms, Germ Cell and Embryonal · Phase 1
- Neoplasms, Neuroepithelial · Phase 1
- Neuroblastoma · Phase 1
- Neurocytoma · Phase 4
- Neurodevelopmental Disorders · Phase 1/Phase 2
- Neuroectodermal Tumors, Primitive · Phase 1
- Neurofibroma, Plexiform · Phase 2
- Neurofibromatosis 1 · Phase 4
- Noonan Syndrome · Phase 2
- Oligodendroglioma · Phase 4
- Ovarian Neoplasms · Phase 2/Phase 3
- Pancreatic Neoplasms · Phase 2
- Paraganglioma · Phase 4
- Peripheral Arterial Disease · Phase 2
- Pinealoma · Phase 1
- Precision Medicine · Phase 2
- Precursor B-Cell Lymphoblastic Leukemia-Lymphoma · Phase 1/Phase 2
- Precursor Cell Lymphoblastic Leukemia-Lymphoma · Phase 1/Phase 2
- Primary Myelofibrosis · Phase 1
- Prostatic Neoplasms · Phase 2
- Prostatic Neoplasms, Castration-Resistant · Phase 1
- Proto-Oncogene Proteins B-raf · Phase 2
- ras Proteins · Phase 2
- Rhabdoid Tumor · Phase 1
- Rosacea · Phase 1
- Sarcoma · Phase 3
- Skin Neoplasms · Phase 2
- Squamous Cell Carcinoma of Head and Neck · Phase 2
- Stomach Neoplasms · Phase 2
- Thyroid Cancer, Papillary · Phase 2
- Thyroid Carcinoma, Anaplastic · Phase 2
- Thyroid Neoplasms · Phase 4
- Urinary Bladder Neoplasms · Phase 2
- Uterine Cervical Neoplasms · Phase 2
- Uterine Neoplasms · Phase 2
- Vascular Diseases · Phase 1/Phase 2
- Venous Cutdown · Phase 2
Mechanism of action
MAP2K2 inhibitor
MAP2K1 inhibitor
Dual specificity mitogen-activated protein kinase kinase; MEK1/2 inhibitor
Reversible inhibitor of MEK1/2. BRAF mutations activate the BRAF pathway that includes MEK1/2 (regulators of cell proliferation). Dabrafenib inhibits a different kinase in the pathway and drug combination has a greater inhibitory effect on tumour growth.
Indicated for cancers with BRAF V600E or V600K mutations.
Approval history
- approvedFast trackMay 29, 2013
Chemistry & pharmacology
SMILES
CC(=O)Nc1cccc(-n2c(=O)n(C3CC3)c(=O)c3c(Nc4ccc(I)cc4F)n(C)c(=O)c(C)c32)c1- Mol. weight
- 615.4 g/mol
- Lipinski Ro5
- 1 violation(s)
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Availability
- Prescription Only
Oral
No
Parenteral
No
Topical
No
Sources
- ChEMBLCHEMBL2103875 ↗
- WikipediaTrametinib ↗
- NCATS33E86K87QN ↗
- ChEMBLCHEMBL2105741 ↗
Also known as
- daborafenib plus trametinib
- gsk1120212
- gsk1120212
- gsk1120212
- gsk1120212
- gsk1120212
- gsk 1120212
- gsk 1120212
- gsk 1120212
- gsk-1120212
- gsk1120212b
- gsk1120212b
- gsk1120212b
- gsk1120212b
- gsk1120212b
- gsk1120212b
- jtp74057
- jtp 74057
- jtp-74057
- jtp-74057
- mekinist
- mekinist
- mekinist
- mekinist
- mekinist
- tmt212
- trametinib
- trametinib
- trametinib
- trametinib
- trametinib
- trametinib
- trametinib
- trametinib
- trametinib
- trametinib
- trametinib dimethyl sulfoxide
- trametinib dimethyl sulfoxide
- trametinib dimethyl sulfoxide
- trametinib dimethyl sulfoxide
- trametinib dimethyl sulfoxide
- trametinibum
- trametinibum
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07110246 | Phase 2 | Nov 7, 2025 | Rising Tide Foundation, University of California, San Francisco |
| NCT07072403 | Phase 1/Phase 2 (Phase 2) | Jul 7, 2025 | Sichuan University |
| NCT07010393 | Phase 4 | Jul 1, 2025 | Fujian Medical University |
| NCT07022834 | Phase 2 | Jun 1, 2025 | Sichuan University |
| NCT06962254 | Phase 1 | May 10, 2025 | China Medical University |
| NCT06895928 | Phase 2 | Mar 28, 2025 | Hengrui Therapeutics, Inc. |
| NCT06819605 | Phase 2/Phase 3 (Phase 3) | Mar 1, 2025 | Jiao Tong University |
| NCT06967155 | Phase 2 | Mar 1, 2025 | Blokhin's Russian Cancer Research Center, Clinuvel Pharmaceuticals Limited, Government of Russia, The Loginov MCSC MHD |
| NCT06804824 | Phase 1 | Feb 25, 2025 | Vividion Therapeutics |
| NCT06754930 | Phase 1/Phase 2 (Phase 2) | Feb 18, 2025 | Suzhou Suncadia Biopharmaceuticals Co., Ltd. |
| NCT06712875 | Phase 1/Phase 2 (Phase 2) | Dec 31, 2024 | Northwestern University |
| NCT06563999 | Phase 2 | Dec 1, 2024 | Sun Yat-Sen University |
| NCT06739395 | Phase 2 | Nov 1, 2024 | Tianjin Medical University |
| NCT06475989 | Phase 3 | Sep 13, 2024 | ECOG-ACRIN Cancer Research Group, National Cancer Institute (NCI) |
| NCT06555237 | Phase 2 | Aug 1, 2024 | Medical University of Warsaw |
| NCT06456138 | Phase 1/Phase 2 (Phase 2) | Jul 1, 2024 | BeOne Medicines, Jiangsu Chia-tai Tianqing Pharmaceutical Co.,Ltd, Jiao Tong University, Novartis |
| NCT06582745 | Phase 2 | Jun 24, 2024 | Cook Children's Medical Center |
| NCT06346067 | Phase 3 | Apr 29, 2024 | Erasca, Inc. |
| NCT06362694 | Phase 2 | Mar 25, 2024 | Saint-Petersburg State Medical University |
| NCT06054191 | Phase 2 | Feb 1, 2024 | Sun Yat-Sen University |
Organizations
Research & Development (171)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| GlaxoSmithKline | For profit | 54 | 44 | 3 | 2008 |
| Novartis | For profit | 54 | 19 | 5 | 2010 |
| National Cancer Institute (NCI) | Government | 45 | 32 | 3 | 2012 |
| University of Texas at Houston | Academic/Hospital | 13 | 10 | 2 | 2012 |
| Harvard University | Academic/Hospital | 12 | 6 | 2 | 2013 |
| ECOG-ACRIN Cancer Research Group | Academic/Hospital | 8 | 2 | 2 | 2015 |
| National Comprehensive Cancer Network | Academic/Hospital | 8 | 0 | 2 | 2011 |
| University of California, San Francisco | Academic/Hospital | 6 | 6 | 2 | 2013 |
| University of Toronto | Academic/Hospital | 6 | 3 | 2 | 2013 |
| Bristol-Myers Squibb | For profit | 5 | 2 | 2 | 2015 |
| Cornell University | Academic/Hospital | 5 | 3 | 2 | 2013 |
| Jiao Tong University | Academic/Hospital | 5 | 4 | 4 | 2020 |
| Merck | For profit | 5 | 1 | 2 | 2014 |
| Amgen | For profit | 4 | 2 | 2 | 2014 |
| Melanoma Institute Australia | Academic/Hospital | 4 | 3 | 2 | 2014 |
| Ohio State University | Academic/Hospital | 4 | 2 | 2 | 2012 |
| Southwest Oncology Group | Academic/Hospital | 4 | 0 | 1 | 2013 |
| University of California, Los Angeles | Academic/Hospital | 4 | 3 | 2 | 2014 |
| Free University of Brussels | Academic/Hospital | 3 | 3 | 1 | 2014 |
| Memorial Sloan-Kettering Cancer Center | Academic/Hospital | 3 | 3 | 1 | 2018 |
Marketing (5)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| GlaxoSmithKline | For profit | NDA | May 29, 2013 |
| Hikma | For profit | MKTG | Aug 6, 2024 |
| Novartis | For profit | NDA2 | May 29, 2013 |
| Novartis | For profit | MKTG | May 29, 2013 |
| SciTech Development, LLC | For profit | MKTG | Aug 6, 2024 |