vemurafenib
Trade name: zelboraf
Approved
Aug 17, 2011
Vemurafenib (trade name Zelboraf) is a low molecular weight, orally available kinase inhibitor. It inhibits of some mutated forms of BRAF serinethreonine kinase, including BRAF V600E and is indicated for the treatment of patients with unresectable or metastatic melanoma with BRAF V600E mutation as detected by an FDA-approved test. Vemurafenib also inhibits other kinases in vitro such as CRAF, ARAF, wild-type BRAF, SRMS, ACK1, MAP4K5 and FGR at similar concentrations. Vemurafenib is not recommended for use in patients with wild-type BRAF melanoma. Zelboraf does not cure melanoma, but stops it's progression. Some 26% of patients in clinical trials developed a non melanoma form of skin cancer called cutaneous squamous cell carcinoma, which can usually be removed via relatively simple surgery. Other side effects include joint pain, rash, hair loss, fatigue, nausea, and skin sensitivity to sunlight. Patients taking Zelboraf must avoid sun exposure. It's not yet clear how long Zelboraf can increase melanoma survival. — NCATS
Clinical trial activity
148 trials · 115 clinical orgs · 2 marketing orgs
Earliest trial started Nov 1, 2006 (NCT00405587)
Timeline
2000s
Indications
Approved for
Studied for
- Anemia · Phase 1
- Biliary Tract Neoplasms · Phase 2
- Brain Neoplasms · Phase 2
- Breast Neoplasms · Phase 2
- Carcinoma, Non-Small-Cell Lung · Phase 2/Phase 3
- Colorectal Neoplasms · Phase 3
- Craniopharyngioma · Phase 2
- Ependymoma · Phase 2
- Erdheim-Chester Disease · Phase 2/Phase 3
- Gastrointestinal Neoplasms · Phase 2
- Glioma · Phase 2/Phase 3
- Hepatoblastoma · Phase 2
- Histiocytosis · Phase 2
- Histiocytosis, Langerhans-Cell · Phase 2
- Hodgkin Disease · Phase 1
- Laryngeal Neoplasms · Phase 2/Phase 3
- Leukemia · Phase 2
- Leukemia, Hairy Cell · Phase 2
- Leukemia, Lymphocytic, Chronic, B-Cell · Phase 1
- Leukemia, Myelogenous, Chronic, BCR-ABL Positive · Phase 1
- Leukemia, Myeloid, Acute · Phase 2
- Leukemia, Myeloid, Chronic, Atypical, BCR-ABL Negative · Phase 1
- Leukemia, Myeloid, Chronic-Phase · Phase 1
- Leukemia, Myelomonocytic, Chronic · Phase 1
- Lymphoma · Phase 1/Phase 2
- Lymphoma, Non-Hodgkin · Phase 2
- Lymphoma, Primary Cutaneous Anaplastic Large Cell · Phase 1
- Multiple Myeloma · Phase 2/Phase 3
- Mutation · Phase 2
- Myelodysplastic Syndromes · Phase 1
- Myeloproliferative Disorders · Phase 1
- Neoplasm Metastasis · Phase 2
- Neoplasms, Germ Cell and Embryonal · Phase 2
- Neuroblastoma · Phase 2
- Neuroectodermal Tumors, Primitive, Peripheral · Phase 2
- Osteosarcoma · Phase 2
- Ovarian Neoplasms · Phase 2/Phase 3
- Pancreatic Neoplasms · Phase 2
- Precursor B-Cell Lymphoblastic Leukemia-Lymphoma · Phase 1
- Primary Myelofibrosis · Phase 1
- Prostatic Neoplasms · Phase 2
- Prostatic Neoplasms, Castration-Resistant · Phase 1
- Proto-Oncogene Proteins B-raf · Phase 1
- ras Proteins · Phase 1
- Rhabdoid Tumor · Phase 2
- Rhabdomyosarcoma · Phase 2
- Sarcoma · Phase 2
- Sarcoma, Clear Cell · Phase 2
- Sarcoma, Ewing · Phase 2
- Skin Neoplasms · Phase 1
- Thyroid Cancer, Papillary · Phase 2/Phase 3
- Thyroid Carcinoma, Anaplastic · Phase 2/Phase 3
- Thyroid Neoplasms · Phase 2
- Urinary Bladder Neoplasms · Phase 2
- Wilms Tumor · Phase 2
Mechanism of action
BRAF inhibitor
Indicated for mutated form - V600E
Approval history
- approvedPriority reviewAug 17, 2011
Chemistry & pharmacology
SMILES
CCCS(=O)(=O)NC1=C(F)C(C(=O)C2=CNC3=C2C=C(C=N3)C4=CC=C(Cl)C=C4)=C(F)C=C1- Mol. weight
- 489.922 g/mol
- Lipinski Ro5
- 1 violation(s)
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- WikipediaVemurafenib ↗
- NCATS207SMY3FQT ↗
- ChEMBLCHEMBL1229517 ↗
Also known as
- 1-propanesulfonamide, n-(3-((5-(4-chlorophenyl)-1h-pyrrolo(2,3-b)pyridin-3- yl)carbonyl)-2,4-difluorophenyl)-
- braf(v600e) kinase inhibitor ro5185426
- braf(v600e) kinase inhibitor ro5185426
- n-(3-((5-(4-chlorophenyl)-1h-pyrrolo(2,3-b)pyridin-3-yl)carbonyl)-2,4- difluorophenyl)propane-1-sulfonamide
- plx4032
- plx4032
- plx4032
- plx 4032
- plx-4032
- plx-4032
- plx-4032
- plx-4032
- plx-4032
- r05185426
- rg7204
- rg 7204
- rg-7204
- rg-7204
- rg-7204
- ro5185426
- ro5185426
- ro 5185426
- ro 51-85426
- ro-5185426
- ro-5185426
- vemurafenib
- vemurafenib
- vemurafenib
- vemurafenib
- vemurafenib
- vemurafenib
- vemurafenib
- vemurafenib
- vemurafenib
- vemurafenib
- vermurafenib
- zelboraf
- zelboraf
- zelboraf
- zelboraf
- zelboraf
- zelboraf
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06763029 | Phase 2 | Feb 26, 2025 | Fudan University |
| NCT06692491 | Phase 2 | Jan 1, 2025 | Peking University |
| NCT06561360 | Phase 2 | Sep 9, 2024 | Genentech, Memorial Sloan-Kettering Cancer Center |
| NCT06603376 | Phase 2 | Sep 1, 2024 | Second Military Medical University |
| NCT06008119 | Phase 3 | Nov 24, 2023 | Kechow Pharma |
| NCT05900219 | Phase 2 | Sep 24, 2023 | Chinese Academy of Medical Sciences, Kechow Pharma |
| NCT05768178 | Phase 2/Phase 3 (Phase 3) | Mar 1, 2023 | Cancer Research UK, Roche, Royal Marsden Hospital NHS Trust, The Christie NHS Foundation Trust, University of Birmingham, University of Manchester |
| NCT05722886 | Phase 2/Phase 3 (Phase 3) | Mar 1, 2023 | Cancer Research UK, Roche, Royal Marsden Hospital NHS Trust, The Christie NHS Foundation Trust, University of Birmingham, University of Manchester |
| NCT05238831 | Phase 2 | Dec 1, 2022 | Genentech, OHSU Knight Cancer Institute, Oregon Health and Science University |
| NCT05233332 | Phase 2 | Feb 28, 2022 | Kechow Pharma |
| NCT05388123 | Phase 2 | Jan 1, 2022 | Scripps |
| NCT05159245 | Phase 2 | Dec 10, 2021 | University of Helsinki |
| NCT05068752 | Phase 2 | Oct 28, 2021 | Bayer, Genentech, HonorHealth Research Institute |
| NCT05263453 | Phase 2 | Sep 6, 2021 | Kechow Pharma |
| NCT04801966 | N/A | Jun 30, 2021 | Peter MacCallum Cancer Centre |
| NCT05019534 | Phase 1 | May 1, 2021 | Sichuan University |
| NCT04943198 | Phase 2 | Apr 1, 2021 | Curie Institute, Institution of Mother and Child, Warsaw, Poland, Łukasiewicz Research Network, Wrocław University of Environmental and Life Sciences |
| NCT04551521 | Phase 2 | Nov 1, 2020 | German Cancer Research Center, NCT Studienzentrale |
| NCT04722575 | Phase 2 | Oct 12, 2020 | Clinical Research Technology S.r.l., Fondazione Melanoma Onlus |
| NCT04591431 | Phase 2 | Oct 7, 2020 | University of Roma La Sapienza |
Organizations
Research & Development (115)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Roche | For profit | 48 | 33 | 4 | 2006 |
| Genentech | For profit | 27 | 5 | 4 | 2011 |
| University of Texas at Houston | Academic/Hospital | 9 | 7 | 2 | 2012 |
| Harvard University | Academic/Hospital | 8 | 3 | 2 | 2012 |
| National Cancer Institute (NCI) | Government | 7 | 4 | 2 | 2012 |
| Cornell University | Academic/Hospital | 6 | 4 | 3 | 2011 |
| Bristol-Myers Squibb | For profit | 5 | 2 | 2 | 2011 |
| Kechow Pharma | For profit | 5 | 5 | 3 | 2018 |
| University of South Florida | Academic/Hospital | 4 | 4 | 2 | 2012 |
| AstraZeneca | For profit | 3 | 0 | 1 | 2016 |
| Bayer | For profit | 3 | 0 | 1 | 2016 |
| Fondazione Melanoma Onlus | Academic/Hospital | 3 | 3 | 1 | 2014 |
| Memorial Sloan-Kettering Cancer Center | Academic/Hospital | 3 | 3 | 2 | 2018 |
| Merck | For profit | 3 | 0 | 2 | 2013 |
| Netherlands Cancer Institute | Academic/Hospital | 3 | 1 | 1 | 2014 |
| Pfizer | For profit | 3 | 0 | 1 | 2016 |
| Second Military Medical University | Government | 3 | 3 | 1 | 2017 |
| University of California, San Francisco | Academic/Hospital | 3 | 2 | 2 | 2012 |
| University of Pittsburgh | Academic/Hospital | 3 | 3 | 2 | 2013 |
| Yale University | Academic/Hospital | 3 | 1 | 1 | 2013 |