^
3d
SEL-TH-1601: Trial of Selumetinib in Patients With Neurofibromatosis Type II Related Tumors (clinicaltrials.gov)
P2, N=10, Terminated, Children's Hospital Medical Center, Cincinnati | Completed --> Terminated; Results review of patient data
Trial termination
|
NF2 (Neurofibromin 2)
|
Koselugo (selumetinib)
4d
NCI-2021-11793: Testing the Combination of the Anticancer Drugs ZEN003694 and Binimetinib in Patients With Advanced/Metastatic or Unresectable Solid Tumors With RAS Alterations and Triple Negative Breast Cancer (clinicaltrials.gov)
P1, N=42, Recruiting, National Cancer Institute (NCI) | Trial completion date: Mar 2025 --> Mar 2027 | Trial primary completion date: Mar 2025 --> Mar 2027 | Suspended --> Recruiting
Enrollment open • Trial completion date • Trial primary completion date
|
HER-2 (Human epidermal growth factor receptor 2) • KRAS (KRAS proto-oncogene GTPase) • BRAF (B-raf proto-oncogene) • ER (Estrogen receptor) • PGR (Progesterone receptor) • NRAS (Neuroblastoma RAS viral oncogene homolog) • HRAS (Harvey rat sarcoma viral oncogene homolog) • NF1 (Neurofibromin 1)
|
BRAF mutation • HER-2 amplification • HRAS mutation • BRAF fusion
|
Mektovi (binimetinib) • ZEN-3694
7d
Trial primary completion date
|
BRAF V600E • BRAF V600
|
Mekinist (trametinib) • Tafinlar (dabrafenib)
7d
Targeting the phosphatidylinositol-3-kinase (PI3K) and mitogen activated protein kinase (MAPK) signalling pathways to enhance chemoradiotherapy in locally advanced rectal cancer. (PubMed, Cancer Treat Res Commun)
A panel of colorectal cancer (CRC) cell lines (n = 10) with varying PI3K and MAPK mutational backgrounds were treated with combinations of 5-Flourouracil (5-FU), radiation, the PI3K inhibitor copanlisib, and/or the MEK inhibitor refametinib, and their effects on proliferation in vitro were measured...Our results suggest that activation of the kinase signalling pathway may modulate PI3K/MEK inhibitor responsiveness in colorectal cancer. Furthermore, the addition of copanlisib to 5-FU chemoradiotherapy resulted in an enhanced anti-proliferative cytotoxic effect compared to 5-FU chemoradiotherapy alone, regardless of the background mutational status, and supports further clinical development of this regimen.
Journal
|
KRAS (KRAS proto-oncogene GTPase) • PIK3CA (Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha)
|
KRAS mutation • PIK3CA mutation • KRAS wild-type • RAS wild-type
|
5-fluorouracil • Aliqopa (copanlisib) • refametinib (BAY86-9766)
7d
Ultrasound-Assisted Synthesis of Substituted Chalcone-Linked 1,2,3-Triazole Derivatives as Antiproliferative Agents: In Vitro Antitumor Activity and Molecular Docking Studies. (PubMed, Int J Mol Sci)
Additionally, in the cell lines where activity was observed, some compounds demonstrated an In vitro inhibitory effect superior to that of the control, paclitaxel...In Gb-d1 cells, compounds 4l and 4p exhibited favorable interactions with mitogen-activated protein kinase (MEK) protein, similar to those observed with the known inhibitor selumetinib. In HeLa cells, compounds 4h and 4g showed activity against dihydrofolate reductase (DHFR) protein, driven by hydrogen bonding interactions and favorable aromatic ring orientations. On the other hand, compounds 4b and 4t exhibited no activity, likely due to unfavorable interactions related to halogen substitutions in the aromatic rings.
Preclinical • Journal
|
TGM2 (Transglutaminase 2)
|
paclitaxel • Koselugo (selumetinib)
7d
A Phase 2 PBTC Study of Selumetinib for Recurrent/Progressive Pediatric Low-Grade Glioma: Strata 2, 5, and 6 with Long-term Outcomes on Strata 1, 3, and 4. (PubMed, Neuro Oncol)
Selumetinib provided stability and responses across many pLGG subgroups, and some patients achieved prolonged disease control without additional therapy.
P2 data • Journal
|
BRAF (B-raf proto-oncogene) • NF1 (Neurofibromin 1) • KIAA1549
|
BRAF V600E • BRAF V600 • BRAF fusion
|
Koselugo (selumetinib)
8d
Defactinib, Avutometinib and Nivolumab for the Treatment of Anti-PD1 Refractory LKB1-Mutant Advanced Non-Small Cell Lung Cancer (clinicaltrials.gov)
P2, N=50, Recruiting, Emory University | Trial completion date: Jun 2026 --> Sep 2028 | Trial primary completion date: Aug 2025 --> Mar 2028
Trial completion date • Trial primary completion date • IO biomarker
|
Opdivo (nivolumab) • avutometinib (VS-6766) • defactinib (VS-6063) • ABP 206 (nivolumab biosimilar)
8d
Enrollment change
|
NF1 (Neurofibromin 1)
|
carboplatin • Koselugo (selumetinib) • vincristine
8d
Longitudinal analysis reveals dynamic changes in histopathologic features in responders to neoadjuvant treatment in a stage III BRAF-mutant melanoma cohort. (PubMed, Mod Pathol)
This study deepens our understanding of treatment response markers and their dynamic changes during neoadjuvant therapy. It underscores the significance of these features, particularly given their early emergence and strong associations with response and recurrence.
Journal • PD(L)-1 Biomarker • IO biomarker
|
BRAF (B-raf proto-oncogene)
|
BRAF mutation
|
Keytruda (pembrolizumab) • Mekinist (trametinib) • Tafinlar (dabrafenib)
9d
Testing the Use of Fulvestrant and Binimetinib Targeted Treatment for NF1 Mutation in Hormone Receptor-Positive Metastatic Breast Cancer (A ComboMATCH Treatment Trial) (clinicaltrials.gov)
P2, N=1, Terminated, National Cancer Institute (NCI) | N=95 --> 1 | Trial completion date: Nov 2026 --> Apr 2025 | Active, not recruiting --> Terminated | Trial primary completion date: Nov 2026 --> Apr 2025; Other - slow accrual
Enrollment change • Trial completion date • Trial termination • Trial primary completion date
|
HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor) • NF1 (Neurofibromin 1)
|
HER-2 negative
|
Mektovi (binimetinib) • fulvestrant
9d
THREAD: Trametinib and Hydroxychloroquine in Treating Patients With Pancreatic Cancer (clinicaltrials.gov)
P1, N=25, Active, not recruiting, University of Utah | Recruiting --> Active, not recruiting | N=39 --> 25 | Trial completion date: Jan 2026 --> Mar 2029
Enrollment closed • Enrollment change • Trial completion date
|
Mekinist (trametinib) • hydroxychloroquine
9d
PORTSIDE: A Study Comparing 3 Study Medicines (Encorafenib, Binimetinib, Pembrolizumab) to 2 Study Medicines (Ipilimumab and Nivolumab) in Patients With Advanced Melanoma (clinicaltrials.gov)
P2, N=38, Active, not recruiting, Pfizer | Trial completion date: May 2027 --> Nov 2025 | Trial primary completion date: May 2025 --> Nov 2025
Trial completion date • Trial primary completion date • IO biomarker
|
BRAF (B-raf proto-oncogene)
|
BRAF V600E • BRAF V600 • BRAF V600K
|
Keytruda (pembrolizumab) • Opdivo (nivolumab) • Yervoy (ipilimumab) • Mektovi (binimetinib) • Braftovi (encorafenib)
10d
RO5126766 attenuates osteoarthritis by inhibiting osteoclastogenesis and protecting chondrocytes through mediating the ERK pathway. (PubMed, J Orthop Translat)
By demonstrating its ability to inhibit osteoclast differentiation and protect articular cartilage, RO could offer a new avenue for disease-modifying treatments in OA. Thus, this paper provides valuable insights into understanding the molecular mechanisms and treatment of OA.
Journal
|
NFATC1 (Nuclear Factor Of Activated T Cells 1) • FOS (Fos Proto-Oncogene AP-1 Transcription Factor Subunit 2)
|
avutometinib (VS-6766)
14d
Efficacy of osimertinib resumption with dabrafenib and trametinib for elderly patients with EGFR-mutated lung adenocarcinoma harboring acquired BRAF V600E resistant mutation resistant to osimertinib. (PubMed, Jpn J Clin Oncol)
In an 81-year-old woman, osimertinib resumption with reduced doses of dabrafenib and trametinib showed therapeutic efficacy with an acceptable safety profile after osimertinib failure. The present case suggests that under active dose modifications of dabrafenib and trametinib, triple TKI therapy exerts therapeutic effects in elderly patients with osimertinib-resistant EGFR-mutated NSCLC and a BRAF V600E mutation.
Journal
|
EGFR (Epidermal growth factor receptor) • BRAF (B-raf proto-oncogene)
|
BRAF V600E • EGFR mutation • BRAF V600
|
Mekinist (trametinib) • Tagrisso (osimertinib) • Tafinlar (dabrafenib)
14d
The Assessment of the Effect of Autophagy Inhibitors-Chloroquine and 3-Methyladenine on the Antitumor Activity of Trametinib Against Amelanotic Melanoma Cells. (PubMed, Cells)
Differences in the level of LC3A/B and LC3B proteins between the chloroquine and the 3-methyladenine samples indicate that these drugs inhibit autophagy at different stages. The enhancement of the effect of trametinib by autophagy inhibitors suggests the possibility of combining drugs with anti-cancer potential with modulators of the autophagy process.
Journal
|
MAP2K1 (Mitogen-activated protein kinase kinase 1) • MAP2K2 (Mitogen-activated protein kinase kinase 2) • MAP1LC3A (Microtubule Associated Protein 1 Light Chain 3 Alpha)
|
Mekinist (trametinib) • chloroquine phosphate
14d
A Phase Ia/b study of MEK1/2 inhibitor binimetinib with MET inhibitor crizotinib in patients with RAS mutant advanced colorectal cancer (MErCuRIC). (PubMed, BMC Cancer)
Combination binimetinib/crizotinib showed a poor tolerability with no objective responses observed in RASMT advanced CRC patients. EudraCT-Number: 2014-000463 - 40 (20/06/2014: A Sequential Phase I study of MEK1/2 inhibitors PD- 0325901 or Binimetinib combined with cMET inhibitor Crizotinib in RAS Mutant and RAS Wild Type with aberrant c-MET).
Journal
|
KRAS (KRAS proto-oncogene GTPase) • STAT3 (Signal Transducer And Activator Of Transcription 3)
|
MET amplification • RAS mutation • RAS wild-type • MET expression
|
Xalkori (crizotinib) • Mektovi (binimetinib)
14d
STARBOARD: A Clinical Trial of Three Study Medicines (Encorafenib, Binimetinib, and Pembrolizumab) in Patients With Advanced or Metastatic Melanoma (clinicaltrials.gov)
P3, N=256, Active, not recruiting, Pfizer | Trial completion date: Jun 2026 --> Dec 2025 | Trial primary completion date: May 2025 --> Sep 2025
Trial completion date • Trial primary completion date
|
BRAF (B-raf proto-oncogene)
|
BRAF V600E • BRAF V600 • BRAF V600K
|
Keytruda (pembrolizumab) • Mektovi (binimetinib) • Braftovi (encorafenib)
15d
Selective USP7 inhibition synergizes with MEK1/2 inhibitor to enhance immune responses and potentiate anti-PD-1 therapy in NRAS mutant melanoma. (PubMed, J Invest Dermatol)
Notably, the triple combination of USP7i, MEKi, and anti-PD-1 antibody resulted in durable tumor regression, with effects persisting beyond 80 days after treatment cessation. These findings establish USP7i+MEKi as a promising strategy for targeting NRAS, an 'undruggable' mutation in melanoma, and provide a strong rationale for the clinical development of USP7i plus MEKi as an adjuvant therapy to enhance anti-PD-1 immunotherapy in NRAS mutant melanoma patients.
Journal • PD(L)-1 Biomarker • IO biomarker
|
NRAS (Neuroblastoma RAS viral oncogene homolog) • CD8 (cluster of differentiation 8) • CDKN1A (Cyclin-dependent kinase inhibitor 1A) • TP53BP1 (Tumor Protein P53 Binding Protein 1) • USP7 (Ubiquitin Specific Peptidase 7)
|
TP53 mutation • NRAS mutation
|
Mekinist (trametinib)
16d
Antiproliferative and apoptotic effects of (1R*,12R*)-dolabella-4(16),7,10-triene-3,13-dione (CI-A) in oral cancer cells are mediated by oxidative stress and ERK activation. (PubMed, Int Immunopharmacol)
Notably, a ROS inhibitor, N-acetylcysteine (NAC), attenuates all CI-A-modulated changes. Moreover, the CI-A-triggered annexin V-detected apoptosis and caspase 3/8/9 activations of oral cancer cells were downregulated by PD98059. In conclusion, CI-A induces the oxidative-stress- and ERK-dependent antiproliferative and apoptotic mechanism in oral cancer cells and shows the benefit of non-cytotoxicity to normal cells.
Journal
|
CASP3 (Caspase 3) • CASP8 (Caspase 8) • CASP9 (Caspase 9) • ANXA5 (Annexin A5)
|
PD98059
17d
ReNeu: A Pivotal Phase 2b Trial of Mirdametinib in Children and Adults With Neurofibromatosis Type 1 (NF1)-Associated Symptomatic Plexiform Neurofibroma (PN) (S29.003). (PubMed, Neurology)
Dr. babovic-vuksanovic has received personal compensation in the range of $500-$4,999 for serving as a USMLE items review with NBME.
P2b data • Journal
|
NF1 (Neurofibromin 1)
|
Gomekli (mirdametinib)
17d
EAY131-R: Testing Trametinib as a Potential Targeted Treatment in Cancers With BRAF Genetic Changes (MATCH-Subprotocol R) (clinicaltrials.gov)
P2, N=35, Active, not recruiting, National Cancer Institute (NCI) | Trial completion date: Mar 2025 --> Mar 2026
Trial completion date
|
BRAF (B-raf proto-oncogene)
|
BRAF mutation • BRAF fusion
|
Mekinist (trametinib)
17d
EAY131-Z1A: Testing Binimetinib as a Potential Targeted Treatment in Cancers With NRAS Genetic Changes (MATCH-Subprotocol Z1A) (clinicaltrials.gov)
P2, N=53, Active, not recruiting, National Cancer Institute (NCI) | Trial completion date: Mar 2025 --> Mar 2026
Trial completion date
|
NRAS (Neuroblastoma RAS viral oncogene homolog)
|
NRAS mutation
|
Mektovi (binimetinib)
17d
Trametinib and Docetaxel in Treating Patients With Recurrent or Stage IV KRAS Mutation Positive Non-small Cell Lung Cancer (clinicaltrials.gov)
P2, N=60, Active, not recruiting, National Cancer Institute (NCI) | Trial completion date: Mar 2025 --> Mar 2026
Trial completion date
|
KRAS (KRAS proto-oncogene GTPase)
|
KRAS mutation • KRAS G12C • KRAS G12
|
Mekinist (trametinib) • docetaxel • omipalisib (GSK2126458)
18d
Enrollment open
|
MAPK1 (Mitogen-activated protein kinase 1)
|
BRAF V600E • BRAF V600
|
Mektovi (binimetinib) • oxaliplatin • leucovorin calcium • fluorouracil topical
18d
Exploration of SUSD3 in pan-cancer: studying its role, predictive analysis, and biological significance in various malignant tumors in humans. (PubMed, Front Immunol)
Molecular docking studies revealed that selumetinib inhibits tumor cell proliferation...These findings provide valuable insights and establish a foundation for further exploration of SUSD3's role in pan-carcinomas. Additionally, they offer novel perspectives and potential targets for the development of innovative therapeutic strategies in cancer treatment.
Journal • IO biomarker • Pan tumor
|
CD4 (CD4 Molecule)
|
Koselugo (selumetinib)
18d
EGF-Upregulated lncRNA ESSENCE Promotes Colorectal Cancer Growth through Stabilizing CAD and Ferroptosis Defense. (PubMed, Research (Wash D C))
Importantly, combinational treatment of the mitogen-activated extracellular signal-regulated kinase inhibitor selumetinib and ferroptosis inducer sulfasalazine synergistically suppresses ESSENCE-high CRC in a patient-derived xenograft mouse model. Taken together, these findings demonstrate the crucial role of ESSENCE in mediating CRC progression by regulating CAD stabilization and suggest a therapeutic strategy of targeting the ESSENCE-CAD axis in CRC.
Journal
|
KEAP1 (Kelch Like ECH Associated Protein 1)
|
Koselugo (selumetinib)
18d
MEK inhibitors for the treatment of immunotherapy-resistant, AGK-BRAF fusion advanced acral melanoma: a case report and literature review. (PubMed, J Cancer Res Clin Oncol)
This case underscores the need for personalized approaches in treating AM, especially those with rare molecular alterations like AGK-BRAF fusion. Insights from genomic and immune profiling may inform future therapeutic strategies to overcome resistance and improve outcomes in this challenging melanoma subtype.
Review • Journal • PD(L)-1 Biomarker • IO biomarker
|
PD-L1 (Programmed death ligand 1) • BRAF (B-raf proto-oncogene) • CD8 (cluster of differentiation 8) • AGK (Acylglycerol Kinase) • CD68 (CD68 Molecule)
|
BRAF mutation • BRAF fusion
|
Mekinist (trametinib) • Lenvima (lenvatinib)
18d
PLK1 blockade enhances the anti-tumor effect of MAPK inhibition in pancreatic ductal adenocarcinoma. (PubMed, Cell Rep)
This causes the accumulation of DNA damage, ultimately leading to apoptotic cell death. Dual PLK1/MEK inhibition emerges as a promising targeted approach in PDAC.
Journal
|
PLK1 (Polo Like Kinase 1)
|
Mekinist (trametinib) • volasertib (NBL-001)
21d
The feasible role of soluble E‑cadherin in spheroidogenesis of HCT116 colorectal cancer cells, a candidate biomarker for liquid biopsy. (PubMed, Oncol Lett)
Notably, the proliferation and viability of cells following treatment with 5-fluorouracil, epidermal growth factor receptor inhibitor and src kinase inhibitor were similar between the cell lines. PD98059 inhibited ERK activation and enhanced E-cadherin expression in conventional culture without affecting spheroidogenesis. These results suggested that soluble E-cadherin may be considered as a biomarker for colorectal cancer, although exogenous E-cadherin might not have a further role in malignant transformation.
Journal • Liquid biopsy
|
EGFR (Epidermal growth factor receptor) • CDH1 (Cadherin 1)
|
5-fluorouracil • PD98059
21d
A Study of Avutometinib (VS-6766) and Defactinib in People With Mesonephric Gynecologic Cancer (clinicaltrials.gov)
P2, N=40, Recruiting, Memorial Sloan Kettering Cancer Center | Trial completion date: Mar 2025 --> Mar 2026 | Trial primary completion date: Mar 2025 --> Mar 2026
Trial completion date • Trial primary completion date
|
avutometinib (VS-6766) • defactinib (VS-6063)
21d
US Selumetinib Registry (clinicaltrials.gov)
P=N/A, N=37, Terminated, Alexion Pharmaceuticals, Inc. | N=200 --> 37 | Trial completion date: Jun 2028 --> Nov 2024 | Recruiting --> Terminated | Trial primary completion date: Feb 2028 --> Nov 2024; Sponsor decision.
Enrollment change • Trial completion date • Trial termination • Trial primary completion date
|
NF1 (Neurofibromin 1)
|
Koselugo (selumetinib)
23d
A multicenter randomized study of safety and efficacy of MAPK pathway inhibition as first-line therapy in the treatment of pediatric Langerhans cell histiocytosis (ChiCTR2500097759)
P1, N=212, Not yet recruiting, Beijing Children's Hospital, Capital Medical University; Beijing Children's Hospital, Capital Medical University
New P1 trial
|
Mekinist (trametinib) • Tafinlar (dabrafenib) • vindesine
24d
Molecular Evidence Supporting MEK Inhibitor Therapy in NF1 Pseudarthrosis. (PubMed, J Bone Joint Surg Am)
MEK inhibitors may promote the healing of fracture pseudarthroses in children with NF1.
Journal
|
NF1 (Neurofibromin 1)
|
Mekinist (trametinib) • Koselugo (selumetinib)
24d
Binimetinib and Hydroxychloroquine in Patients With Advanced KRAS Mutant Non-Small Cell Lung Cancer (clinicaltrials.gov)
P2, N=9, Completed, Abramson Cancer Center at Penn Medicine | Active, not recruiting --> Completed
Trial completion
|
KRAS (KRAS proto-oncogene GTPase)
|
KRAS mutation
|
Mektovi (binimetinib) • hydroxychloroquine
25d
New P1 trial
|
Mekinist (trametinib) • Ariely (adebrelimab)
25d
Oncogenic activation of SMYD3-SHCBP1 promotes breast cancer development and is coupled with resistance to immune therapy. (PubMed, Cell Death Dis)
We further demonstrated that the combinatory treatment of trametinib together with PD1 antibody enhances the function of effector T cells, sensitizing tumors with elevated Smyd3 and Shcbp1 signaling to αPD1 treatment. This study advances the understanding of breast tumor progression and provides a new selective strategy for breast cancer patients.
Journal • BRCA Biomarker • PD(L)-1 Biomarker • IO biomarker
|
BRCA1 (Breast cancer 1, early onset) • SMYD3 (SET And MYND Domain Containing 3)
|
Mekinist (trametinib)
30d
MATRIX-Rare: Precision Cancer Therapy in Rare Cancers (clinicaltrials.gov)
P2, N=96, Recruiting, Oslo University Hospital | Not yet recruiting --> Recruiting | Trial completion date: Aug 2033 --> Aug 2036 | Trial primary completion date: Nov 2028 --> Nov 2033
Enrollment open • Trial completion date • Trial primary completion date
|
Mekinist (trametinib) • Tafinlar (dabrafenib) • imatinib
1m
Monocytic meningitis complicating histiocytosis and response to MEK-inhibitor: a case series. (PubMed, Ann Hematol)
Treatment with binimetinib rapidly improved the patient's clinical condition...Cobimetinib also proved effective in managing CNS symptoms...In cases of neurological involvement in histiocytosis, lumbar puncture and liquid biopsy can sometime overcome the need for a meningeal biopsy. The molecular characterization of histiocytosis is essential for considering the use of targeted therapy, but the lack of an identified mutation should not preclude the use of anti-MEK therapy.
Journal
|
MAP2K1 (Mitogen-activated protein kinase kinase 1)
|
Cotellic (cobimetinib) • Mektovi (binimetinib)
1m
Trametinib and Navitoclax in Treating Patients With Advanced or Metastatic Solid Tumors (clinicaltrials.gov)
P1/2, N=96, Active, not recruiting, National Cancer Institute (NCI) | Trial completion date: Mar 2025 --> Mar 2026
Trial completion date • IO biomarker
|
KRAS (KRAS proto-oncogene GTPase) • NRAS (Neuroblastoma RAS viral oncogene homolog) • BCL2L2 (BCL2 Like 2)
|
KRAS mutation • NRAS mutation
|
Mekinist (trametinib) • navitoclax (ABT 263) • omipalisib (GSK2126458)
1m
Preclinical activity of the type II RAF inhibitor tovorafenib in tumor models harboring either a BRAF fusion or an NF1-loss of function mutation. (PubMed, Cancer Res Commun)
In NF1-LOF tumor cells treated with tovorafenib, increase in phosphorylated-ERK (pERK) was observed at low concentrations, with inhibition of pERK at higher concentrations. When tovorafenib was combined with pimasertib in vitro, synergy was observed in a NF1-LOF embryonal rhabdomyosarcoma PDX model ex vivo and a NF1-LOF MPNST cell line in vitro, suggesting that vertical pathway inhibition is needed in the NF1-LOF mutant setting.
Preclinical • Journal
|
BRAF (B-raf proto-oncogene) • NF1 (Neurofibromin 1) • AGK (Acylglycerol Kinase)
|
BRAF mutation • BRAF V600 • BRAF fusion
|
Ojemda (tovorafenib) • pimasertib (AS703026)