Trametinib (Mekinist)

Targeted Therapy · Approved since 2013

US Off-label EU med_ema_approved ES med_spain_hospital_use med_crc_off_label Oral 18 Clinical Trials
MEK1 MEK2

Description

Trametinib is a selective MEK1/MEK2 inhibitor that blocks the MAPK signaling pathway downstream of RAS and RAF mutations. In colorectal cancer, trametinib is used in combination with other targeted agents like EGFR inhibitors in patients with RAS/RAF wild-type tumors, or as part of precision medicine approaches for tumors harboring specific MAPK pathway alterations. The drug targets the MEK kinases that are critical components of the cell proliferation pathway commonly dysregulated in colorectal malignancies.

Mechanism of Action

Trametinib selectively inhibits MEK1 and MEK2 kinases, which are downstream effectors in the RAS/RAF/MEK/ERK signaling cascade. By blocking MEK activity, trametinib prevents phosphorylation and activation of ERK1/2, ultimately disrupting cellular proliferation, survival signals, and tumor growth in cancers dependent on MAPK pathway activation.

Molecular Targets

Side Effects

Diarrhea Rash Peripheral edema Fatigue Dermatitis acneiform Nausea Decreased ejection fraction Hypertension

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT07440290 med_phase_prefix2
Not yet recruiting
DETERMINE Trial Treatment Arm 07: Dabrafenib in Combination With Trametinib in Adult, Paediatric and Teenage/Young Adult Patients With BRAF V600 Mutation-Positive Cancers.
United Kingdom
NCT05275374 med_phase_prefix1
Not yet recruiting
XP-102 and XP-102 in Combination With Trametinib in Advanced Solid Tumor Patients With a BRAF V600 Mutation
NCT05358249 med_phase_prefix1
Active, not recruiting
Platform Study of JDQ443 in Combinations in Patients With Advanced Solid Tumors Harboring the KRAS G12C Mutation
United States, Belgium, France, Germany, Italy, Singapore, South Korea, Spain
NCT04294160 med_phase_prefix1
Terminated
A Study of Select Drug Combinations in Adult Patients With Advanced/Metastatic BRAF V600 Colorectal Cancer
United States, Australia, Belgium, Canada, Germany, Israel, Netherlands, Singapo
NCT03714958 med_phase_prefix1
Archived
Trametinib + HDM201 in CRC Patients With RAS/RAF Mutant and TP53 Wild-type Advanced/Metastatic Colorectal Cancer Mutant and TP53 Wild-type
France
NCT03668431 med_phase_prefix2
Unknown
Dabrafenib + Trametinib + PDR001 In Colorectal Cancer
United States
View all 18 clinical trials →