Dabrafenib


Other name

-

International/Other brands

Tafinlar

Groups

Approved

Structure

Prescription products

NameDosageStrengthRouteLabeller
TafinlarCapsule50 mgOralNovartis
TafinlarCapsule50 mg/1OralNovartis
TafinlarCapsule50 mg/1OralGlaxosmithkline Inc
TafinlarCapsule75 mg/1OralNovartis
TafinlarCapsule75 mgOralNovartis
TafinlarCapsule75 mg/1OralGlaxosmithkline Inc

Target

EGFR

Description

Dabrafenib mesylate is a reversible ATP-competitive kinase inhibitor and targets the MAPK pathway. FDA approved on May 29, 2013.

Indications

Dabrafenib is indicated for the treatment of patients with unresectable or metastatic melanoma with BRAF V600E mutation as detected by an FDA-approved test.

Other indications

-

Mechaism of action

-

Absorption

After oral administration, median time to achieve peak plasma concentration (Tmax) is 2 hours. Mean absolute bioavailability of oral dabrafenib is 95%.

Metabolism

Dabrafenib is hepatically metabolized. The biotransformation process is primarily mediated by CYP2C8 and CYP3A4 to form hydroxy-debrafenib. This metabolite is further oxidized via CYP3A4 to form carboxy-dabrafenib and subsequently excreted in bile and urine. Carboxy-dabrafenib can also undergo decarboxylation to form desmethyl-dabrafenib, which may be reabsorbed from the gut. Desmethyl-dabrafenib is further metabolized by CYP3A4 to oxidative metabolites.

Toxicity

Most common adverse reactions (≥20%) for dabrafenib are hyperkeratosis, headache, pyrexia, arthralgia, papilloma, alopecia, and palmar-plantar erythrodysesthesia syndrome.