Trametinib


Other name

-

International/Other brands

Mekinist

Groups

Approved

Structure

Prescription products

NameDosageStrengthRouteLabeller
MekinistTablet1 mgOralNovartis
MekinistTablet, film coated0.5 mgOralNovartis Europharm Limited
MekinistTablet, film coated2 mgOralNovartis Europharm Limited
MekinistTablet2 mgOralNovartis
MekinistTablet, film coated1 mg/1OralGlaxosmithkline Inc
MekinistTablet, film coated2 mg/1OralNovartis
MekinistTablet0.5 mgOralNovartis
MekinistTablet, film coated.5 mg/1OralGlaxosmithkline Inc

Target

EGFR

Description

Trametinib dimethyl sulfoxide is a kinase inhibitor. Each 1-mg tablet contains 1.127 mg trametinib dimethyl sulfoxide equivalent to 1 mg of trametinib non-solvated parent. FDA approved on May 29, 2013.

Indications

Indications

Other indications

Metastatic Melanoma; Unresectable Melanoma

Mechaism of action

-

Absorption

Trametinib is rapidly absorbed. When an oral administration of trametinib was given to patients with BRAF V600 mutation-positive melanoma, peak plasma concentration occurred 1.5 hours post-dose (Tmax). A single 2 mg oral dose has a bioavailability of 72%. When a dose of 2mg/day is given, the peak plasma concentration (Cmax) is 22.2 ng/mL.

Metabolism

Trametinib is metabolized predominantly via deacetylation alone or with mono-oxygenation or in combination with glucuronidation biotransformation pathways in vitro. Deacetylation is likely mediated by hydrolytic enzymes, such as carboxyl-esterases or amidases. The cytochrome P450 enzyme system is not involved with the metabolism of trametinib. The predominant circulating component in the plasma is the parent compound.

Toxicity

Most common adverse reactions (≥20%) for trametinib include rash, diarrhea, and lymphedema.