Difference between revisions of "Binimetinib (Mektovi)"

From HemOnc.org - A Hematology Oncology Wiki
Jump to navigation Jump to search
m (Text replacement - "|Not reportedAS" to "|NRAS")
 
(32 intermediate revisions by 2 users not shown)
Line 1: Line 1:
=Mechanism of action=
+
==Mechanism of action==
From the [http://www.cancer.gov/publications/dictionaries/cancer-drug?cdrid=653635 NCI Drug Dictionary]: An orally available inhibitor of mitogen-activated protein kinase kinase 1 and 2 (MEK1/2) with potential antineoplastic activity. Binimetinib, noncompetitive with ATP, binds to and inhibits the activity of MEK1/2.
+
From the [https://www.cancer.gov/publications/dictionaries/cancer-drug?cdrid=653635 NCI Drug Dictionary]: An orally available inhibitor of mitogen-activated protein kinase kinase 1 and 2 (MEK1/2) with potential antineoplastic activity. Binimetinib, noncompetitive with ATP, binds to and inhibits the activity of MEK1/2.
  
=Preliminary data=
+
==Diseases for which it is established==
 +
*[[Colorectal cancer, BRAF-mutated|BRAF-mutant colorectal cancer]]
 +
*[[Melanoma,_BRAF-mutated|BRAF-mutant melanoma]]
 +
*[[Non-small cell lung cancer, BRAF-mutated|BRAF-mutant NSCLC]]
 +
*[[Melanoma,_NRAS-mutated|NRAS-mutant melanoma]]
  
==[[Melanoma]]==
+
==History of changes in FDA indication==
# Ascierto PA, Schadendorf D, Berking C, Agarwala SS, van Herpen CM, Queirolo P, Blank CU, Hauschild A, Beck JT, St-Pierre A, Niazi F, Wandel S, Peters M, Zubel A, Dummer R. MEK162 for patients with advanced melanoma harbouring NRAS or Val600 BRAF mutations: a non-randomised, open-label phase 2 study. Lancet Oncol. 2013 Mar;14(3):249-56. Epub 2013 Feb 13. [http://www.sciencedirect.com/science/article/pii/S147020451370024X link to SD article] [https://www.ncbi.nlm.nih.gov/pubmed/23414587 PubMed]
+
*2018-06-27: Initial FDA approval in combination with [[Encorafenib (Braftovi)]] for patients with unresectable or metastatic [[melanoma]] with a [[Biomarkers#BRAF|BRAF]] [[Biomarkers#V600E|V600E]] or [[Biomarkers#V600K|V600K mutation]], as detected by an FDA-approved test. ''(Based on COLUMBUS)''
# Dummer R, Schadendorf D, Ascierto PA, Arance A, Dutriaux C, Di Giacomo AM, Rutkowski P, Del Vecchio M, Gutzmer R, Mandala M, Thomas L, Demidov L, Garbe C, Hogg D, Liszkay G, Queirolo P, Wasserman E, Ford J, Weill M, Sirulnik LA, Jehl V, Bozón V, Long GV, Flaherty K. Binimetinib versus dacarbazine in patients with advanced NRAS-mutant melanoma (NEMO): a multicentre, open-label, randomised, phase 3 trial. Lancet Oncol. 2017 Mar 8. [Epub ahead of print] [http://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(17)30180-8/fulltext link to original article] [https://www.ncbi.nlm.nih.gov/pubmed/28284557 PubMed]
+
*2023-10-11: Approved with [[Encorafenib (Braftovi)]] for adult patients with metastatic [[non-small cell lung cancer|non-small cell lung cancer (NSCLC)]] with a BRAF V600E mutation, as detected by an FDA-approved test. ''(Based on PHAROS)''
  
=Also known as=
+
==History of changes in EMA indication==
ARRY-162, ARRY-438162
+
*2018-09-20: Initial authorization as Mektovi. Binimetinib in combination with encorafenib is indicated for the treatment of adult patients with unresectable or metastatic [[melanoma]] with a BRAF V600 mutation. ''(Based on COLUMBUS and LOGIC-2)''
 +
*2020-04-30: Extension of indication to include encorafenib in combination with cetuximab, for the treatment of adult patients with metastatic [[colorectal cancer|colorectal cancer (CRC)]] with a BRAF V600E mutation, who have received prior systemic therapy.
  
[[Category:Drug index]]
+
==History of changes in Health Canada indication==
 +
*2021-03-02: Initial notice of compliance in combination with encorafenib for the treatment of patients with unresectable or metastatic [[melanoma]] with a BRAF V600 mutation, as detected by a validated test.
 +
==History of changes in PMDA indication==
 +
*2019-01-08: New approval for the treatment of unresectable [[melanoma]] with BRAF gene mutation.
 +
*2020-11-27: New indication and a new dosage for the treatment of unresectable, advanced or recurrent BRAF mutation-positive [[colorectal cancer]] that has progressed after cancer chemotherapy.
 +
==Also known as==
 +
*'''Code names:''' ARRY-162, ARRY-438162, MEK-162
 +
*'''Brand names:''' Mektovi
  
[[Category:Chemotherapy]]
+
[[Category:Drugs]]
[[Category:Oral chemotherapy]]
+
[[Category:Oral medications]]
 +
[[Category:Mutation-specific medications]]
  
[[Category:Kinase inhibitors]]
+
[[Category:MAP2K1 inhibitors]]
[[Category:MEK inhibitors]]
+
[[Category:MAP2K2 inhibitors]]
  
 +
[[Category:Colorectal cancer medications]]
 
[[Category:Melanoma medications]]
 
[[Category:Melanoma medications]]
 +
[[Category:Non-small cell lung cancer medications]]
  
[[Category:Investigational]]
+
[[Category:EMA approved in 2018]]
 +
[[Category:FDA approved in 2018]]
 +
[[Category:Health Canada approved in 2021]]
 +
[[Category:PMDA approved in 2019]]

Latest revision as of 01:03, 23 July 2024

Mechanism of action

From the NCI Drug Dictionary: An orally available inhibitor of mitogen-activated protein kinase kinase 1 and 2 (MEK1/2) with potential antineoplastic activity. Binimetinib, noncompetitive with ATP, binds to and inhibits the activity of MEK1/2.

Diseases for which it is established

History of changes in FDA indication

History of changes in EMA indication

  • 2018-09-20: Initial authorization as Mektovi. Binimetinib in combination with encorafenib is indicated for the treatment of adult patients with unresectable or metastatic melanoma with a BRAF V600 mutation. (Based on COLUMBUS and LOGIC-2)
  • 2020-04-30: Extension of indication to include encorafenib in combination with cetuximab, for the treatment of adult patients with metastatic colorectal cancer (CRC) with a BRAF V600E mutation, who have received prior systemic therapy.

History of changes in Health Canada indication

  • 2021-03-02: Initial notice of compliance in combination with encorafenib for the treatment of patients with unresectable or metastatic melanoma with a BRAF V600 mutation, as detected by a validated test.

History of changes in PMDA indication

  • 2019-01-08: New approval for the treatment of unresectable melanoma with BRAF gene mutation.
  • 2020-11-27: New indication and a new dosage for the treatment of unresectable, advanced or recurrent BRAF mutation-positive colorectal cancer that has progressed after cancer chemotherapy.

Also known as

  • Code names: ARRY-162, ARRY-438162, MEK-162
  • Brand names: Mektovi