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DRUG CLASS:

MEK1 inhibitor

3d
A vasculogenic mimicry subtype unveiled by integrated multi-omics predicts prognosis and guides immunotherapy in MIBC. (PubMed, Front Bioinform)
Combined treatment with the MEK inhibitor TAK-733 and immune checkpoint inhibitors was proposed as a promising therapeutic strategy for this subgroup. This novel VM-based molecular subtyping system for MIBC shows strong potential for clinical application in prognosis prediction, immunotherapy response evaluation, and targeted drug discovery, providing a framework to guide personalized treatment strategies for MIBC patients.
Journal • Tumor mutational burden • IO biomarker
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TMB (Tumor Mutational Burden)
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REC-4881
7d
Trial completion
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BRAF (B-raf proto-oncogene)
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BRAF V600E • BRAF V600 • BRAF positive
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Zelboraf (vemurafenib) • Cotellic (cobimetinib)
24d
MEK inhibitor cobimetinib increases calreticulin and induces immune modulation in TNBC. (PubMed, J Mol Med (Berl))
Notably, we observed differential immunomodulatory effects of cobimetinib in tumor-bearing mice compared to non-tumor-bearing immunocompetent mice. Our findings indicate that MEK inhibition is associated with ICD-related molecular alterations, and that cobimetinib may contribute to immune modulation in TNBC.
Journal • IO biomarker • CALR
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CD8 (cluster of differentiation 8) • CD4 (CD4 Molecule) • MAPK1 (Mitogen-activated protein kinase 1) • BAX (BCL2-associated X protein) • CASP8 (Caspase 8) • CALR (Calreticulin) • BAK1 (BCL2 Antagonist/Killer 1)
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Cotellic (cobimetinib)
1m
MEK interactions tune RAF kinase sensitivity to conformation-selective inhibition. (PubMed, Nat Chem Biol)
Building on this insight, we developed cobimetinib analogs with enhanced sensitization properties. Together, our findings provide a mechanistic framework for understanding the cellular determinants of DFG-out-stabilizing inhibitor sensitivity and offer strategies for optimizing synergistic RAF-MEK inhibitor combinations.
Journal
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KRAS (KRAS proto-oncogene GTPase)
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KRAS mutation
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Cotellic (cobimetinib)
1m
mTOR inhibition enhances the antitumor efficacy of pan-RAF-MEK blockade by inhibiting the ATF4-MTHFD2 pathway. (PubMed, Cell Death Dis)
Human and murine models resistant to combined belvarafenib and cobimetinib exhibited elevated levels of ATF4 and MTHFD2 and were sensitive to sapanisertib. This study provides promising treatment opportunities for patients with non-BRAF-mutant melanomas, or those who relapse following belvarafenib and cobimetinib combination therapy.
Journal
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NRAS (Neuroblastoma RAS viral oncogene homolog) • NF1 (Neurofibromin 1) • ATF4 (Activating Transcription Factor 4) • MTHFD2 (Methylenetetrahydrofolate Dehydrogenase (NADP+ Dependent) 2)
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BRAF mutation
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Cotellic (cobimetinib) • sapanisertib (CB-228) • belvarafenib (RG6185)
1m
Enasidenib in Combination With Cobimetinib for the Treatment of Relapsed or Refractory Acute Myeloid Leukemia (clinicaltrials.gov)
P1, N=3, Completed, City of Hope Medical Center | Active, not recruiting --> Completed | Trial completion date: May 2027 --> Mar 2026 | Trial primary completion date: May 2027 --> Mar 2026
Trial completion • Trial completion date • Trial primary completion date
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KRAS (KRAS proto-oncogene GTPase) • BRAF (B-raf proto-oncogene) • NRAS (Neuroblastoma RAS viral oncogene homolog) • IDH2 (Isocitrate Dehydrogenase (NADP(+)) 2) • HRAS (Harvey rat sarcoma viral oncogene homolog) • NF1 (Neurofibromin 1) • PTPN11 (Protein Tyrosine Phosphatase Non-Receptor Type 11) • RIT1 (Ras Like Without CAAX 1)
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KRAS mutation • IDH2 mutation • RAS mutation
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Cotellic (cobimetinib) • Idhifa (enasidenib)
2ms
New P3 trial
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gemcitabine • albumin-bound paclitaxel • atebimetinib (IMM-1-104)
2ms
A Phase 2 Study of Luvometinib Combined With Anlotinib in KRAS-mutated NSCLC (clinicaltrials.gov)
P2, N=48, Not yet recruiting, Shanghai Fosun Pharmaceutical Industrial Development Co. Ltd.
New P2 trial
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KRAS (KRAS proto-oncogene GTPase)
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KRAS mutation
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Focus V (anlotinib) • Fumaining (luvometinib)
2ms
Enrollment change
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KRAS (KRAS proto-oncogene GTPase) • BRAF (B-raf proto-oncogene) • FLT3 (Fms-related tyrosine kinase 3) • ABL1 (ABL proto-oncogene 1) • NRAS (Neuroblastoma RAS viral oncogene homolog) • BCR (BCR Activator Of RhoGEF And GTPase) • NF1 (Neurofibromin 1) • JAK2 (Janus kinase 2) • PTPN11 (Protein Tyrosine Phosphatase Non-Receptor Type 11)
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BRAF mutation
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Cotellic (cobimetinib)
2ms
Trial completion • Tumor mutational burden
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TMB (Tumor Mutational Burden)
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FoundationOne® CDx
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Tecentriq (atezolizumab) • Cotellic (cobimetinib)
2ms
Phase separation-based HTS identifies cobimetinib as a YAP-TEAD inhibitor that suppresses hyperactivated YAP-induced cancer progression. (PubMed, Sci Transl Med)
The Hippo signaling pathway prevents unchecked cell growth, coordinates apoptosis, and preserves proper organ function. Furthermore, it bolstered the efficacy of the first-line drugs sorafenib and lenvatinib in inhibiting both hepatocellular carcinoma tumor growth and tumorigenesis. These findings establish a strategy for identifying and refining inhibitors of the YAP-TEAD complex in the treatment of cancers driven by aberrant YAP-TEAD activity.
Journal
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MAP2K1 (Mitogen-activated protein kinase kinase 1)
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sorafenib • Cotellic (cobimetinib) • Lenvima (lenvatinib)
2ms
TUPELO: Evaluate REC-4881 in Participants With Familial Adenomatous Polyposis (FAP) (clinicaltrials.gov)
P1/2, N=67, Recruiting, Recursion Pharmaceuticals Inc. | Trial completion date: Jul 2026 --> Sep 2027 | Trial primary completion date: Jul 2026 --> Jun 2027
Trial completion date • Trial primary completion date
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APC (APC Regulator Of WNT Signaling Pathway)
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REC-4881