Details
Stereochemistry | ACHIRAL |
Molecular Formula | C23H20F3N5O2S2 |
Molecular Weight | 519.562 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CC(C)(C)C1=NC(=C(S1)C2=NC(N)=NC=C2)C3=CC=CC(NS(=O)(=O)C4=C(F)C=CC=C4F)=C3F
InChI
InChIKey=BFSMGDJOXZAERB-UHFFFAOYSA-N
InChI=1S/C23H20F3N5O2S2/c1-23(2,3)21-30-18(19(34-21)16-10-11-28-22(27)29-16)12-6-4-9-15(17(12)26)31-35(32,33)20-13(24)7-5-8-14(20)25/h4-11,31H,1-3H3,(H2,27,28,29)
Dabrafenib is a selective, orally bioavailable inhibitor of Mutant BRAF protein kinase with potential antineoplastic activity. Dabrafenib inhibits BRAF kinases with in vitro IC50 values of 0.65, 0.5, and 1.84 nM for BRAF V600E, BRAF V600K, and BRAF V600D enzymes, respectively. Dabrafenib also inhibits wild-type BRAF and CRAF kinases with IC50 values of 3.2 and 5.0 nM. BRAF belongs to the the raf/mil family of serine/threonine protein kinases and plays a role in regulating the MAP kinase/ERKs signaling pathway, which may be constitutively activated due to BRAF gene mutations. Mutations in BRAF are associated with increased growth and proliferation of cancer cells. By inhibiting BRAF kinase dabrafenib negatively regulates the proliferation of tumor cells which contain a mutated BRAF gene. Dabrafenib (in combination with trametinib or alone) is indicated for the treatment of unresectable or metastatic melanoma with BRAF V600E mutation
CNS Activity
Sources: http://www.ncbi.nlm.nih.gov/pubmed/?term=23249624
Curator's Comment: Dabrafenib crosses blood-brain barrier and has anticancer activity in the CNS
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: P15056|||Q13878 Gene ID: 673.0 Gene Symbol: BRAF Target Organism: Homo sapiens (Human) |
3.2 nM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | TAFINLAR Approved UseIndicated as a single agent for the treatment of patients with unresectable or metastatic melanoma with BRAF V600E mutation as detected by an FDA-approved test; in combination with trametinib, for the treatment of patients with unresectable or metastatic melanoma with BRAF V600E or V600K mutations as detected by an FDA-approved test. Limitation of Use: TAFINLAR is not indicated for treatment of patients with wild-type BRAF melanoma. Launch Date2013 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
2497.4 ng/mL |
300 mg 2 times / day multiple, oral dose: 300 mg route of administration: Oral experiment type: MULTIPLE co-administered: TRAMETINIB |
DABRAFENIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
806 ng/mL |
300 mg 2 times / day multiple, oral dose: 300 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
DABRAFENIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
1478 ng/mL |
150 mg 2 times / day multiple, oral dose: 150 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
DABRAFENIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
13485.6 ng × h/mL |
300 mg 2 times / day multiple, oral dose: 300 mg route of administration: Oral experiment type: MULTIPLE co-administered: TRAMETINIB |
DABRAFENIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
2619 ng × h/mL |
300 mg 2 times / day multiple, oral dose: 300 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
DABRAFENIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
4341 μg × h/mL |
150 mg 2 times / day multiple, oral dose: 150 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
DABRAFENIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
4.9 h |
300 mg 2 times / day multiple, oral dose: 300 mg route of administration: Oral experiment type: MULTIPLE co-administered: TRAMETINIB |
DABRAFENIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
5.2 h |
300 mg 2 times / day multiple, oral dose: 300 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
DABRAFENIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
8 h |
150 mg 2 times / day multiple, oral dose: 150 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
DABRAFENIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
0.3% |
150 mg 2 times / day multiple, oral dose: 150 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
DABRAFENIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
Doses
Dose | Population | Adverse events |
---|---|---|
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 94 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 94 |
Disc. AE: Constipation, Hepatic pain... AEs leading to discontinuation/dose reduction: Constipation (serious, 1 patient) Sources: Page: p. 94Hepatic pain (serious, 1 patient) Myocardial infarction (serious, 1 patient) Tricuspid valve disease (2 patients) Muscular weakness (serious, 2 patients) |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 96 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 96 |
Disc. AE: Pain, Hyperkeratosis... AEs leading to discontinuation/dose reduction: Pain (1%) Sources: Page: p. 96Hyperkeratosis (1%) |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 97 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 97 |
Disc. AE: Hyperhidrosis, Migraine... AEs leading to discontinuation/dose reduction: Hyperhidrosis (1%) Sources: Page: p. 97Migraine (1%) Syncope (1%) Vomiting (1%) Diarrhea (1%) Nausea (1%) Atrial fibrillation (1%) Alanine aminotransferase increased (1%) Aspartate aminotransferase increased (1%) Diabetes mellitus (1%) Diabetes mellitus inadequate control (1%) Pulmonary edema (1%) Respiratory distress (1%) Pleural effusion (1%) Alkaline phosphatase increased (1%) Ejection fraction decreased (1%) Gamma-glutamyltransferase increased (1%) |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 98 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 98 |
Disc. AE: Oropharyngeal pain, Malaise... AEs leading to discontinuation/dose reduction: Oropharyngeal pain (1%) Sources: Page: p. 98Malaise (1%) Small intestinal perforation (1%) Neutropenia (1%) Thrombocytopenia (1%) Cataract (1%) Gastrointestinal infection (1%) |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 99 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 99 |
Disc. AE: Back pain, Muscle spasms... AEs leading to discontinuation/dose reduction: Back pain (1%) Sources: Page: p. 99Muscle spasms (1%) Musculoskeletal stiffness (1%) Pemphigoid (1%) Hyperkeratosis (1%) Urinary bladder polyp (1%) Urinary retention (1%) |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Disc. AE: Pyrexia, Pyrexia... AEs leading to discontinuation/dose reduction: Pyrexia (all grades, 28%) Sources: Pyrexia (grade 3-4, 3%) Fatigue (2%) |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Disc. AE: Constipation, Constipation... AEs leading to discontinuation/dose reduction: Constipation (all grades, 11%) Sources: Constipation (grade 3-4, 2%) |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Disc. AE: Back pain, Back pain... AEs leading to discontinuation/dose reduction: Back pain (all grades, 12%) Sources: Back pain (grade 3-4, 3%) Myalgia (all grades, 11%) |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Disc. AE: Squamous cell carcinoma of skin, Keratoacanthoma... Other AEs: Hyperkeratosis, Hyperkeratosis... AEs leading to discontinuation/dose reduction: Squamous cell carcinoma of skin (grade 3-4, 4%) Other AEs:Keratoacanthoma (grade 3-4, 4%) Headache (all grades, 32%) Arthralgia (all grades, 27%) Arthralgia (grade 3-4, 1%) Chills (3%) Palmar-plantar erythrodysesthesia syndrome (3%) Hypophosphatemia (37%) Hypophosphatemia (6%) Pancreatitis (<10%) Hyperkeratosis (all grades, 37%) Sources: Hyperkeratosis (grade 3-4, 1%) Alopecia (all grades, 22%) Palmar-plantar erythrodysesthesia syndrome (all grades, 20%) Palmar-plantar erythrodysesthesia syndrome (grade 3-4, 2%) Rash (all grades, 17%) Papilloma (all grades, 27%) Cough (all grades, 12%) Nasopharyngitis (all grades, 10%) Hyperglycemia (all grades, 50%) Hyperglycemia (grade 3-4, 6%) Alkaline phosphatase increased (19%) Hyponatremia (8%) Hyponatremia (2%) Bullous rash (<10%) Nephritis interstitial (<10%) |
100 mg 3 times / day multiple, oral Highest studied dose Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy n = 20 |
Other AEs: Squamous cell carcinoma of skin, Pyrexia... Other AEs: Squamous cell carcinoma of skin (grade 3, 25%) Sources: Pyrexia (grade 2, 5%) |
300 mg 2 times / day multiple, oral Highest studied dose Dose: 300 mg, 2 times / day Route: oral Route: multiple Dose: 300 mg, 2 times / day Sources: |
unhealthy n = 10 Health Status: unhealthy Sex: M+F Population Size: 10 Sources: |
DLT: Hyponatraemia, Squamous cell carcinoma of skin... Dose limiting toxicities: Hyponatraemia (grade 4, 1 patient) Sources: Squamous cell carcinoma of skin (grade 3, 1 patient) |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 95 |
unhealthy n = 187 Health Status: unhealthy Population Size: 187 Sources: Page: p. 95 |
Disc. AE: Pancytopenia, Lymphocytopenia... AEs leading to discontinuation/dose reduction: Pancytopenia (2 patients) Sources: Page: p. 95Lymphocytopenia (1 patient) Infarct myocardial (grade 5, 1 patient) Acute coronary syndrome (grade 5, 1 patient) Heart attack (1 patient) Abdominal pain (severe, 1 patient) Glissonitis (1 patient) Creatinine increased (1 patient) Epileptic seizure (1 patient) Cerebral hemorrhage (grade 5, 1 patient) Hyponatremia (1 patient) |
200 mg 2 times / day multiple, oral Dose: 200 mg, 2 times / day Route: oral Route: multiple Dose: 200 mg, 2 times / day Sources: |
unhealthy n = 20 Health Status: unhealthy Sex: M+F Population Size: 20 Sources: |
DLT: Squamous cell carcinoma of skin, Syncope... Dose limiting toxicities: Squamous cell carcinoma of skin (grade 3, 1 patient) Sources: Syncope (grade 3, 1 patient) Pyrexia (grade 2, 1 patient) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Tricuspid valve disease | 2 patients Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 94 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 94 |
Constipation | serious, 1 patient Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 94 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 94 |
Hepatic pain | serious, 1 patient Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 94 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 94 |
Myocardial infarction | serious, 1 patient Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 94 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 94 |
Muscular weakness | serious, 2 patients Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 94 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 94 |
Hyperkeratosis | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 96 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 96 |
Pain | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 96 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 96 |
Alanine aminotransferase increased | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 97 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 97 |
Alkaline phosphatase increased | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 97 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 97 |
Aspartate aminotransferase increased | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 97 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 97 |
Atrial fibrillation | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 97 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 97 |
Diabetes mellitus inadequate control | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 97 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 97 |
Diabetes mellitus | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 97 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 97 |
Diarrhea | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 97 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 97 |
Ejection fraction decreased | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 97 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 97 |
Gamma-glutamyltransferase increased | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 97 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 97 |
Hyperhidrosis | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 97 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 97 |
Migraine | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 97 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 97 |
Nausea | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 97 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 97 |
Pleural effusion | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 97 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 97 |
Pulmonary edema | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 97 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 97 |
Respiratory distress | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 97 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 97 |
Syncope | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 97 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 97 |
Vomiting | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 97 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 97 |
Cataract | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 98 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 98 |
Gastrointestinal infection | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 98 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 98 |
Malaise | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 98 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 98 |
Neutropenia | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 98 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 98 |
Oropharyngeal pain | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 98 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 98 |
Small intestinal perforation | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 98 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 98 |
Thrombocytopenia | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 98 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 98 |
Back pain | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 99 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 99 |
Hyperkeratosis | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 99 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 99 |
Muscle spasms | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 99 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 99 |
Musculoskeletal stiffness | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 99 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 99 |
Pemphigoid | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 99 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 99 |
Urinary bladder polyp | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 99 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 99 |
Urinary retention | 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 99 |
unhealthy, 53 years (range: 22-93 years) n = 187 Health Status: unhealthy Age Group: 53 years (range: 22-93 years) Sex: M+F Population Size: 187 Sources: Page: p. 99 |
Fatigue | 2% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Pyrexia | all grades, 28% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Pyrexia | grade 3-4, 3% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Constipation | all grades, 11% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Constipation | grade 3-4, 2% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Myalgia | all grades, 11% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Back pain | all grades, 12% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Back pain | grade 3-4, 3% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Alkaline phosphatase increased | 19% | 150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Hyponatremia | 2% | 150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Chills | 3% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Palmar-plantar erythrodysesthesia syndrome | 3% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Hypophosphatemia | 37% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Hypophosphatemia | 6% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Hyponatremia | 8% | 150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Bullous rash | <10% | 150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Nephritis interstitial | <10% | 150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Pancreatitis | <10% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Nasopharyngitis | all grades, 10% | 150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Cough | all grades, 12% | 150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Rash | all grades, 17% | 150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Palmar-plantar erythrodysesthesia syndrome | all grades, 20% | 150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Alopecia | all grades, 22% | 150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Papilloma | all grades, 27% | 150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Arthralgia | all grades, 27% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Headache | all grades, 32% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Hyperkeratosis | all grades, 37% | 150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Hyperglycemia | all grades, 50% | 150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Hyperkeratosis | grade 3-4, 1% | 150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Arthralgia | grade 3-4, 1% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Palmar-plantar erythrodysesthesia syndrome | grade 3-4, 2% | 150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Keratoacanthoma | grade 3-4, 4% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Squamous cell carcinoma of skin | grade 3-4, 4% Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Hyperglycemia | grade 3-4, 6% | 150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: |
unhealthy, 53 years n = 187 Health Status: unhealthy Condition: unresectable or metastatic melanoma with BRAF V600E mutation-positive melanoma Age Group: 53 years Sex: M+F Population Size: 187 Sources: |
Pyrexia | grade 2, 5% | 100 mg 3 times / day multiple, oral Highest studied dose Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy n = 20 |
Squamous cell carcinoma of skin | grade 3, 25% | 100 mg 3 times / day multiple, oral Highest studied dose Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy n = 20 |
Squamous cell carcinoma of skin | grade 3, 1 patient DLT |
300 mg 2 times / day multiple, oral Highest studied dose Dose: 300 mg, 2 times / day Route: oral Route: multiple Dose: 300 mg, 2 times / day Sources: |
unhealthy n = 10 Health Status: unhealthy Sex: M+F Population Size: 10 Sources: |
Hyponatraemia | grade 4, 1 patient DLT |
300 mg 2 times / day multiple, oral Highest studied dose Dose: 300 mg, 2 times / day Route: oral Route: multiple Dose: 300 mg, 2 times / day Sources: |
unhealthy n = 10 Health Status: unhealthy Sex: M+F Population Size: 10 Sources: |
Creatinine increased | 1 patient Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 95 |
unhealthy n = 187 Health Status: unhealthy Population Size: 187 Sources: Page: p. 95 |
Epileptic seizure | 1 patient Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 95 |
unhealthy n = 187 Health Status: unhealthy Population Size: 187 Sources: Page: p. 95 |
Glissonitis | 1 patient Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 95 |
unhealthy n = 187 Health Status: unhealthy Population Size: 187 Sources: Page: p. 95 |
Heart attack | 1 patient Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 95 |
unhealthy n = 187 Health Status: unhealthy Population Size: 187 Sources: Page: p. 95 |
Hyponatremia | 1 patient Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 95 |
unhealthy n = 187 Health Status: unhealthy Population Size: 187 Sources: Page: p. 95 |
Lymphocytopenia | 1 patient Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 95 |
unhealthy n = 187 Health Status: unhealthy Population Size: 187 Sources: Page: p. 95 |
Pancytopenia | 2 patients Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 95 |
unhealthy n = 187 Health Status: unhealthy Population Size: 187 Sources: Page: p. 95 |
Acute coronary syndrome | grade 5, 1 patient Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 95 |
unhealthy n = 187 Health Status: unhealthy Population Size: 187 Sources: Page: p. 95 |
Cerebral hemorrhage | grade 5, 1 patient Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 95 |
unhealthy n = 187 Health Status: unhealthy Population Size: 187 Sources: Page: p. 95 |
Infarct myocardial | grade 5, 1 patient Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 95 |
unhealthy n = 187 Health Status: unhealthy Population Size: 187 Sources: Page: p. 95 |
Abdominal pain | severe, 1 patient Disc. AE |
150 mg 2 times / day steady, oral Recommended Dose: 150 mg, 2 times / day Route: oral Route: steady Dose: 150 mg, 2 times / day Sources: Page: p. 95 |
unhealthy n = 187 Health Status: unhealthy Population Size: 187 Sources: Page: p. 95 |
Pyrexia | grade 2, 1 patient DLT |
200 mg 2 times / day multiple, oral Dose: 200 mg, 2 times / day Route: oral Route: multiple Dose: 200 mg, 2 times / day Sources: |
unhealthy n = 20 Health Status: unhealthy Sex: M+F Population Size: 20 Sources: |
Squamous cell carcinoma of skin | grade 3, 1 patient DLT |
200 mg 2 times / day multiple, oral Dose: 200 mg, 2 times / day Route: oral Route: multiple Dose: 200 mg, 2 times / day Sources: |
unhealthy n = 20 Health Status: unhealthy Sex: M+F Population Size: 20 Sources: |
Syncope | grade 3, 1 patient DLT |
200 mg 2 times / day multiple, oral Dose: 200 mg, 2 times / day Route: oral Route: multiple Dose: 200 mg, 2 times / day Sources: |
unhealthy n = 20 Health Status: unhealthy Sex: M+F Population Size: 20 Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
no | ||||
no | ||||
yes [IC50 1.4 uM] | ||||
yes [IC50 16 uM] | ||||
yes [IC50 22 uM] | ||||
yes [IC50 3.4 uM] | ||||
yes [IC50 4.7 uM] | ||||
yes [IC50 5.4 uM] | ||||
yes [IC50 6.9 uM] | ||||
yes [IC50 7.2 uM] | unknown (co-administration study) Comment: A study (BRF113771, Part A) of the effect of repeat dose dabrafenib on single dose warfarin, a CYP2C9 substrate, is ongoing. This study will provide a more definitive assessment of the inhibitory or induction risk of dabrafenib on a CYP2C9 substrate (warfarin). Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2013/202806Orig1s000ClinPharmR.pdf#page=26 Page: - |
|||
yes [IC50 8.2 uM] | ||||
yes [IC50 87 uM] | unlikely Comment: [I]/Ki=0.07 Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2013/202806Orig1s000ClinPharmR.pdf#page=27 Page: - |
|||
yes | ||||
yes | yes (co-administration study) Comment: A decrease in single dose midazolam CIliax and AUQo-oo) was observed with repeat dosing of dabrafenib 150 mg BID. with a mean ratio (90% CI) of 0.39 (0.24, 0.63) for Cm, and 0.26 (0.21, 0.32) for AUC(o-oo), indicating that dabrafenib induces CYP3A4-mediated metabolism (Table 12). Based on this result, dabrafenib appears to be a moderate inducer of CYP3A4 in vivo.. The effect of dabrafenib on dexamethasone, a CYP3A4 substrate, was planned as part of Study BRF113929, but subjects for that cohort could not be recruited. PK data in the only 2 subjects enrolled showed a decrease in dexamethasone concentrations with dabrafenib, consistent with CYP3A4 induction. Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2013/202806Orig1s000ClinPharmR.pdf#page=10 Page: - |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
major | unknown (co-administration study) Comment: The effects of strong inhibitors or inducers of CYP3A4 or CYP2C8 on pharmacokinetics of dabrafenib in vivo are to be studied under PMRs. Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2013/202806Orig1s000ClinPharmR.pdf#page=10 Page: - |
|||
major | yes (co-administration study) Comment: A decrease in single-dose midazolam exposure with mean (90% CI) ratios of 0.39 (0.25, 0.63) for Cmax and 0.26 (0.21, 0.32) for AUC, respectively, was observed with repeat dosing of dabrafenib 150 mg BID, indicating that dabrafenib induces CYP3A4-mediated metabolism. Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2013/202806Orig1s000ClinPharmR.pdf#page=10 Page: - |
|||
minor | ||||
minor | ||||
yes | unlikely Comment: Given the high oral bioavailability (94.5%) and high metabolic clearance, these efflux transporters appear to have minimal impact on bioavailability and contribution to the parent drug elimination. The potential impact of Pgp and/or BCRP inhibitors on the elimination of dabrafenib is considered low. Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2013/202806Orig1s000ClinPharmR.pdf#page=27 Page: - |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sample Use Guides
The recommended dosage regimens are: 150 mg orally taken twice daily, approximately 12 hours apart, as a single agent or 150 mg orally taken twice daily, approximately 12 hours apart, in combination with trametinib 2 mg orally taken once daily.
Route of Administration:
Oral
In Vitro Use Guide
Sources: http://www.ncbi.nlm.nih.gov/pubmed/?term=26497853
A375, SK-MEL-28, WM239 and SK-MEL-5 cells with 2.5, 5 and 10 nM dabrafenib for 72 hours. Dabrafenib treatment induced massive Mcl-1 expression at all the three concentrations. The IC50 of dabrafenib in A375, SK-MEL-28 and WM-239 was 5nM, 2nM and 6nM respectively. In dabrafenib resistant A375, SK-MEL-28 and WM-239 cells, which were denoted as A375-DR, SK-MEL-28-DR and WM-239-DR that were incubated with up to 300 nM inhibitor concentrations the IC50s were greater than 100 nM indicating more than 30-fold resistance.
Name | Type | Language | ||
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Common Name | English | ||
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Code | English | ||
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Common Name | English | ||
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Code | English | ||
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Common Name | English | ||
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Code | English | ||
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Common Name | English | ||
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Common Name | English | ||
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Systematic Name | English | ||
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Systematic Name | English | ||
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Common Name | English |
Classification Tree | Code System | Code | ||
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FDA ORPHAN DRUG |
775820
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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FDA ORPHAN DRUG |
521616
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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WHO-ATC |
L01XE23
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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NCI_THESAURUS |
C155322
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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FDA ORPHAN DRUG |
495915
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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NCI_THESAURUS |
C129825
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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EMA ASSESSMENT REPORTS |
TAFINLAR (AUTHORIZED: MELANOMA)
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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WHO-VATC |
QL01XE23
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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FDA ORPHAN DRUG |
376812
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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FDA ORPHAN DRUG |
329610
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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FDA ORPHAN DRUG |
448214
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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FDA ORPHAN DRUG |
506415
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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NDF-RT |
N0000175605
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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Code System | Code | Type | Description | ||
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|
N0000190108
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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PRIMARY | Organic Anion Transporting Polypeptide 1B3 Inhibitors [MoA] | ||
|
m11719
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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PRIMARY | |||
|
1195765-45-7
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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PRIMARY | |||
|
N0000185506
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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PRIMARY | Cytochrome P450 3A4 Inducers [MoA] | ||
|
75045
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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PRIMARY | |||
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N0000190107
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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PRIMARY | Organic Anion Transporting Polypeptide 1B1 Inhibitors [MoA] | ||
|
CHEMBL2028663
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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PRIMARY | |||
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N0000185507
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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PRIMARY | Cytochrome P450 2C9 Inducers [MoA] | ||
|
SUB45696
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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PRIMARY | |||
|
4801
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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PRIMARY | |||
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9458
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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PRIMARY | |||
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N0000185607
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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PRIMARY | Cytochrome P450 2C19 Inducers [MoA] | ||
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N0000187064
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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PRIMARY | Cytochrome P450 2B6 Inducers [MoA] | ||
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44462760
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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PRIMARY | |||
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N0000190110
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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PRIMARY | Organic Anion Transporter 1 Inhibitors [MoA] | ||
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6494
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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PRIMARY | |||
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QGP4HA4G1B
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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PRIMARY | |||
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DB08912
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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PRIMARY | |||
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100000131505
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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PRIMARY | |||
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N0000187063
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
|
PRIMARY | Cytochrome P450 2C8 Inducers [MoA] | ||
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C82386
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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PRIMARY | |||
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Dabrafenib
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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PRIMARY | |||
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N0000190113
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
|
PRIMARY | Breast Cancer Resistance Protein Inhibitors [MoA] | ||
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DTXSID20152499
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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PRIMARY | |||
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Dabrafenib
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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PRIMARY | |||
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1424911
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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PRIMARY | RxNorm | ||
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QGP4HA4G1B
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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PRIMARY | |||
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N0000190111
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
|
PRIMARY | Organic Anion Transporter 3 Inhibitors [MoA] | ||
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XX-156
Created by
admin on Fri Dec 15 22:10:35 GMT 2023 , Edited by admin on Fri Dec 15 22:10:35 GMT 2023
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PRIMARY |
ACTIVE MOIETY
METABOLITE (PARENT)
METABOLITE ACTIVE (PARENT)
SALT/SOLVATE (PARENT)