[Dabrafenib: the new inhibitor of hyperactive B-RAF kinase].

TL;DRAbstract

The B-RAF kinase is among major targets of biological therapy of cancer. B-RAF acts in the MAP kinase pathway, being activated by any of the RAS G-proteins. Hyperactive B-RAF is typically detected in chemoresistant and radioresistant malignant metastatic melanoma. In this study, we focus on the reversible ATP-competitive inhibitor dabrafenib (GSK-2118436), which is now in phase III clinical trial for use in subjects with various cancers expressing hyperactive B-RAF. Dabrafenib is selective for B-RAFV600E and B-RAFV600K (less for B-RAFV600D) over wild-type B-RAF. Thus, similarly to vemurafenib (Zelboraf), suggested is mandatory pre-screening for activating B-RAF mutations in the cancer tissue of each subject. Dabrafenib inhibits neoplastic growth at concentrations 53.8 nM in plasma, which corresponds to 30 mg/kg qd p.o., or to --- 3 mg/kg qd i.v. Most of the cancers expressing hyperactive B-RAF respond to dabrafenib treatment, but the complete response is only rarely achieved. Toxic sid

Chat with Paper

AI Agents for this Paper