Trametinib

Trametinib (Mekinist, Spexotras, Novartis Europharm Limited) has 7 EU-approved indications in 4 tumour types. Each needs a biomarker result: BRAF (7).
Approved indications of Trametinib
Biomarker requirementRegimenSettingConditions
Non-small cell lung cancer1
BRAF V600
+ dabrafenib
Any line
advanced
None
Melanoma3
BRAF V600
+ dabrafenib
Adj.
locally adv.
Following complete resection; Aged 12 years and older
BRAF V600
+ dabrafenib
Any line
advanced
Aged 12 years and older
BRAF V600
Monotherapy
Any line
advanced
Aged 12 years and older
Glioma2
BRAF V600E
+ dabrafenib
Any line
Low-grade glioma only; Children and adolescents only; Aged 1 year and older; require systemic therapy
BRAF V600E
+ dabrafenib
Any line
High-grade glioma only; Children and adolescents only; After at least one prior radiation and/or chemotherapy treatment; Aged 1 year and older
Thyroid cancer1
BRAF V600E
+ dabrafenib
2L
advanced
Differentiated thyroid cancer only; Progressed during or after prior systemic therapy; Refractory to or not eligible for radioactive iodine (RAI)
Full text of section 4.1 (therapeutic indications)
Mekinist

Melanoma Trametinib as monotherapy or in combination with dabrafenib is indicated for the treatment of adults and adolescents aged 12 years and older with unresectable or metastatic melanoma with a BRAF V600 mutation (see sections 4.4 and 5.1). Trametinib monotherapy has not demonstrated clinical activity in patients who have progressed on a prior BRAF inhibitor therapy (see section 5.1). Adjuvant treatment of melanoma Trametinib in combination with dabrafenib is indicated for the adjuvant treatment of adults and adolescents aged 12 years and older with Stage III melanoma with a BRAF V600 mutation, following complete resection. Non-small cell lung cancer (NSCLC) Trametinib in combination with dabrafenib is indicated for the treatment of adults with advanced non-small cell lung cancer with a BRAF V600 mutation. Differentiated thyroid cancer (DTC) Trametinib in combination with dabrafenib is indicated for the treatment of adult patients with locally advanced or metastatic differentiated thyroid cancer with a BRAF V600E mutation, refractory to or not eligible for radioactive iodine (RAI) who have progressed during or after prior systemic therapy (for biomarker-based patient selection, see section 4.2).

Spexotras

Low-grade glioma Spexotras in combination with dabrafenib is indicated for the treatment of paediatric patients aged 1 year and older with low-grade glioma (LGG) with a BRAF V600E mutation who require systemic therapy. High-grade glioma Spexotras in combination with dabrafenib is indicated for the treatment of paediatric patients aged 1 year and older with high-grade glioma (HGG) with a BRAF V600E mutation who have received at least one prior radiation and/or chemotherapy treatment.

Label history

45 changes to the Mekinist label since 2015, 5 of them to the indications. Newest first, in the words of EMA's record of each procedure.

Product

Changes