BRAF in glioma

6 EU-approved indications in glioma need a BRAF result: trametinib (any line), trametinib (any line), dabrafenib (any line), dabrafenib (any line), tovorafenib (2nd line) and tovorafenib (2nd line).

Grade

Line of therapy

Approved indications, Glioma
DrugBiomarker requirementRegimenSettingConditions
BRAF6
Ojemdaconditional
Monotherapy
2L
Low-grade glioma only; Progressed after one or more prior systemic therapies; Aged 6 months of age and older
Ojemdaconditional
V600
Monotherapy
2L
Low-grade glioma only; Progressed after one or more prior systemic therapies; Aged 6 months of age and older
V600E
+ trametinib
Any line
Low-grade glioma only; Children and adolescents only; Aged 1 year and older; require systemic therapy
V600E
+ trametinib
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
Spexotras
V600E
+ dabrafenib
Any line
Low-grade glioma only; Children and adolescents only; Aged 1 year and older; require systemic therapy
Spexotras
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

One approval for Glioma needs no biomarker and applies whatever the result. All approvals for Glioma

See also

Label wording6

The sentence from section 4.1 of the SmPC that each indication above comes from.

  1. Trametinib (Spexotras)
    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.
  2. Trametinib (Spexotras)
    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.
  3. Dabrafenib (Finlee)
    Finlee in combination with trametinib 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.
  4. Dabrafenib (Finlee)
    Finlee in combination with trametinib 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.
  5. Tovorafenib (Ojemda)
    Ojemda is indicated as monotherapy for the treatment of patients 6 months of age and older with paediatric low-grade glioma (LGG) harbouring a BRAF fusion or rearrangement, or BRAF V600 mutation, who have progressed after one or more prior systemic therapies (for biomarkers-based patient selection, see section 4.2).
  6. Tovorafenib (Ojemda)
    Ojemda is indicated as monotherapy for the treatment of patients 6 months of age and older with paediatric low-grade glioma (LGG) harbouring a BRAF fusion or rearrangement, or BRAF V600 mutation, who have progressed after one or more prior systemic therapies (for biomarkers-based patient selection, see section 4.2).