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Dabrafenib

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Also known as GSK-2118436GSK-2118436AGsk2118436GSK2118436ATafinlarSID174006404DabrafenibDABRAFENIB (GSK2118436)

Summary

Dabrafenib (CHEMBL2028663) is an approved small-molecule antineoplastic agent (ATC L01EC02) that acts as a serine/threonine-protein kinase B-raf inhibitor, targeting BRAF; approved for 7 indications including neoplasm and melanoma, and in clinical trials for 7 other conditions; with CIViC clinical evidence for 80 variant-indication associations (e.g. BRAF V600E in melanoma).

At a glance

  • Status: FDA-approved (also EMA, PMDA)
  • Modality: Small molecule
  • ATC class: L01EC02
  • Targets: 1 (BRAF) (top 2% of drugs corpus-wide)
  • Indications: 22 conditions (top 10% of drugs corpus-wide)
  • Clinical trials: 138
  • Precision-oncology evidence (CIViC): 80 variant–indication associations
  • Chemistry: 519.6 Da · C23H20F3N5O2S2
  • Target biology: 1 curated target implicated as cohort gene in 102 diseases corpus-wide; indicated or in trials for 18 (8 on both)
  • Competitive landscape: target BRAF is also targeted by 6 other curated drugs in the corpus

Identifiers

Drug identity and classification

FieldValue
ChEMBL IDCHEMBL2028663
NameDabrafenib
TypeSmall molecule
Max phase4
FDA approvedyes
PubChem CID44462760
ChEBICHEBI:75045
ATCL01EC02
Molecular formulaC23H20F3N5O2S2
Molecular weight519.6
InChIKeyBFSMGDJOXZAERB-UHFFFAOYSA-N

SMILES: CC(C)(C)C1=NC(=C(S1)C2=NC(=NC=C2)N)C3=C(C(=CC=C3)NS(=O)(=O)C4=C(C=CC=C4F)F)F

IUPAC name: N-[3-[5-(2-aminopyrimidin-4-yl)-2-tert-butyl-1,3-thiazol-4-yl]-2-fluorophenyl]-2,6-difluorobenzenesulfonamide

ChEBI definition: An organofluorine compound and antineoplastic agent, used as its mesylate salt in treatment of metastatic melanoma.

Pharmacological roles (ChEBI): antineoplastic agent, B-Raf inhibitor, anticoronaviral agent.

Also known as: Dabrafenib, GSK-2118436, GSK-2118436A, Gsk2118436, GSK2118436A, Tafinlar, DABRAFENIB, SID174006404, dabrafenib, Dabrafenib; Tafinlar, DABRAFENIB (GSK2118436), Dabrafenib (GSK2118436)

Parent form; salt/anhydrous children: CHEMBL2105729

Patent coverage: 5,200 distinct patent families (13,060 SureChEMBL compound mentions), from 3 matched compound structure(s). One matched structure accounts for 12,339 (94%) of the total. Mentions count patents naming the compound (not distinct inventions), so promiscuous / reference molecules inflate the mention figure — families are the dedup metric.

Targets

Targets

Primary targets (GtoPdb curated mechanism): the Cancer dependency column is the DepMap CRISPR fitness signal (% of screened cell lines dependent on the target).

GeneTargetActionpAffinityCancer dependencyUniProt
BRAFB-Raf proto-oncogene, serine/threonine kinaseInhibition8.498.6%P15056

Mechanism of action (ChEMBL curated)

Target gene: BRAF

Mechanism of actionAction typeTargetTarget type
Serine/threonine-protein kinase B-raf inhibitorINHIBITORSerine/threonine-protein kinase B-rafSINGLE PROTEIN

Broader ChEMBL bioactivity targets: 55 (assay-derived screening hits — not curated targets; per-target potencies are in the ChEMBL bioactivities table below).

Bioactivity

ChEMBL activities: 91 potent at pChembl ≥ 5 of 93 total. Top 80 distinct by potency (10 = 0.1 nM, 6 = 1 µM):

ProteinUniProtGenepChemblTypeValueActivity ID
Serine/threonine-protein kinase B-rafP15056BRAF9.4IC500.4 nMCHEMBL_ACT_16577174
Serine/threonine-protein kinase B-rafP15056BRAF9.3IC500.5 nMCHEMBL_ACT_22885302
Serine/threonine-protein kinase B-rafP15056BRAF9.22IC500.6 nMCHEMBL_ACT_25708394
Serine/threonine-protein kinase B-rafP15056BRAF9.19IC500.65 nMCHEMBL_ACT_26027115
Serine/threonine-protein kinase B-rafP15056BRAF9.15IC500.7 nMCHEMBL_ACT_12691522
Serine/threonine-protein kinase B-rafP15056BRAF9.15IC500.71 nMCHEMBL_ACT_18745826
Serine/threonine-protein kinase B-rafP15056BRAF9.15EC500.7 nMCHEMBL_ACT_24882829
Serine/threonine-protein kinase B-rafP15056BRAF9.1IC500.8 nMCHEMBL_ACT_18528065
Serine/threonine-protein kinase B-rafP15056BRAF9IC501 nMCHEMBL_ACT_16577212
Receptor-interacting serine/threonine-protein kinase 3Q9Y572RIPK38.7IC502 nMCHEMBL_ACT_19146734
Serine/threonine-protein kinase B-rafP15056BRAF8.7IC502 nMCHEMBL_ACT_26023197
Serine/threonine-protein kinase B-rafP15056BRAF8.49IC503.2 nMCHEMBL_ACT_26023196
Serine/threonine-protein kinase B-rafP15056BRAF8.4IC504 nMCHEMBL_ACT_12691436
Serine/threonine-protein kinase B-rafP15056BRAF8.3IC505 nMCHEMBL_ACT_18946042
RAF proto-oncogene serine/threonine-protein kinaseP04049RAF18.3IC505 nMCHEMBL_ACT_25708393
Serine/threonine-protein kinase B-rafP15056BRAF8.22IC506 nMCHEMBL_ACT_15605136
Serine/threonine-protein kinase B-rafP15056BRAF8.1IC508 nMCHEMBL_ACT_12691441
Serine/threonine-protein kinase B-rafP15056BRAF8.05IC509 nMCHEMBL_ACT_16673781
Serine/threonine-protein kinase B-rafP15056BRAF8.01IC509.7 nMCHEMBL_ACT_15605028
Serine/threonine-protein kinase B-rafP15056BRAF7.96IC5011 nMCHEMBL_ACT_15605005
Cyclin-dependent kinase 16Q00536CDK167.89Kd13 nMCHEMBL_ACT_17889418
Cyclin-dependent kinase 2P24941CDK27.72Kd19 nMCHEMBL_ACT_17889735
Serine/threonine-protein kinase B-rafP15056BRAF7.66Kd22 nMCHEMBL_ACT_17885918
Serine/threonine-protein kinase A-RafP10398ARAF7.58IC5026 nMCHEMBL_ACT_15605133
LIM domain kinase 1P53667LIMK17.48Kd33 nMCHEMBL_ACT_17909720
Serine/threonine-protein kinase D2Q9BZL6PRKD27.47Kd34 nMCHEMBL_ACT_17931324
Cyclin-dependent kinase 17Q00537CDK177.44Kd36 nMCHEMBL_ACT_17889510
Serine/threonine-protein kinase A-RafP10398ARAF7.33Kd47 nMCHEMBL_ACT_17883691
Serine/threonine-protein kinase Nek9Q8TD19NEK97.28Kd53 nMCHEMBL_ACT_17921847
Non-receptor tyrosine-protein kinase TNK1Q13470TNK17.18Kd66 nMCHEMBL_ACT_17945500
Receptor-interacting serine/threonine-protein kinase 2O43353RIPK27.11IC5077 nMCHEMBL_ACT_19146735
LIM domain kinase 2P53671LIMK27.09Kd82 nMCHEMBL_ACT_17909990
Nuclear receptor subfamily 1 group I member 2O75469NR1I27.09EC5082 nMCHEMBL_ACT_26023198
Nuclear receptor subfamily 1 group I member 2O75469NR1I27.06EC5087.2 nMCHEMBL_ACT_24882851
Nuclear receptor subfamily 1 group I member 2O75469NR1I27.06EC5087 nMCHEMBL_ACT_24882865
Receptor-interacting serine/threonine-protein kinase 2O43353RIPK26.97Kd106 nMCHEMBL_ACT_17935367
Serine/threonine-protein kinase/endoribonuclease IRE2Q76MJ5ERN26.94Kd116 nMCHEMBL_ACT_17901986
Serine/threonine-protein kinase D3O94806PRKD36.92Kd120 nMCHEMBL_ACT_17931475
Cyclin-dependent kinase 4P11802CDK46.9Kd126 nMCHEMBL_ACT_17890418
RAF proto-oncogene serine/threonine-protein kinaseP04049RAF16.82IC50150 nMCHEMBL_ACT_15605139
Mitogen-activated protein kinase kinase kinase 20Q9NYL2MAP3K206.74Kd184 nMCHEMBL_ACT_17948549
Serine/threonine-protein kinase ULK1O75385ULK16.73Kd188 nMCHEMBL_ACT_17947234
Receptor-interacting serine/threonine-protein kinase 3Q9Y572RIPK36.6IC50250 nMCHEMBL_ACT_19146732
Receptor-interacting serine/threonine-protein kinase 3Q9Y572RIPK36.55Kd283 nMCHEMBL_ACT_17935512
Tyrosine-protein kinase ABL2P42684ABL26.52Kd305 nMCHEMBL_ACT_17878652
Cyclin-dependent kinase 6Q00534CDK66.5Kd318 nMCHEMBL_ACT_17890906
Cyclin-dependent kinase 1P06493CDK16.44Kd364 nMCHEMBL_ACT_17888561
Ephrin type-B receptor 6O15197EPHB66.38Kd412 nMCHEMBL_ACT_17901223
Serine/threonine-protein kinase Nek1Q96PY6NEK16.32Kd477 nMCHEMBL_ACT_17921052
Serine/threonine-protein kinase B-rafP15056BRAF6.28EC50529 nMCHEMBL_ACT_16578179
Serine/threonine-protein kinase PLK4O00444PLK46.28Kd520 nMCHEMBL_ACT_17928004
Activin receptor type-1BP36896ACVR1B6.22Kd601 nMCHEMBL_ACT_17880867
Serine/threonine-protein kinase SIK2Q9H0K1SIK26.19Kd649 nMCHEMBL_ACT_17938082
Ephrin type-A receptor 1P21709EPHA16.15Kd705 nMCHEMBL_ACT_17899187
Tyrosine-protein kinase FRKP42685FRK6.14Kd727 nMCHEMBL_ACT_17903956
Tyrosine-protein kinase LckP06239LCK6.11Kd783 nMCHEMBL_ACT_17909435
Tyrosine-protein kinase FynP06241FYN6.09Kd817 nMCHEMBL_ACT_17904176
Tyrosine-protein kinase CSKP41240CSK6.07Kd851 nMCHEMBL_ACT_17893310
Eukaryotic translation initiation factor 2-alpha kinase 1Q9BQI3EIF2AK16.02Kd949 nMCHEMBL_ACT_17898731
Mitogen-activated protein kinase kinase kinase 11Q16584MAP3K116Kd1011 nMCHEMBL_ACT_17911988
Cyclin-dependent kinase 5Q00535CDK55.97Kd1068 nMCHEMBL_ACT_17890645
Tyrosine-protein kinase YesP07947YES15.89Kd1276 nMCHEMBL_ACT_17948241
Tyrosine-protein kinase LynP07948LYN5.87Kd1353 nMCHEMBL_ACT_17910254
Protein-tyrosine kinase 6Q13882PTK65.85Kd1414 nMCHEMBL_ACT_17932959
Serine/threonine-protein kinase/endoribonuclease IRE1O75460ERN15.84Kd1453 nMCHEMBL_ACT_17901681
Serine/threonine-protein kinase ULK3Q6PHR2ULK35.83Kd1480 nMCHEMBL_ACT_17947497
Tyrosine-protein kinase ABL1P00519ABL15.81Kd1545 nMCHEMBL_ACT_17878489
Tyrosine-protein kinase FgrP09769FGR5.81Kd1549 nMCHEMBL_ACT_17903408
Interleukin-1 receptor-associated kinase 1P51617IRAK15.81Kd1564 nMCHEMBL_ACT_17908048
Hepatocyte growth factor receptorP08581MET5.79Kd1634 nMCHEMBL_ACT_17918995
Tyrosine-protein kinase HCKP08631HCK5.78Kd1646 nMCHEMBL_ACT_17905990
Maternal embryonic leucine zipper kinaseQ14680MELK5.74Kd1816 nMCHEMBL_ACT_17918655
Serine/threonine-protein kinase SIK3Q9Y2K2SIK35.7Kd2005 nMCHEMBL_ACT_17938311
Calcium/calmodulin-dependent protein kinase type IVQ16566CAMK45.64Kd2274 nMCHEMBL_ACT_17887103
Dual specificity mitogen-activated protein kinase kinase 5Q13163MAP2K55.64Kd2294 nMCHEMBL_ACT_17911323
TGF-beta receptor type-1P36897TGFBR15.62Kd2384 nMCHEMBL_ACT_17944648
TGF-beta receptor type-2P37173TGFBR25.6Kd2534 nMCHEMBL_ACT_17944879
Tyrosine-protein kinase JAK2O60674JAK25.49Kd3223 nMCHEMBL_ACT_17909037
TGF-beta receptor type-1P36897TGFBR15.43IC503700 nMCHEMBL_ACT_12691437
GTPase KRasP01116KRAS5.23IC505880 nMCHEMBL_ACT_15604993

Target pathways

Aggregated over 1 target gene(s): BRAF.

Top Reactome pathways

39 total, by targets touching each:

PathwayTargetsGenes
Spry regulation of FGF signaling1BRAF
Signal Transduction1BRAF
Disease1BRAF
Signaling by NTRKs1BRAF
Prolonged ERK activation events1BRAF
Frs2-mediated activation1BRAF
ARMS-mediated activation1BRAF
Signaling by NTRK1 (TRKA)1BRAF
Signalling to ERKs1BRAF
Signalling to p38 via RIT and RIN1BRAF
Signaling by FGFR1BRAF
Negative regulation of FGFR1 signaling1BRAF
Negative regulation of FGFR2 signaling1BRAF
Negative regulation of FGFR3 signaling1BRAF
Negative regulation of FGFR4 signaling1BRAF
Signaling by FGFR11BRAF
Signaling by FGFR21BRAF
Signaling by FGFR31BRAF
Signaling by FGFR41BRAF
Diseases of signal transduction by growth factor receptors and second messengers1BRAF
RAF activation1BRAF
RAF/MAP kinase cascade1BRAF
MAP2K and MAPK activation1BRAF
Negative feedback regulation of MAPK pathway1BRAF
Negative regulation of MAPK pathway1BRAF
MAPK family signaling cascades1BRAF
MAPK1/MAPK3 signaling1BRAF
Signaling by moderate kinase activity BRAF mutants1BRAF
Signaling by high-kinase activity BRAF mutants1BRAF
Signaling by RAS mutants1BRAF
Signaling by BRAF and RAF1 fusions1BRAF
Paradoxical activation of RAF signaling by kinase inactive BRAF1BRAF
Oncogenic MAPK signaling1BRAF
Signaling by Receptor Tyrosine Kinases1BRAF
Signaling downstream of RAS mutants1BRAF
Signaling by RAF1 mutants1BRAF
Signaling by MRAS-complex mutants1BRAF
SHOC2 M1731 mutant abolishes MRAS complex function1BRAF
Gain-of-function MRAS complexes activate RAF signaling1BRAF

Dominant GO biological processes

GO termTargets
MAPK cascade1
protein phosphorylation1
epidermal growth factor receptor signaling pathway1
animal organ morphogenesis1
positive regulation of gene expression1
positive regulation of D-glucose transmembrane transport1
positive regulation of peptidyl-serine phosphorylation1
negative regulation of apoptotic process1
positive regulation of ERK1 and ERK2 cascade1
cellular response to calcium ion1
establishment of protein localization to membrane1
postsynaptic modulation of chemical synaptic transmission1
signal transduction1

Predicted targets — Sugi Predict

This molecule is SureChEMBL compound SCHEMBL29350038 — see its predicted protein targets + similar patent compounds on Sugi Predict.

Indications & clinical

Indications

7 approved indications. FDA phase 4, plus an anticancer drug’s labelled cancer uses (which ChEMBL often logs at phase 3).

IndicationPhaseMONDOEFO
neoplasm4MONDO:0005070EFO:0000616
melanoma3MONDO:0005105EFO:0000756
cutaneous melanoma3MONDO:0005012EFO:0000389
thyroid gland papillary carcinoma3MONDO:0005075EFO:0000641
metastatic melanoma3MONDO:0005191EFO:0002617
thyroid gland carcinoma3MONDO:0015075EFO:0002892
ameloblastoma3MONDO:0017795

7 diseases in clinical trials (phase 2–3, investigational — not approved indications). Highest ChEMBL trial phase per disease; a non-cancer approved use is occasionally logged at phase 3 here.

Disease (in trials)PhaseMONDOEFO
thyroid gland follicular carcinoma2MONDO:0005034EFO:0000501
non-small cell lung carcinoma2MONDO:0005233EFO:0003060
Erdheim-Chester disease2MONDO:0018153EFO:1000926
lung neoplasm2MONDO:0021117
undifferentiated carcinoma2MONDO:0005617EFO:0006772
craniopharyngioma2MONDO:0018907EFO:1000209
thyroid gland undifferentiated (anaplastic) carcinoma2MONDO:0006468EFO:1000595

3 further indication records had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.

Regulatory approval & mechanism (DrugCentral)

Approved: FDA, EMA, PMDA. Curated mechanism: INHIBITOR · 1 MOA target of 9 total (P15056).

DrugCentral (CC BY-SA): authoritative regulatory-approval status + curated mechanism. The drug’s full target set is in Targets above.

Clinical trials

Total trials: 138.

Phase distribution

PhaseTrials
Phase 260
Phase 131
Not specified19
Phase 1/213
Phase 310
Phase 43
Phase 2/32

Top trials by phase / activity

NCTPhaseStatusTitle
NCT03340506Phase 4RECRUITINGDabrafenib and/or Trametinib Rollover Study
NCT03975829Phase 4ACTIVE_NOT_RECRUITINGPediatric Long-Term Follow-up and Rollover Study
NCT07010393Phase 4NOT_YET_RECRUITINGGenotype-Driven Neoadjuvant Therapy for Locally Advanced Thyroid Cancer: A Real-World Cohort Study
NCT04940052Phase 3ACTIVE_NOT_RECRUITINGStudy of Efficacy and Safety of Dabrafenib in Combination With Trametinib in Previously Treated Patients With Metastatic, Radio-active Iodine Refractory BRAF V600E Mutation Positive Differentiated Thyroid Cancer
NCT06475989Phase 3RECRUITINGStudy of Targeted Therapy vs. Chemotherapy in Patients With Thyroid Cancer
NCT06819605Phase 2/3NOT_YET_RECRUITINGNeoadjuvant Therapy With Conservative Surgery vs. Up-front Conservative Surgery for BRAF V600E-Mutated Ameloblastoma
NCT07440290Phase 2/3RECRUITINGDETERMINE Trial Treatment Arm 07: Dabrafenib in Combination With Trametinib in Adult, Paediatric and Teenage/Young Adult Patients With BRAF V600 Mutation-Positive Cancers.
NCT01227889Phase 3COMPLETEDA Study Comparing GSK2118436 to Dacarbazine (DTIC) in Previously Untreated Subjects With BRAF Mutation Positive Advanced (Stage III) or Metastatic (Stage IV) Melanoma
NCT01584648Phase 3COMPLETEDA Study Comparing Trametinib and Dabrafenib Combination Therapy to Dabrafenib Monotherapy in Subjects With BRAF-mutant Melanoma
NCT01597908Phase 3COMPLETEDDabrafenib Plus Trametinib vs Vemurafenib Alone in Unresectable or Metastatic BRAF V600E/K Cutaneous Melanoma
NCT01682083Phase 3COMPLETEDDabrafenib With Trametinib in the Adjuvant Treatment of High-risk BRAF V600 Mutation-positive Melanoma (COMBI-AD).
NCT02967692Phase 3TERMINATEDA Study of the Anti-PD1 Antibody PDR001, in Combination With Dabrafenib and Trametinib in Advanced Melanoma
NCT03551626Phase 3COMPLETEDStudy of Dabrafenib+Trametinib in the Adjuvant Treatment of Stage III BRAF V600+ Melanoma After Complete Resection to Evaluate the Impact on Pyrexia Related Outcomes
NCT03784014Phase 3COMPLETEDMolecular Profiling of Advanced Soft-tissue Sarcomas
NCT06264778Phase 3UNKNOWNExploration of Fenestration Decompression Combined With Dalafenib in the Treatment of BRAF Mutant Ameloblastoma
NCT01989585Phase 1/2ACTIVE_NOT_RECRUITINGTesting the Addition of Navitoclax to the Combination of Dabrafenib and Trametinib in People Who Have BRAF Mutant Melanoma
NCT02231775Phase 2ACTIVE_NOT_RECRUITINGDabrafenib and Trametinib Before and After Surgery in Treating Patients With Stage IIIB-C Melanoma With BRAF V600 Mutation
NCT02465060Phase 2ACTIVE_NOT_RECRUITINGTargeted Therapy Directed by Genetic Testing in Treating Patients With Advanced Refractory Solid Tumors, Lymphomas, or Multiple Myeloma (The MATCH Screening Trial)
NCT02858921Phase 2ACTIVE_NOT_RECRUITINGNeoadjuvant Dabrafenib, Trametinib and/or Pembrolizumab in BRAF Mutant Resectable Stage III Melanoma
NCT02910700Phase 2ACTIVE_NOT_RECRUITINGNivolumab With Trametinib and Dabrafenib, or Encorafenib and Binimetinib in Treating Patients With BRAF Mutated Metastatic or Unresectable Stage III-IV Melanoma
NCT02925234Phase 2RECRUITINGThe Drug Rediscovery Protocol (DRUP Trial)
NCT03149029Phase 2ACTIVE_NOT_RECRUITINGAbbreviated MAPK Targeted Therapy Plus Pembrolizumab in Melanoma
NCT03563729Phase 2RECRUITINGMelanoma Metastasized to the Brain and Steroids
NCT04116541Phase 2RECRUITINGA Study Evaluating the Activity of Anti-cancer Treatments Targeting Tumor Molecular Alterations/Characteristics in Advanced / Metastatic Tumors.
NCT04201457Phase 1/2ACTIVE_NOT_RECRUITINGA Trial of Dabrafenib, Trametinib and Hydroxychloroquine for Patients With Recurrent LGG or HGG With a BRAF Aberration
NCT04238624Phase 2ACTIVE_NOT_RECRUITINGStudy of Cemiplimab Combined With Dabrafenib and Trametinib in People With Anaplastic Thyroid Cancer
NCT04544111Phase 2ACTIVE_NOT_RECRUITINGPDR001 Combination Therapy for Radioiodine-Refractory Thyroid Cancer
NCT04675710Phase 2ACTIVE_NOT_RECRUITINGPembrolizumab, Dabrafenib, and Trametinib Before Surgery for the Treatment of BRAF-Mutated Anaplastic Thyroid Cancer
NCT05159245Phase 2RECRUITINGThe Finnish National Study to Facilitate Patient Access to Targeted Anti-cancer Drugs
NCT05525273Phase 2RECRUITINGTreatment of BRAF ( B-Rapidly Accelerated Fibrosarcoma) Mutated Papillary Craniopharyngioma
NCT06054191Phase 2NOT_YET_RECRUITINGNeoadjuvant and Adjuvant Targeted Treatment in NSCLC With BRAF V600 or MET Exon 14 Mutations
NCT06079333Phase 2RECRUITINGNEO- and Adjuvant Targeted Therapy in Braf-mutated Anaplastic Cancer of the Thyroid (NEO-ATACT Study)
NCT06119789Phase 2RECRUITINGPrecision Cancer Therapy in Rare Cancers
NCT06482086Phase 2RECRUITINGEfficacy of Organoid-Based Drug Screening to Guide Treatment for Locally Advanced Thyroid Cancer
NCT06563999Phase 2RECRUITINGNeoadjuvant Umbrella Trial for Patients With Unresectable Stage III NSCLC Harboring Rare Mutations.
NCT06653517Phase 2RECRUITINGClinical Study of Neoadjuvant Targeted Therapy for Ameloblastoma
NCT06712875Phase 1/2RECRUITINGMAPK Inhibition Combined With Anti-PD1 Therapy for BRAF-altered Pediatric Gliomas
NCT06739395Phase 2RECRUITINGPrecision Medicine Trial Based on Molecular Matching Therapy for Patients With Standard Treatment Exhaustion
NCT07110246Phase 2RECRUITINGDabrafenib and Trametinib for BRAF V600 Mutant Low-Grade Gliomas
NCT07506109Phase 2RECRUITINGA Phase II Study of Sintilimab Combined With Ipilimumab N01, Cetuximab and Dabrafenib in Patients With Microsatellite-Stable, BRAF V600E-Mutated Metastatic Colorectal Cancer
NCT01072175Phase 2COMPLETEDInvestigate Safety, Pharmacokinetics and Pharmacodynamics of GSK2118436 & GSK1120212
NCT01153763Phase 2COMPLETEDA Study of GSK2118436 in BRAF Mutant Metastatic Melanoma
NCT01266967Phase 2COMPLETEDA Study of GSK2118436 in BRAF Mutant Metastatic Melanoma to the Brain
NCT01336634Phase 2COMPLETEDStudy of Selective BRAF Kinase Inhibitor Dabrafenib Monotherapy Twice Daily and in Combination With Dabrafenib Twice Daily and Trametinib Once Daily in Combination Therapy in Subjects With BRAF V600E Mutation Positive Metastatic (Stage IV) Non-small Cell Lung Cancer.
NCT01619774Phase 2COMPLETEDAn Open-Label Phase II Study of the Combination of GSK2118436 and GSK1120212 in Patients With Metastatic Melanoma Which is Refractory or Resistant to BRAF Inhibitor
NCT01677741Phase 1/2COMPLETEDA Study to Determine Safety, Tolerability and Pharmacokinetics of Oral Dabrafenib In Children and Adolescent Subjects
NCT01682213Phase 2COMPLETEDAdjuvant Dabrafenib (GSK2118436) in Patients With Surgically Resected AJCC Stage IIIC Melanoma Characterized by a BRAFV600E/K Mutation
NCT01701037Phase 2TERMINATEDDabrafenib Alone and in Combination With Trametinib Before Surgery in Treating Patients With Locally or Regionally Advanced Melanoma That Can Be Removed By Surgery
NCT01721603Phase 2TERMINATEDDabrafenib and Trametinib With Radiosurgery in Melanoma Brain Mets
NCT01723202Phase 2COMPLETEDDabrafenib With or Without Trametinib in Treating Patients With Advanced Differentiated Thyroid Cancer
NCT01750918Phase 1/2COMPLETEDBRAF/MEK/EGFR Inhibitor Combination Study in Colorectal Cancer (CRC)
NCT01928940Phase 2COMPLETEDJapan PhI/II of GSK2118436 and GSK1120212 Combination in Subjects With BRAF V600E/K Mutation Positive Advanced Solid Tumors (Phase I Part) or Cutaneous Melanoma (Phase II Part)
NCT01972347Phase 2COMPLETEDNeoadjuvant Dabrafenib + Trametinib for AJCC Stage IIIB-C BRAF V600 Mutation Positive Melanoma
NCT01978236Phase 2TERMINATEDDabrafenib/Trametinib, BRAF or BRAF AND MEK Pre-op With BRAF and MEK Post-op, Phase IIB, Melanoma With Brain Mets,Biomarkers and Metabolites
NCT02034110Phase 2COMPLETEDEfficacy and Safety of the Combination Therapy of Dabrafenib and Trametinib in Subjects With BRAF V600E- Mutated Rare Cancers
NCT02039947Phase 2COMPLETEDStudy to Evaluate Treatment of Dabrafenib Plus Trametinib in Subjects With BRAF Mutation-Positive Melanoma That Has Metastasized to the Brain
NCT02052193Phase 2TERMINATEDEvaluation of Photosensitivity in Dabrafenib or Vemurafenib Treated Metastatic Melanoma Patients - a Phase IIa/IIb Study
NCT02083354Phase 2COMPLETEDStudy to Investigate the Objective Response Rate of Dabrafenib in Combination With Trametinib in Subjects With BRAF V600 Mutation-Positive Melanoma
NCT02124772Phase 1/2COMPLETEDStudy to Investigate Safety, Pharmacokinetic (PK), Pharmacodynamic (PD) and Clinical Activity of Trametinib in Subjects With Cancer or Plexiform Neurofibromas and Trametinib in Combination With Dabrafenib in Subjects With Cancers Harboring V600 Mutations
NCT02130466Phase 1/2COMPLETEDA Study of the Safety and Efficacy of Pembrolizumab (MK-3475) in Combination With Trametinib and Dabrafenib in Participants With Advanced Melanoma (MK-3475-022/KEYNOTE-022)
NCT02143050Phase 1/2WITHDRAWNStudy of Dabrafenib, Trametinib and Metformin for Melanoma Patients
NCT02296996Phase 2COMPLETEDDabrafenib and Trametinib for BRAF-inhibitor Pretreated Patients
NCT02314143Phase 2TERMINATEDPhase II Biomarker Study Comparing the Combination of BRAF Inhibitor Dabrafenib With MEK Inhibitor Trametinib Versus the Combination After Monotherapy With Dabrafenib or Trametinib
NCT02367859Phase 2COMPLETEDDabrafenib and Trametinib in Treating Patients With BRAF Mutated Ameloblastoma
NCT02392871Phase 1/2COMPLETEDRadiotherapy & Combi in Metastatic Melanoma
NCT02410863Phase 2TERMINATEDBiopsy- and Biology-driven Optimization of Targeted Therapy in Subjects With Advanced Melanoma
NCT02625337Phase 2UNKNOWNStudy Comparing Pembrolizumab With Dual MAPK Pathway Inhibition Plus Pembrolizumab in Melanoma Patients
NCT02672358Phase 2WITHDRAWNStudy of Efficacy and Safety of Dabrafenib and Trametinib Combination Therapy in Japanese Patients With BRAF V600E Stage IV NSCLC
NCT02684058Phase 2COMPLETEDStudy of Efficacy and Safety of Dabrafenib in Combination With Trametinib in Pediatric Patients With BRAF V600 Mutation Positive LGG or Relapsed or Refractory HGG Tumors
NCT02872259Phase 1/2COMPLETEDBGB324 in Combination With Pembrolizumab or Dabrafenib/Trametinib in Metastatic Melanoma
NCT02974803Phase 2TERMINATEDConcurrent Dabrafenib + Trametinib With Sterotactic Radiation in BRAF Mutation-Positive Malignant Melanoma and Brain Metastases
NCT03239015Phase 2UNKNOWNEfficacy and Safety of Precision Therapy in Refractory Tumor
NCT03244956Phase 2COMPLETEDEfficacy of MEK (Trametinib) and BRAFV600E (Dabrafenib) Inhibitors With Radioactive Iodine (RAI) for the Treatment of Refractory Metastatic Differentiated Thyroid Cancer
NCT03352947Phase 2COMPLETEDContinuous vs Intermittent Dabrafenib Plus Trametinib in BRAFV600 Mutant Stage 3 Unresectable or Metastatic Melanoma
NCT03391050Phase 1/2TERMINATEDA Study of APR-246 in Combination With Dabrafenib in Resistant Patients With BRAF V600 Mutant Melanoma
NCT03455764Phase 1/2COMPLETEDMCS110 With BRAF/MEK Inhibition in Patients With Melanoma
NCT03668431Phase 2UNKNOWNDabrafenib + Trametinib + PDR001 In Colorectal Cancer
NCT03754179Phase 1/2UNKNOWNDabrafenib/Trametinib/Hydroxychloroquine for Advanced Pretreated BRAF V600 Mutant Melanoma
NCT04059224Phase 2COMPLETEDTraMel-WT: A Trial of Trametinib in Patients With Advanced Pretreated BRAFV600 Wild-type Melanoma
NCT04310397Phase 2TERMINATEDDabrafenib, Trametinib, and Spartalizumab for the Treatment of BRAF V600E or V600K Mutation Positive Stage IIIB/C/D Melanoma
NCT04452877Phase 2COMPLETEDA Study of Dabrafenib in Combination With Trametinib in Chinese Patients With BRAF V600E Mutant Metastatic NSCLC
NCT04554680Phase 2UNKNOWNClinical Trial in RAI-Refractory Thyroid Carcinoma Evaluating BRAF & MEK Blockade for Re-differentiation Therapy
NCT04619316Phase 2UNKNOWNEnhancing Radioiodine Incorporation Into Radio Iodine Refractory Thyroid Cancers With MAPK Inhibition
NCT04739566Phase 2WITHDRAWNDabrafenib and Trametinib Combination as a Neoadjuvant Strategy in BRAF-positive Anaplastic Thyroid Cancer
NCT05182931Phase 2UNKNOWNA Prospective, Multi-Centre Trial of TKI Redifferentiation Therapy in Patients With RAIR Thyroid Cancer (I-FIRST Study)
NCT05299580Phase 2WITHDRAWNDabrafenib and Trametinib in Circulating Free DNA BRAFV600 Mutated Metastatic Melanoma Patients: a Prospective Phase II, Open Label, Multicentre Study - (Bioliquid TAILOR Study - BIOTAILOR)
NCT05876806Phase 2UNKNOWNDabrafenib Plus Trametinib in Patients With Advanced Solid Tumor Having BRAF V600E Mutation or Clinically Actionable BRAF Gene Alterations
NCT06362694Phase 2UNKNOWNStudy of the Rechallenge Concept in Patients With BRAF-positive Anaplastic Thyroid Cancer After Progression on Anti-BRAF Therapy
NCT01947023Phase 1ACTIVE_NOT_RECRUITINGDabrafenib and Lapatinib in Treating Patients With Refractory Thyroid Cancer That Cannot Be Removed by Surgery
NCT03091257Phase 1ACTIVE_NOT_RECRUITINGA Study of Dabrafenib and/or Trametinib in Patients With Relapsed and/or Refractory Multiple Myeloma
NCT03975231Phase 1RECRUITINGDabrafenib, Trametinib, and IMRT in Treating Patients With BRAF Mutated Anaplastic Thyroid Cancer
NCT04903119Phase 1RECRUITINGNilotinib Plus Dabrafenib/Trametinib or Encorafenib/Binimetinib in Metastatic Melanoma
NCT00880321Phase 1COMPLETEDA Phase I Study to Investigate the Safety, Pharmacokinetics, and Pharmacodynamics of GSK2118436 in Subjects With Solid Tumors
NCT01231594Phase 1COMPLETEDA Rollover Study to Provide Continued Treatment With GSK2118436 to Subjects With BRAF Mutation-Positive Tumors
NCT01262963Phase 1COMPLETEDAn Absorption, Distribution, Metabolism and Excretion (ADME) Study of Single Oral Dose [14C] GSK2118436 in Subjects With BRAF Mutant Solid Tumors
NCT01340833Phase 1COMPLETEDDetermination of the Absolute Bioavailability of GSK2118436 Following a Single Oral Dose Co-Administered With an Intravenous Radiolabelled Microtracer of GSK2118436 in Subjects With BRAF Mutant Solid Tumors
NCT01340846Phase 1COMPLETEDA Pharmacokinetics Study of the Effects of GSK2118436 on Warfarin, the Effects of Ketoconazole and Gemfibrozil on GSK2118436, and the Effects of Repeat Doses of GSK2118436 in Subjects With BRAF Mutant Solid Tumors
NCT01582997Phase 1COMPLETEDA Phase I Study to Investigate the Safety, Tolerability and Pharmacokinetic Profile of of GSK2118436 in Japanese Subjects With BRAF Mutation Positive Solid Tumors
NCT01713972Phase 1COMPLETEDDabrafenib and Pazopanib Hydrochloride in Treating Patients With Advanced Malignant Tumors
NCT01738451Phase 1COMPLETEDA Study to Evaluate the Effect of Repeat Oral Dosing of GSK2118436 on Cardiac Repolarization in Subjects With V600 BRAF Mutation-Positive Tumors

Clinical evidence (CIViC)

Variant × therapy × indication — from 99 curated evidence items. CIViC evidence level: A (validated) → B (clinical) → C (case study) → D (preclinical) → E (inferential).

showing 30 of 80 predictive associations by evidence level:

VariantTherapyIndicationEffectLevelCIViC
BRAF V600EDabrafenibMelanomaSensitivity/ResponseCIViC AEID11244 +5
BRAF V600ETrametinib + DabrafenibPleomorphic XanthoastrocytomaSensitivity/ResponseCIViC AEID11312 +1
BRAF V600Trametinib + DabrafenibSkin MelanomaSensitivity/ResponseCIViC AEID1411
BRAF V600EDabrafenib + TrametinibPilocytic AstrocytomaSensitivity/ResponseCIViC AEID11313
BRAF V600ETrametinib + DabrafenibSolid TumorSensitivity/ResponseCIViC AEID12161
BRAF V600EDabrafenib + TrametinibLow Grade GliomaSensitivity/ResponseCIViC AEID12162
BRAF V600ETrametinib + DabrafenibLung Non-small Cell CarcinomaSensitivity/ResponseCIViC AEID3017
BRAF V600ETrametinib + DabrafenibAnaplastic Thyroid CarcinomaSensitivity/ResponseCIViC BEID12959 +3
BRAF V600EDabrafenib + TrametinibAnaplastic Thyroid CarcinomaSensitivity/ResponseCIViC BEID12957 +2
BRAF V600ETrametinib + DabrafenibMelanomaSensitivity/ResponseCIViC BEID6938 +2
BRAF V600KDabrafenib + TrametinibMelanomaSensitivity/ResponseCIViC BEID6939 +2
BRAF V600Dabrafenib + TrametinibMelanomaSensitivity/ResponseCIViC BEID6180 +1
BRAF V600ETrametinib + DabrafenibPapillary Thyroid CarcinomaSensitivity/ResponseCIViC BEID13281 +1
BRAF V600KDabrafenibMelanomaSensitivity/ResponseCIViC BEID2505 +1
BRAF K601EDabrafenibSkin MelanomaSensitivity/ResponseCIViC BEID2812
BRAF V600DabrafenibMelanomaSensitivity/ResponseCIViC BEID1407
BRAF V600Dabrafenib + TrametinibColorectal CancerSensitivity/ResponseCIViC BEID1415
BRAF V600DabrafenibChildhood Low-grade GliomaSensitivity/ResponseCIViC BEID8034
BRAF V600DDabrafenibMelanomaSensitivity/ResponseCIViC BEID94
BRAF V600EDabrafenibLangerhans-cell HistiocytosisSensitivity/ResponseCIViC BEID11303
BRAF V600EDabrafenib + TrametinibCancerSensitivity/ResponseCIViC BEID11672
BRAF V600EDabrafenib + Trametinib + PembrolizumabAnaplastic Thyroid CarcinomaSensitivity/ResponseCIViC BEID13283
BRAF V600EDabrafenibSkin MelanomaSensitivity/ResponseCIViC BEID2146
BRAF V600ETrametinib + DabrafenibSkin MelanomaSensitivity/ResponseCIViC BEID3758
BRAF V600EPanitumumab + Dabrafenib + TrametinibColorectal CancerSensitivity/ResponseCIViC BEID6123
BRAF V600EDabrafenib + TrametinibMelanomaSensitivity/ResponseCIViC BEID6178
BRAF V600ETrametinib + DabrafenibBiliary Tract CancerSensitivity/ResponseCIViC BEID7264
BRAF V600EDabrafenib + TrametinibCholangiocarcinomaSensitivity/ResponseCIViC BEID7453
BRAF V600EDabrafenib + TrametinibOvarian CancerSensitivity/ResponseCIViC BEID7454
BRAF V600EDabrafenibPapillary Thyroid CarcinomaSensitivity/ResponseCIViC BEID7761

CIViC column: a representative evidence item (EID); +N = additional CIViC items supporting the same association.

Pharmacology

MeSH pharmacological classification

MeSH note: An antineoplastic agent that inhibits BRAF kinase.

Pharmacological action: Antineoplastic Agents; Protein Kinase Inhibitors.

Broader MeSH heading: Imidazoles.

MeSH supplementary concept C561627 “dabrafenib” — exact-name match.

Pharmacogenomics

No PharmGKB pharmacogenomic data curated for this drug.

Adverse-event reports (FAERS)

21,087 reports across 2 FAERS drug-name records; 2,339 distinct MedDRA reactions.

openFDA FAERS — spontaneous post-marketing reports. Co-occurrence, not causation: reports are voluntary, unverified, and confounded by indication and reporting bias (the drug’s own indication often appears as a ‘reaction’). PRR is a disproportionality heuristic (reaction rate for this drug vs the FAERS background), NOT a risk estimate. Counts are pooled across the drug’s name records.

Most-reported events

Serious = reports flagged serious (death / life-threatening / hospitalisation / disability / other medically important).

50 reactions by report volume:

Reaction (MedDRA PT)ReportsSeriousPRR
pyrexia4,1453,025 (73%)12.1×
death2,8822,870 (100%)3.4×
malignant neoplasm progression1,7571,751 (100%)17.6×
fatigue1,433850 (59%)1.8×
nausea1,406895 (64%)1.8×
chills1,344821 (61%)11.6×
rash1,177662 (56%)2.7×
vomiting983753 (77%)2.1×
diarrhoea982703 (72%)1.5×
headache754507 (67%)1.2×
asthenia735605 (82%)1.9×
malaise622449 (72%)1.4×
decreased appetite589444 (75%)2.5×
arthralgia580375 (65%)1.4×
visual impairment534224 (42%)4.4×
product use in unapproved indication528354 (67%)2.2×
pain505332 (66%)0.8×
metastases to central nervous system496492 (99%)40.1×
drug ineffective483304 (63%)0.4×
metastatic malignant melanoma475474 (100%)262.7×
malignant melanoma435428 (98%)33.6×
disease progression422332 (79%)3.6×
dyspnoea422355 (84%)0.8×
dizziness390276 (71%)0.8×
off label use370291 (79%)0.4×
cough369273 (74%)1.3×
dehydration361318 (88%)2.9×
pneumonia358354 (99%)1.1×
vision blurred338173 (51%)2.5×
general physical health deterioration332316 (95%)2.9×
constipation326216 (66%)1.5×
weight decreased325264 (81%)1.2×
hypotension318298 (94%)1.8×
dysphagia303194 (64%)3.2×
pruritus299202 (68%)0.8×
myalgia296223 (75%)1.7×
pain in extremity290201 (69%)1.0×
peripheral swelling278195 (70%)1.8×
anaemia272261 (96%)1.7×
abdominal pain264233 (88%)1.1×
uveitis263255 (97%)19.9×
blood creatine phosphokinase increased250241 (96%)8.6×
confusional state238209 (88%)1.6×
seizure238231 (97%)2.1×
acute kidney injury232231 (100%)1.6×
ejection fraction decreased231220 (95%)15.7×
fall222206 (93%)0.7×
neutropenia218216 (99%)1.6×
infection217203 (94%)1.5×
urinary tract infection213191 (90%)1.3×

Strongest disproportionality

Reactions over-reported for this drug vs the FAERS background (PRR), among those with ≥ 10 reports (a high PRR off a few reports is noise, not signal).

50 reactions by disproportionality:

Reaction (MedDRA PT)ReportsSeriousPRR
braf v600e mutation positive2725 (93%)890.0×
anaplastic thyroid cancer4949 (100%)663.7×
ganglioglioma1414 (100%)407.2×
metastatic malignant melanoma475474 (100%)262.7×
malignant melanoma stage iv5757 (100%)250.5×
braf gene mutation1515 (100%)197.8×
melanoma recurrent5656 (100%)155.1×
malignant mesenteric neoplasm1010 (100%)152.1×
vogt-koyanagi-harada disease2525 (100%)132.2×
astrocytoma, low grade1212 (100%)75.1×
malignant melanoma stage iii1414 (100%)74.0×
langerhans^ cell histiocytosis2020 (100%)66.1×
serous retinal detachment4645 (98%)61.5×
non-small cell lung cancer recurrent1616 (100%)61.3×
panniculitis133130 (98%)58.4×
sarcoid-like reaction1212 (100%)54.9×
intestinal metastasis1818 (100%)53.9×
metastases to stomach1919 (100%)52.3×
lung adenocarcinoma stage iv1818 (100%)50.0×
acute polyneuropathy1212 (100%)44.8×
glioma2525 (100%)40.7×
skin abrasion109 (90%)40.2×
metastases to central nervous system496492 (99%)40.1×
cutaneous sarcoidosis1616 (100%)39.3×
metastases to heart1111 (100%)37.6×
thyroid cancer metastatic1010 (100%)36.6×
metastases to skin3535 (100%)35.4×
astrocytoma1313 (100%)34.4×
malignant melanoma435428 (98%)33.6×
small cell carcinoma1111 (100%)33.0×
non-small cell lung cancer stage iv1111 (100%)31.5×
procalcitonin increased3535 (100%)31.2×
keratoacanthoma2018 (90%)30.3×
metastases to spleen1212 (100%)29.9×
chorioretinopathy4140 (98%)29.4×
creatine kinase increased1212 (100%)28.6×
metastases to meninges6060 (100%)27.6×
ureteral disorder1111 (100%)27.3×
detachment of retinal pigment epithelium2323 (100%)27.1×
autoimmune colitis1616 (100%)25.6×
metastases to the mediastinum1010 (100%)24.9×
erythema nodosum8173 (90%)23.8×
tumour invasion1111 (100%)23.6×
hypoalbuminaemia3634 (94%)23.6×
metastases to adrenals2121 (100%)23.4×
palmoplantar keratoderma1514 (93%)21.4×
skin toxicity111100 (90%)20.4×
ocular toxicity2119 (90%)20.4×
uveitis263255 (97%)19.9×
second primary malignancy133133 (100%)19.7×

Molecules sharing ≥1 of this drug’s curated primary targets, merged from two biobtree sources and ranked by shared-target count, then clinical phase: ChEMBL clinical-stage candidates (development phase ≥2) and PubChem drug-class bioactivity (approved / known drugs acting on the target). Deduplicated by drug name; the drug’s own salt forms are excluded. Note: for a drug with few primary targets a shared-target match can reflect off-target / promiscuous binding rather than the same therapeutic mechanism — the phase ordering surfaces bona-fide therapeutics first.

47 molecules share ≥1 primary target. Top 47 by shared-target count:

MoleculeSourceStatusShared targets
GEFITINIBChEMBL + PubChemPhase 4 (approved)BRAF
PAZOPANIBChEMBL + PubChemPhase 4 (approved)BRAF
REGORAFENIBChEMBL + PubChemPhase 4 (approved)BRAF
ABEMACICLIBChEMBLPhase 4 (approved)BRAF
COBIMETINIBChEMBLPhase 4 (approved)BRAF
DASATINIBChEMBLPhase 4 (approved)BRAF
ENCORAFENIBChEMBLPhase 4 (approved)BRAF
ERLOTINIBChEMBLPhase 4 (approved)BRAF
FEDRATINIBChEMBLPhase 4 (approved)BRAF
IMATINIBChEMBLPhase 4 (approved)BRAF
INFIGRATINIBChEMBLPhase 4 (approved)BRAF
NILOTINIBChEMBLPhase 4 (approved)BRAF
PONATINIBChEMBLPhase 4 (approved)BRAF
RUXOLITINIBChEMBLPhase 4 (approved)BRAF
SORAFENIBChEMBLPhase 4 (approved)BRAF
TOVORAFENIBChEMBLPhase 4 (approved)BRAF
VEMURAFENIBChEMBLPhase 4 (approved)BRAF
AVUTOMETINIBChEMBLPhase 3BRAF
MASITINIBChEMBLPhase 3BRAF
MOTESANIBChEMBLPhase 3BRAF
NAPORAFENIBChEMBLPhase 3BRAF
QUERCETINChEMBLPhase 3BRAF
BAFETINIBChEMBLPhase 2BRAF
BELVARAFENIBChEMBLPhase 2BRAF
BRIMARAFENIBChEMBLPhase 2BRAF
CEP-32496ChEMBLPhase 2BRAF
DORAMAPIMODChEMBLPhase 2BRAF
ELLAGIC ACIDChEMBLPhase 2BRAF
EXARAFENIBChEMBLPhase 2BRAF
FORETINIBChEMBLPhase 2BRAF
LIFIRAFENIBChEMBLPhase 2BRAF
MIRDAMETINIBChEMBLPhase 2BRAF
PEXMETINIBChEMBLPhase 2BRAF
R-406ChEMBLPhase 2BRAF
RAF-265ChEMBLPhase 2BRAF
REBASTINIBChEMBLPhase 2BRAF
TG100-115ChEMBLPhase 2BRAF
TINLORAFENIBChEMBLPhase 2BRAF
XL-281ChEMBLPhase 2BRAF
AfatinibPubChemApprovedBRAF
BinimetinibPubChemApprovedBRAF
CrizotinibPubChemApprovedBRAF
dacomitinibPubChemApprovedBRAF
FostamatinibPubChemApprovedBRAF
IdelalisibPubChemApprovedBRAF
SelumetinibPubChemApprovedBRAF
TrametinibPubChemApprovedBRAF