On June 22, 2017, the US FDA approved the two-drug combo of Tafinlar® (dabrafenib) and Mekinist® (trametinib) for the treatment of patients with BRAF V600E-positive, advanced or metastatic non-small cell lung cancer (NSCLC). After receiving a green-light from the EMA (February 27, 2017), this duo has now entered the US market based on Phase II study results in which more than 60% of treatment-naive and previously treated patients responded. In 2015, this combination therapy received both orphan and breakthrough designation in lung cancer and in the same year, Novartis acquired them as part of its asset-swap deal with GlaxoSmithKline.
Of the 1.8 million new cases of NSCLC diagnosed each year, approximately 36,000 patients are positive for the BRAF V600E mutation. These tumors are extremely aggressive with no approved targeted therapy; therefore, a high unmet need exists that may be met through the Tafinlar® and Mekinist® combination.
Tafinlar® and Mekinist®, both kinases within the serine/threonine kinase family, target BRAF and MEK1/2, respectively, and are used in treating NSCLC and melanoma, among other cancers. PharmGPS® analysis predicted the positive synergism of these two kinases in targeting the BRAF mutation-specific NSCLC subpopulation--now proven in the recently published Phase II trial results described below: