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Updated: May 25, 2026

Employing Digital Droplet PCR to Detect BRAF V600E Mutations in Formalin-fixed Paraffin-embedded Reference Standard Cell Lines
Published on: October 8, 2015
CEP-32496: a novel orally active BRAF(V600E) inhibitor with selective cellular and in vivo antitumor activity
Joyce James1, Bruce Ruggeri, Robert C Armstrong
1Ambit Biosciences Corporation, San Diego, CA 92121, USA. jjames@ambitbio.com
Abstract:
Mutations in the BRAF gene have been identified in approximately 7% of cancers, including 60% to 70% of melanomas, 29% to 83% of papillary thyroid carcinomas, 4% to 16% colorectal cancers, and a lesser extent in serous ovarian and non-small cell lung cancers. The V600E mutation is found in the vast majority of cases and is an activating mutation, conferring transforming and immortalization potential to cells. CEP-32496 is a potent BRAF inhibitor in an in vitro binding assay for mutated BRAF(V600E) (K(d) BRAF(V600E) = 14 nmol/L) and in a mitogen-activated protein (MAP)/extracellular signal-regulated (ER) kinase (MEK) phosphorylation (pMEK) inhibition assay in human melanoma (A375) and colorectal cancer (Colo-205) cell lines (IC(50) = 78 and 60 nmol/L). In vitro, CEP-32496 has multikinase binding activity at other cancer targets of interest; however, it exhibits selective cellular cytotoxicity for BRAF(V600E) versus wild-type cells. CEP-32496 is orally bioavailable in multiple preclinical species (>95% in rats, dogs, and monkeys) and has single oral dose pharmacodynamic inhibition (10-55 mg/kg) of both pMEK and pERK in BRAF(V600E) colon carcinoma xenografts in nude mice. Sustained tumor stasis and regressions are observed with oral administration (30-100 mg/kg twice daily) against BRAF(V600E) melanoma and colon carcinoma xenografts, with no adverse effects. Little or no epithelial hyperplasia was observed in rodents and primates with prolonged oral administration and sustained exposure. CEP-32496 benchmarks favorably with respect to other kinase inhibitors, including RAF-265 (phase I), sorafenib, (approved), and vemurafenib (PLX4032/RG7204, approved). CEP-32496 represents a novel and pharmacologically active BRAF inhibitor with a favorable side effect profile currently in clinical development.
Insights
CEP-32496 is a novel BRAF inhibitor demonstrating potent activity against BRAF(V600E) mutations common in cancers like melanoma and colorectal cancer. This orally bioavailable drug shows efficacy in preclinical models with a favorable safety profile, warranting clinical development.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- BRAF gene mutations, particularly V600E, are prevalent in various cancers, including melanoma, thyroid, and colorectal cancers.
- Activating BRAF mutations confer cellular transforming and immortalization potential, driving cancer progression.
- Targeting BRAF is a key strategy in cancer therapy.
Purpose of the Study:
- To evaluate the preclinical efficacy and safety of CEP-32496, a novel BRAF inhibitor.
- To assess CEP-32496's inhibitory activity against mutated BRAF(V600E) and its downstream signaling pathways.
- To determine CEP-32496's oral bioavailability, pharmacodynamic effects, and antitumor activity in preclinical cancer models.
Main Methods:
- In vitro kinase inhibition assays using mutated BRAF(V600E) and cell lines (A375, Colo-205).
- Assessment of cellular cytotoxicity against BRAF(V600E) versus wild-type cells.
- Evaluation of oral bioavailability, pharmacodynamics (pMEK, pERK inhibition), and antitumor efficacy in BRAF(V600E) xenograft models (melanoma, colon carcinoma).
- Toxicology studies in rodents and primates to assess safety and side effect profiles.
Main Results:
- CEP-32496 demonstrated potent inhibition of BRAF(V600E) (K(d) = 14 nmol/L) and downstream signaling (pMEK IC(50) = 78 nmol/L in A375, 60 nmol/L in Colo-205).
- Selective cytotoxicity for BRAF(V600E) cells over wild-type cells was observed.
- High oral bioavailability (>95%) and dose-dependent inhibition of pMEK/pERK in vivo were confirmed.
- Sustained tumor stasis and regressions were achieved in xenograft models without significant adverse effects or epithelial hyperplasia.
Conclusions:
- CEP-32496 is a potent and selective BRAF(V600E) inhibitor with favorable oral bioavailability and preclinical antitumor activity.
- The drug exhibits a promising safety profile, with minimal adverse effects observed in preclinical studies.
- CEP-32496 represents a promising therapeutic candidate for BRAF(V600E)-mutated cancers, currently in clinical development.
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