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Inhibition of Cdk Activity02:34

Inhibition of Cdk Activity

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The orderly progression of the cell cycle depends on the activation of Cdk protein by binding to its cyclin partner. However, the cell cycle must be restricted when undergoing abnormal changes. Most cancers correlate to the deregulated cell cycle, and since Cdks are a central component of the cell cycle, Cdk inhibitors are extensively studied to develop anticancer agents. For instance, cyclin D associates with several Cdks, such as Cdk 4/6, to form an active complex. The cyclin D-Cdk4/6 complex...
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Receptor tyrosine kinase inhibitors (TKIs) and calcium channel blockers (CCBs) are two critical categories of drugs employed in the treatment of pulmonary artery hypertension (PAH). PAH is a disease that causes high blood pressure in the pulmonary arteries, resulting in chest pain, fatigue, and shortness of breath.
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Cobimetinib.

Jessie Signorelli1, Arpita Shah Gandhi2

  • 11 Nebraska Medical Center, Omaha, NE, USA.

The Annals of Pharmacotherapy
|October 5, 2016
PubMed
Summary

Cobimetinib combined with vemurafenib offers an alternative treatment for melanoma patients with BRAF mutations. This BRAF/MEK inhibitor therapy demonstrated improved progression-free survival in clinical trials.

Area of Science:

  • Oncology
  • Pharmacology

Background:

  • Melanoma with BRAFV600 mutations presents a target for targeted therapies.
  • Cobimetinib is a MEK inhibitor approved for use with vemurafenib.

Purpose of the Study:

  • To review and summarize data on cobimetinib's efficacy and safety.
  • To assess cobimetinib in combination with vemurafenib for melanoma treatment.

Main Methods:

  • Literature search of PubMed (2000-2016) for cobimetinib, MEK inhibitor, and melanoma.
  • Prioritization of human studies in English, focusing on melanoma trials.

Main Results:

  • Cobimetinib, a MEK1/MEK2 inhibitor, combined with vemurafenib showed a 68% objective response rate.
  • Median progression-free survival was 9.9 months; common adverse events included diarrhea and rash.
Keywords:
cancerdrug development and approvaloncologypharmacodynamicspharmacokinetics

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  • The combination therapy is approved by the FDA for specific melanoma mutations.
  • Conclusions:

    • Cobimetinib plus vemurafenib is an alternative BRAF/MEK inhibitor therapy for unresectable or metastatic melanoma.
    • The role of cobimetinib in melanoma treatment is expected to grow with ongoing research.