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dabrafenib + trametinib + cetuximab + panitumumab + oxaliplatin + irinotecan + leucovorin + 5-fluorouracil

Development stage
Unknown
Lead developer
GSK
Modality
DNA Intercalators/Alkylators → Nucleic Acid-Directed Small Molecules → Small Molecules, Monoclonal Antibodies → Antibody-Based Therapeutics, Classical Binding Small Molecules → Small Molecules
Administration
Oral, Intravenous
01

Overview

This is an **8-drug combination regimen** comprising the following agents:\n- **dabrafenib** (a BRAF inhibitor, small molecule),\n- **trametinib** (a MEK inhibitor, small molecule),\n- **cetuximab** and **panitumumab** (both EGFR-targeting monoclonal antibodies, usually used alternatively, not simultaneously, in regimens),\n- **oxaliplatin** and **irinotecan** (cytotoxic chemotherapies: platinum compound and topoisomerase I inhibitor, respectively),\n- **leucovorin** (folinic acid, biochemical modulator enhancing 5-fluorouracil activity),\n- **5-fluorouracil** (antimetabolite cytotoxic agent).\nThese drugs are used in combination primarily for the **treatment of metastatic colorectal cancer with BRAF mutations**, especially in the second-line setting. The combination targets multiple pathways associated with cancer cell growth and survival, including BRAF, MEK, EGFR, DNA replication, and is intended to overcome resistance mechanisms to single-agent targeted therapies. The combined use of these agents reflects a strategy to maximize antitumor activity through both targeted and cytotoxic approaches[1][2][3][4].

Brand names
Adrucil
Other names
dabrafenibtrametinibcetuximabpanitumumaboxaliplatinirinotecanleucovorin5-FU
02

Targets

BRAF (B-Raf proto-oncogene, serine/threonine kinase)TS (Thymidylate synthase)MEK2 (Dual specificity mitogen-activated protein kinase kinase 2)TOP1 (DNA Topoisomerase I)DNAMEK1 (Dual specificity mitogen-activated protein kinase kinase 1)EGFR T790M (Epidermal growth factor receptor T790M mutant)

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