Drug intelligence / Profile preview

trametinib + uprosertib

Development stage
Phase 2
Lead developer
GSK
Modality
Small Molecules
Administration
Oral
01

Overview

Trametinib + uprosertib is an investigational combination therapy consisting of two small molecule inhibitors targeting key signaling pathways in cancer. Trametinib is a selective inhibitor of MEK1 and MEK2 (mitogen-activated protein kinase kinases), while uprosertib (GSK2141795) is an oral pan-AKT inhibitor. The rationale for combining these agents stems from the frequent activation of both the MAPK/ERK and PI3K/AKT pathways in various cancers, including triple-negative breast cancer (TNBC) and melanoma. Preclinical studies suggested that dual inhibition could overcome resistance mechanisms seen with single-agent therapies. Clinical trials have evaluated this combination primarily in patients with metastatic TNBC previously treated with chemotherapy and in BRAF-wild type advanced melanoma. However, clinical activity has been limited by poor tolerability—particularly gastrointestinal toxicity—and minimal efficacy at tolerated doses[1][2][6].

Other names
trametinib + uprosertib
02

Targets

AKT1 (Proto-oncogene serine/threonine-protein kinase Akt1)AKT2 (Rac-beta serine/threonine-protein kinase)AKT3 (RAC-gamma serine/threonine-protein kinase)CDK7Kinase suppressor of Ras 1/2-mitogen-activated protein kinase kinase (KSR1/KSR2-MEK) interfaceMEK1 (Dual specificity mitogen-activated protein kinase kinase 1)MEK2 (Dual specificity mitogen-activated protein kinase kinase 2)PRKACA (cAMP-dependent protein kinase catalytic subunit alpha)PRKACB (cAMP-dependent protein kinase catalytic subunit beta)PKG (cGMP-dependent protein kinase I alpha)ROCK1 (Rho-associated coiled-coil containing protein kinase 1)ROCK2 (Rho-associated coiled-coil containing protein kinase 2)

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