MEK inhibitor · small molecule

cobimetinib

10 active trials across 11 of our biomarkers, targeting MEK1/2. 4 active approvals for a biomarker on marked.bio.

Also known as GDC-0973, XL518, Cotellic.

Counts only trials that select patients by one of the biomarkers on marked.bio, not every trial of this drug.

Approvals and pivotal results

Biomarker-selected approvals in the United States and the European Union, with the pivotal trial's results and side effects where we have them. Results from different trials are not directly comparable.

TherapyBiomarkerTumourUnited StatesEuropean Union
atezolizumab with cobimetinib + vemurafenib
FDA, 2020
unresectable or metastatic, BRAF V600 mutation-positive Label 1.4: BRAF V600 mutation-positive. No EU equivalent. Year confirmed: FDA approval announced 30/07/2020. Source
FDA, 2024
unresectable or metastatic, BRAF V600 mutation-positive Subcutaneous atezolizumab approved 12/09/2024 for all adult IV Tecentriq indications, including melanoma; label 1.4. Source
Tecentriq, Tecentriq HybrezaBroader labelatezolizumab pagevemurafenib page
BRAF V600E melanoma Approved 2020 Not approved

IMspire150 vs placebo + cobimetinib + vemurafenib, 514 randomised
PFS 15.1 months vs 10.6 months, HR 0.78 (0.63-0.97)

Trial details and side effects
Patients
first-line BRAF V600 melanoma (NCT02908672)
Most common side effects
rash, musculoskeletal pain, nausea, fatigue, hepatotoxicity, pyrexia
Notes
Atezolizumab added to cobimetinib and vemurafenib. From the FDA approval notice.
Source
FDA approval summary
cobimetinib with vemurafenib
FDA, 2015
unresectable or metastatic, BRAF V600E or V600K Label 1.1. Year confirmed: FDA approval announced 10/11/2015. Source
EU (EMA), 2015
unresectable or metastatic, BRAF V600 mutation MA 20/11/2015. Source
CotellicBroader labelvemurafenib page
BRAF V600E melanoma Approved 2015 Approved 2015

In the US label

coBRIM vs placebo + vemurafenib, 247 vs 248 patients
PFS 12.3 months vs 7.2 months, HR 0.56 (0.45-0.70)Response 70% vs 50%OS 22.3 months vs 17.4 months, HR 0.69 (0.54-0.88)

Stopped for side effects 15%

Trial details and side effects
Patients
BRAF V600E or V600K melanoma (NCT01689519)
Most common side effects
diarrhoea 60%, photosensitivity 46%, nausea 41%, pyrexia 28%, vomiting 24% (247 patients)
Notes
Cobimetinib with vemurafenib. Cotellic US label rev. 07/2026 (Trial 1).
Source
US label

In the EU product information

coBRIM vs placebo + vemurafenib, 247 vs 248 patients
PFS 12.3 months vs 7.2 months, HR 0.58 (0.46-0.72)Response 70% vs 50%OS 22.3 months vs 17.4 months, HR 0.70 (0.55-0.90)

Trial details and side effects
Patients
BRAF V600E or V600K melanoma (NCT01689519)
Most common side effects
diarrhoea 60%, photosensitivity 46%, nausea 41%, pyrexia 28%, vomiting 24% (247 patients)
Notes
EU SmPC section 5.1 (coBRIM; PFS January 2015 cut, final OS August 2015). Side effects from the US label.
Source
EU product information

Biomarkers

BiomarkerActive trialsAll trialsFurthest active phase
BRAF V600E 8 35 Phase 2/3
ALK fusion 2 4 Phase 2
KRAS G12C 2 8 Phase 2
KRAS G12D 1 7 Phase 2
NTRK1/2/3 fusion 1 2 Phase 2
RET fusion or mutation 1 2 Phase 2
ROS1 fusion 1 1 Phase 2
BRCA1/2 mutation 0 1 –
EGFR exon 19 deletion / L858R 0 1 –
MSI-H / dMMR 0 3 –
PIK3CA activating mutation 0 1 –

Sponsors

Industry sponsors leading active biomarker-selected trials of cobimetinib.

  1. Roche 1

Trials

Status

10 of 42 trials shown

  1. DETERMINE Trial Treatment Arm 05: Vemurafenib in Combination With Cobimetinib in Adult Patients With BRAF Positive Cancers.

    Recruiting Phase 2/3 Cancer Research UK Started 2023Primary completion 2029-10 NCT05768178

    vemurafenib FDA EUcobimetinib FDA EU

    Confirmed diagnosis of a malignancy harbouring any actionable BRAF V600 mutation using an analytically validated next-generation sequencing method.

    BRAF V600EHaematological Malignancy, Melanoma, Thyroid Cancer, Papillary, Ovarian Neoplasms

  2. Vemurafenib and Cobimetinib for the Treatment of Patients With High Risk Differentiated Thyroid Carcinoma With BRAFV600E Mutation

    Recruiting Phase 2 City of Hope Medical Center Started 2024Primary completion 2026-11 NCT06440850

    cobimetinib FDA EURecombinant Thyrotropin Alfavemurafenib FDA EU

    Known positive BRAFV600E mutation (determined on a previous analysis and/or on a representative formalin-fixed par…

    BRAF V600EThyroid Gland Follicular Carcinoma, Thyroid Gland Oncocytic Carcinoma, Thyroid Gland Papillary Carcinoma

  3. A Study of Multiple Therapies in Biomarker-selected Participants With Resectable Stages IB-III Non-small Cell Lung Cancer (NSCLC)

    Recruiting Phase 2 Roche Started 2020Primary completion 2026-11 NCT04302025

    alectinibentrectinibvemurafenibcobimetinibpralsetinibatezolizumabSBRTChemotherapydivarasib

    …on in ≥ 1% tumor cells as determined by Food and Drug Administration (FDA)-approved test, KRAS G12C mutation

    KRAS G12CBRAF V600EALK fusionROS1 fusionRET fusion or mutationNTRK1/2/3 fusionNon-small Cell Lung Cancer

  4. Combination or Sequence of Vemurafenib, Cobimetinib, and Atezolizumab in High-risk, Resectable Melanoma

    Active, not recruiting Phase 2 Fondazione Melanoma Onlus Started 2020Primary completion 2023-12 NCT04722575

    cobimetinib FDA EUvemurafenib FDA EUatezolizumab FDA

    …urafenib, cobImetinib, and atezolizuMab in Patients With High-risk, Surgically Resectable BRAF Mutated and Wild-type Melanoma"

    BRAF V600EMelanoma

  5. Atezolizumab and Cobimetinib in Treating Patients With Metastatic, Recurrent, or Refractory Non-small Cell Lung Cancer

    Active, not recruiting Phase 2 National Cancer Institute (NCI) Started 2018Primary completion 2025-07 NCT03600701

    atezolizumabcobimetinib

    Presence of a mutation in KRAS as detected by a Clinical Laboratory Improvement Act (CLIA)-approved assay is required fo…

    KRAS G12CKRAS G12DMetastatic Lung Non-Small Cell Carcinoma, Recurrent Lung Non-Small Cell Carcinoma, Refractory Lung Non-Small Cell Carcinoma, Stage IV Lung Cancer AJCC v8

  6. Vemurafenib and Cobimetinib in Treating Patients With BRAF V600E Mutation Positive Craniopharyngioma

    Active, not recruiting Phase 2 Alliance for Clinical Trials in Oncology Started 2018Primary completion 2023-09 NCT03224767

    vemurafenib FDA EUcobimetinib FDA EU

    Vemurafenib and Cobimetinib in Treating Patients With BRAF V600E Mutation Positive Craniopharyngioma

    BRAF V600EBRAF V600E Mutation Present, Papillary Craniopharyngioma

  7. Atezolizumab With Chemotherapy in Treating Patients With Anaplastic or Poorly Differentiated Thyroid Cancer

    Active, not recruiting Phase 2 M.D. Anderson Cancer Center Started 2017Primary completion 2027-07 NCT03181100

    atezolizumab FDAbevacizumabcobimetinib FDA EUnab-paclitaxelpaclitaxelvemurafenib FDA EU

    ADDITIONAL INCLUSION CRITERIA FOR BRAF MUTATION (COHORT 1): Patients with a BRAFV600E mutation being considered for the triplet combination (vemurafenib + cobimetinib + atezol…

    BRAF V600EMetastatic Thyroid Gland Carcinoma, Poorly Differentiated Thyroid Gland Carcinoma, Stage IVA Thyroid Gland Anaplastic Carcinoma AJCC v8, Stage IVB Thyroid Gland Anaplastic Carcinoma AJCC v8

  8. Bevacizumab and Atezolizumab With or Without Cobimetinib in Treating Patients With Untreated Melanoma Brain Metastases

    Active, not recruiting Phase 2 M.D. Anderson Cancer Center Started 2017Primary completion 2028-06 NCT03175432

    atezolizumab FDAbevacizumabcobimetinib FDA EU

    Patients that are known to have BRAFV600 mutation must have received prior BRAFi/MEKi prior to enrolling on TACo.

    BRAF V600EBRAF V600 Wild Type, Clinical Stage IV Cutaneous Melanoma AJCC v8, Intracranial Melanoma, Metastatic Malignant Neoplasm in the Brain

  9. A Phase IB/II Study of Alectinib Combined With Cobimetinib in Advanced ALK-Rearranged (ALK+) NSCLC

    Active, not recruiting Phase 1/2 Massachusetts General Hospital Started 2017Primary completion 2029-01 NCT03202940

    alectinib FDA EUcobimetinib

    …tologically confirmed diagnosis of metastatic NSCLC (Stage IV, AJCC v7.0) that carries an ALK rearrangement, as determined by the Food and Drug Administration (FDA)-approved fluorescence in-situ hy…

    ALK fusionNon-small Cell Lung Cancer

  10. XL888 + Vemurafenib + Cobimetinib for Unresectable BRAF Mutated Stage III/IV Melanoma

    Active, not recruiting Phase 1 H. Lee Moffitt Cancer Center and Research Institute Started 2016Primary completion 2019-10 NCT02721459

    XL888vemurafenib FDA EUcobimetinib FDA EU

    Must have cytologically or histologically-confirmed unresectable melanoma that harbors a BRAF V600 mutation determined by pyrosequencing assay or equivalent genotyping assay in a Clinical …

    BRAF V600EMelanoma, Skin Cancer