Chemical: Drug
dabrafenib

PharmGKB contains no prescribing info for this . Contact us to report known genotype-based dosing guidelines, or if you are interested in developing guidelines.


Annotated Labels

  1. Annotation of FDA Label for dabrafenib and BRAF,HRAS,KRAS,NRAS
  2. Annotation of FDA Label for dabrafenib and G6PD
  3. Annotation of EMA Label for dabrafenib and BRAF
  4. Annotation of HCSC Label for dabrafenib and BRAF

last updated 03/15/2017

1. Annotation of FDA Label for dabrafenib and BRAF,HRAS,KRAS,NRAS

Testing required

Summary

The drug label for dabrafenib (TAFINLAR) states that it is indicated for use in patients with unresectable or metastatic melanoma with a BRAF V600E mutation, or in combination with trametinib for patients with the V600K mutation, as detected by an FDA-approved test; the drug is not indicated for treatment of patients with wild-type BRAF melanoma. The label also notes that the drug may promote growth and development of malignancies with activation of RAS.

There's more of this label. Read more.


last updated 12/13/2013

2. Annotation of FDA Label for dabrafenib and G6PD

Actionable PGx

Summary

The drug label for dabrafenib (TAFINLAR) states that it is indicated for use in patients with unresectable or metastatic melanoma with a BRAF V600E mutation, as detected by an FDA-approved test. The label also notes that patients with glucose-6-phosphate dehydrogenase (G6PD) deficiency have a risk for developing hemolytic anemia, and that these patients should be closely observed when taking dabrafenib.

There's more of this label. Read more.


last updated 05/02/2014

3. Annotation of EMA Label for dabrafenib and BRAF

Testing required

Summary

Dabrafenib (Tafinlar) is indicated in adult patients with unresectable or metastatic melanoma with a BRAF V600 mutation due to its mechanism of action as an inhibitor of RAF kinases. The EMA European Public Assessment Report (EPAR) states that testing for tumor BRAF V600 mutations is required as efficacy and safety of dabrafenib has not been established in patients with wildtype BRAF.

There's more of this label. Read more.



PharmGKB contains no Clinical Variants that meet the highest level of criteria.

Disclaimer: The PharmGKB's clinical annotations reflect expert consensus based on clinical evidence and peer-reviewed literature available at the time they are written and are intended only to assist clinicians in decision-making and to identify questions for further research. New evidence may have emerged since the time an annotation was submitted to the PharmGKB. The annotations are limited in scope and are not applicable to interventions or diseases that are not specifically identified.

The annotations do not account for individual variations among patients, and cannot be considered inclusive of all proper methods of care or exclusive of other treatments. It remains the responsibility of the health-care provider to determine the best course of treatment for a patient. Adherence to any guideline is voluntary, with the ultimate determination regarding its application to be made solely by the clinician and the patient. PharmGKB assumes no responsibility for any injury or damage to persons or property arising out of or related to any use of the PharmGKB clinical annotations, or for any errors or omissions.

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The table below contains information about pharmacogenomic variants on PharmGKB. Please follow the link in the "Variant" column for more information about a particular variant. Each link in the "Variant" column leads to the corresponding PharmGKB Variant Page. The Variant Page contains summary data, including PharmGKB manually curated information about variant-drug pairs based on individual PubMed publications. The PMIDs for these PubMed publications can be found on the Variant Page.

The tags in the first column of the table indicate what type of information can be found on the corresponding Variant Page.

Links in the "Gene" column lead to PharmGKB Gene Pages.

List of all variant annotations for dabrafenib

Gene ? Variant?
(147)
Alternate Names ? Chemicals ? Alleles ?
(+ chr strand)
Function ? Amino Acid?
Translation
No VIP available No VIP available VA HLA-DRB1 *07:01:01:01 N/A N/A N/A
rs113488022 NC_000007.13:g.140453136A>C, NC_000007.13:g.140453136A>G, NC_000007.13:g.140453136A>T, NC_000007.14:g.140753336A>C, NC_000007.14:g.140753336A>G, NC_000007.14:g.140753336A>T, NG_007873.3:g.176429T>A, NG_007873.3:g.176429T>C, NG_007873.3:g.176429T>G, NM_004333.4:c.1799T>A, NM_004333.4:c.1799T>C, NM_004333.4:c.1799T>G, NP_004324.2:p.Val600Ala, NP_004324.2:p.Val600Glu, NP_004324.2:p.Val600Gly, XM_005250045.1:c.1799T>A, XM_005250045.1:c.1799T>C, XM_005250045.1:c.1799T>G, XM_005250046.1:c.1799T>A, XM_005250046.1:c.1799T>C, XM_005250046.1:c.1799T>G, XM_005250047.1:c.1799T>A, XM_005250047.1:c.1799T>C, XM_005250047.1:c.1799T>G, XM_011516529.1:c.1799T>A, XM_011516529.1:c.1799T>C, XM_011516529.1:c.1799T>G, XM_011516530.1:c.1695-3918T>A, XM_011516530.1:c.1695-3918T>C, XM_011516530.1:c.1695-3918T>G, XP_005250102.1:p.Val600Ala, XP_005250102.1:p.Val600Glu, XP_005250102.1:p.Val600Gly, XP_005250103.1:p.Val600Ala, XP_005250103.1:p.Val600Glu, XP_005250103.1:p.Val600Gly, XP_005250104.1:p.Val600Ala, XP_005250104.1:p.Val600Glu, XP_005250104.1:p.Val600Gly, XP_011514831.1:p.Val600Ala, XP_011514831.1:p.Val600Glu, XP_011514831.1:p.Val600Gly, XR_242190.1:n.1807T>A, XR_242190.1:n.1807T>C, XR_242190.1:n.1807T>G, XR_927520.1:n.1807T>A, XR_927520.1:n.1807T>C, XR_927520.1:n.1807T>G, XR_927521.1:n.1807T>A, XR_927521.1:n.1807T>C, XR_927521.1:n.1807T>G, XR_927522.1:n.1703-3918T>A, XR_927522.1:n.1703-3918T>C, XR_927522.1:n.1703-3918T>G, XR_927523.1:n.1703-3918T>A, XR_927523.1:n.1703-3918T>C, XR_927523.1:n.1703-3918T>G
A > T
SNP
V600E
Alleles, Functions, and Amino Acid Translations are all sourced from dbSNP 147

Overview

Generic Names
Trade Names
  • GSK2118436
  • Tafinlar
Brand Mixture Names

PharmGKB Accession Id

PA166114911

Type(s):

Drug

Description

Dabrafenib is a tyrosine kinase inhibitor that is active against BRAF, a kinase in the RAS/RAF/MEK/ERK MAP kinase signaling cascade [Article:23844038].

Source: PharmGKB [Article:23844038]

Indication

Dabrafenib is indicated for use in patients with unresectable or metastatic melanoma with a BRAF V600E (rs113488022) mutation.

Source: PharmGKB

Other Vocabularies

PharmGKB Curated Pathways

Pathways created internally by PharmGKB based primarily on literature evidence.

  1. Vemurafenib Pathway, Pharmacodynamics
    Simplified diagram of mechanism of action of vemurafenib and downstream signaling effects.

Genes that are associated with this drug in PharmGKB's database based on (1) variant annotations, (2) literature review, (3) pathways or (4) information automatically retrieved from DrugBank, depending on the "evidence" and "source" listed below.

Curated Information ?

Drug Targets

Gene Description
BRAF [PMID: 23844038] (source: PharmGKB )
No related drugs are available.

Curated Information ?

EvidenceDisease
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Fever
No Dosing Guideline available DL No Clinical Annotation available VA No VIP available No VIP available
Melanoma

Publications related to dabrafenib: 12

No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available No VIP available No VIP available
The role of germline variants in chemotherapy outcome in brain tumors: a systematic review of pharmacogenetic studies. Pharmacogenomics. 2017. Klumpers Marije J, et al. PubMed
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Pyrexia in dabrafenib-treated melanoma patients is not associated with common genetic variation or HLA polymorphisms. Pharmacogenomics. 2016. Kulkarni Diptee, et al. PubMed
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available No VIP available No VIP available
BRAF in metastatic colorectal cancer: the future starts now. Pharmacogenomics. 2015. Orlandi Armando. PubMed
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available No VIP available No VIP available
Pharmacogenomics in the treatment of lung cancer: an update. Pharmacogenomics. 2015. Morales-Espinosa Daniela, et al. PubMed
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available No VIP available No VIP available
What links BRAF to the heart function? new insights from the cardiotoxicity of BRAF inhibitors in cancer treatment. Oncotarget. 2015. Bronte Enrico, et al. PubMed
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available No VIP available No VIP available
The Hippo effector YAP promotes resistance to RAF- and MEK-targeted cancer therapies. Nature genetics. 2015. Lin Luping, et al. PubMed
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available VIP No VIP available
Overcoming resistance to BRAF inhibition in BRAF-mutated metastatic melanoma. Oncotarget. 2014. Spagnolo Francesco, et al. PubMed
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available No VIP available No VIP available
The GIST of targeted therapy for malignant melanoma. Annals of surgical oncology. 2014. Bello Danielle M, et al. PubMed
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available No VIP available No VIP available
EMA Initiatives and Perspectives on Pharmacogenomics. British journal of clinical pharmacology. 2014. Ehmann Falk, et al. PubMed
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available VIP No VIP available
Clinical development of dabrafenib in BRAF mutant melanoma and other malignancies. Expert opinion on drug metabolism & toxicology. 2013. Gibney Geoffrey T, et al. PubMed
No Dosing Guideline available No Drug Label available No Clinical Annotation available VA No VIP available No VIP available
Dabrafenib; preclinical characterization, increased efficacy when combined with trametinib, while BRAF/MEK tool combination reduced skin lesions. PloS one. 2013. King Alastair J, et al. PubMed
No Dosing Guideline available No Drug Label available No Clinical Annotation available No Variant Annotation available No VIP available No VIP available
Combinations of BRAF, MEK, and PI3K/mTOR inhibitors overcome acquired resistance to the BRAF inhibitor GSK2118436 dabrafenib, mediated by NRAS or MEK mutations. Molecular cancer therapeutics. 2012. Greger James G, et al. PubMed

LinkOuts

PubChem Substance:
Dabrafenib (135267955)

Clinical Trials

These are trials that mention dabrafenib and are related to either pharmacogenetics or pharmacogenomics.

No trials loaded.

NURSA Datasets

provided by nursa.org

No NURSA datasets available.

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Sources for PharmGKB drug information: DrugBank, PubChem.