According to a recent study published online in the journal Annals of Oncology, researchers have found that trametinib, a selective allosteric MEK1/MEK2 inhibitor, showed similar progression-free survival and response rate as docetaxel in patients with previously treated KRAS mutation-positive non-small cell lung cancer (NSCLC).
For the phase II study, researchers sought to compare trametinib with docetaxel in patients with advanced KRAS-mutant NSCLC previously treated with one prior platinum-based chemotherapy.
They enrolled 129 patients withKRAS-mutant NSCLC and randomly assigned them 2:1 to receive trametinib 2mg orally once daily or docetaxel 75mg/m2 IV every 3 weeks.
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Results showed that the median progression-free survival was 12 weeks in the trametinib group and 11 weeks in the docetaxel group (HR = 1.14; 95% CI: 0.75 – 1.75; P = 0.5197).
Although the overall survival data are immature, the median overall survival thus far was 8 months in the trametinib group and was not reached in the docetaxel group (HR = 0.97; 95% CI: 0.52 – 1.83; P = 0.934).
Twelve percent of patients in the trametinib arm achieved partial responses compared with 12% in the docetaxel arm (P = 1.0000).