Cobimetinib

(Cotellic®)

Cotellic®

Drug updated on 3/28/2024

Dosage FormTablet (oral; 20 mg)
Drug ClassKinase inhibitors
Ongoing and
Completed Studies
ClinicalTrials.gov

Indication

  • For the treatment of patients with unresectable or metastatic melanoma with a BRAF V600E or V600K mutation, in combination with vemurafenib.

Summary
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  • Cobimetinib (Cotellic) is used for the treatment of patients with unresectable or metastatic melanoma with a BRAF V600E or V600K mutation, often in combination with vemurafenib.
  • A network meta-analysis study found that encorafenib + binimetinib was superior to cobimetinib (Cotellic) + vemurafenib in terms of overall response rate and had fewer serious adverse events and discontinuations due to adverse events.
  • Another systematic review indicated that the acceptability of combined dabrafenib and trametinb was superior to the combination of cobimetinb (Cotellic) and vemurafenab when considering any-grade adverse events.
  • In comparison with immunotherapies, results varied for progression-free survival and overall survival according to one literature review which suggested that long-term survival data establishes dabrafenb + trametnimb as one preferred treatment option over cobimtenb (Cotellic).
  • The information above is derived from eight Systematic Reviews / Meta-Analyses documents focusing on comparing different treatments including Cobimtenb (Cotellic), particularly their efficacy, safety profile, patient acceptability based on side effects among others.
  • It's important for health professionals prescribing this drug to consider these findings about its comparative effectiveness against other drugs like encorafanbib+binmetnimb or dabrafnibr+tramtnmb especially regarding patient outcomes such as progression-free survival rates, overall response rates along side potential severe adversities associated with each regimen.

Product Monograph / Prescribing Information

Document TitleYearSource
Cotellic (cobimetinib) Prescribing Information.2022Genentech USA, Inc., South San Francisco, CA

Systematic Reviews / Meta-Analyses

Document TitleYearSource
Comparative efficacy and safety of targeted therapies for BRAF-mutant unresectable or metastatic melanoma: Results from a systematic literature review and a network meta-analysis2022Cancer treatment reviews
Acceptability of Drugs in the Treatment of Unresectable/Metastatic BRAF V600-Mutant Melanoma: A Systematic Review and Network Meta-Analysis2022Frontiers in oncology
Comparative efficacy of dabrafenib + trametinib versus treatment options for metastatic melanoma in first-line settings.2021Journal of Comparative Effectiveness Research
Efficacy and safety of dabrafenib-trametinib in the treatment of unresectable or metastatic melanoma with BRAF V600 mutation: A systematic review and network meta-analysis2020Dermatologic therapy
Impact of initial treatment and prognostic factors on postprogression survival in BRAF-mutated metastatic melanoma treated with dacarbazine or vemurafenib ± cobimetinib: a pooled analysis of four clinical trials2020Journal of translational medicine
Efficacy and safety of dabrafenib–trametinib in the treatment of unresectable advanced/metastatic melanoma with BRAF-V600 mutation: A systematic review and network meta-analysis.2019Dermatologic Therapy
Comparative efficacy of combination immunotherapy and targeted therapy in the treatment of BRAF-mutant advanced melanoma: a matching-adjusted indirect comparison2019Immunotherapy
Modeled Prognostic Subgroups for Survival and Treatment Outcomes in BRAF V600-Mutated Metastatic Melanoma: Pooled Analysis of 4 Randomized Clinical Trials2018JAMA oncology

Clinical Practice Guidelines

Document TitleYearSource
Systemic therapy for melanoma: ASCO guideline.2020Journal of Clinical Oncology