Drug General Information
Drug ID D0T5DP
Drug Name Selumetinib
Synonyms Selumetinib; AZD-6244; ARRY142886; AZD6244; ARRY142886; AZD 6244; AZD-6244; 6UH91I579U; ARRY 142886; ARRY-142886; AZD6244 (Selumetinib); AZD6244(Selumetinib); CHEBI:90227; CHEMBL1614701; MEK inhibitors; Selumetinib (AZD6244); UNII-6UH91I579U
Drug Type Small molecular drug
Company AstraZeneca
Structure D0T5DP
Drug Resistance Mutations
Target Name Dual specificity mitogen-activated protein kinase kinase 1 (MAP2K1) Target Info
Gene Name MAP2K1
Uniprot ID MP2K1_HUMAN
Species Homo sapiens
Reference Sequence MPKKKPTPIQLNPAPDGSAVNGTSSAETNLEALQKKLEELELDEQQRKRLEAFLTQKQKV
GELKDDDFEKISELGAGNGGVVFKVSHKPSGLVMARKLIHLEIKPAIRNQIIRELQVLHE
CNSPYIVGFYGAFYSDGEISICMEHMDGGSLDQVLKKAGRIPEQILGKVSIAVIKGLTYL
REKHKIMHRDVKPSNILVNSRGEIKLCDFGVSGQLIDSMANSFVGTRSYMSPERLQGTHY
SVQSDIWSMGLSLVEMAVGRYPIPPPDAKELELMFGCQVEGDAAETPPRPRTPGRPLSSY
GMDSRPPMAIFELLDYIVNEPPPKLPSGVFSLEFQDFVNKCLIKNPAERADLKQLMVHAF
IKRSDAEEVDFAGWLCSTIGLNQPSTPTHAAGV [Homo sapiens]
Targeted Disease Skin cancer
Drug Resistance Mutations
Mutation info Missense: P124L [1]
Mutation info Missense: P124L [1], [2], [3]
Mutation info Missense: C121S [1], [2], [3]
Mutation Frequency 16% of the patients
Mutation info Missense: K57N [1], [2], [3]
Mutation info Missense: P124S [1]
Mutation info Missense: G128D [1]
Mutation info Missense: F129L [1]
Mutation info Missense: D67N [1]
Mutation info Missense: E120D [1]
Mutation info Missense: F133L [1]
Mutation info Missense: H119P [1]
Mutation info Missense: I103N [1]
Mutation info Missense: I111N [1]
Mutation info Missense: I99T [1]
Mutation info Missense: K104N [1]
Mutation info Missense: L215P [1]
Mutation info Missense: Q56P [1]
Mutation info Missense: V211D [1]
Mutation info Missense: P124L [1]
Mutation info Missense: P124L [1], [2], [3]
Mutation info Missense: C121S [1], [2], [3]
Mutation Frequency 16% of the patients
Mutation info Missense: K57N [1], [2], [3]
Mutation info Missense: P124S [1]
Mutation info Missense: G128D [1]
Mutation info Missense: F129L [1]
Mutation info Missense: D67N [1]
Mutation info Missense: E120D [1]
Mutation info Missense: F133L [1]
Mutation info Missense: H119P [1]
Mutation info Missense: I103N [1]
Mutation info Missense: I111N [1]
Mutation info Missense: I99T [1]
Mutation info Missense: K104N [1]
Mutation info Missense: L215P [1]
Mutation info Missense: Q56P [1]
Mutation info Missense: V211D [1]
References
REF 1 MEK1 mutations confer resistance to MEK and B-RAF inhibition. Proc Natl Acad Sci U S A. 2009 Dec 1;106(48):20411-6.
REF 2 Dissecting therapeutic resistance to RAF inhibition in melanoma by tumor genomic profiling. J Clin Oncol. 2011 Aug 1;29(22):3085-96.
REF 3 Phase II trial of MEK inhibitor selumetinib (AZD6244, ARRY-142886) in patients with BRAFV600E/K-mutated melanoma. Clin Cancer Res. 2013 Apr 15;19(8):2257-64.

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