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Cobimetinib

Tyrosine Kinase Inhibitor · Antineoplastic

Tyrosine Kinase InhibitorAntineoplastic
CDSCO approved
EXCRETION
not curated
INTERACTIONS
12 major
SEVERE in our sources
PREGNANCY
Manufacturer advises avoid unless essential - toxicity in animal studies.
FDA category + note
Top interactionssee all 12
  • AdalimumabSevereDatabaseDDInter
  • Aminolevulinic AcidSevereDatabaseDDInter
  • AmprenavirSevereDatabaseDDInter
  • ApalutamideSevereDatabaseDDInter

Mechanism

Cobimetinib is a reversible inhibitor of mitogen-activated extracellular signal-regulated kinase 1 (MEK1) and kinase 2 (MEK2), which are part of the mitogen-activated protein kinase (MAPK) signaling pathway. In patients with BRAF V600E or V600K mutation-positive metastatic melanoma, its use in combination with a BRAF inhibitor disrupts downstream signaling pathways involved in cell growth and proliferation.

Indications

Treatment of BRAF V600 mutation-positive unresectable or metastatic melanoma (in combination with a BRAF inhibitor)unresectable or metastatic melanoma with a BRAF V600E/K mutation (in combination with vemurafenib)combination with BRAF inhibitors for melanomas that harbor a mutation at position 600 in BRAF

Dosing

Adult
60 mg once daily for 21 days; subsequent cycles repeated after a 7-day interval

Pharmacokinetics

Half-life
1 to 3 days
Metabolism
CYP3A (substrate)

Side effects

Common
Anaemiabasal cell carcinomachillsdehydrationdiarrhoeaelectrolyte imbalancefeverhaemorrhagehyperglycaemiahypertensionnauseaphotosensitivity reactionpneumonitisserous retinopathyskin reactionsvision disordersvomitingdiarrheapyrexiaheadachearthralgias
Serious
  • Rhabdomyolysis
  • major hemorrhagic events
  • cardiomyopathy
  • cardiac toxicities
  • ocular toxicities

Pregnancy & lactation

Pregnancy

Manufacturer advises avoid unless essential - toxicity in animal studies.

Lactation

Manufacturer advises avoid - no information available.

Drug interactions

Adalimumab
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Aminolevulinic Acid
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Amprenavir
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Apalutamide
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Aprepitant
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Atazanavir
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Baricitinib
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Berotralstat
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Boceprevir
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Bosentan
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Carbamazepine
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Cenobamate
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Related guidelines

Other Tyrosine Kinase Inhibitor drugs

Ask House about Cobimetinib

Continue into a citation-backed clinical answer with the drug context already attached.

Sources: Goodman & Gilman 14e, Harrison 22e, Katzung, BNF·Verified: 2026-05-10 · House clinical team