Storage
Store at room temperature
Synonyms
Zelboraf; PLX 4032; RG 7204; RO 5185426; vemurafenibum
Molecular Formula
C23H18ClF2N3O3S
Smiles
CCCS(=O)(=O)NC1=C(C(=C(C=C1)F)C(=O)C2=CNC3=C2C=C(C=N3)C4=CC=C(C=C4)Cl)F
Appearance
White to almost white powder
Relative Density
1.47 (Predicted)
General Description
Vemurafenib is a low molecular weight, oral, small-molecule inhibitor of the BRAF serine-threonine kinase, specifically targeting the V600E mutant form, a sulfonamide derivative with a pyrrolopyridine core. The drug is a white to off-white powder, practically insoluble in water. Vemurafenib is structurally distinct from other kinase inhibitors, with a unique 7-azaindole scaffold.
Mechanism of Action
Vemurafenib selectively binds to the ATP-binding site of the mutated BRAF kinase (V600E), inhibiting its activity and blocking downstream signaling through the mitogen-activated protein kinase (MAPK) pathway. This inhibits the proliferation of tumor cells harboring the BRAF V600E mutation and induces apoptosis. The drug is 100-fold more potent against the mutant form than against wild-type BRAF.
Application
Vemurafenib is indicated for the treatment of unresectable or metastatic melanoma with the BRAF V600E mutation, as detected by an FDA-approved test. It is also used for Erdheim-Chester disease and for BRAF V600E-positive non-small cell lung cancer (NSCLC).
In a single-arm phase 2 study, 30 previously untreated hairy cell leukemia patients received vemurafenib (960 mg twice daily for 4 cycles) plus obinutuzumab (cycles 2–4). Complete remission was achieved in 27 of 30 patients (90%; 95% CI 73–98). Among CR patients, 96% achieved minimal residual disease negativity, and BRAF V600E was undetectable by ddPCR in all evaluable patients. At median 34.9 months follow-up, no relapses occurred. Common adverse events were rash and arthralgia. This time-limited combination is highly active and well tolerated.
Fig. 1 Hematologic and Molecular Parameters in Patients with HCL during Combination Treatment with Vemurafenib and Obinutuzumab. (Park JH, et al., 2023)
References
- Park JH, et al. Vemurafenib and Obinutuzumab as Frontline Therapy for Hairy Cell Leukemia. NEJM Evid. 2023;2(10):EVIDoa2300074.
Does Vemurafenib require protection from light during long-term storage?
Yes, it is photosensitive. UV exposure can cause photodegradation of the sulfonamide group. Store in light-resistant containers, preferably original opaque packaging.
What is the recommended storage temperature for Vemurafenib?
Store at controlled room temperature (15-25°C). Avoid temperatures above 30°C, which can soften the powder and accelerate oxidative degradation.
Is Vemurafenib hygroscopic, and how is this managed?
It is slightly hygroscopic. Under high humidity (>70% RH), it may absorb moisture and clump. Storage in tightly sealed containers with desiccant is recommended.
How is the impurity vemurafenib N-oxide (an oxidative degradation product) monitored?
This degradation product is quantified using a stability-indicating HPLC method, ensuring it remains within ICH qualification thresholds.