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10 protocols using trametinib

1

Murine Cholangiocarcinoma Cell Line Modeling

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C57BL/6 mice were purchased from the Charles River Laboratory and were used at age 8–12 weeks for experiments. All experiments were conducted according to local institution guidelines and approved by the Animal Care and Use Committee of the National Institutes of Health (Bethesda, MD). Trametinib (Melkinist; Novartis, Basel, Swizerland) was obtained from the National Institutes of Health clinical center pharmacy. The murine CCA cell lines SB124 (link) and LD-1, as well as the human CAA cell line EGI-1,25 (link) were used in this study. LD-126 (link) was established in our laboratory and is derived from a mouse after hydrodynamic injection with AKT and YAP plasmids. WES data from LD-1 as well as SB1 will be provided upon request.
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2

Tumor Transplantation and Combination Therapy Evaluation

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Immediately following euthanasia of tumor bearing mice, 15–25 mg
portions of each tumor were transplanted into the flank of athymic nude mice
using a 10 gauge trochar. Mice were examined weekly and euthanized when the
tumor size exceeded 1500 mm3. For treatment studies, bulk tumor
pieces were transplanted subcutaneously into athymic nude female mice and tumor
growth was evaluated twice weekly. When tumor volume reached approximately 150
mm3, mice were randomized into treatment groups and dosed for 3
weeks or until mice reached euthanasia criteria. Respective doses across all
treatment combinations were capmatinib (3, 10, 30 mg/kg twice b.i.d. oral
gavage) and trametinib (1 mg/kg q.d. via oral gavage). Specific combination
studies were performed with capmatinib (30 mg/kg) and trametinib (1 mg/kg)
obtained from Novartis. The tumors were measured twice weekly using a caliper
and the tumor volumes were calculated as length × width × depth. A
minimum of 3 tumors from each GEMM were assessed. Representative experiments are
shown.
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3

Bulk RNA Sequencing of BRAF-Mutant CRC Patients

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Bulk RNA sequencing data in 71 patients (including 45 paired day 1 and day 15 biopsy samples and 26 separate biopsy samples from baseline) enrolled in the previous BRAF/EGFRi ± MEKi trial with dabrafenib, panitumumab and trametinib in patients with BRAFV600E CRC were obtained from Novartis25 (link). RNA sequencing data were trimmed mean of M values normalized41 (link). Normalized expression data were then corrected for varying levels of liver gene expression using the expression of a 22-gene score (Supplementary Table 5) in a linear model to reduce the impact of biopsy location on the expression data. All expression values are log2 of liver-corrected counts per million. Gene signature expression levels are the mean log2 of corrected counts for all genes in the signature. Genes used for gene signature score calculation are listed in Supplementary Table 5.
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4

Culturing MPNST Cell Lines for Drug Testing

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Mouse-derived MPNST cell lines described previously [34 (link)] were cultured at 37 °C in a humidified atmosphere in 5% CO2 in low pH DMEM (Thermo Fisher Scientific) supplemented with 10% FBS (Corning, lot #35070165) and 1% Penicillin Streptomycin (Thermo Fisher Scientific), unless otherwise indicated. Cell lines were verified to be free of Mycoplasma contamination every 6 months by PCR (ATCC). Human-derived MPNST cell lines were cultured as described previously [85 (link)]. Capmatinib (Novartis), trametinib (Novartis), everolimus (Selleckchem), and afuresertib (Selleckchem) solutions were prepared in DMSO. For human cell line [86 (link)] IC50 experiments, drugs were purchased as 10 mM stock solutions (Selleckchem) and handled as previously described [85 (link)]. All cell culture experiments were performed 3 independent times, unless otherwise noted.
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5

JAK2 and AXL Inhibition Strategies

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JAK2 inhibitors CHZ868, BBT594 (type II), ruxolitinib (type I), and MEK inhibitor trametinib were from Novartis through Material Transfer Agreement; AXL inhibitors bemcentinib and gilteritinib were purchased from BioVision and Sellekchem. CHZ868 was administered by oral gavage at 15 mg/kg every day, bemcentinib at 50 mg/kg twice a day, and trametinib at 0.3 mg/kg every day. Inhibitors for in vitro use were stored at −20°C in DMSO.
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6

Dabrafenib and Trametinib Combination Protocol

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This study was sponsored by GlaxoSmithKline; dabrafenib and trametinib are assets of Novartis AG as of March 2, 2015. The study was designed by the authors and the sponsor. Data were collected by the study site staff and monitored by GlaxoSmithKline and Novartis AG, and Novartis AG was involved in the data analysis, data interpretation, and writing of the report. All authors had full access to all data in the study and had final responsibility for the decision to submit for publication.
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7

Combination Therapy for Metastatic Melanoma

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This study was sponsored by GlaxoSmithKline; dabrafenib and trametinib are assets of Novartis AG as of 2 March 2015. The study was designed by the academic authors in conjunction with representatives of the sponsor. Data were collected by the sponsor and analyzed in collaboration with the authors. AD’A, PZ, BM, and AU had full access to the raw data. The sponsor was involved in writing of the report. The first and last authors wrote the initial draft; all authors contributed to subsequent drafts and made the decision to submit for publication. The corresponding author had full access to all of the data and the final responsibility to submit for publication. The authors affirm accuracy of the data and fidelity of the study to the protocol. Editorial support was provided by ArticulateScience and funded by Novartis Pharmaceuticals.
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8

Melanoma Cell Lines for BRAFi Resistance

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Human melanoma cell lines, WM266, M14 and A375 were obtained from the laboratory of Dr. Paolo A. Ascierto at National Cancer Institute of Naples “Fondazione G. Pascale”, Naples, Italy. All these cell lines harbor BRAF-V600 mutations that is V600D for WM266 and V600E for M14 and A375. They all derive from metastatic lesions. In particular, M14 was reported to be established at the University of California Los Angeles (UCLA) from a 33-year-old patient with metastatic melanoma, A375 derived from a 54-year-old female with malignant melanoma, whereas WM266 came from individual lymph-node metastases from a 55-year-old female. BRAFi-resistant counterparts were obtained through sequential increasing treatments of a BRAFi for about two months; for more detail please see our previous work. All melanoma cell lines used were cultured in RPMI supplemented with 10% FBS. Nanoparticles treatments were performed by exposing cells to 30 μg of each LNPs for 72 h in the presence of FBS with the exception of setting experiments shown in Figures S1B and S2. Dabrafenib and trametinib as BRAFi and MEKi, respectively, were obtained by Novartis Farma S.p.A. (Rome, Italy). For biological assays they were used at different concentrations, starting from the highest dose of 3 μM and then diluted 1:2 for ten times.
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9

Immunotherapy Assay Protocols

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Human recombinant PD-L1 (Peprotech), nivolumab (anti-PD-1 monoclonal antibody, Bristol Myers Squibb), pembrolizumab (anti-PD-1 monoclonal antibody, Merck), atezolizumab (anti-PD-L1 monoclonal antibody, Genentech), trastuzumab (anti-HER2 monoclonal antibody, Genentech), daratumumab (anti-CD38 monoclonal antibody, Janssen), and trametinib (anti-MEK1/2 small molecule, Novartis) were obtained. Treatment assays with PD-L1 were performed at a concentration of 1 µg/ml as described.11 (link) The following antibodies were used for western blot assay and immunofluorescence (IF): anti-PD-1 (Proteintech), anti-PD-L1 (Abcam), anti-phospho and total ERK (Cell Signaling), anti-GAPDH (Santa Cruz), and anti-beta-actin (Sigma Aldrich). PD1 (PDCD1) (NM_005018) Human Overexpression Lysate (Origene) and empty vector cell lysate (Origene) were used as PD-1 positive and negative controls, respectively.
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10

Preparing Pharmacological Compounds

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Alpelisib, everolimus, and trametinib were obtained from Novartis International AG (Basel, Switzerland). Drugs were dissolved in 100% dimethylsulfoxide (DMSO) to a 10 mM concentration and stored at −80 °C before dilution to intermediate concentrations in cell culture medium. In all the pharmacological experiments, control cells were treated with an equivalent 0.1% vehicle DMSO concentration, equivalent to the 0.1% final DMSO concentration in the drug dilution.
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