Research record
Tunlametinib / HL-085
A MEK-targeting medicine to discuss only in a China-connected NRAS-mutant melanoma situation, especially after PD-1/PD-L1 treatment has stopped working.
What this is
A MEK-targeting medicine to discuss only in a China-connected NRAS-mutant melanoma situation, especially after PD-1/PD-L1 treatment has stopped working.
Why it may come up
- melanoma that has spread or cannot be removed easily
- after a PD-1 or PD-L1 immune treatment stopped working
What not to assume
- No dosage guidance in public UI.
- Do not call tunlametinib globally approved.
- Do not call tunlametinib plus nivolumab standard care without a source.
At a glance
Tunlametinib / HL-085
- Type
- Targeted therapy
- Mutation result
- NRAS
- Where
- China
- Evidence status
- Conditionally approved
- Last checked
- 2026-05-20
What we know
- Official NMPA English page is the primary availability source.
- ClinicalTrials.gov records support HL-085/tunlametinib melanoma trial context.
- Exact tunlametinib plus nivolumab melanoma trial remains unresolved.
What is unclear
- No dosage guidance in public UI.
- Do not call tunlametinib globally approved.
- Do not call tunlametinib plus nivolumab standard care without a source.
Questions to ask
- Is this exactly tunlametinib / HL-085 / 妥拉美替尼 / 科露平?
- Is it being used under China approval, a trial, local protocol, or off-label combination practice?
- Would prior MEK-inhibitor exposure affect whether later trials fit?
Timeline
- trial2019: HL-085 phase I/II trial record
ClinicalTrials.gov record for HL-085 in NRAS-mutant advanced melanoma.
- publication2023: Phase I publication
Peer-reviewed publication of first-in-human selective MEK inhibitor HL-085 study.
- trial2023: Phase III comparator trial
Tunlametinib versus investigator-chosen chemotherapy after prior immunotherapy.
- approval2024: China NMPA conditional approval
Conditional marketing approval in China after anti-PD-1/PD-L1 failure.
- research-gap2026: Tunlametinib + nivolumab lead remains unresolved
No exact melanoma trial record found yet for this specific combination.
Related trial leads
NCT03973151
Study of HL-085 in NRAS Mutant Advanced Melanoma
Primary early clinical trial record for HL-085/tunlametinib in NRAS-mutant melanoma that has spread or cannot be removed easily.
NCT06008106
Comparing Tunlametinib Capsules and Combination Chemotherapy in Advanced NRAS-mutant Melanoma
Phase III comparator trial after prior immunotherapy; useful for duration-of-response and trial-timing questions.
Related cohort stories
Lived experience only
Experiences with tunlametinib / HL-085 plus nivolumab after PD-1 failure
A cohort-style thread for families to describe what happened, what they asked, and what they wish they had known. Not a recommendation thread.