MEK1/2 is a transducer of RAS-RAF-MAPK signalling cascade with a role in cancers. New drugs targeting MEK1/2 have been developed, particularly for RAS mutant tumours. MEK inhibitors display a modest single agent activity. No other biomarkers than BRAF mutations predict the sensitivity to MEK inhibitors. MEK activation is described in resistance to targeted agents used in CRC and NSCLC.