Journal of the Advanced Practitioner in Oncology · 2018 · 47 citations · 5 references
MedicineOncologyPharmacologyCancer PharmacologyImmunotherapyMedical OncologyCancer ImmunotherapyCombination ImmunotherapyImmunotherapy For Skin CancerMetastatic Disease TreatmentTargeted Cancer TherapyTargeted TherapyBraf V600 MutationsBraf V600e MutationImmunotherapy For Skin TumorsMek InhibitionMek InhibitorsMek SignalingMelanoma ImmunotherapyMetastatic Melanoma Treatment
V600E or V600K mutated melanoma. It is a once-daily oral medication that was approved based on progression-free survival and overall survival advantage compared to chemotherapy. Most common side effects include rash, diarrhea, peripheral edema, and fatigue. When used in combination with dabrafenib, pyrexia and nausea are also common. Most side effects can be managed effectively with dose interruptions, supportive care, and/or dose reductions. Ongoing trials are investigating the use of targeted therapy in combination with immunotherapy for cutaneous melanoma and other malignancies. The treatment landscape for metastatic melanoma continues to evolve. However, targeted therapy with trametinib remains a fast-acting and efficacious option, particularly when used in combination with dabrafenib.
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Improved Survival with MEK Inhibition in BRAF-Mutated Melanoma
Keith T. Flaherty, Caroline Robert, Peter Hersey et al. · New England Journal of Medicine · 2012 · 2.1K citations · Full text
Medicine, Oncology, Pharmacology +17
Kevin B. Kim, Richard Kefford, Anna C. Pavlick et al. · Journal of Clinical Oncology · 2012 · 477 citations · Full text
Medicine, Oncology, Pharmacology +17