Targeted Therapies for Cutaneous Melanoma

被引:13
作者
Kee, Damien [1 ,2 ]
McArthur, Grant [1 ,2 ,3 ]
机构
[1] Peter MacCallum Canc Ctr, Div Canc Med & Res, East Melbourne, Vic 3002, Australia
[2] Univ Melbourne, Dept Pathol, Parkville, Vic 3010, Australia
[3] Univ Melbourne, Dept Med, St Vincent Hosp, Fitzroy, Vic 3065, Australia
关键词
Melanoma; Targeted therapy; MAPK signaling; BRAF; MEK; NRAS; MULTIKINASE INHIBITOR SORAFENIB; MUTATION-POSITIVE MELANOMA; PHASE-III TRIAL; METASTATIC MELANOMA; OPEN-LABEL; BRAIN METASTASES; RAF INHIBITORS; MUTANT MELANOMA; CEREBRAL METASTASES; MEK1/2; INHIBITOR;
D O I
10.1016/j.hoc.2014.02.003
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Melanoma is resistant to cytotoxic therapy, and treatment options for advanced disease have been limited historically. However, improved understanding of melanoma driver mutations, particularly those involving the mitogen-activated protein kinase pathway, has led to the development of targeted therapies that are effective in this previously treatment-refractory disease. In cutaneous melanomas with BRAF V600 mutations the selective RAF inhibitors, vemurafenib and dabrafenib, and the MEK inhibitor, trametinib, have demonstrated survival benefits. Early signals of efficacy have also been demonstrated with MEK inhibitors in melanomas with NRAS mutations, and KIT inhibitors offer promise in melanomas driven through activation of their target receptor.
引用
收藏
页码:491 / 505
页数:15
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