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Updated: Jul 19, 2026

A 3D Organotypic Melanoma Spheroid Skin Model
Published on: May 18, 2018
Targeted therapies in melanoma
Paola Queirolo1, Mirko Acquati
1Department of Medical Oncology A, National Institute for Cancer Research, Largo Rosanna Benzi 10, Genoa 16132, Italy. paola.queirolo@istge.it
Abstract:
In the last decade the incidence of melanoma has been rising. Despite this, survival remains substantially constant because early diagnosis of thin lesions has increased. By contrast, metastatic melanoma continues to have a poor prognosis and it still represents a challenge for oncologists. Response rates with single agent dacarbazine range from 10% to 25% with median survival of 8 months. The advent of new drugs with specific mechanisms of action could help to improve the poor results of traditional therapies. In this review, we focused on the novel agents that entered clinical trials in melanoma patients. We show the results of some clinical trials with target-oriented drugs in melanoma patients. Moreover pre-clinical data and rationale for use in melanoma was explained. Trials with protein-kinase inhibitors, anti-CTLA-4 agents, pro-apoptotic oligonucleotides and anti-angiogenic agents were reviewed. Combinations with chemotherapeutic agents, immunotherapy and vaccine therapy were also analyzed.
Insights
Melanoma incidence is rising, but early diagnosis improves survival. Metastatic melanoma remains challenging, with new targeted therapies showing promise beyond traditional treatments like dacarbazine.
Area of Science:
- Oncology
- Dermatology
- Pharmacology
Background:
- Melanoma incidence has increased in the past decade.
- Early diagnosis of thin melanoma lesions has improved survival rates.
- Metastatic melanoma presents a significant challenge with poor prognosis and limited efficacy of traditional therapies like dacarbazine.
Purpose of the Study:
- To review novel therapeutic agents and their clinical trial results in melanoma patients.
- To analyze pre-clinical data and the rationale for using new drugs in melanoma treatment.
- To examine combinations of novel agents with chemotherapy, immunotherapy, and vaccine therapy.
Main Methods:
- Review of clinical trials involving targeted therapies for melanoma.
- Analysis of pre-clinical data for novel agents.
- Examination of combination therapies including chemotherapy, immunotherapy, and vaccines.
Main Results:
- Target-oriented drugs, including protein-kinase inhibitors, anti-CTLA-4 agents, pro-apoptotic oligonucleotides, and anti-angiogenic agents, have entered clinical trials.
- Data from clinical trials with these novel agents were reviewed.
- Combinations of novel agents with existing therapies were analyzed.
Conclusions:
- Novel agents offer potential improvements over traditional melanoma treatments.
- Targeted therapies and combination strategies are crucial for advancing metastatic melanoma treatment.
- Continued research and clinical trials are essential to overcome the challenges in treating advanced melanoma.
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