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Updated: Jun 20, 2026

A 3D Organotypic Melanoma Spheroid Skin Model
Published on: May 18, 2018
Treatment for metastatic malignant melanoma: old drugs and new strategies
Roger Mouawad1, Marie Sebert, Judith Michels
1AP-HP, Salpêtrière Hospital, University of Pierre & Marie Curie Paris 6, Medical Oncology Department, 47 boulevard de l'Hôpital, Paris, France. roger.mouawad@psl.aphp.fr
Abstract:
The number of melanoma cases worldwide is increasing faster than any other cancer and remains one of the most treatment-refractory malignancies. Despite decades of clinical trials testing chemotherapy and immunotherapy, a standard first-line treatment for metastatic melanoma has not yet been established; tough single agent dacarbazine represents the most common option. This review will focus on metastatic malignant melanoma treatment from single agent until new therapies. An overview of established chemotherapies and immunotherapies, followed by a summary of trials testing the potential combination and new agent are explored.
Insights
Melanoma is a growing cancer with few effective treatments. This review explores current and emerging therapies for metastatic melanoma, from single agents to novel combinations.
Area of Science:
- Oncology
- Dermatology
- Cancer Research
Background:
- Melanoma incidence is rising globally, posing a significant public health challenge.
- Metastatic melanoma is a treatment-refractory malignancy with limited therapeutic options.
- Dacarbazine remains a common, though often insufficient, first-line treatment for metastatic melanoma.
Purpose of the Study:
- To review established and novel therapeutic strategies for metastatic malignant melanoma.
- To provide an overview of current chemotherapy and immunotherapy options.
- To summarize ongoing clinical trials investigating combination therapies and new agents for melanoma.
Main Methods:
- Literature review of clinical trials and established treatments for metastatic melanoma.
- Analysis of single-agent therapies, including chemotherapy and immunotherapy.
- Exploration of emerging combination therapies and novel agents in clinical development.
Main Results:
- Chemotherapy and immunotherapy have shown limited success as single agents in metastatic melanoma.
- Clinical trials are exploring combinations of existing treatments and novel therapeutic agents.
- The landscape of melanoma treatment is evolving towards more targeted and combination approaches.
Conclusions:
- There is an urgent need for more effective first-line treatments for metastatic melanoma.
- Combination therapies and novel agents show promise in improving patient outcomes.
- Continued research and clinical trials are crucial for advancing melanoma treatment strategies.
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