Advances in systemic treatment of melanoma

A M M Eggermont1

  • 1Department of Surgical Oncology, Erasmus University Medical Center - Daniel den Hoed Cancer Center, Rotterdam, The Netherlands. a.eggermont@erasmusmc.nl

Insights

Advances in metastatic melanoma treatment are emerging with new immune-modulating monoclonal antibodies and targeted pathway inhibitors, offering hope for improved patient survival.

Area of Science:

  • Oncology
  • Immunotherapy
  • Pharmacology

Background:

  • Metastatic melanoma treatment has historically faced challenges with limited survival benefits from phase III trials.
  • Recent scientific progress is reshaping the therapeutic landscape for advanced melanoma.

Purpose of the Study:

  • To provide an overview of emerging systemic therapies for metastatic melanoma.
  • To highlight novel drugs and potential treatment combinations.

Main Methods:

  • Review of current developments in melanoma systemic therapies.
  • Identification of promising new drug candidates and therapeutic strategies.

Main Results:

  • Significant advances are being made through immune system modulation with monoclonal antibodies.
  • Targeting signalling pathways with inhibitors like BRAF inhibitors is showing promise.
  • Imminent drug approvals include anti-CTLA-4 antibody ipilimumab and BRAF inhibitor PLX4032.

Conclusions:

  • A new era of melanoma treatment is dawning with diverse mechanisms of action.
  • Exploration of drug combinations is crucial for maximizing therapeutic synergy.
  • Future research will focus on novel agents and combination therapies for improved outcomes.

Related Concept Videos

Skin Cancer01:30

Skin Cancer

Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
Treatment Resistent Cancers02:56

Treatment Resistent Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
Tumor Immunotherapy01:27

Tumor Immunotherapy

Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...