Selumetinib shows promise in metastatic uveal melanoma

    Cancer Discovery
    |July 13, 2013
    PubMed

    Insights

    Selumetinib, a MEK inhibitor, is the first effective drug for ocular melanoma. This drug extended progression-free survival by almost 9 weeks compared to temozolomide chemotherapy in a phase II trial.

    Area of Science:

    • Ophthalmology
    • Medical Oncology
    • Pharmacology

    Background:

    • Ocular melanoma is a rare and aggressive cancer.
    • Limited effective treatment options exist for ocular melanoma.
    • Temozolomide chemotherapy is a standard treatment, but its efficacy is modest.

    Purpose of the Study:

    • To evaluate the efficacy of selumetinib compared to temozolomide in patients with ocular melanoma.
    • To determine the impact of selumetinib on progression-free survival.

    Main Methods:

    • A phase II clinical trial was conducted.
    • Patients with ocular melanoma were randomized to receive either selumetinib or temozolomide.
    • Progression-free survival was the primary endpoint.

    Main Results:

    • Selumetinib significantly extended progression-free survival by nearly 9 weeks compared to temozolomide.
    • This represents a clinically meaningful improvement in disease control.

    Conclusions:

    • Selumetinib is the first effective drug identified for ocular melanoma.
    • Selumetinib offers a promising new therapeutic option for patients with this rare disease.