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A 3D Organotypic Melanoma Spheroid Skin Model
Published on: May 18, 2018
Side effects and toxicities of targeted therapies in stage IV melanoma
Paolo A Ascierto1, Lars Bastholt, Peter Hersey
11Unit of Melanoma, Cancer Immunotherapy and Innovative Therapy, Istituto Nazionale Tumori-Fondazione G. Pascale, Naples, Italy; 2Odense University Hospital, Odense, Denmark; 3Newcastle University, Newcastle, Australia; 4Instituto de Oncologia Angel Rolfo, Buenos Aires, Argentina; 5Institut Gustave Roussy, Villejuif, France; 6University of Kiel, Kiel, Germany; 7Hospital La Paz, Madrid, Spain; and 8Institut Gustave Roussy, Villejuif, France.
Abstract:
As the incidence of melanoma continues to increase worldwide, the search for new therapies for advanced (stage IV) melanoma brings with it new patterns of toxicity to contend with. This review covers the toxicity profiles of new treatments for advanced melanoma currently in development. Therefore, the latest literature on melanoma treatment was surveyed for data on reported toxicities. The new types of treatments can be roughly divided into targeted tyrosine kinase inhibitors and immunomodulating agents. Each has its own set of toxicities particular to type and to individual drug. Targeted tyrosine kinase inhibitors generally cause fatigue, whereas immunomodulatory agents induce a specific set of adverse events known as immune-related adverse events (irAEs). Despite the incidence of adverse events, these agents hold promise for the treatment of stage IV melanoma. With new treatment opportunities come increased chance of toxic reactions. The key to successful melanoma treatment in the future is likely to be novel combinations of new therapeutic agents.
Insights
New melanoma treatments, including targeted tyrosine kinase inhibitors and immunomodulatory agents, show promise for stage IV disease but present unique toxicities. Future success relies on managing these adverse events and exploring novel drug combinations.
Area of Science:
- Oncology
- Dermatology
- Pharmacology
Background:
- Melanoma incidence is rising globally, necessitating novel therapeutic strategies for advanced stages.
- Current research focuses on emerging treatments for stage IV melanoma, addressing their associated toxicities.
Purpose of the Study:
- To review the toxicity profiles of new treatments for advanced melanoma.
- To categorize and describe the adverse events associated with targeted tyrosine kinase inhibitors and immunomodulatory agents.
Main Methods:
- Literature review of recent studies on advanced melanoma treatments.
- Analysis of reported toxicities for targeted tyrosine kinase inhibitors and immunomodulatory agents.
Main Results:
- Targeted tyrosine kinase inhibitors commonly cause fatigue.
- Immunomodulatory agents are associated with immune-related adverse events (irAEs).
- Both drug classes demonstrate therapeutic potential despite their distinct toxicity patterns.
Conclusions:
- New melanoma therapies offer hope for stage IV disease management.
- Understanding and managing treatment-specific toxicities is crucial for successful outcomes.
- Novel combination therapies are likely key to future melanoma treatment advancements.
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