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Published on: September 8, 2021
BRAF, MEK and KIT inhibitors for melanoma: adverse events and their management
Elisabeth Livingstone1, Lisa Zimmer1, Julia Vaubel1
1Department of Dermatology, University Hospital Duisburg-Essen, Essen, Germany.
Abstract:
The introduction of tyrosine kinase inhibitors for the treatment of malignant melanoma has led to unprecedented response rates with superior overall survival rates in patients with targetable kinase mutations. Even though targeted, the effects of these new therapies are not limited to the cancer cells and induce a wide array of different adverse events (AEs). Most toxicities are mild to moderate in severity and often only affect the skin, but quality of life of patients is still affected. To prevent dose reduction and/or interruption, a sound knowledge of potential AEs and their management is required. BRAF inhibitors should not be used in patients with known RAS-mutant tumour in the medical history. We review common AEs of BRAF, MEK and KIT inhibitors used for the treatment of malignant melanoma and their management.
Insights
Targeted therapies like BRAF and MEK inhibitors improve melanoma survival but cause side effects. Understanding and managing these adverse events (AEs) is crucial for patient quality of life and treatment adherence.
Area of Science:
- Oncology
- Dermatology
- Pharmacology
Background:
- Tyrosine kinase inhibitors (TKIs) have revolutionized malignant melanoma treatment, offering high response and survival rates in patients with specific mutations.
- Despite targeted action, TKIs cause various adverse events (AEs), primarily dermatological, impacting patient quality of life.
Purpose of the Study:
- To review common adverse events (AEs) associated with BRAF, MEK, and KIT inhibitors used in malignant melanoma treatment.
- To provide guidance on managing these AEs to prevent treatment interruption or dose reduction.
Main Methods:
- Literature review of common AEs for BRAF, MEK, and KIT inhibitors in melanoma.
- Analysis of AE management strategies to maintain treatment efficacy and patient well-being.
Main Results:
- Common AEs include skin toxicities, which are generally mild to moderate but can affect quality of life.
- BRAF inhibitors are contraindicated in patients with a history of RAS-mutant tumors.
Conclusions:
- Effective management of TKI-induced AEs is essential for optimizing treatment outcomes in malignant melanoma.
- Clinicians require comprehensive knowledge of AE profiles and management strategies for BRAF, MEK, and KIT inhibitors.
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