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A 3D Organotypic Melanoma Spheroid Skin Model
Published on: May 18, 2018
Metastatic melanoma treatment: Combining old and new therapies
Ryan J Davey1, Andre van der Westhuizen2, Nikola A Bowden1
1Hunter Medical Research Institute and School of Biomedical Sciences and Pharmacy, Faculty of Health, University of Newcastle, NSW, Australia.
Abstract:
Metastatic melanoma is an aggressive form of cancer characterised by poor prognosis and a complex etiology. Until 2010, the treatment options for metastatic melanoma were very limited. Largely ineffective dacarbazine, temozolamide or fotemustine were the only agents in use for 35 years. In recent years, the development of molecularly targeted inhibitors in parallel with the development of checkpoint inhibition immunotherapies has rapidly improved the outcomes for metastatic melanoma patients. Despite these new therapies showing initial promise; resistance and poor duration of response have limited their effectiveness as monotherapies. Here we provide an overview of the history of melanoma treatment, as well as the current treatments in development. We also discuss the future of melanoma treatment as we go beyond monotherapies to a combinatorial approach. Combining older therapies with the new molecular and immunotherapies will be the most promising way forward for treatment of metastatic melanoma.
Insights
Metastatic melanoma treatment has evolved from limited options to targeted therapies and immunotherapies. Combining these approaches offers the most promising future for improving patient outcomes in metastatic melanoma.
Area of Science:
- Oncology
- Cancer Research
Background:
- Metastatic melanoma is an aggressive cancer with historically poor prognosis and limited treatment options.
- For decades, chemotherapy agents like dacarbazine were the primary, largely ineffective, treatments.
Purpose of the Study:
- To provide an overview of the historical and current treatments for metastatic melanoma.
- To discuss future directions in metastatic melanoma therapy, focusing on combinatorial approaches.
Main Methods:
- Review of historical treatment data for metastatic melanoma.
- Analysis of recent advancements in molecularly targeted inhibitors and checkpoint inhibition immunotherapies.
- Discussion of emerging combinatorial treatment strategies.
Main Results:
- Treatment options for metastatic melanoma were severely limited until 2010.
- Recent advancements include molecularly targeted inhibitors and checkpoint inhibition immunotherapies.
- Monotherapies face challenges with resistance and limited response duration.
Conclusions:
- The combination of older therapies with novel molecular and immunotherapies represents the most promising therapeutic strategy for metastatic melanoma.
- Future research should focus on developing effective combinatorial treatments to overcome resistance and improve response duration.
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