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Updated: Mar 21, 2026

A 3D Organotypic Melanoma Spheroid Skin Model
Published on: May 18, 2018
Emerging targeted therapies for melanoma
Douglas B Johnson1, Megan H Pollack2, Jeffrey A Sosman1
1a Department of Medicine , Vanderbilt University Medical Center and Vanderbilt Ingram Cancer Center , Nashville , TN , USA.
Introduction:
Melanoma is an aggressive cutaneous malignancy associated with poor response to traditional therapies. Recent regulatory approval for immune checkpoint inhibitors and agents targeting mutated BRAF has led to a tremendous expansion of effective treatment options for patients with advanced melanoma. Unfortunately, primary or acquired resistance develops in most patients, highlighting the need for additional therapies. Numerous genetic and other molecular features of this disease may provide effective targets for therapy development.
Areas Covered:
This article reviews available melanoma treatments, including immune and molecularly-targeted therapies. We then discuss agents in development, with a focus on targeted (rather than immune) therapies. In particular, we discuss agents that block mitogen-activated protein kinase (MAPK) signaling, as well as other emerging approaches such as antibody-drug conjugates, cell-cycle targeting, and novel genetically-informed clinical trials.
Expert Opinion:
Despite the incredible advances in melanoma therapeutics over the last several years, a clear need to develop more effective therapies remains. Molecularly-targeted therapy approaches will likely remain a cornerstone of melanoma treatment in parallel to immune therapy strategies.
Insights
Advanced melanoma treatments are expanding, but resistance necessitates new therapies. Molecularly-targeted agents, alongside immune therapies, are crucial for future melanoma treatment strategies.
Area of Science:
- Oncology
- Dermatology
- Cancer Therapeutics
Background:
- Melanoma is an aggressive skin cancer with limited response to traditional treatments.
- Recent advances include immune checkpoint inhibitors and BRAF-targeted agents for advanced melanoma.
- Therapeutic resistance remains a significant challenge, driving the need for novel treatment strategies.
Purpose of the Study:
- To review current melanoma treatments, including immune and molecularly-targeted therapies.
- To discuss emerging targeted agents and novel therapeutic approaches in development.
- To highlight the ongoing need for more effective melanoma therapies.
Main Methods:
- Comprehensive review of existing and investigational melanoma treatments.
- Focus on molecularly-targeted therapies, including mitogen-activated protein kinase (MAPK) pathway inhibitors.
- Exploration of novel approaches like antibody-drug conjugates and cell-cycle targeting.
Main Results:
- Significant progress has been made in melanoma therapeutics.
- Primary or acquired resistance to current treatments affects most patients.
- Numerous molecular targets offer potential for new therapy development.
Conclusions:
- Despite advances, more effective melanoma therapies are urgently needed.
- Molecularly-targeted therapies are expected to be a cornerstone of future melanoma treatment.
- Combined strategies involving targeted and immune therapies will likely improve patient outcomes.
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