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Updated: Mar 14, 2026

A 3D Organotypic Melanoma Spheroid Skin Model
Published on: May 18, 2018
The Systemic Management of Advanced Melanoma in 2016
Markus V Heppt1, Cecilia Dietrich, Saskia A Graf
1Department of Dermatology and Allergy, Munich University Hospital (LMU), Munich, Germany.
Abstract:
Melanoma is a common type of skin cancer with a high propensity to metastasize. Tyrosine kinase inhibitors targeting the mitogen-activated protein kinase (MAPK) pathway and immune checkpoint blockade have recently revolutionized the management of unresectable and metastatic disease. However, acquired resistance and primary non-response to therapy require novel treatment strategies and combinations. The purpose of this review is to provide a brief and up-to-date overview on the clinical management and current trial landscape in melanoma. We summarize the most pertinent studies on BRAF/MEK inhibitors and blockade of cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) and programmed cell death protein 1 (PD-1). Although most agents show robust antitumor efficacy as single agents, further improvements have been achieved by the combination of both approved and developing drugs. We discuss ongoing trials and evaluate future approaches that may provide additional efficacy with less toxicity.
Insights
Novel melanoma treatments, including BRAF/MEK inhibitors and immune checkpoint blockade (CTLA-4, PD-1), show promise. Combinations may improve efficacy and reduce toxicity for advanced skin cancer patients.
Area of Science:
- Oncology
- Dermatology
- Immunology
Background:
- Melanoma is a prevalent skin cancer known for metastasis.
- Current treatments like tyrosine kinase inhibitors and immune checkpoint blockade have advanced care for advanced disease.
- Therapeutic resistance necessitates novel strategies and drug combinations.
Purpose of the Study:
- To offer a concise, current overview of melanoma clinical management.
- To review the current clinical trial landscape in melanoma.
- To summarize key studies on BRAF/MEK inhibitors and CTLA-4/PD-1 blockade.
Main Methods:
- Literature review of pertinent studies on targeted therapies and immunotherapies.
- Summary of clinical trial data for melanoma treatments.
- Analysis of combination strategies and future therapeutic approaches.
Main Results:
- BRAF/MEK inhibitors and immune checkpoint blockade demonstrate significant antitumor activity.
- Combination therapies show enhanced efficacy compared to single-agent treatments.
- Ongoing trials explore novel combinations for improved outcomes.
Conclusions:
- Targeted therapies and immunotherapies have transformed melanoma treatment.
- Combination strategies offer potential for greater efficacy and reduced toxicity.
- Future research focuses on optimizing treatment combinations for advanced melanoma.
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