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Updated: Feb 5, 2026

Isolated Hepatic Perfusion as a Treatment for Liver Metastases of Uveal Melanoma
Published on: January 25, 2015
Oncogene-directed small molecule inhibitors for the treatment of cutaneous melanoma
Philip Eliades1,2,1,2, Keith T Flaherty3,3, Hensin Tsao1,1
1Wellman Center for Photomedicine, Department of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
Abstract:
Achievements in cancer genetics and molecular biology have revolutionized the treatment options available for advanced melanoma. Patients with certain molecularly defined melanomas have been the most fortunate beneficiaries of recently US FDA-approved therapies that target aberrant MAPK pathway signaling, yet response rates and duration of response remain suboptimal. Furthermore, many patients harbor melanomas for which no approved targeted therapies currently exist. Since the approval of vemurafenib, a selective BRAF V600E inhibitor, in 2011, there has been a surge of preclinical and clinical studies aimed at developing novel targeted therapies for a wide range of molecularly defined melanomas. In this review, we will examine the present status and future potential of molecularly targeted therapies directed at the most significant oncogenic signaling pathways in melanoma.
Insights
Targeted therapies for advanced melanoma show promise by targeting MAPK signaling. However, suboptimal response rates and lack of treatments for many patients necessitate further research into novel molecularly targeted therapies.
Area of Science:
- Oncology
- Genetics
- Molecular Biology
Background:
- Cancer genetics and molecular biology advancements have transformed advanced melanoma treatment.
- Targeted therapies, particularly those inhibiting MAPK pathway signaling, benefit select patients.
- Current treatments face limitations including suboptimal response rates and duration, and a lack of options for many melanoma types.
Purpose of the Study:
- To review the current status of molecularly targeted therapies for melanoma.
- To explore the future potential of these therapies.
- To examine therapies targeting significant oncogenic signaling pathways in melanoma.
Main Methods:
- Review of preclinical and clinical studies on targeted therapies for melanoma.
- Analysis of US FDA-approved therapies targeting MAPK pathway signaling.
- Examination of novel targeted therapies for molecularly defined melanomas.
Main Results:
- Vemurafenib, a BRAF V600E inhibitor, approved in 2011, spurred significant research.
- Targeted therapies have revolutionized treatment for specific molecularly defined melanomas.
- Despite progress, response rates and duration remain suboptimal for many patients.
Conclusions:
- Molecularly targeted therapies represent a significant advancement in advanced melanoma treatment.
- Further research is crucial to overcome current limitations and develop new therapies.
- Future efforts should focus on a broader range of molecular targets and pathways to improve patient outcomes.
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