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Updated: Jan 31, 2026

Analysis of Lymph Node Volume by Ultra-High-Frequency Ultrasound Imaging in the Braf/Pten Genetically Engineered Mouse Model of Melanoma
Published on: September 8, 2021
Updates and challenges on treatment with BRAF/MEK-inhibitors in melanoma
Zeynep Eroglu1, Alpaslan Ozgun1
1The Department of Cutaneous Oncology, Moffitt Cancer Center & Research Institute, 10920 McKinley Dr, Tampa, FL, USA.
Introduction:
Breakthroughs in targeted therapy have significantly improved outcomes for many patients with advanced melanoma, including those with BRAFV600 mutant disease. Targeted therapy for BRAFV600-mutant metastatic melanoma includes combinations of BRAF inhibitors and MEK inhibitors, which improve response rates and prolong progression-free survival (PFS) and overall survival (OS) in these patients. However, while durable responses have been observed, many patients develop acquired resistance to these drugs.
Areas Covered:
Recent clinical trial updates and ongoing studies with targeted therapy for BRAF-V600 mutant melanoma are reviewed.
Expert Opinion:
Although BRAF targeted therapy remains an effective treatment for BRAF-mutant for melanoma, ongoing trials are exploring combinations with other targeted therapeutics and immunotherapeutics to determine whether tumor responses can be prolonged, and these drugs are increasingly utilized in the neoadjuvant and adjuvant settings.
Insights
Targeted therapy combining BRAF and MEK inhibitors improves outcomes for advanced melanoma. Ongoing research aims to overcome acquired resistance and prolong responses in BRAF-mutant melanoma patients.
Area of Science:
- Oncology
- Dermatology
- Pharmacology
Background:
- Targeted therapy, including BRAF and MEK inhibitors, has improved outcomes for advanced melanoma with BRAFV600 mutations.
- While effective, acquired resistance to these targeted therapies is a significant clinical challenge.
Purpose of the Study:
- To review recent clinical trial updates and ongoing studies of targeted therapy for BRAF-V600 mutant melanoma.
- To discuss strategies for overcoming resistance and improving long-term outcomes.
Main Methods:
- Review of recent clinical trial data and ongoing studies.
- Analysis of treatment outcomes, response rates, and survival data.
Main Results:
- BRAF and MEK inhibitor combinations demonstrate improved response rates and prolonged progression-free survival (PFS) and overall survival (OS).
- Acquired resistance remains a limitation, necessitating further research.
Conclusions:
- BRAF targeted therapy is an effective treatment for BRAF-mutant melanoma.
- Ongoing trials are exploring novel combinations with other targeted agents and immunotherapeutics to enhance durability of response.
- Increased utilization in neoadjuvant and adjuvant settings is being investigated.
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