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Updated: Dec 12, 2025

Spatial and Temporal Control of Murine Melanoma Initiation from Mutant Melanocyte Stem Cells
Published on: June 7, 2019
Current State of Target Treatment in BRAF Mutated Melanoma
Enrica Teresa Tanda1, Irene Vanni2,3, Andrea Boutros1
1Medical Oncology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Abstract:
Incidence of melanoma has been constantly growing during the last decades. Although most of the new diagnoses are represented by thin melanomas, the number of melanoma-related deaths in 2018 was 60,712 worldwide (Global Cancer Observatory, 2019). Until 2011, no systemic therapy showed to improve survival in patients with advanced or metastatic melanoma. At that time, standard of care was chemotherapy, with very limited results. The identification of BRAF V600 mutation, and the subsequent introduction of BRAF targeting drugs, radically changed the clinical practice and dramatically improved outcomes. In this review, we will retrace the development of molecular-target drugs and the current therapeutic scenario for patients with BRAF mutated melanoma, from the introduction of BRAF inhibitors as single agents to modern clinical practice. We will also discuss the resistance mechanisms identified so far, and the future therapeutic perspectives in BRAF mutated melanoma.
Insights
Targeted BRAF inhibitors have revolutionized advanced melanoma treatment, significantly improving patient survival. This review details their development, current use, resistance, and future directions for BRAF-mutated melanoma.
Area of Science:
- Oncology
- Molecular Biology
- Dermatology
Background:
- Melanoma incidence is rising, with significant mortality despite advances.
- Systemic therapies before 2011 offered limited survival benefits for advanced melanoma.
- Chemotherapy was the standard of care with poor outcomes.
Purpose of the Study:
- To review the evolution of molecular-targeted therapies for BRAF-mutated melanoma.
- To outline the current therapeutic landscape for BRAF-mutated melanoma.
- To discuss resistance mechanisms and future perspectives.
Main Methods:
- Literature review of studies on BRAF inhibitors in melanoma.
- Analysis of clinical trial data and treatment guidelines.
- Synthesis of information on resistance and future therapeutic strategies.
Main Results:
- BRAF V600 mutation identification led to targeted BRAF inhibitors.
- BRAF inhibitors have dramatically improved outcomes in advanced melanoma.
- Understanding resistance mechanisms is crucial for further progress.
Conclusions:
- BRAF inhibitors represent a paradigm shift in advanced melanoma treatment.
- Ongoing research focuses on overcoming resistance and improving long-term survival.
- Future strategies involve combination therapies and novel drug development.
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