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Current options and future directions in the systemic treatment of metastatic melanoma

Systemic treatment options for metastatic melanoma have historically been limited, with conventional cytotoxic chemotherapies demonstrating only modest benefit. Recent advances, however, have dramatically changed the treatment landscape and can be considered in 2 general categories: immunotherapeutic approaches that enhance antitumor immunity, and targeted therapeutic approaches that block oncogenic driver mutations. Immunotherapy with antibodies that block cytotoxic T-lymphocyte antigen 4 and programmed death-1 receptor can result in durable responses in a subset of patients. These treatments may be considered for patients irrespective of their mutational status, and ongoing research continues to investigate biomarkers associated with clinical outcomes. Side effects of these agents result from immune-mediated reactions involving various organ sites and can include: diarrhea, rash, hepatitis, and endocrinopathies.

 

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The Journal of Community and Supportive Oncology - 12(1)
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20-26
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melanoma, cytotoxic T-lymphocyte antigen 4, CTLA-4, programmed death-1, PD-1, ipilimumab, BRAF inhibitor, MEK inhibitor inhibitor, KIT inhibitor, MAPK pathway
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Systemic treatment options for metastatic melanoma have historically been limited, with conventional cytotoxic chemotherapies demonstrating only modest benefit. Recent advances, however, have dramatically changed the treatment landscape and can be considered in 2 general categories: immunotherapeutic approaches that enhance antitumor immunity, and targeted therapeutic approaches that block oncogenic driver mutations. Immunotherapy with antibodies that block cytotoxic T-lymphocyte antigen 4 and programmed death-1 receptor can result in durable responses in a subset of patients. These treatments may be considered for patients irrespective of their mutational status, and ongoing research continues to investigate biomarkers associated with clinical outcomes. Side effects of these agents result from immune-mediated reactions involving various organ sites and can include: diarrhea, rash, hepatitis, and endocrinopathies.

 

Click on the PDF icon at the top of this introduction to read the full article.

 

Systemic treatment options for metastatic melanoma have historically been limited, with conventional cytotoxic chemotherapies demonstrating only modest benefit. Recent advances, however, have dramatically changed the treatment landscape and can be considered in 2 general categories: immunotherapeutic approaches that enhance antitumor immunity, and targeted therapeutic approaches that block oncogenic driver mutations. Immunotherapy with antibodies that block cytotoxic T-lymphocyte antigen 4 and programmed death-1 receptor can result in durable responses in a subset of patients. These treatments may be considered for patients irrespective of their mutational status, and ongoing research continues to investigate biomarkers associated with clinical outcomes. Side effects of these agents result from immune-mediated reactions involving various organ sites and can include: diarrhea, rash, hepatitis, and endocrinopathies.

 

Click on the PDF icon at the top of this introduction to read the full article.

 

Issue
The Journal of Community and Supportive Oncology - 12(1)
Issue
The Journal of Community and Supportive Oncology - 12(1)
Page Number
20-26
Page Number
20-26
Publications
Publications
Topics
Article Type
Display Headline
Current options and future directions in the systemic treatment of metastatic melanoma
Display Headline
Current options and future directions in the systemic treatment of metastatic melanoma
Legacy Keywords
melanoma, cytotoxic T-lymphocyte antigen 4, CTLA-4, programmed death-1, PD-1, ipilimumab, BRAF inhibitor, MEK inhibitor inhibitor, KIT inhibitor, MAPK pathway
Legacy Keywords
melanoma, cytotoxic T-lymphocyte antigen 4, CTLA-4, programmed death-1, PD-1, ipilimumab, BRAF inhibitor, MEK inhibitor inhibitor, KIT inhibitor, MAPK pathway
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JCSO 2014;12:20-26
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