Abstract
Patients with metastatic melanoma have historically had dismal outcomes. The last several years has seen the emergence of effective immune and targeted therapies for metastatic melanoma. Targeted therapies have primarily impacted the 40–50 % of patients with BRAF V600 mutated melanoma. The remainder of patients with advanced melanoma harbor a wide spectrum of mutations other than BRAF V600 that are associated with unique pathophysiological, prognostic, and therapeutic implications. The treatment of this subset of patients is a challenging problem. In recent years, preclinical and early clinical studies have suggested that inhibitors of mitogen activated protein kinase (MAPK) pathway and parallel signaling networks may have activity in treatment of BRAF V600 wild-type (WT) melanoma. In this review, we will discuss available and developing therapies for BRAF WT patients with metastatic melanoma, particularly focusing on molecular targeted options for various genetically defined melanoma subsets.
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Romany A. N. Johnpulle declares that she has no conflict of interest.
Douglas B. Johnson has received compensation from Genoptix and Bristol-Myers Squibb for service on advisory boards.
Jeffrey A. Sosman has received compensation from Merck for service as a consultant, and has received research funding from Bristol-Myers Squibb and Novartis.
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Johnpulle, R.A.N., Johnson, D.B. & Sosman, J.A. Molecular Targeted Therapy Approaches for BRAF Wild-Type Melanoma. Curr Oncol Rep 18, 6 (2016). https://doi.org/10.1007/s11912-015-0485-6
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DOI: https://doi.org/10.1007/s11912-015-0485-6