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American Journal of Clinical Dermatology

, Volume 19, Issue 3, pp 303–317 | Cite as

Advanced Melanoma: Current Treatment Options, Biomarkers, and Future Perspectives

  • Elisa A. Rozeman
  • Tim J. A. Dekker
  • John B. A. G. Haanen
  • Christian U. BlankEmail author
Review Article

Abstract

Malignant melanoma accounts for the highest number of deaths from skin cancer, and the prognosis of patients with stage IV disease has historically been poor. Novel insights into both mutations driving tumorigenesis and immune escape mechanisms of these tumors have led to effective treatment options that have revolutionized the treatment of this disease. Targeting the MAPK kinase pathway (with BRAF and MEK inhibitors), as well as targeting checkpoints, such as cytotoxic T-lymphocyte associated protein 4 (CTLA-4) or programmed death 1 (PD-1), have improved overall survival in patients with late-stage melanoma, and biomarker research for personalized therapy is ongoing for each of these treatment modalities. In this review, we will discuss current first-line treatment options, discuss biomarkers supporting treatment decisions, and give an outlook on (combination) therapies we expect to become relevant in the near future.

Notes

Compliance with Ethical Standards

Funding

No funding has been received for the preparation of this manuscript.

Conflict of interest

Elisa A. Rozeman and Tim J.A. Dekker declare that they have no conflicts of interest. John B.A.G. Haanen has received compensation for advisory roles from BMS, Merck, Roche, Ipsen, NEON and Pfizer, and has received grants from Novartis, BMS and Merck. Christian U. Blank received compensation for advisory roles from BMS, MSD, GSK, Roche, Novartis, Lilly and Pfizer, and has received research grants from Novartis and BMS.

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Department of Medical OncologyThe Netherlands Cancer InstituteAmsterdamThe Netherlands

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