Inhibition of Mutated, Activated BRAF in Metastatic Melanoma

N Engl J Med. 2010 Aug 26;363809-819, KT Flaherty, I Puzanov, KB Kim, A Ribas, GA McArthur, JA Sosman, PJ O'Dwyer, RJ Lee, JF Grippo, K Nolop, PB Chapman

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Abstract

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OncologySTAT Editorial Team

Metastatic melanoma, an aggressive disease with few therapeutic options, carries a median overall survival of less than 8 months in patients treated with dacarbazine. A large percentage of melanomas are associated with an activating mutation of the serine/threonine kinase, BRAF. Most BRAF mutations (90%) cause a substitution of glutamic acid for valine at residue 600 (V600E), resulting in constitutive activation of the MAP kinase pathway. PLX4032 is a potent, orally administered BRAF inhibitor shown...

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