Normal RAS-RAF (MAPK) pathway signaling
|
|
- Jade Cunningham
- 5 years ago
- Views:
Transcription
1 BRAF-Mutations in Melanomas L. Mazzucchelli Istituto Cantonale di Patologia, Locarno 77. Annual Meeting Swiss Society of Pathology, Lucerne 2011 Sponsored by Roche Pharma Switzerland Melanoma has increased at an alarming rate during the past 40 years (estimated life time risk of 1 in 75). Early melanoma can be cured through surgical excision Prognosis of metastatic melanoma is dismal. It is not responsive to current available chemotherapy, immunologic therapy or radiotherapy (3-years OS: 10-15%). Recent discoveries in melanoma pathogenesis and genetics have yielded various new molecular targets in the MAPK pathway. Novel, small molecule compunds targeting BRAF have already shown great promise in preclinical, early-phase, and phase III clinical trials. Normal RAS-RAF (MAPK) pathway signaling Activating BRAF mutations in 50% of melanoma The RAS-RAF pathway is a series of protein kinases that transmit signals to control proliferation, differentiation, and survival Activated ERK can enter the nucleus and phosphorylate transcription factors such as ETS, which mediate gene transcription, ultimately stimulating cell survival and proliferation RAF PTEN AKT Normal cell proliferation and survival Excessive cell proliferation and survival BRAF V600E is capable of causing RAS-independent activation of ERK, MEK-dependent cell proliferation, and transformation J Pathol 2011;223: Can we predict BRAF mutations from clinical and pathological features? 2. Has BRAF mutation a prognostic significance? Features associated with BRAF mutational status: Histological subtype (SSM and NM) Presence of mitoses Single melanoma Truncal location Age at diagnosis <50 yr Lack of evidence of CSD Increased upward migration and nest formation of intraepidermal melanocytes Thickening of the involved epidermis, with sharper demarcation to the surrounding skin Larger, rounder, and more pigmented tumor cells Brain metatstasis. Worse prognosis? Features not associated with BRAF mutational status: Associated nevus Breslow thickness Ulceration YES NO Flaherty KT, et al. Cancer 2010;116: Viros A, et al. PLoS Med 2008;5:e120 Long GV, et al. JCO 2011;29:1239
2 BRAF 3. Does a single BRAF mutation induce melanoma? Br J Cancer 2011;104: ; JCO 2011;29:1239 Frequencies of BRAF mutations in various cancers Common genetic alterations in melanoma c-kit mutations (1%) CSD-Skin Non-CSD-Skin Flaherty K et al. Cancer 2010, 116:4902 Targeting metastatic melanoma 4. Which target? Flaherty KT. Ann Rev Med 2012;63:
3 Overall survival Progression-free survival Phase 3 randomized clinical trial. NEJM 2011, June 5 BRIM3: OS by baseline characteristic Factor All patients 672 Age: <65 yrs 65 yrs Sex: Female Male ECOG status: Disease stage: IIIc M1a M1b M1c LDH : Normal Elevated Number of patients Favors vemurafenib Favors dacarbazine Hazard ratio and 95% confidence interval Selected adverse events (% of patients) Vemurafenib, n= 336 Dacarbazine, n= 282 Adverse events All Grade 3 Grade 4 All Grade 3 Grade 4 5. What are the side effects? Arthralgia <1 - Rash Fatigue Photosensitivity LFTs 18 7 < Cutaneous SCC <1 <1 - Keratoacanthoma Skin papilloma 18 < Nausea Neutropenia <1 - < Discontinuations due to AE: 6% Vemurafenib; 4% Dacarbazine
4 V600E BRAF cells Paradoxical hyper-activation of MEK and ERK by PLX4032 in BRAF wild-type cells Nissan MH, Solit DB, Curr Oncol Rep 2012 (published online 2011) Nissan MH, Solit DB, Curr Oncol Rep 2012 (published online 2011) Paradoxical CRAF activation by BRAF Heidorn SJ et al. Cell 2010;140: N Engl J Med 2011;365:1448 Mechanisms of resistance to BRAF inhibitors and strategies to overcome resistance BRAF and resistance Primary (or intrinsic) resistance Any mechanism that allows all or a subpopulation of cells within a BRAF mutant melanoma to survive the initial weeks or months of therapy Secondary (or acquired) resistance Any mechanisms by which tumors begin to grow again following the initial response to therapy Baseline Days 15 7 months
5 Fedorenko et al. BiochemicalPharmacology 2011 Article in press Primary Resistance Incomplete pathway inhibition (residual pathway activity) Selection of clones with additional mutations PTEN loss P16 inactivation PI3K activation NRAS/ MEK activation Activation of intrinsic survival pathways or exogen growth support from the microenvironment Secondary Resistance BRAF mutations able to reactivate MAPK pathway (i.e. dimerization of BRAF) PI3K activation bypass BRAF Possible solutions Combined therapy with MEK inhibitors CDK4 inhibitors MEK inhibitors Combined immunotherapy with anti- CTLA4 (ipilimumab)? New drugs able to block RAF-dimers 6. So what? Recent advances in molecular biology have identified BRAF, NRAS, and c-kit mutations as major contributors to melanoma pathophysiology in approximately 70% of all cases. BRAF inhibitors demonstrate high response rates exclusively in patients whose melanoma harbors an activating BRAF mutation. Although response duration is highly variable, BRAF inhibitors improve survival outcome in the metastatic setting. Combination of BRAF inhibitors with immune-enhancing therapy with a CTLA-4 blocking antibody may be very effective. Additional pathways appear to contribute to primary resistance of BRAF inhibition therapy. The optimal strategy for combined therapy in melanoma patients remains to be determined. Flaherty KT. Ann Rev Med 2012;63: BRAF mutations can be easily detected by direct sequencing or real-time PCR (cobas 4800 BRAF V600 Mutation Test). NRAS mutations should be investigated in BRAF wild-type melanoma. c-kit mutations should be investigated in BRAF/NRAS wild-type melanoma, and in acral or mucosal melanoma, in vulvar melanoma, or melanomas occurring at chronically sun-damaged skin (role of c-kit amplification is still unclear). Additional pathways appear to contribute to primary or secondary resistance to BRAF inhibitor therapy We are now entering an era of personalized therapy for patients with advanced melanoma.
Best Practices in the Treatment and Management of Metastatic Melanoma. Melanoma
Best Practices in the Treatment and Management of Metastatic Melanoma Philip Friedlander MD PhD Director of Melanoma Medical Oncology Program Assistant Professor Division of Hematology Oncology Assistant
More informationA View to the Future: The Development of Targeted Therapy for Melanoma. Michael Davies, M.D., Ph.D.
A View to the Future: Science to Survivorship Symposium September 26, 2009 The Development of Targeted Therapy for Melanoma Michael Davies, M.D., Ph.D. Assistant Professor, Melanoma Medical Oncology How
More informationBRAF Inhibition in Melanoma
BRAF Inhibition in Melanoma New York City, Mar 22-23, 2013 Bartosz Chmielowski, MD, PhD Assistant Clinical Professor University of California Los Angeles Disclosures Speaker Bureau: BMS, Genentech, Prometheus
More informationResponse and resistance to BRAF inhibitors in melanoma
Response and resistance to BRAF inhibitors in melanoma Keith T. Flaherty, M.D. Massachusetts General Hospital Cancer Center Disclosures Roche/Genentech: consultant GlaxoSmithKline: consultant BRAF mutations
More informationBRAF Inhibitors in Metastatic disease. Grant McArthur MB BS PhD Peter MacCallum Cancer Centre Melbourne, Australia
Inhibitors in Metastatic disease Grant McArthur MB BS PhD Peter MacCallum Cancer Centre Melbourne, Australia Disclosures Research Support Pfizer & Cellgene Consultant Provectus Mortality from Melanoma
More informationAdvances in Melanoma
Advances in Melanoma The Blue, the Black and the Ugly 1 Outline History of Melanoma Why be concerned? Skin cancer updates What s old? What s new (and why are Skin Tumor Group med oncs excited again)? What
More informationTargeted Therapies in Melanoma
Mutations and Targets Targeted Therapies in Melanoma ckit NRAS
More informationpresentation session & clinical Keith T. Flaherty, M.D. Abramson Cancer Center of the University of Pennsylvania
Melanoma: highlights from the oral presentation session & clinical science symposium at ASCO 2009 Keith T. Flaherty, M.D. Abramson Cancer Center of the University of Pennsylvania Abstracts to be discussed
More informationMelanoma: From Chemotherapy to Targeted Therapy and Immunotherapy. What every patient needs to know. James Larkin
Melanoma: From Chemotherapy to Targeted Therapy and Immunotherapy What every patient needs to know James Larkin Melanoma Therapy 1846-2017 Surgery 1846 Cytotoxic Chemotherapy 1946 Checkpoint Inhibitors
More informationIdentification of BRAF mutations in melanoma lesions with the Roche z480 instrument
Identification of BRAF mutations in melanoma lesions with the Roche z480 instrument Márta Széll IAP, Siófok May 14, 2012 Multifactorial skin diseses: much more frequent then genodermatoses exhibit familial
More informationThe Development of Encorafenib (LGX818) and Binimetinib (MEK162) in Patients With Metastatic Melanoma
The Development of Encorafenib (LGX818) and Binimetinib (MEK162) in Patients With Metastatic Melanoma Reinhard Dummer, 1 Keith Flaherty, 2 Richard Kefford, 3 Paolo A. Ascierto, 4 Laure Moutouh-de Parseval,
More informationBersagli molecolari nel melanoma
Bersagli molecolari nel melanoma Giuseppe Palmieri - Unit of Cancer Genetics Institute of Biomolecular Chemistry, CNR, Sassari Essential alterations in malignant cells Hanahan & Weinberg, Cell 2000 Essential
More informationInnovations in Immunotherapy - Melanoma. Systemic Therapies October 27, 2018 Charles L. Bane, MD
Innovations in Immunotherapy - Melanoma Systemic Therapies October 27, 2018 Charles L. Bane, MD Melanoma Prognosis Survival at 10 years Stage I: 90% Stage II: 60% Stage III: 40% Stage IV: 10% 2 Indications
More informationRare melanoma: Are the options improving? Dr Neil Steven Consultant in Medical Oncology University Hospital Birmingham University of Birmingham
Rare melanoma: Are the options improving? Dr Neil Steven Consultant in Medical Oncology University Hospital Birmingham University of Birmingham Classifying melanoma Melanoma (site of origin, thickness,
More informationUpdate on Targeted Therapy in Melanoma
Update on Targeted Therapy in Melanoma Seville June 2013 James Larkin FRCP PhD London UK Overview What are the targets in melanoma? BRAF / KIT / NRAS / GNAQ / MEK DNA / microtubules CTLA4 / PD1 / PDL1
More informationBRAF inhibitors Anti-angiogenic therapy Other molecular targets Discussion
If you experience any technical difficulties call 8-274-939 or e-mail informed@commpartners.com Slides will advance automatically. You can also advance/ review the presentation using the control buttons
More informationPersonalized Cancer Medicine. Conceptual,Organizational,Financial Challenges
Personalized Cancer Medicine Conceptual,Organizational,Financial Challenges SHANGHAI 6 July, 2012 What is breast cancer? The old perception The New Family of Diseases Perception / Molecular Portraits What
More informationCase Report Long Term Survival and Continued Complete Response of Vemurafenib in a Metastatic Melanoma Patient with BRAF V600K Mutation
Case Reports in Oncological Medicine Volume 2016, Article ID 2672671, 4 pages http://dx.doi.org/10.1155/2016/2672671 Case Report Long Term Survival and Continued Complete Response of Vemurafenib in a Metastatic
More information17/01/2017. ckit NRAS BRAF MEK ERK. ANTITUMOR IMMUNE RESPONSE PROLIFERATION
BRAF inhibitors: vemurafenib (Zelboraf ) dabrafenib (Tafinlar ) Universitair Ziekenhuis Gent MEK inhibitors: cobimetinib trametinib(mekinist ) selumetinib CUTANEOUS SIDE EFFECTS OF BRAF-INHIBITORS Lieve
More informationCorporate Medical Policy
Corporate Medical Policy BRAF Gene Variant Testing to Select Melanoma or Glioma Patients File Name: Origination: Last CAP Review: Next CAP Review: Last Review: braf_gene_variant_testing_to_select_melanoma_or_glioma_patients_for_targeted_
More informationCorporate Medical Policy
Corporate Medical Policy BRAF Gene Mutation Testing to Select Melanoma or Glioma Patients File Name: Origination: Last CAP Review: Next CAP Review: Last Review: braf_gene_mutation_testing_to_select_melanoma_or_glioma_patients_for_targeted_
More informationBlack is the New Black or How I learned to stop worrying and love melanoma (with apologies to Dr. Strangelove)
Black is the New Black or How I learned to stop worrying and love melanoma (with apologies to Dr. Strangelove) Provincial Cancer Care Conference 2018 Ralph P.W. Wong MD FRCPC St Boniface Site Director
More informationMetastatic Melanoma. Cynthia Kwong February 16, 2017 SUNY Downstate Medical Center Department of Surgery Grand Rounds
Metastatic Melanoma Cynthia Kwong February 16, 2017 SUNY Downstate Medical Center Department of Surgery Grand Rounds Case Presentation 77 year old male with previous history of scalp melanoma and thyroid
More informationNew paradigms for treating metastatic melanoma
New paradigms for treating metastatic melanoma Paul B. Chapman, MD Melanoma Clinical Director Melanoma and Immunotherapeutics Service Memorial Sloan Kettering Cancer Center, New York 20 th Century Overall
More informationApproaches To Treating Advanced Melanoma
Approaches To Treating Advanced Melanoma Suraj Venna, MD Medical Director, Melanoma and Cutaneous Oncology Inova Schar Cancer Institute Associate Professor, VCU Fairfax VA Disclosures No relevant disclosures
More informationTopics for Discussion. Malignant Melanoma. Surgical Treatment. Current Treatment of Cutaneous Melanoma 5/17/2013. Lymph Regional nodes:
Topics for Discussion What is a sentinel lymph node (SLN)? Utility of sentinel lymph biopsies: therapeutic or staging? Current Treatment of Cutaneous Melanoma Carlos Corvera, M.D. Associate Professor of
More informationBRAF: dal melanoma alla HCL
ISTITUTO NAZIONALE PER LO STUDIO E LA CURA DEI TUMORI FONDAZIONE G. Pascale NAPOLI SC Biologia Cellulare e Bioterapie CENTRO RICERCHE ONCOLOGICHE MERCOGLIANO (AV) Laboratorio di Farmacogenomica BRAF: dal
More informationImmunotherapy in Unresectable or Metastatic Melanoma: Where Do We Stand? Sanjiv S. Agarwala, MD St. Luke s Cancer Center Bethlehem, Pennsylvania
Immunotherapy in Unresectable or Metastatic Melanoma: Where Do We Stand? Sanjiv S. Agarwala, MD St. Luke s Cancer Center Bethlehem, Pennsylvania Overview Background Immunotherapy clinical decision questions
More informationConflict of Interest Disclosure
"NRAS mutation status in advanced melanoma: how much does this really matter to prognosis and therapy?" John Jakob, MD, PhD Department of Melanoma Medical Oncology, The University of Texas M.D. Anderson
More informationBreakthrough and Landscape of Acral and Mucosal Melanomas. Jun Guo. M.D., Ph.D Peking University Cancer Hospital & Institute
Breakthrough and Landscape of Acral and Mucosal Melanomas Jun Guo. M.D., Ph.D Peking University Cancer Hospital & Institute Current status of advanced melanoma Current status of advanced MM Targeted therapy
More informationModern therapy in oncology Metastatic melanoma
Modern therapy in oncology Metastatic melanoma Anna Buda-Nowak Oncology Department; University Hospital in Cracow Melanoma Malignant skin neoplasm derived from neuroectodermal melanomatous cells. The incidence:
More informationBRAF Genetic Testing to Select Melanoma or Glioma Patients for Targeted Therapy
Medical Policy Manual Genetic Testing, Policy No. 41 BRAF Genetic Testing to Select Melanoma or Glioma Patients for Targeted Therapy Next Review: August 2019 Last Review: July 2018 Effective: August 1,
More informationpan-canadian Oncology Drug Review Final Clinical Guidance Report Vemurafenib (Zelboraf) for Advanced Melanoma October 1, 2012
pan-canadian Oncology Drug Review Final Clinical Guidance Report Vemurafenib (Zelboraf) for Advanced Melanoma October 1, 2012 DISCLAIMER Not a Substitute for Professional Advice This report is primarily
More informationvemurafenib 240mg film-coated tablet (Zelboraf ) SMC No. (792/12) Roche Products Ltd.
Resubmission vemurafenib 240mg film-coated tablet (Zelboraf ) SMC No. (792/12) Roche Products Ltd. 08 November 2013 The Scottish Medicines Consortium (SMC) has completed its assessment of the above product
More informationNATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Single Technology Appraisal (STA) Dabrafenib for treating unresectable, advanced or metastatic
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Single Technology Appraisal (STA) Dabrafenib for treating unresectable, advanced or metastatic BRAF V600 mutation-positive melanoma mutation-positive melanoma
More informationMelanoma 10/12/18 Justin J. Baker, M.D.
Objectives Review Incidence Risk Factors for Development Detection 10/12/18 Justin J. Baker, M.D. Treatment of Surgery Medicine Radiation What is Incidence Cancer of Melanocytes Melanocytes are normal
More informationSystemic implications of Melanoma. Melanoma 2/4/2018. Cancer USA Epidemiology: Incidence and Mortality. Skin Cancer USA
Systemic implications of Melanoma Darrell S. Rigel, MD MS Clinical Professor of Dermatology New York University Medical Center New York, New York DISCLOSURE OF RELEVANT RELATIONSHIPS WITH INDUSTRY Darrell
More information1. Opdivo + Ipilumimab is now the first line therapy for metastatic melanoma.
Melanoma UpToDate: Introduction: Risk Factors: 1. Opdivo + Ipilumimab is now the first line therapy for metastatic melanoma. Median age = 50 yrs Incidence is rising - Sun exposure: UVB (290-320nm) > UVA
More informationSpringer Healthcare. Staging and Diagnosing Cutaneous Melanoma. Concise Reference. Dirk Schadendorf, Corinna Kochs, Elisabeth Livingstone
Concise Reference Staging and Diagnosing Cutaneous Melanoma Dirk Schadendorf, Corinna Kochs, Elisabeth Livingstone Extracted from Handbook of Cutaneous Melanoma: A Guide to Diagnosis and Treatment Published
More informationUnderstanding Signaling Pathways by Modifying Sensitivity to PLX4720 in B-RAF V600E Melanoma
Understanding Signaling Pathways by Modifying Sensitivity to PLX4720 in B-RAF V600E Melanoma Muska Hassan NCI-ICBP Summer Fellow Broad Institute of MIT and Harvard: Cancer Program Mentor: Cory Johannessen,
More informationBRAF Gene Mutation Testing To Select Melanoma Patients for BRAF Inhibitor Targeted Therapy. Original Policy Date
MP 2.04.66 BRAF Gene Mutation Testing To Select Melanoma Patients for BRAF Inhibitor Targeted Therapy Medical Policy Section Medicine Issue 12:2013 Original Policy Date 12:2013 Last Review Status/Date
More informationProspective Case Series of Cutaneous Adverse Effects Associated With Dabrafenib and Trametinib
670368CMSXXX10.1177/1203475416670368Journal of Cutaneous Medicine and SurgeryLacroix and Wang research-article2016 Original Article Prospective Case Series of Cutaneous Adverse Effects Associated With
More informationMedia Release. Basel, 29 September 2014
Media Release Basel, 29 September 2014 Roche s investigational combination of cobimetinib plus Zelboraf (vemurafenib) provided significant benefit to people with advanced melanoma over Zelboraf alone Cobimetinib
More informationTargeted Therapy for Cutaneous Melanoma: Beyond BRAF...
Journal of Patient-Centered Research and Volume 1 Issue 1 -- Melanoma Research Article 4 2-28-2014 Targeted Therapy for Cutaneous Melanoma: Beyond BRAF... Michael A. Davies Follow this and additional works
More informationUpdates in Metastatic Melanoma
SCSHP 214 Annual Meeting Updates in Metastatic Melanoma LeAnn B. orris, PharmD, BCPS, BCOP Assistant Professor South Carolina College of Pharmacy Background Estimated 76,69 new cases in 213 Increasing
More informationBRAF Gene Variant Testing To Select Melanoma or Glioma Patients for Targeted Therapy
BRAF Gene Variant Testing To Select Melanoma or Glioma Patients for Targeted Therapy Policy Number: 2.04.77 Last Review: 12/2018 Origination: 4/2013 Next Review: 12/2019 Policy Blue Cross and Blue Shield
More informationK-Ras signalling in NSCLC
Targeting the Ras-Raf-Mek-Erk pathway Egbert F. Smit MD PhD Dept. Pulmonary Diseases Vrije Universiteit VU Medical Centre Amsterdam, The Netherlands K-Ras signalling in NSCLC Sun et al. Nature Rev. Cancer
More informationNew Targeted Therapies in Melanoma
Vemurafenib and ipilimumab have improved overall survival in patients with metastatic melanoma. Tenzin Norbu Lama. Returning Home (detail). New Targeted Therapies in Melanoma Ragini R. Kudchadkar, MD,
More informationMelanoma- Fighting the Dark Side
Melanoma- Fighting the Dark Side Anna C. Pavlick, BSN, MSc, DO, MBA Professor of Medicine and Dermatology Director, NYU Melanoma Program Director, NYU Clinical Trials Office NYU Perlmutter Cancer Center
More informationEvolving Treatment Strategies in the Management of Metastatic Melanoma: Novel Therapies for Improved Patient Outcomes. Disclosures
Evolving Treatment Strategies in the Management of Metastatic Melanoma: Novel Therapies for Improved Patient Outcomes Fall Managed Care Forum November 11, 2016 Matthew Taylor, M.D. Disclosures Consulting/Advisory
More informationLocally Advanced and Metastatic Melanoma. Relevant disclosures 6/23/2018. What is the median survival of metastatic melanoma? Abel D.
Locally Advanced and Metastatic Melanoma Abel D. Jarell, MD, FAAD Adjunct Dartmouth School of Medicine, Hanover, NH Northeast Dermatology Associates, Portsmouth, NH Relevant disclosures What is the median
More informationCombination Approaches in Melanoma: A Balancing Act
Combination Approaches in Melanoma: A Balancing Act Antoni Ribas, MD, PhD Jonsson Comprehensive Cancer Center University of California Los Angeles Los Angeles, California Advances in the Treatment of Metastatic
More informationMalignant Melanoma, what s new? Dr Daniel A Vorobiof Sandton Oncology Centre Johannesburg
Malignant Melanoma, what s new? Dr Daniel A Vorobiof Sandton Oncology Centre Johannesburg Melanoma Epidemiology: Incidence and Mortality Estimated 2012 Global Incidence and Mortality by WHO Region (all
More informationSelecting the right patients for the right trials.
Selecting the right patients for the right trials. Paul Waring Professor of Pathology University of Melbourne June 21, 2011 RCPA Genetics short course Drug development challenges. Current model of drug
More informationA New Era In Treatment Of Malignant Melanoma: Biological therapies
A New Era In Treatment Of Malignant Melanoma: Biological therapies Anila Kirt, Jingjun Zhao Department of Dermatology, Shanghai Tongji Hospital, Tongji University School of Medicine, Shanghai, China A
More informationManagement of Brain Metastases Sanjiv S. Agarwala, MD
Management of Brain Metastases Sanjiv S. Agarwala, MD Professor of Medicine Temple University School of Medicine Chief, Oncology & Hematology St. Luke s Cancer Center, Bethlehem, PA, USA Incidence (US):
More informationpan-canadian Oncology Drug Review Final Clinical Guidance Report Trametinib (Mekinist) for Metastatic Melanoma October 22, 2013
pan-canadian Oncology Drug Review Final Clinical Guidance Report Trametinib (Mekinist) for Metastatic Melanoma October 22, 2013 DISCLAIMER Not a Substitute for Professional Advice This report is primarily
More informationRacial differences in six major subtypes of melanoma: descriptive epidemiology
Wang et al. BMC Cancer (2016) 16:691 DOI 10.1186/s12885-016-2747-6 RESEARCH ARTICLE Racial differences in six major subtypes of melanoma: descriptive epidemiology Yu Wang 1, Yinjun Zhao 2 and Shuangge
More informationKIT Inhibition in Advanced Melanoma: Rationale and Clinical i l Results
KIT Inhibition in Advanced Melanoma: Rationale and Clinical i l Results Richard D. Carvajal, M.D. Assistant Attending Physician Melanoma/Sarcoma Service Memorial Sloan-Kettering Cancer Center Disclosures
More informationNew Therapeutic Approaches to Malignant Melanoma
2018 Master Class for Oncologists New Therapeutic Approaches to Malignant Melanoma F. Stephen Hodi, M.D. Dana-Farber Cancer Institute, Boston, MA Disclosure I have nothing to disclose. Off Label/Investigational
More informationMelanoma Mutagenesis and Aberrant Cell Signaling
Expanding knowledge of the molecular alterations in melanoma is making additional targeted therapies possible. Tenzin Norbu Lama. Yaks (detail). Melanoma Mutagenesis and Aberrant Cell Signaling Danielle
More informationNew treatments in melanoma
New treatments in melanoma Paolo A. Ascierto, MD Istituto Nazionale Tumori Fondazione G. Pascale, Naples, Italy Meta-analysis of Phase II cooperative group trials in metastatic stage IV melanoma to determine
More informationEnlarge Slides. One Moment Please. Skin Cancer. Thomas Olencki, DO David Carr, MD. Today s Webcast Friday, 09/09/11, Noon
New Features Enlarge Slides Links One Moment Please Chapters Polling Use the email function to let us know what you think One Moment Please Skin Cancer Thomas Olencki, DO David Carr, MD Today s Webcast
More informationDermatopathology. Dr. Rafael Botella Estrada. Hospital La Fe de Valencia
Dermatopathology Dr. Rafael Botella Estrada. Hospital La Fe de Valencia Melanoma and mimics Dr. Martin Mihm Malignant lesions result from the accumulation of mutations Class I lesions (benign) Class II
More informationInitial Results from an Open-label, Doseescalation Phase I Study of the Oral BRAF Inhibitor LGX818 in BRAF V600 mutant Advanced Melanoma
Initial Results from an Open-label, Doseescalation Phase I Study of the Oral BRAF Inhibitor LGX818 in BRAF V600 mutant Advanced Melanoma Reinhard Dummer, 1 Caroline Robert, 2 Marta Nyakas, 3 Grant McArthur,
More informationOne Moment Please. Skin Cancer. Today s Webcast Friday, 09/09/11, Noon. David Carr, MD
One Moment Please One Moment Please Skin Cancer Thomas Olencki, DO David Carr, MD Today s Webcast Friday, 09/09/11, Noon 1 New Features Enlarge Slides Links Chapters Polling Use the email function to let
More informationOverall Survival in COLUMBUS: A Phase 3 Trial of Encorafenib (ENCO) Plus Binimetinib (BINI) vs Vemurafenib (VEM) or ENCO in BRAF-Mutant Melanoma
Overall Survival in COLUMBUS: A Phase 3 Trial of Encorafenib (ENCO) Plus Binimetinib (BINI) vs Vemurafenib () or ENCO in BRAF-Mutant Melanoma, Paolo A. Ascierto, Helen J. Gogas, Ana Arance, Mario Mandala,
More informationChapter 2 Melanoma Pathogenesis
Chapter 2 Melanoma Pathogenesis Jennifer A. Lo and David E. Fisher Abstract Melanoma is an aggressive and heterogeneous disease with respect to clinical behavior and underlying genomic lesions. Melanoma
More informationCombiRT in Metastatic Melanoma Trial
CombiRT in Metastatic Melanoma Trial An open-label, single-arm, phase I/II, multicenter study to evaluate the safety and efficacy of the combination of dabrafenib, trametinib and palliative radiotherapy
More informationBRAF Gene Mutation Testing To Select Melanoma or Glioma Patients for Targeted Therapy
BRAF Gene Mutation Testing To Select Melanoma or Glioma Patients for Targeted Therapy Policy Number: 2.04.77 Last Review: 12/2017 Origination: 4/2013 Next Review: 12/2018 Policy Blue Cross and Blue Shield
More informationUpdate on Melanoma Treatment. Tara C Mitchell, MD
Update on Melanoma Treatment Tara C Mitchell, MD Overview Immune therapy update Targeted therapy update New concepts in treating melanoma What is the immune system? A complex network of protective cells
More informationCutaneous Malignancies: A Primer COPYRIGHT. Marissa Heller, M.D.
Cutaneous Malignancies: A Primer Marissa Heller, M.D. Associate Director of Dermatologic Surgery Department of Dermatology Beth Israel Deaconess Medical Center December 10, 2016 Skin Cancer Non-melanoma
More informationThe legally binding text is the original French version. Opinion 7 May L01XE (protein kinase inhibitors)
The legally binding text is the original French version TRANSPARENCY COMMITTEE Opinion 7 May 2014 TAFINLAR 50 mg, hard capsule Vial (HDPE) of 120 hard capsules (CIP: 34009275496 7 0) TAFINLAR 75 mg, hard
More informationArray BioPharma Jefferies 2016 Global Healthcare Conference. June 9, 2016
Array BioPharma Jefferies 216 Global Healthcare Conference June 9, 216 Safe Harbor Statement 2 Forward-looking statements made in the course of this presentation are made pursuant to the safe harbor provisions
More informationProgression of RAS-Mutant Leukemia during RAF Inhibitor Treatment
T h e n e w e ngl a nd j o u r na l o f m e dic i n e brief report Progression of RAS-Mutant Leukemia during RAF Inhibitor Treatment Margaret K. Callahan, M.D., Ph.D., Raajit Rampal, M.D., Ph.D., James
More informationRESISTANCE TO TARGETED THERAPIES IN MELANOMA: NEW INSIGHTS
RESISTANCE TO TARGETED THERAPIES IN MELANOMA: NEW INSIGHTS Giuseppe Palmieri, 1 Maria Colombino, 1 Maria Cristina Sini, 1 Antonella Manca, 1 Paolo Antonio Ascierto, 2 Antonio Cossu 3 1. Institute of Biomolecular
More informationHow can we reduce the mortality from melanoma in Australia?
How can we reduce the mortality from melanoma in Australia? Professor Grant McArthur MB BS PhD Peter MacCallum Cancer Centre Melbourne, Australia University of Melbourne, Parkville, Australia What is melanoma?
More informationMelanoma 6/2/2011. Classification and Prognosis. Melanoma Statistics. American Cancer Society
University of Pennsylvania, Ben Franklin in front of Charles Addams Building Melanoma Classification and Prognosis Emphasizing Pathology & History David Elder University of Pennsylvania Melanoma Statistics
More informationIII Sessione I risultati clinici
10,30-13,15 III Sessione I risultati clinici Moderatori: Michele Maio - Valter Torri 10,30-10,45 Melanoma: anti CTLA-4 Vanna Chiarion Sileni Vanna Chiarion Sileni IOV-IRCCS,Padova Vanna.chiarion@ioveneto.it
More informationCritical Review Targeting RAS/RAF/MEK/ERK Signaling in Metastatic Melanoma
Critical Review Targeting RAS/RAF/MEK/ERK Signaling in Metastatic Melanoma Ao-Xue Wang* Xiao-Yi Qi Department of Dermatology, The Second Affiliated Hospital of Dalian Medical University, Dalian, People
More informationMAPK Pathway. CGH Next Generation Sequencing. Molecular Tools in Care of Patients with Pigmented Lesions 7/20/2017
Molecular Tools in Care of Patients with Pigmented Lesions Tammie Ferringer, MD Geisinger Medical Center, Danville, PA tferringer@geisinger.edu DISCLOSURE OF RELATIONSHIPS WITH INDUSTRY Tammie Ferringer,
More informationASCO / COLUMBUS ENCORE PRESENTATION June 4, 2018
ASCO / COLUMBUS ENCORE PRESENTATION June 4, 2018 SAFE HARBOR STATEMENT Forward-looking statements made in the course of this presentation are made pursuant to the safe harbor provisions of the Private
More informationGenetic Testing: When should it be ordered? Julie Schloemer, MD Dermatology
Genetic Testing: When should it be ordered? Julie Schloemer, MD Dermatology Outline Germline testing CDKN2A BRCA2 BAP1 Somatic testing Gene expression profiling (GEP) BRAF Germline vs Somatic testing
More informationRationale and results from. BRAFi and immunotherapy
Rationale and results from emerging combinations of BRAFi and immunotherapy Antoni Ribas, M.D. rofessor of Medicine rofessor of Surgery rofessor of Molecular and Medical harmacology Director, Tumor Immunology
More informationOsamu Tetsu, MD, PhD Associate Professor Department of Otolaryngology-Head and Neck Surgery School of Medicine, University of California, San
Osamu Tetsu, MD, PhD Associate Professor Department of Otolaryngology-Head and Neck Surgery School of Medicine, University of California, San Francisco Lung Cancer Classification Pathological Classification
More informationSkin cancer is the most common
Section Editors: Christopher J. Campen and Beth Eaby-Sandy Vemurafenib: First-in-Class BRAF- Mutated Inhibitor for the Treatment of Unresectable or Metastatic Melanoma LINDSAY SHELLEDY, PharmD, and DANIELLE
More informationUpdate on Melanoma. Main Themes
Update on Melanoma Antoni Ribas, M.D. Professor of Medicine, Surgery, and Medical and Molecular Pharmacology University of California Los Angeles (UCLA) and the Jonsson Comprehensive Cancer Center Main
More informationRAS and RAF Signalling in Melanoma: Biology and Therapies Professor Richard Marais
RAS and RAF Signalling in Melanoma: Molecular Oncology, The Institute of Cancer Research, UK 1 Melanoma Melanocytes are specialised pigment cells - Skin, eyes, ear, brain, heart - Skin/hair tone - Protection
More informationPTAC meeting held on 5 & 6 May (minutes for web publishing)
PTAC meeting held on 5 & 6 May 2016 (minutes for web publishing) PTAC minutes are published in accordance with the Terms of Reference for the Pharmacology and Therapeutics Advisory Committee (PTAC) and
More informationHistology independent indications in oncology. The BRAF Story. Yibing Yan PhD Roche / Genentech
Histology independent indications in oncology The BRAF Story Yibing Yan PhD Roche / Genentech 1 Introduction the discovery Case study in BRAF mutant melanoma heterogeneity within the tumour variability
More informationHorizon Scanning in Oncology
Horizon Scanning in Oncology Vemurafenib for patients with BRAF V600E mutation positive advanced/metastatic melanoma DSD: Horizon Scanning in Oncology Nr. 23 ISSN online 2076-5940 Horizon Scanning in
More informationTreatment algorithm of metastatic mucosal melanoma
Review Article Page 1 of 9 Treatment algorithm of metastatic mucosal melanoma Xuan Wang*, Lu Si*, Jun Guo Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department
More informationUNIVERSITÀ DEGLI STUDI DI MILANO FACOLTÀ DI SCIENZE DEL FARMACO Dipartimento di Scienze Farmacologiche e Biomolecolari
UNIVERSITÀ DEGLI STUDI DI MILANO FACOLTÀ DI SCIENZE DEL FARMACO Dipartimento di Scienze Farmacologiche e Biomolecolari SCUOLA DI DOTTORATO Scienze Endocrinologiche e Metaboliche (XXVIII ciclo) Settori
More informationDISCOVERY AND VALIDATION OF PROGNOSTIC MARKERS FOR CUTANEOUS MELANOMA
From the DEPARTMENT OF ONCOLOGY-PATHOLOGY Karolinska Institutet, Stockholm, Sweden DISCOVERY AND VALIDATION OF PROGNOSTIC MARKERS FOR CUTANEOUS MELANOMA Johan Falkenius Stockholm 2018 All previously published
More informationTranslational Clinical Research, the Key to Personalised Healthcare in Practice
New Models of Collaborations with Academia to foster Translational Clinical Research, the Key to ersonalised Healthcare in ractice Exploratory Clinical Development World Europe Conference 2012 London,
More informationSupplementary Figure 1. a. b. Relative cell viability. Nature Genetics: doi: /ng SCR shyap1-1 shyap
Supplementary Figure 1. a. b. p-value for depletion in vehicle (DMSO) 1e-05 1e-03 1e-01 1 0 1000 2000 3000 4000 5000 Genes log2 normalized shrna counts in T0 0 2 4 6 8 sh1 shluc 0 2 4 6 8 log2 normalized
More informationOutcomes of Patients With Metastatic Melanoma Treated With Immunotherapy Prior to or After BRAF Inhibitors
Outcomes of Patients With Metastatic Melanoma Treated With Immunotherapy Prior to or After BRAF Inhibitors Allison Ackerman, MD, PhD 1 ; Oliver Klein, MD 2 ; David F. McDermott, MD 1 ; Wei Wang, PhD 3
More information6/7/16. Melanoma. Updates on immune checkpoint therapies. Molecularly targeted therapies. FDA approval for talimogene laherparepvec (T- VEC)
Melanoma John A Thompson MD July 17, 2016 Featuring: Updates on immune checkpoint therapies Molecularly targeted therapies FDA approval for talimogene laherparepvec (T- VEC) 1 Mechanism of ac-on of Ipilimumab
More informationMelanoma: Therapeutic Progress and the Improvements Continue
Melanoma: Therapeutic Progress and the Improvements Continue David W. Ollila, MD Professor of Surgery Jesse and James Millis Professor of Melanoma Research May 20, 2016 Disclosures: NONE Outline 2016 Therapeutic
More informationMedical Treatment for Melanoma Sanjiv S. Agarwala, MD
Medical Treatment for Melanoma Sanjiv S. Agarwala, MD Professor of Medicine Temple University School of Medicine Chief, Oncology & Hematology St. Luke s Cancer Center, Bethlehem, PA Disclosures None Overview
More information