Therapeutic Management of Patients with Metastatic BRAF-Mutated Melanoma: A Case Series Encompassing Different Clinical Scenarios
In the context of advanced BRAF-mutant melanoma, the treatment landscape has undergone a paradigm shift due to the impact of immune checkpoint inhibitors and BRAF/MEK inhibitors. This article presents three clinically illustrative melanoma cases that served as focal points for in-depth discussions during 12 expert meetings held across Spain. These include a treatment-naïve metastatic melanoma patient, a patient experiencing a recurrence while on anti-PD-1 adjuvant therapy, and a third patient whose melanoma relapsed ≥6 months after the end of adjuvant therapy. The discussions revolved around optimal treatment sequencing, emphasizing the challenges and alternatives discussed in each scenario. The common view aligned towards a nuanced approach that involves navigating the complexities of treatment choices. The conclusions underscore the need for personalized therapeutic strategies and highlight the ongoing challenge of refining real-life evidence-based algorithms for the management of metastatic BRAF-mutant melanoma.
Authors
- Roberto Efraín Díaz (ORCID: https://orcid.org/0000-0002-1172-9919)
- María Quindós
- Enrique Romerales Espinosa (ORCID: https://orcid.org/0000-0001-6275-835X)
- Teresa Ubieto Puértolas
- E. Muñoz-Couselo (ORCID: https://orcid.org/0000-0001-7556-7608)
- Margarita Majem
- P. Ayala de Miguel
- Almudena García Castaño
- Gretel Benítez López
- Ana Arance
- Rafael López Castro
- Rubén de Toro
Institutions
- Hospital Universitario Insular de Gran Canaria (ES)
- Hospital Universitario La Paz (ES)
- Hospital de Sant Pau (ES)
- Hospital Universitari i Politècnic La Fe (ES)
- Hospital Universitario Virgen Macarena (ES)
- Marqués de Valdecilla University Hospital (ES)
- Hospital San Pedro de Alcántara (ES)
- Hospital Universitario Miguel Servet (ES)
- Hospital Clínic de Barcelona (ES)
- Vall d'Hebron Hospital Universitari (ES)
- Complexo Hospitalario Universitario A Coruña (ES)
- Hospital Clínico Universitario de Valladolid (ES)
- Consorci Institut D'Investigacions Biomediques August Pi I Sunyer (ES)
- Universidad Autónoma de Madrid (ES)
Publication Details
- Journal
- Onco
- Published
- 2026-01-15
- DOI
- https://doi.org/10.3390/onco6010006
- Primary Topic
- Melanoma and MAPK Pathways
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Pfizer
- AstraZeneca
- Sanofi
- Helsinn
- Les Laboratories Pierre Fabre
- BeiGene
- Moderna
- Seagen
- Sun Pharma
- Helsinn Therapeutics