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Acquired resistance to BRAF inhibitors

Forums General Melanoma Community Acquired resistance to BRAF inhibitors

  • Post
    jim Breitfeller
    Participant

    So before you try PLX4032 (ZELBORAF/Verurafenib) as one of your trials if you are BRAF+, You may want to look into a BRAF + MEK trials first.

    "Acquired resistance to BRAF inhibitors mediated by a RAF kinase switch in melanoma can be overcome by cotargeting MEK and IGF-1R/PI3K" -Dr. Meenhard Herlyn

    There is also some new out about  BRAF inhibitors + Metformin.

    Best regards

     

    Jimmy B

    So before you try PLX4032 (ZELBORAF/Verurafenib) as one of your trials if you are BRAF+, You may want to look into a BRAF + MEK trials first.

    "Acquired resistance to BRAF inhibitors mediated by a RAF kinase switch in melanoma can be overcome by cotargeting MEK and IGF-1R/PI3K" -Dr. Meenhard Herlyn

    There is also some new out about  BRAF inhibitors + Metformin.

    Best regards

     

    Jimmy B

Viewing 8 reply threads
  • Replies
      MichaelFL
      Participant

      It's spelled Vemurafenib.

    • One should be aware that prior exposure to BRAF or MEK inhibitors unless approved by the medical monitor is one of the possible exclusion criteria as well as CNS (centeral nervous system tumors).
    MichaelFL
    Participant

    It's spelled Vemurafenib.

  • One should be aware that prior exposure to BRAF or MEK inhibitors unless approved by the medical monitor is one of the possible exclusion criteria as well as CNS (centeral nervous system tumors).
    MichaelFL
    Participant

    It's spelled Vemurafenib.

  • One should be aware that prior exposure to BRAF or MEK inhibitors unless approved by the medical monitor is one of the possible exclusion criteria as well as CNS (centeral nervous system tumors).
    killmel
    Participant

    Hi Everyone,

     

    For what it is worth, I met with my onc (melanoma specialist ) to  discuss getting into to the Braf/Mek trial. He told me patients have already built up a resistance to the Braf/Mek drug in the trial that he has going for awhile now. He has also  been involved with Braf trials for many years. He said that it is only a matter of time for Braf/Mek to stop working like Braf alone. It still is not the magic bullet.

    He also told me by taking Braf and/or Mek that once an inhibitor drug (like Braf and Mek) stopped working that my tumors would
    have been altered by the inhibitor drug which would make my tumors more resistant to an immunology drug like yervoy & PD1.
    
    
    
    
    
    killmel
    Participant

    Hi Everyone,

     

    For what it is worth, I met with my onc (melanoma specialist ) to  discuss getting into to the Braf/Mek trial. He told me patients have already built up a resistance to the Braf/Mek drug in the trial that he has going for awhile now. He has also  been involved with Braf trials for many years. He said that it is only a matter of time for Braf/Mek to stop working like Braf alone. It still is not the magic bullet.

    He also told me by taking Braf and/or Mek that once an inhibitor drug (like Braf and Mek) stopped working that my tumors would
    have been altered by the inhibitor drug which would make my tumors more resistant to an immunology drug like yervoy & PD1.
    
    
    
    
    
    killmel
    Participant

    Hi Everyone,

     

    For what it is worth, I met with my onc (melanoma specialist ) to  discuss getting into to the Braf/Mek trial. He told me patients have already built up a resistance to the Braf/Mek drug in the trial that he has going for awhile now. He has also  been involved with Braf trials for many years. He said that it is only a matter of time for Braf/Mek to stop working like Braf alone. It still is not the magic bullet.

    He also told me by taking Braf and/or Mek that once an inhibitor drug (like Braf and Mek) stopped working that my tumors would
    have been altered by the inhibitor drug which would make my tumors more resistant to an immunology drug like yervoy & PD1.
    
    
    
    
    
    jim Breitfeller
    Participant

    "Ultimately, the research suggested that a combination of drugs blocking the PI3K, mTORC1/2 and MEK1/2 pathways represent the optimal combination for use with a BRAF inhibitor to mitigate the development of resistance. "

    "All three compounds we used to overcome resistance to BRAF inhibition are already undergoing clinical evaluation. Therefore, we believe this particular combination approach represents a promising and translatable strategy for addressing BRAF inhibitor resistance in a subset of melanomas," Dr. Lo says.

    "Among clinical trials currently enrolling melanoma patients with BRAF mutations are those combining BRAF and MEK inhibition and others combining PI3K/mTOR and MEK inhibition. Other highly-watched trials include those which combine a BRAF inhibitor with ipilimumab. "

    Source: Dematology Times


     

     

    jim Breitfeller
    Participant

    "Ultimately, the research suggested that a combination of drugs blocking the PI3K, mTORC1/2 and MEK1/2 pathways represent the optimal combination for use with a BRAF inhibitor to mitigate the development of resistance. "

    "All three compounds we used to overcome resistance to BRAF inhibition are already undergoing clinical evaluation. Therefore, we believe this particular combination approach represents a promising and translatable strategy for addressing BRAF inhibitor resistance in a subset of melanomas," Dr. Lo says.

    "Among clinical trials currently enrolling melanoma patients with BRAF mutations are those combining BRAF and MEK inhibition and others combining PI3K/mTOR and MEK inhibition. Other highly-watched trials include those which combine a BRAF inhibitor with ipilimumab. "

    Source: Dematology Times


     

     

    jim Breitfeller
    Participant

    "Ultimately, the research suggested that a combination of drugs blocking the PI3K, mTORC1/2 and MEK1/2 pathways represent the optimal combination for use with a BRAF inhibitor to mitigate the development of resistance. "

    "All three compounds we used to overcome resistance to BRAF inhibition are already undergoing clinical evaluation. Therefore, we believe this particular combination approach represents a promising and translatable strategy for addressing BRAF inhibitor resistance in a subset of melanomas," Dr. Lo says.

    "Among clinical trials currently enrolling melanoma patients with BRAF mutations are those combining BRAF and MEK inhibition and others combining PI3K/mTOR and MEK inhibition. Other highly-watched trials include those which combine a BRAF inhibitor with ipilimumab. "

    Source: Dematology Times


     

     

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