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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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