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zelboraf and secondary cancers

Forums Cutaneous Melanoma Community zelboraf and secondary cancers

  • Post
    boot2aboot
    Participant

      After having an excruciating 9 hour proceedure done to get rid of squamous cell cancer andcosmetic reconstruction, i came across an article that may be of some importance for zelboraf users….

       

      After having an excruciating 9 hour proceedure done to get rid of squamous cell cancer andcosmetic reconstruction, i came across an article that may be of some importance for zelboraf users….

       

      Roche’s Zelboraf for Melanoma Spurs Other Skin Cancer’s Growth, Study Says

      Roche Holding AG (ROG)’s melanoma drug Zelboraf speeds growth of another type of skin cancer, researchers said today in a study underscoring the need to test the medicine in combination with a second treatment.

      Scientists at the Institute of Cancer Research analyzed DNA in 21 tissue samples from Zelboraf patients who developed cutaneous squamous-cell carcinoma. About 60 percent of the samples had one of two known cancer-causing gene mutations not targeted by the drug, they said in an article published in the New England Journal of Medicine today.

      About 15 percent to 30 percent of melanoma patients treated with Zelboraf and other so-called BRAF inhibitors develop non- melanoma skin cancers, the researchers said. The drugs speeds squamous-cell carcinoma in patients who would probably have gotten the cancer anyway, they said.

      “It’s acting as an accelerator of the inevitable in patients that are already predisposed to the disease,” said Richard Marais, a professor of molecular oncology at the London- based institute.

      Combining Zelboraf with a second type of drug may stem the effect, said Marais, a co-author of the study, in a telephone interview. Using a type of medicine known as a MEK inhibitor to attack the same pathway that stimulates cell growth appeared to block development of the second type of tumor in mice, the researchers said.

      Roche began testing Zelboraf, which works by blocking a protein that fuels tumor growth in about half of patients with advanced forms of melanoma, together with a MEK inhibitor known as GDC-0973 in the BRIM7 patient trial last year. The Basel, Switzerland-based drugmaker helped sponsor the institute’s research.

      U.S. regulators approved Zelboraf for sale in August. The European Medicines Agencyrecommended the drug be approved last month. Roche is awaiting a final decision from the European Commission.

      To contact the reporter on this story: Naomi Kresge in London at [email protected]

      To contact the editor responsible for this story: Phil Serafino at [email protected]

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    • Replies
        Richard_K
        Participant

          So sorry to hear about your nine hour proceedure.  I too had a squamous cell carcinoma as a result of Zelboraf. I guess the time for removal/ repair is dependent on the location. Mine was in the area of my left temple and I had it removed with Mohs micrographic surgery. The enitre process was about two hours long but most of that time was spent in the waiting room while a determination was made to see if any more had to be removed.

          Dick

            boot2aboot
            Participant

              Dick,

              this was a fast growing squamous that went nearly to the bone..they went in 5 X…i have been reading where Zelboraf users should be tested for other Ras mutations…specifically HRAS…which i have not had done

              boots.

              NYKaren
              Participant
                Boots, I’m sorry you had to through a 9 hour procedure. It’s hard being the “pioneer” patients–one would think that all this would had all been figured out in clinical trials, and you more than right about some of them not being able to keep up w/articles & studies.
                Take care,
                karen
                NYKaren
                Participant
                  Boots, I’m sorry you had to through a 9 hour procedure. It’s hard being the “pioneer” patients–one would think that all this would had all been figured out in clinical trials, and you more than right about some of them not being able to keep up w/articles & studies.
                  Take care,
                  karen
                  NYKaren
                  Participant
                    Boots, I’m sorry you had to through a 9 hour procedure. It’s hard being the “pioneer” patients–one would think that all this would had all been figured out in clinical trials, and you more than right about some of them not being able to keep up w/articles & studies.
                    Take care,
                    karen
                    boot2aboot
                    Participant

                      Dick,

                      this was a fast growing squamous that went nearly to the bone..they went in 5 X…i have been reading where Zelboraf users should be tested for other Ras mutations…specifically HRAS…which i have not had done

                      boots.

                      boot2aboot
                      Participant

                        Dick,

                        this was a fast growing squamous that went nearly to the bone..they went in 5 X…i have been reading where Zelboraf users should be tested for other Ras mutations…specifically HRAS…which i have not had done

                        boots.

                      Richard_K
                      Participant

                        So sorry to hear about your nine hour proceedure.  I too had a squamous cell carcinoma as a result of Zelboraf. I guess the time for removal/ repair is dependent on the location. Mine was in the area of my left temple and I had it removed with Mohs micrographic surgery. The enitre process was about two hours long but most of that time was spent in the waiting room while a determination was made to see if any more had to be removed.

                        Dick

                        Richard_K
                        Participant

                          So sorry to hear about your nine hour proceedure.  I too had a squamous cell carcinoma as a result of Zelboraf. I guess the time for removal/ repair is dependent on the location. Mine was in the area of my left temple and I had it removed with Mohs micrographic surgery. The enitre process was about two hours long but most of that time was spent in the waiting room while a determination was made to see if any more had to be removed.

                          Dick

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