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Cited by 199

The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.

Combining Targeted Therapy With Immunotherapy in BRAF-Mutant Melanoma: Promise and Challenges

Open access
Hu-Lieskovan, Siwen, Robert, Lidia, Homet Moreno, Blanca, Ribas, Antoni·2014·Journal of Clinical Oncology

Abstract

Recent breakthroughs in the treatment of advanced melanoma are based on scientific advances in understanding oncogenic signaling and the immunobiology of this cancer. Targeted therapy can successfully block oncogenic signaling in BRAF V600-mutant melanoma with high initial clinical responses, but relapse rates are also high. Activation of an immune response by releasing inhibitory check points can induce durable responses in a subset of patients with melanoma. These advances have driven interest in combining both modes of therapy with the goal of achieving high response rates with prolonged duration. Combining BRAF inhibitors and immunotherapy can specifically target the BRAF V600 driver mutation in the tumor cells and potentially sensitize the immune system to target tumors. However, it is becoming evident that the effects of paradoxical mitogen-activated protein kinase pathway activation by BRAF inhibitors in non–BRAF-mutant cells needs to be taken into account, which may be implicated in the problems encountered in the first clinical trial testing a combination of the BRAF inhibitor vemurafenib with ipilimumab (anti-CTLA4), with significant liver toxicities. Here, we present the concept and potential mechanisms of combinatorial activity of targeted therapy and immunotherapy, review the literature for evidence to support the combination, and discuss the potential challenges and future directions for rational conduct of clinical trials.

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Metadata

Authors
Hu-Lieskovan, S., Robert, L., Homet Moreno, B., & Ribas, A.
Venue
Journal of Clinical Oncology
Published
2014-07-20
Volume
32
Issue
21
Pages
2248-2254
ISSN
  • 0732-183X (ISSN-L)
  • 1527-7755
OpenAlex
W2147630681
Cited by
199
References
11
FWCI
15.21
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Combining Targeted Therapy With Immunotherapy in BRAF-Mutant Melanoma: Promise and Challenges. https://app.cochat.ai/papers/10.1200/jco.2013.52.1377
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Hu-Lieskovan, S., Robert, L., Homet Moreno, B., & Ribas, A. (2014). Combining Targeted Therapy With Immunotherapy in BRAF-Mutant Melanoma: Promise and Challenges. Journal of Clinical Oncology. https://doi.org/10.1200/jco.2013.52.1377

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