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JCO Precision Oncology
As yet, there are no consensus treatment strategies for class 2 and 3 BRAF mutations. This systematic review and meta-analysis of published reports of patients with class 2 or 3 BRAF mutations from 2010 to 2021 assesses MAPK targeted therapy in the setting. The meta-analysis suggests that MAPK TTs have clinical activity in some class 2 and 3 BRAF-mutant cancers.
Oncology, Medical September 12th 2022
Journal of Clinical Oncology
Resistance to immune checkpoint inhibitors is common. In a prior phase Ib study, the combination of talimogene laherparepvec (T-VEC) pembrolizumab demonstrated an encouraging complete response rate and acceptable safety profile in patients with advanced melanoma. In this phase III, randomized, double-blind, multicenter, international study, the combination of T-VEC-pembrolizumab did not statistically improve PFS or OS vs placebo-pembrolizumab. However, T-VEC-pembrolizumab demonstrated a numerical PFS improvement without new safety signals.
The Journal of Clinical Investigation (JCI)
Reversal of HLA-I loss is crucial for an effective antitumor cytotoxic T cell response. Thus, HLA-I–upregulating drugs could augment immunotherapy response. The authors describe here a small-molecule USP7 inhibitor as a promising avenue for pharmacologic upregulation of HLA-I in MCC.
Oncology, Medical August 22nd 2022
JCI Insight
MDM2 is an important regulator of p53 and can be an effective therapeutic target in cancers. Pharmacological inhibition of MDM2 for stabilization of p53 has been of interest for several years and several MDM2 inhibitors targeting the MDM2-p53 interaction are currently in clinical trials. Approximately 80% of Merkel cell carcinoma (MCC) tumors have wild type p53 and could potentially respond to treatment with MDM2 inhibitors. In this study, milademetan showed a dose-dependent inhibition of tumor growth in MKL-1 xenograft and patient-derived xenograft models and is a potent MDM2 inhibitor in MCC.
Medical Professionals Reference (MPR)
A 76-year-old Black woman arrives at the clinic for an evaluation of a slowly increasing bump on her face that she discovered about a year ago, which hasn’t itched, burnt, or caused any other pain. Is it a trichofolliculoma, a hypertrophic scar, basal cell carcinoma, or a cutis osteoma?
Dermatology August 10th 2022
Cleveland Clinic Journal of Medicine
This case of a 51-year-old man with a 1-month history of multiple eruptive seborrheic keratoses on his back and a single painless nodule on his chest exemplifies the importance of performing a thorough evaluation in patients presenting with sudden-onset eruptive seborrheic keratoses.
Dermatology July 6th 2022