UM ESTUDO SOBRE O MELANOMA METASTÁTICO: AVANÇOS TERAPÊUTICOS E PERSPECTIVAS FUTURAS

Authors

  • Lucas Prestes Delgado Universidade nove de julho (Uninove)
  • Priscila Bruna da Silva Hospital Universitário Federal do Tocantins (HDT-UFNT)
  • Bruno Martins Rocha Universidade Tocantinense Presidente Antônio Carlos (UNITPAC)
  • Francisca de Assis Fernandes Martins Universidade Federal do Maranhão (UFMA)
  • Antônio Heleno de Brito Neto Faculdade de Medicina Nova Esperança (FAMENE)
  • Pedro Henrique de Araújo Faculdade de Medicina Nova Esperança (FAMENE)
  • Sueverton Mariano Mendonça Faculdade de Medicina Nova Esperança (FAMENE)
  • Manuella do Nascimento Regis Universidade Nove de Julho (Uninove)
  • Enok Macedo da Gama Junior Centro Universitário do Espírito Santo (UNESC)
  • Sandra Luiza Noleto Vilarinho Universidade Federal do Maranhão (UFMA)

DOI:

https://doi.org/10.36557/2674-8169.2025v7n2p917-927

Keywords:

Melanoma metastático; imunoterapia; terapias-alvo; biomarcadores; oncologia.

Abstract

Metastatic melanoma is one of the most aggressive forms of skin cancer, characterized by high mortality rates and therapeutic resistance. In recent years, significant advances in targeted therapies and immunotherapies have revolutionized disease management, leading to improved response rates and overall survival. This systematic review aimed to analyze the therapeutic advancements and future perspectives in the treatment of metastatic melanoma, focusing on innovative strategies such as immune checkpoint inhibitors, combination therapies, and predictive biomarkers.

The methodology involved a rigorous search of scientific databases, resulting in the selection of 6 articles from an initial pool of 180 identified studies. The findings highlighted that therapies such as the combination of PD-1 and LAG-3 inhibitors, as well as the use of BRAF and MEK inhibitors in patients with BRAF V600 mutations, have demonstrated positive impacts on progression-free survival and disease control. However, challenges remain, including acquired treatment resistance and immune-related adverse effects, underscoring the need for personalized therapeutic approaches based on tumor molecular profiling and patient-specific characteristics.

In conclusion, despite significant advancements, metastatic melanoma remains a clinical challenge that requires increasingly refined therapeutic approaches. The development of new clinical trials and the investigation of predictive biomarkers are essential to optimizing treatment efficacy and minimizing toxicity. Thus, the integration of innovative therapies and personalized strategies may represent a significant breakthrough in improving clinical outcomes and overall survival in patients with metastatic melanoma.

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Author Biographies

Lucas Prestes Delgado , Universidade nove de julho (Uninove)

Graduando em Medicina.

Priscila Bruna da Silva , Hospital Universitário Federal do Tocantins (HDT-UFNT)

Especialista em Clínica Médica.

Bruno Martins Rocha, Universidade Tocantinense Presidente Antônio Carlos (UNITPAC)

Médico.

Francisca de Assis Fernandes Martins , Universidade Federal do Maranhão (UFMA)

Medicina com especialização em Saúde da Família e em Nefrologia Multidisciplinar.

Antônio Heleno de Brito Neto , Faculdade de Medicina Nova Esperança (FAMENE)

Graduando em Medicina.

Pedro Henrique de Araújo , Faculdade de Medicina Nova Esperança (FAMENE)

Graduando em Medicina.

Sueverton Mariano Mendonça , Faculdade de Medicina Nova Esperança (FAMENE)

Graduando em Medicina.

Manuella do Nascimento Regis, Universidade Nove de Julho (Uninove)

Graduanda em Medicina.

Enok Macedo da Gama Junior , Centro Universitário do Espírito Santo (UNESC)

Médico.

Sandra Luiza Noleto Vilarinho , Universidade Federal do Maranhão (UFMA)

Graduanda em Medicina. 

References

Autier, Philippe. “Cutaneous malignant melanoma: facts about sunbeds and sunscreen.” Expert review of anticancer therapy vol. 5,5 (2005): 821-33. doi:10.1586/14737140.5.5.821.

Dummer, Reinhard et al. “Randomized Phase III Trial Evaluating Spartalizumab Plus Dabrafenib and Trametinib for BRAF V600-Mutant Unresectable or Metastatic Melanoma.” Journal of clinical oncology : official journal of the American Society of Clinical Oncology vol. 40,13 (2022): 1428-1438. doi:10.1200/JCO.21.01601.

Hay, Jeremy et al. “Characteristics, treatment and outcomes of 589 melanoma patients documented by 27 general practitioners on the Skin Cancer Audit Research Database.” The Australasian journal of dermatology vol. 63,2 (2022): 204-212. doi:10.1111/ajd.13843.

Paik, Julia. “Nivolumab Plus Relatlimab: First Approval.” Drugs vol. 82,8 (2022): 925-931. doi:10.1007/s40265-022-01723-1.

Phillips, Allison L, and David J Reeves. “Nivolumab/Relatlimab: A Novel Addition to Immune Checkpoint Inhibitor Therapy in Unresectable or Metastatic Melanoma.” The Annals of pharmacotherapy vol. 57,6 (2023): 738-745. doi:10.1177/10600280221131396.

Raimondi, Sara et al. “Melanoma Epidemiology and Sun Exposure.” Acta dermato-venereologica vol. 100,11 (2020): adv00136. doi:10.2340/00015555-3491.

Published

2025-02-20

How to Cite

Delgado , L. P., da Silva , P. B., Rocha, B. M., Martins , F. de A. F., Neto , A. H. de B., de Araújo , P. H., Mendonça , S. M., Regis, M. do N., Junior , E. M. da G., & Vilarinho , S. L. N. (2025). UM ESTUDO SOBRE O MELANOMA METASTÁTICO: AVANÇOS TERAPÊUTICOS E PERSPECTIVAS FUTURAS. Brazilian Journal of Implantology and Health Sciences, 7(2), 917–927. https://doi.org/10.36557/2674-8169.2025v7n2p917-927