PMID- 24712861 OWN - NLM STAT- MEDLINE DCOM- 20141215 LR - 20181202 IS - 1743-7563 (Electronic) IS - 1743-7555 (Linking) VI - 10 Suppl S3 DP - 2014 Apr TI - The use of vemurafenib in Australian patients with unresectable or metastatic melanoma containing the V600 BRAF gene mutation. PG - 1-15 LID - 10.1111/ajco.12200 [doi] AB - Metastatic melanoma remains one of the major causes of death related to skin cancers and has been resistant to traditional anticancer therapies. The clinical development of vemurafenib in the treatment of metastatic melanoma with the V600 mutation of the BRAF gene has provided meaningful improvements in the overall survival and progression-free survival of metastatic melanoma patients. However, significant side effects have been noted with this therapy, in particular cutaneous adverse events (AEs) such as rashes, squamous cell carcinoma and severe photosensitivity to UVA light among others. With an emphasis on the Australian perspective, this review provides an overview of the clinical development of vemurafenib, its attendant dose-limiting toxicities and other AEs, recommendations for safety monitoring, supportive treatments of AEs and dose modifications, with the aim of maximizing the chances of continuing beneficial treatment. CI - (c) 2014 Wiley Publishing Asia Pty Ltd. FAU - Brown, Michael P AU - Brown MP AD - Cancer Clinical Trials Unit, Royal Adelaide Hospital, Adelaide, South Australia, Australia. FAU - Long, Georgina V AU - Long GV LA - eng PT - Journal Article PT - Review PL - Australia TA - Asia Pac J Clin Oncol JT - Asia-Pacific journal of clinical oncology JID - 101241430 RN - 0 (Indoles) RN - 0 (Sulfonamides) RN - 207SMY3FQT (Vemurafenib) RN - EC 2.7.11.1 (BRAF protein, human) RN - EC 2.7.11.1 (Proto-Oncogene Proteins B-raf) SB - IM MH - Australia MH - Clinical Trials as Topic MH - Humans MH - Indoles/adverse effects/*therapeutic use MH - Melanoma/*drug therapy/*genetics MH - *Mutation MH - Neoplasm Metastasis MH - Proto-Oncogene Proteins B-raf/antagonists & inhibitors/*genetics MH - Sulfonamides/adverse effects/*therapeutic use MH - Treatment Outcome MH - Vemurafenib OTO - NOTNLM OT - Zelboraf OT - adverse drug reaction OT - drug OT - malignant melanoma OT - toxicity OT - vemurafenib EDAT- 2014/04/10 06:00 MHDA- 2014/12/17 06:00 CRDT- 2014/04/10 06:00 PHST- 2014/03/17 00:00 [accepted] PHST- 2014/04/10 06:00 [entrez] PHST- 2014/04/10 06:00 [pubmed] PHST- 2014/12/17 06:00 [medline] AID - 10.1111/ajco.12200 [doi] PST - ppublish SO - Asia Pac J Clin Oncol. 2014 Apr;10 Suppl S3:1-15. doi: 10.1111/ajco.12200.