PMID- 33600004 OWN - NLM STAT- MEDLINE DCOM- 20210514 LR - 20210514 IS - 1346-8138 (Electronic) IS - 0385-2407 (Linking) VI - 48 IP - 5 DP - 2021 May TI - Edoxaban prevented adverse effects including pyrexia and elevation of D-dimer caused by the combination of BRAF and MEK inhibitors in a patient with BRAF-mutant melanoma. PG - 707-709 LID - 10.1111/1346-8138.15813 [doi] AB - The combination of BRAF inhibitor and MEK inhibitor is one of the first-line treatments for unresectable BRAF-mutant melanoma or as an adjuvant therapy. However, some patients who received the combination of dabrafenib and trametinib (CombiDT) or the combination of encorafenib and binimetinib (CombiEB) had adverse events (AEs) including pyrexia. We herein report a patient with BRAF-mutated melanoma who repeatedly developed elevated levels of D-dimer and pyrexia after CombiDT and CombiEB treatments. Moreover, concomitant edoxaban prevented these AEs, enabling the patient to continue receiving CombiEB. CI - (c) 2021 Japanese Dermatological Association. FAU - Mukai, Kei AU - Mukai K AD - Department of Dermatology, Teikyo University School of Medicine, Tokyo, Japan. FAU - Kamata, Masahiro AU - Kamata M AUID- ORCID: 0000-0003-0976-4982 AD - Department of Dermatology, Teikyo University School of Medicine, Tokyo, Japan. FAU - Miyazaki, Mirei AU - Miyazaki M AD - Department of Dermatology, Teikyo University School of Medicine, Tokyo, Japan. FAU - Nagata, Mayumi AU - Nagata M AD - Department of Dermatology, Teikyo University School of Medicine, Tokyo, Japan. FAU - Fukaya, Saki AU - Fukaya S AD - Department of Dermatology, Teikyo University School of Medicine, Tokyo, Japan. FAU - Hayashi, Kotaro AU - Hayashi K AD - Department of Dermatology, Teikyo University School of Medicine, Tokyo, Japan. FAU - Fukuyasu, Atsuko AU - Fukuyasu A AD - Department of Dermatology, Teikyo University School of Medicine, Tokyo, Japan. FAU - Ishikawa, Takeko AU - Ishikawa T AD - Department of Dermatology, Teikyo University School of Medicine, Tokyo, Japan. FAU - Ohnishi, Takamitsu AU - Ohnishi T AD - Department of Dermatology, Teikyo University School of Medicine, Tokyo, Japan. FAU - Tada, Yayoi AU - Tada Y AUID- ORCID: 0000-0003-3743-135X AD - Department of Dermatology, Teikyo University School of Medicine, Tokyo, Japan. FAU - Tanaka, Takamitsu AU - Tanaka T AD - Department of Dermatology, Teikyo University School of Medicine, Tokyo, Japan. LA - eng PT - Journal Article DEP - 20210218 PL - England TA - J Dermatol JT - The Journal of dermatology JID - 7600545 RN - 0 (Fibrin Fibrinogen Degradation Products) RN - 0 (Protein Kinase Inhibitors) RN - 0 (Pyridines) RN - 0 (Pyridones) RN - 0 (Sulfonamides) RN - 0 (Thiazoles) RN - 0 (fibrin fragment D) RN - EC 2.7.11.1 (BRAF protein, human) RN - EC 2.7.11.1 (Proto-Oncogene Proteins B-raf) RN - EC 2.7.12.2 (Mitogen-Activated Protein Kinase Kinases) RN - NDU3J18APO (edoxaban) SB - IM MH - Antineoplastic Combined Chemotherapy Protocols/adverse effects MH - Fever/chemically induced MH - Fibrin Fibrinogen Degradation Products MH - Humans MH - *Melanoma/drug therapy/genetics MH - Mitogen-Activated Protein Kinase Kinases MH - Mutation MH - Protein Kinase Inhibitors/adverse effects MH - Proto-Oncogene Proteins B-raf/genetics MH - Pyridines MH - Pyridones/adverse effects MH - *Skin Neoplasms/drug therapy/genetics MH - Sulfonamides/therapeutic use MH - Thiazoles OTO - NOTNLM OT - BRAF OT - D-dimer OT - MEK OT - anti-coagulant OT - edoxaban OT - malignant melanoma EDAT- 2021/02/19 06:00 MHDA- 2021/05/15 06:00 CRDT- 2021/02/18 12:18 PHST- 2020/07/28 00:00 [received] PHST- 2021/01/28 00:00 [accepted] PHST- 2021/02/19 06:00 [pubmed] PHST- 2021/05/15 06:00 [medline] PHST- 2021/02/18 12:18 [entrez] AID - 10.1111/1346-8138.15813 [doi] PST - ppublish SO - J Dermatol. 2021 May;48(5):707-709. doi: 10.1111/1346-8138.15813. Epub 2021 Feb 18.