Would you change systemic therapy for metastatic melanoma on BRAF/MEK targeted therapy with excellent extracranial response, but with CNS-only progression?
1 Answer
Mednet MemberInvited Expert
Medical Oncology · Northwestern University Feinberg School of Medicine
Answered on
If a patient is on BRAF/MEK dual targeted therapy with excellent extracranial response, but with CNS progression, I would favor continuing the BRAF/MEK inhibitor therapy and considering SRS to CNS lesion(s). However, if the patient has not received prior combination IO, another option to consider would be to switch to combination ipilimumab and nivolumab given the CheckMate 204 data that shows intracranial response rates of about 50% in asymptomatic patients with CNS metastases.
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