BRAF/MEK Inhibitor Therapy: Consensus Statement From the Faculty of the Melanoma Nursing Initiative on Managing Adverse Events and Potential Drug Interactions

Clin J Oncol Nurs. 2017 Aug 1;21(4 Suppl):11-29. doi: 10.1188/17.CJON.S4.11-29.

Abstract

Background: BRAF/MEK inhibitor therapy improves outcomes in BRAF V600E- and V600K-mutated unresectable or metastatic melanoma. However, these regimens are associated with adverse events (AEs) that may lead to unnecessary drug modifications and discontinuations or potentially serious sequelae. In addition, drug-drug interactions (DDIs) may result in AEs or altered therapeutic efficacy. .

Objectives: This article presents consensus statements to guide nurses in the prevention, recognition, and management of AEs and potential DDIs associated with BRAF/MEK inhibitor therapy. .

Methods: Members of the Melanoma Nurse Initiative reviewed the current literature and clinical experience related to AEs and DDIs associated with BRAF/MEK inhibitor therapy. .

Findings: The care step pathways provided for select AEs represent a proactive, comprehensive nursing care plan to support optimal patient outcomes. Recommendations are also offered for preventing and managing DDIs.

Keywords: BRAF; MEK; adverse events; drug–drug interactions; melanoma; targeted therapy.

MeSH terms

  • Antineoplastic Agents / adverse effects
  • Antineoplastic Agents / therapeutic use*
  • Drug Interactions
  • Education, Nursing, Continuing
  • Humans
  • MAP Kinase Kinase Kinases / antagonists & inhibitors*
  • Melanoma / drug therapy
  • Melanoma / nursing*
  • Proto-Oncogene Proteins B-raf / antagonists & inhibitors*

Substances

  • Antineoplastic Agents
  • BRAF protein, human
  • Proto-Oncogene Proteins B-raf
  • MAP Kinase Kinase Kinases