› Forums › General Melanoma Community › LXH254 ??
- This topic has 4 replies, 3 voices, and was last updated 4 years ago by
gopher38.
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- April 17, 2021 at 4:39 pm
** Sorry if this is a double/triple post; the first two disappeared. Third attempt. **Anyone ever heard anything (positive or negative) about LXH254? As I mentioned in my last post, I’ve had progression after Yervoy, and the next step will be BRAF/MEK inhibitors. While talking with my PA, I mentioned that I’d be keeping an eye out for clinical trials, while we move ahead with the targeted therapy, and I of course asked her to keep me in mind if she saw anything for which she thought I’d be a good candidate. Unfortunately, I’m at the UofMinn, and they don’t seem to have many melanoma trials going on right now (apparently a lot cancelled due to COVID), so I told her that I’d bookmarked several other spots also. Mayo-Rochester (I’m in the southern Twin Cities, and that would be doable logistically I think), UCLA (brother, who would let me stay for as long as necessary, lives in LA and I did grad school at UCLA, so connection to the area), UCSF (best friend from college is there and he has said I can stay as long as I want; I also worked at UCSF so more connections). Also have a connection to Houston, but not a crash pad, so I’ve got UMN, Mayo, UCLA, and UCSF bookmarked.
Anyway, the PA wrote back saying that there was a stage 2 study at Mayo involving LXH254 that I might look at:
“LXH254, a Potent and Selective ARAF-Sparing Inhibitor of BRAF and CRAF for the Treatment of MAPK-Driven Tumors”
https://pubmed.ncbi.nlm.nih.gov/33355204/Just wondering if anyone had heard anything about this. Looks like another BRAF inhibitor, but they seem to emphasize this ARAF-sparing aspect. Not really sure why that is desirable, if it gives it wider effectiveness (which I thought was already pretty high for these targeted therapies), or longer lasting, or something else? Anyway, I know there are people here who are more likely than me to know, so I thought I’d ask. Not a lot in a google search. Thanks.
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- April 17, 2021 at 6:15 pm
I came up with an article and some early data in phase one multiple cancer trial. https://clincancerres.aacrjournals.org/content/clincanres/early/2020/12/22/1078-0432.CCR-20-2563.full.pdf. https://ascopubs.org/doi/abs/10.1200/JCO.2018.36.15_suppl.2586-
- April 17, 2021 at 7:07 pm
Here are two more links on the topic of Map kinase pathway.https://www.youtube.com/watch?v=ZBcRHFGTyGs https://www.youtube.com/watch?v=oDjDUUhGVsI
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- April 18, 2021 at 9:18 pm
Oh man! I am so sorry. I did a met to a tonsil back in the day! No FUN!! Sorry you are dealing with all of this. Sounds like you are making some great contingency plans.I read what Ed posted and found a few bits and bobs about LXH254. Not sure what to think about it. Small numbers. Even smaller for melanoma peeps. Looks like it might be good for NRAS folks. Perhaps it is best for those who have developed resistance to BRAF inhibitors, but I’m not sure.
I guess if I were going the targeted therapy route, I’d be looking at this: https://chaoticallypreciselifeloveandmelanoma.blogspot.com/2018/03/encorafenib-plus-binimetinib-better.html
This might be worth a chat, not sure as if I recall properly you had ipi/nivo, but this is anti-LAG3 (relatimab) with ipi – active in 2 locations in LA – https://www.cancer.gov/about-cancer/treatment/clinical-trials/search/v?id=NCI-2019-06903
Same song slightly different verse here with relatimab plus nivo – also in LA – https://www.cancer.gov/about-cancer/treatment/clinical-trials/search/v?id=NCI-2018-01005&loc=0&pn=5&q=stage%20IV%20melanoma&rl=1
Hang tough. I know you will. Keep us posted. Much love. les
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- April 19, 2021 at 10:04 am
Thanks both of you for the feedback. That Weber video is great for an overview. He makes things very understandable and clear for the layman. And Bubbles blog is always extremely helpful. Going to have to dig into this LXH254 more, because I’m still not sure what the advantage would be over dabrafenib/trametenib.
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