Melanoma Nursing Initiative Resources Customized for the Canadian Audience

This page contains resources that have been customized for use by the Canadian healthcare professional.

New videos from the experts! Sequencing of Therapies in Stage IV Melanoma

In this video series, Dr Marcus Butler, Clinical Head of the Immune Monitoring Team at the Princess Margaret Cancer Centre, discusses sequencing strategies for Stage IV melanoma. The videos address strategies for neoadjuvant and adjuvant therapy, first-line and subsequent lines of therapy, single-agent and combination immunotherapy, BRAF-targeted therapy, the management of brain metastases, clinical trials, and management of refractory disease. The videos were recorded on August 17, 2023.


When should neoadjuvant or adjuvant therapy be considered in stage IV disease?


Which immunotherapy should be used for front-line BRAF wild-type patients?


Which combination should be used after progression post PD-1 therapy?


What is the role for BRAF-targeted therapy?


How should strategies be personalised for management of brain metastases?


Strategies for refractory disease


When should a clinical trial be considered?

Stage IV Decision- Support Materials


The Decision-Support Tool has been updated to reflect changes in therapeutic options, including emerging options and longer-term data on established regimens.

We’d like to thank Taylor Tomco and Kathy Barnard from the Save Your Skin Foundation for their careful review of this content update.

New! Stage IV Decision-Support Tool

Welcome to this guide, Stage IV Melanoma Treatment Options: Making the Decision That’s Right for You. You can use this guide to discuss therapeutic options for managing Stage IV melanoma with your patients.

The document addresses

  • Stage IV melanoma clinical picture, biomarkers and pathology, and disease and patient factors involved in decision making
  • Efficacy, safety, administration, and family-planning aspects of targeted therapies, immune checkpoint inhibitors, and other therapies used for stage IV melanoma
  • Management of brain metastases, including radiation therapy
  • Clinical trials, including an overview of emerging therapies being studied
  • Survivorship and advanced care planning
  • Diagnosis (including biopsy techniques) as well as an overview of imaging
  • Practical patient resources

Developed in collaboration with Save Your Skin Foundation.


New videos from oncology experts! Immunotherapy Combination Therapy: Current and Emerging Approaches

In this video series, Bonnie Leung, MN-N (F)P, BC Cancer, Vancouver, discusses current and emerging perspectives on the use of combination immunotherapy in oncology. These videos, developed for the Canadian audience, discuss the rationale for combination therapy, the data supporting the combination approaches, patient selection for combination immunotherapy versus other options, managing the more complex side effects associated with this approach, as well as new strategies of combined immunotherapy. We hope that this content will be useful for you to select and manage the best immunotherapy regimens for your cancer patients.


Rationale for Combined Immunotherapy


What are the data to support the use of combination Immunotherapy?


Patient Selection for Combination Immunotherapy


Managing the Complex Adverse Effect Profile of Combination Immunotherapy


Emerging Strategies for Combination Immunotherapy

Stage III Decision- Support Materials

Updated Stage III Decision Support Tool

The Decision-Support Tool has been updated with information you need to know about outcomes for Stage III melanoma, long-term data for adjuvant therapies, and additional resources, including content specific for for caregivers.

Developed in collaboration with Save Your Skin Foundation.

New Stage III Companion Piece

Want to learn how to use the Stage III Decision-Support Tool? Peruse frequently asked questions about Stage III melanoma and learn how to use the support tool to guide your decision making.

Developed in collaboration with Save Your Skin Foundation.


BRAF Q&A Compendium

BRAF in Melanoma: Answering Questions, Addressing Misconceptions

In the resources provided below, the AIM at Melanoma Foundation provides answers to questions and addresses misconceptions raised by patients regarding BRAF in melanoma. The patient-directed resources address what BRAF is, the role of BRAF in melanoma, what BRAF mutational status means, testing for BRAF, and the implications of the test results for treatment planning. The answers are provided by Lisa Kottschade, APRN, MSN, CNP, Associate Professor of Oncology at the Mayo Clinic in Rochester, Minnesota, and an expert faculty member of the Melanoma Nursing Initiative.

We thank Novartis Pharmaceuticals for an unrestricted educational grant in support of this important educational initiative. We also thank Save Your Skin Foundation for review and customization of this content for the Canadian audience.

Print out this pamphlet, which provides Ms. Kottschade’s commentary for specific questions/statements about BRAF.


BRAF Q&A Videos

Click on the videos below to watch Ms. Kottschade’s commentary about BRAF. Below the videos, we have also listed some resources patients might find helpful as they navigate BRAF testing and management of their melanoma.


“What Is BRAF?”

“So BRAF is inherited. If my parents have the mutation, I will inherit it.”

“If I have a BRAF mutation, does that mean I need to get screened for other cancers?”


“I am young, so it makes sense that my tumour would have a BRAF mutation.”

“I am BRAF positive. That’s bad. It means my tumour will come back.”

“I am BRAF negative. That means I am going to be OK.”

“You need to know your BRAF status, because it will tell you how you developed your melanoma and what you need to avoid so you don’t develop another one.”


“Who should be tested for BRAF?”

“How is the BRAF test performed?”


“If I am BRAF positive, it means I’m being treated with regular chemotherapy.”

“If I find out that I’m BRAF positive, then I’ll have to take the “BRAF drug” before they allow me to take the really good medicine, immunotherapy.”

“If I am BRAF negative, I won’t be able to get an effective therapy.”