Asia-Pacific Journal of Oncology

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Review | Open Access

QSAR-driven optimization of small-molecule inhibitors against BRAF-mutant melanoma

Xiaocui Yu1, Yi Ding2, Guiying Zhang1, Zhenyu Cao1, Yingying Zhao1, Yuwei Zhu1, Chunpu Li1, Zhenhua Fan1, Zihui Ma1, Junwei Xu1, Zexin Wang1, Wenkai Han1, Xiang Yu1, Jin Gao1, Dan Hu1

1General Station for Drug & Instrument Supervision and Control Joint Logistics Support Force PLA, Beijing 100071, China.
2Department of Pharmacy, Xijing Hospital, Fourth Military Medical University, Xi'an City 710000, Shaanxi Province, China.

Correspondence: Jin Gao and Dan Hu (General Station for Drug & Instrument Supervision and Control Joint Logistics Support Force PLA, No. 17, Fengtai West Road, Fengtai District, Beijing 100071, China;  Jin Gao's Email: angelgaojin@163.com, Dan Hu's Email: hudan1006@sina.com).

Asia-Pacific Journal of Oncology 2025, 6: 70-81. https://doi.org/10.32948/ajo.2025.10.24

Received: 08 Sep 2025 | Accepted: 22 Oct 2025 | Published online: 18 Nov 2025

Abstract
Melanoma stands out as a highly aggressive skin malignancy, defined by specific genetic alterations that drive tumor expansion and hinder effective treatment. Global epidemiological data shows a rising trend of incidence with annual reports estimating more than 320,000 new diagnosis and exceeding 57,000 fatalities. The presence of dysplastic nevi, phenotypic traits such as fair skin hereditary susceptibility and UV radiation exposure are primary risk factors. Because of its considerable potential to spread and frequent development of therapy resistance, advanced melanoma continues to be linked with substantial morbidity and mortality despite significant therapeutic advancements. The BRAF serene/threonine-kinase plays a critical role in the MAPK signaling route. It is a pathway responsible for regulating cellular life cycles and growth. B-RAF mutations, especially V600E, are linked to several cancers, such as colorectal cancer, melanoma, and lung carcinomas, rendering it an important target for treatment. BRAF is an effective clinical focus for managing the treatment of melanoma because it regulates both the genesis and development of melanoma as well as important tumor maintenance functions. The Quantitative Structure Activity Relationship (QSAR) stands as a pivotal quantum chemistry method in pharmaceutical R&D. This technique utilizes molecular structural analysis to assess biological potency and forecast the effectiveness of novel compounds. Important and promising inhibitors against BRAF mutant melanoma are QSAR-based optimized novel compounds. The inhibitors and QSAR-optimized inhibitors for the melanoma therapy will be covered in this mini review.

Key words melanoma, quantitative structure activity relationship, BRAF mutantinhibitors, BRAF inhibitors
Introduction
Melanoma is widely considered as the most lethal category of skin cancer, that causes approximately 60%-70% of all deaths related to skin cancer while constituting less than 5% of all skin cancer cases [1, 2]. Melanoma incidence rates have been continuously increasing, and the number of newly diagnosed cases reaches 325,000 every year worldwide. In the case of advanced metastatic melanoma, the existence of activating mutations in the BRAF gene, notably, the BRAF V600E mutation that is present in about 40%-60% of patients has transformed the treatment strategies. BRAF mutations are the activators of the constitutive signaling pathway, MAPK/ERK, which helps to stimulate the uncontrolled proliferation of cells and the survival of tumors [3].
Melanoma arises from the un-controlled proliferation of melanocytes in the epidermal layer and represents the most severe type of cutaneous malignancy. During the course of melanoma development, multiple molecular alterations including the excessive activation of the mitogen-activated protein kinase (MAPK) growth regulatory pathway may develop and become the subject of therapeutic target [4]. Two common oncogenes that are related to melanoma are BRAF and NRAS [5]. The BRAF gene encodes the BRAF protein, a crucial component of the MAPK- pathway. This pathway comprises a sequence of intracellular proteins governing cellular expansion, programmed cell death, and differentiation. [6]. The SBRAF mutations are  found in about 50% of patients with metastatic melanoma. The V600E and V600K mutations are the most prevalent types of BRAF mutations in patients with BRAF-mutant melanoma, and the former is present in 70-90 of individuals with this disease. The majority of BRAF mutations target the kinase domain of the BRAF-protein resulting in permanent activation and heightened MAPK-signaling, which all stimulate malignant development [7].
Tumors posses the ability to develop out of various genetically distinct groups of cells leading to tumor heterogeneity that characterizes cellular-heterogeneity of the tumor microenvironment (TME). One of the primary hurdles in advancing novel personalized medicine development to cure cancer is tumor heterogeneity. The inter-tumor heterogeneity of BRAF has been associated with melanoma in about 4- 25% of patients [8]. In a case report on a 49-year-old Japanese woman with metastatic BRAF-mutant melanoma, it was reported that Sanger sequencing revealed that BRAF V600E and BRAF wild are the status of the primary tumor and skin metastatic lesions, respectively, which indicates that the melanoma of the BRAF genotype.
The most common form of B-RAF mutation is V600E (valine to glutamic acid) that causes constitutive B-RAF kinase activation leading to unregulated cell replication [9]. Other less frequent mutations are V600K, V600R, V600E2, and V600D. B-RAF mutations in the V600E loci contribute more than 90% of all B-RAF mutations and V600K mutations are seen in 5 to 30 % cases. The changes result in continuous MEK/ERK signals that are favorable to tumor growth and drug resistance.
The initial purpose of B-RAF as a cancer therapeutic target was founded on a hypothesis that its activity would suppress RAS/RAF/MEK/ERK-signaling pathways and, therefore, inhibit tumor progression. Nonetheless, B-RAF inhibitors have developed resistance that hinders their sustainability. B-RAF inhibition is evaded by several resistance mechanisms that include secondary mutations, activating alternative signaling pathways, and adjustments within the tumor microenvironment.[10, 11]. With the current outburst of BRAF inhibitors, current studies are exploring combination therapy as a viable solution to the problem. A potential approach is the combination of inhibiting both B-RAF and MEK, a strategy that has demonstrated superior clinical results because of increased activation of MAPK [12]. The invention of B-RAF V600 kinase inhibitors has contributed greatly to the targeted melanoma treatment, especially against cancers initiated by B-RAF V600 mutations. These inhibitors interfere with the RAS/RAF/ MEK/ERK pathway that contributes significantly to the development and progression of tumors.
Three BRAFi/MEKi combinations are currently recommended as therapies of BRAF-mutated melanoma, cobimetinib +vemurafenib, trametinib + dabrafenib, and encorafenib + binimetinib. These three combinations are similar and active, even though there have not been direct comparative studies. Encorafenib however has clarified a longer and stronger pharmacodynamic activity over vemurafenib and dabrafenib and may have better clinical consequences [13, 14]. Targeted therapies such as vemurafenib and dabrafenib are proven to change the treatment of melanoma, have some limitations and may induce side effects (such as skin rash, fatigue, cardiovascular problems)[15]. Phytochemicals and especially natural sources are potentially useful to multi-target approaches [16]. Conversely, FDA-approved drugs like vemurafenib and dabrafenib focus on precise molecular abnormalities, which could restrict their approach to different groups of cancerous cells [17]. The conventional high throughput screening on inhibitors against BRAF-mutant melanoma is limited and it has been further transformed by an exploited approach in quantum chemistry for drug research and discovery, which is the Quantitative Structure Activity Relationship (QSAR). QSAR utilizes structural analysis to gauge chemical bioactivity and forecast the potency of novel treatment options [18].
Chemprop represents a successful application of this model; it is a graph neural network-based QSAR framework that learns directly from molecular graph, which scales a wide range of chemical space with high predictive quality and scalability. It has proved to be better or equal to conventional descriptor-based QSAR models in diverse benchmark investigations since it is able to incorporate intricate, non-linear structure impact relationships without handcrafted feature engineering. [19].
This mini review will offer a summary of the molecular pathophysiology underlying BRAF-mutant melanoma, and existing therapeutic options of the MAPK pathway, especially the use of quantitative structure activity relationship (QSAR) methodologies in the design and optimization of small molecule BRAF inhibitors. We emphasize the latest QSAR-related research, show how it is combined with other computational tools, and present the latest problems and prospects of providing better therapy of BRAF-driven melanoma. Schematic diagram of BRAF V600E-resultant signaling initiates melanoma formation and progression as shown in Figure 1.
Figure 1. Schematic flow of the biochemical pathology of BRAF V600E-mediated melanoma and the therapeutic intervention guided by QSAR. GRB2/SOS-mediated RAS activation is stimulated by the growth factor binding of receptor tyrosine kinases (RTKs). Active BRAF V600E is constitutively active and does not depend on an upstream regulator, thus activating MEKERK signaling cascade in a continuous manner. ERK activation is translocated to the nucleus, which activates transcription factors (AP-1, ETS1, c-Myc) and expression of downstream genes connected to cell-cycle progression (CCND1), invasion and metastasis (MMPs), and resistance to apoptosis (BCL2, MCL1). The inset points out the QSAR-based design of small molecule BRAF inhibitors that are selective in inhibiting aberrant signaling that inhibits melanoma initiation, progression, and metastasis.
Pathways involved in BRAF-mutant melanoma
BRAF stands as the primary therapeutic focus and the most frequent genetic mutation in cutaneous melanoma, which occurs in 40-60% of cases. V600E is the dominant BRAF variation, appearing in roughly 80% of BRAF-mutated melanomas; V600K is found in 15% of cases. The BRAF V600E variant is typically linked to the superficial spreading subtype, younger patients, and non-CSD skin regions., including its trunk and proximity of the extremities. V600K mutations, on the other hand, are associated with CSD skin locations, including the head and neck, and older patients. BRAF mutations in nevi also confirm the assumption that the RAF/ MEK/ pathway would be activated at an early stage of melanoma development [20].
The dysregulation of various signaling pathways that interact with each other are the drivers of BRAF-mutant melanoma, with the central oncogenic axis being the mitogen-activated protein kinase/ extracellular signal-regulated kinase (MAPK/ERK) pathway [21]. The stimulation of BRAF mutations and V600E results in constitutive MAPK transmission with continuous MEK and ERK stimulation, which facilitates uncontrolled proliferation, survival, and invasion. Besides MAPK, phosphatidylinositol-3-kinase (PI3K)/AKT/mTOR pathway is also often concomitantly activated in BRAF-mutant melanoma, whether by loss of PTEN, RTK upregulation or by adaptive resistance, leading to the heightened cell survival, metabolic reprogramming and resistance to therapy [22, 23]. Crosstalk of MAPK and PI3K/AKT signaling during melanoma cell survival allows the cells to overcome the inhibitory effect of BRAF and maintain oncogenic signaling. WNT/cadherin WNT/cadherin pathway is also contextually dependent in melanoma progression, and affects cell differentiation, immune evasion, and metastatic behavior. Also, the Hippo-YAP/TAZ dysregulation has been associated with the stimulation of melanoma cells plasticity, survival, and resistance to targeted therapy. Changes in the apoptotic signaling pathways, such as inhibition of pro-apoptotic factors and expression of the anti-apoptotic proteins also aid in the persistence of tumors. Collectively, these signaling pathways represent a highly adaptive signaling network underlying melanoma progression, therapeutic resistance and heterogeneity of the melanoma in BRAF-mutant melanoma disease [20]. The pathways involved in melanoma progression have been illustrated in Figure 2.
Figure 2. Combinational schematic of oncogenic signaling networks driven by the BRAF V600E mutation in melanoma with cross-talk between the MAPK/ERK and PI3K/AKT/mTOR pathways. Receptor tyrosine kinases (RTKs) or GPCRs are stimulated by growth factors (EGF, HGF, FGF) and cause the activation of RAS (H/N/K). BRAF V600E constitutively active BRAF V600E maintains phosphorylation of MEK1/2 and ERK1/2 facilitating translocation and activation of nuclear transcription factors, such as MITF, MYC, JUN and FOS. Simultaneously, the activation of PI3K leads to the creation of PIP3, which is the activator of AKT and mTORC1 signaling, controlling survival and metabolism through BAD, FOXO, GSK3 2, and 2-catenin. These joint programs promote proliferation (CCND1, CDK2), survival (BCL2, MCL1), and invasion/metastasis programs and pathways are regulated by negative feedback loops.
Current small-molecule inhibitors therapies targeting BRAF
The evolutional knowledge about the molecular mechanisms of melanoma has made it possible to give effective immunotherapies and targeted therapies for unresectable stage III and IV melanoma. The FDA approved the BRAFV600E/K blockers, MEK1/2 inhibitors, and dual-MAPK pathway configurations involving BRAF/MEK inhibitors for patients harboring BRAFv600E/K mutation-positive unresectable or metastatic melanoma. Moreover, the pairing of trametinib & dabrafenib is advised as adjuvant maintenance therapy for resected stage III BRAFV600E/K mutant melanoma. Conversely, larotrectinib and entrectinib are indicated in patients that have solid tumors with NTRK gene fusions. BRAF inhibitors (BRAFi) have showcased significant clinical utility in patients with BRAFV600-mutated melanoma [24]. The first-in-class BRAFi, vemurafenib, was granted the approval because of the BRIM3 phase III trial, which also displayed superior overall survival (OS) and progression-free survival (PFS) using vemurafenib compared to dacarbazine (OS: 13.6 vs. 9.7 months; PFS: 5.3 vs. 1.6 months)  [25, 26]. Equally, dabrafenib was better than chemotherapy in BREake3 trial in enhancing OS and PFS, which prompted its FDA approval for treating advanced BRAFV600-mutant melanoma [27]. Although these are the advantages, the BRAFi treatment has side effects that include: Photo sensitivity and secondary cutaneous squamous cell carcinoma due to RTK or NRAS upregulation in response to paradoxical activation of MAPK and it is common to develop resistance. The preclinical trials indicated sensitivity of BRAFi-resistant tumors to MEK inhibition [28], which led to development of BRAFi/MEKi combination therapy, which enhances survival and decreases subsequent malignancies.
There are currently three approved combinations of BRAFi/MEKi, dabrafenib with trametinib (COMBI-d and COMBI-v studies), vemurafenib with cobimetinib (CoBRIM study), and encorafenib with binimetinib (COLUMBUS study) which showed better response rates and survival than BRAFi alone, with the encorafenib-binimetinib combination having a longer median OS [20] (Table 1). Figure 3 shows the significant signaling pathways of BRAF-mutant melanoma and how they can be targeted therapeutically. Activating BRAF mutants stimulates constitutive MAPK/ERK depolarization, which facilitates melanoma growth and survival. This pathway is blocked with selective BRAF inhibitors and MEK inhibitors, and a combination of BRAF and MEK inhibition increases therapeutic responses and decreases resistance. Interaction with the PI3K/AKT/mTOR signaling also adds to tumor survival and resistance to treatment.

Table 1. Pivotal targeted therapy trials influencing clinical practice in melanoma patients.

Therapy Category

Trial (Clinical ID)

Phase

Patient Population

Treatment Arms

Primary Endpoint

n

ORR (%)

Median PFS (mo)

Median OS (mo)

Anti–CTLA-4

MDX010-020 (NCT00094653)

III

Untreated metastatic melanoma

Ipilimumab + gp100 vs Ipilimumab vs gp100

OS

676

6 vs 11 vs 2

2.8 vs 2.9 vs 2.8

10.0 vs 10.1 vs 6.4

Anti–PD-1

CM-066 (NCT01721772)

III

Untreated BRAF wild-type melanoma

Nivolumab vs Dacarbazine

OS

418

40 vs 14

5.1 vs 2.2

37.5 vs 11.2

Anti–PD-1 ± CTLA-4

CM-067 (NCT01844505)

III

Untreated metastatic melanoma

Nivo+Ipi vs Nivo vs Ipi

PFS & OS

945

58 vs 44 vs 19

11.5 vs 6.9 vs 2.9

NR

Anti–PD-1 + CTLA-4

CM-511 (NCT02714218)

III

Untreated metastatic melanoma

Nivo1+Ipi3 vs Nivo3+Ipi1

TRAE (Grade 3–5)

360

48 vs 34

8.9 vs 9.9

NR

Anti–PD-1

KN-006 (NCT01866319)

III

Melanoma ≤1 prior therapy line

Pembrolizumab q2w vs q3w vs Ipilimumab

PFS & OS

834

34 vs 33 vs 12

8.4 vs 3.4

32.7 vs 15.9

BRAF inhibitor

BRIM-3 (NCT01006980)

III

Untreated metastatic melanoma

Vemurafenib vs DTIC

PFS & OS

675

48 vs 5

5.3 vs 1.6

13.6 vs 9.7

BRAF inhibitor

BREAK-3 (NCT01227889)

III

Untreated BRAFV600E melanoma

Dabrafenib vs DTIC

ORR

250

50 vs 6

6.9 vs 2.7

20 vs 15.6

BRAF + MEK inhibitors

COMBI-v (NCT01597908)

III

Untreated BRAFV600E/K melanoma

Dabrafenib+Trametinib vs Vemurafenib

OS

704

64 vs 51

11.4 vs 7.3

NR vs 17.2

BRAF + MEK inhibitors

COMBI-d (NCT01584648)

III

Untreated BRAFV600E/K melanoma

Dabrafenib+Trametinib vs Dabrafenib

PFS

423

69 vs 53

11.0 vs 8.8

25.1 vs 18.7

BRAF + MEK inhibitors

CoBRIM (NCT01689519)

III

Untreated BRAFV600 melanoma

Cobimetinib+Vem vs Vem+Placebo

PFS

495

68 vs 45

12.3 vs 7.2

22.3 vs 17.4

BRAF + MEK inhibitors

COLUMBUS (NCT01909453)

III

Untreated BRAFV600E/K melanoma

Encorafenib+Binimetinib vs Encorafenib vs Vemurafenib

PFS

577

64 vs 52 vs 41

14.9 vs 9.6 vs 6.3

33.6 vs 23.5 vs 16.9

Triplet therapy (ICI+Targeted)

IMSpire150 (NCT02908672)

III

Untreated BRAFV600 melanoma

Atezo+Vem+Cobi vs Placebo+Vem+Cobi

PFS

514

66 vs 65

15.1 vs 10.0

NR

Triplet therapy (ICI+Targeted)

COMBI-I (NCT02967692)

III

Untreated BRAFV600 melanoma

Spartalizumab+Dab+Tra vs Placebo+Dab+Tra

PFS

532

69 vs 64

16.2 vs 12.0

NR

CTLA-4, cytotoxic t lymphocyte associated protein 4; PD-1, programmed death receptor 1; BRAF, the proto-oncogene on human chromosome 7; MEK, methyl ethyl ketone; ICI, immune checkpoint inhibitor; DTIC, dacarbazine; OS, overall survival; PFS, progression-free survival; ORR, objective response rate; NR, not reported.

Figure 3. Figure showing the use of the MAPK signaling cascade in BRAF-mutant melanoma as well as its inhibition via pharmacotherapy. RAS is activated in its GTP-bound form by binding of receptor tyrosine kinases (RTKs) on the plasma membrane by extracellular growth factors. Activated RAS activates mutant BRAF (V600E/K), which phosphorylates MEK1/2 and activates it constitutively, resulting in the subsequent phosphorylation of ERK1/2. ERK activation relocates to the nucleus where it controls transcriptional factors like AP-1 and ETS, which support gene expression programs that support cell proliferation, survival, and metastasis. The figure identifies two types of MAPK pathway inhibition with clinically approved BRAF inhibitors (vemurafenib, dabrafenib, encorafenib), MEK inhibitors (trametinib, cobimetinib, binimetinib), which interdicts aberrant signaling at sequential nodes to suppress oncogenic transcriptional outputs and tumor progression.
Resistance to BRAF inhibitors
Although BRAF and MEK inhibition have shown great clinical advantages, most of the patients with BRAFV600-mutant metastatic melanoma eventually develop disease relapse, usually within a few months of the treatment initiation [29]. Resistance occurs by several different mechanisms, the most common of which is reactivation of the MAPK cascade, or the stimulation of alternative survival routes such as PI3K-AKT which are frequently promoted by enhanced RAS activity upon BRAF inhibition. Based on clinical evidence, patients exhibiting PTEN loss experience a significantly reduced progression-free survival (PFS) period under dabrafenib treatment [30]. Other mechanisms of acquired resistance entail NRAS and MAP2K mutations, which reestablish MAPK signaling dependence [31] and loss-of-function mutations in NF-1, which trigger sustained RAS activation and downstream signaling by a MAPK and PI3K-AKT pathway [32]. The changes in cell-cycle regulators also play a role in resistance, with poorer prognosis and more amplified CCND1 being linked to lower response to BRAFi therapy [30]. Oncogenic BRAF structural alterations, such as aberrant splicing producing p61-BRAFV600E splices, facilitate RAS-independent dimerization and constitutive ERK signaling [108]. Heterogeneity in tumors also makes treatment more difficult, and various resistance mechanisms exist both within and between metastatic lesions evidenced by single-cell transcriptional analyses [33, 34]. Combining BRAFi/MEKi with CDK4/6, PI3K/mTOR, or immune checkpoint inhibitors (ICIs) (onward) are being continued to overcome resistance, and additional pathways such as RhoA GTPase signaling have been shown to be potentially resensitized using BRAF-targeted therapy [35] (Table 2). Simultaneously, ICIs targeting CTLA-4 and PD1 have transformed metastatic melanoma treatment of metastatic melanoma by enhancing antitumor immune responses by utilizing different mechanisms [36]. The anti-CTLA-4 ipilimumab antibody showed better overall survival (OS) than gp100 vaccination or dacarbazine in the phase III trials [37, 38]. Anti-PD1 antibodies nivolumab and pembrolizumab were later given approval based on strong survival advantages; with nivolumab having a median OS of 37.2 months in the 066 trial [39], and pembrolizumab having long-term survival in the 001 trial [40, 41] (Table 2). Other trials including dual checkpoint blockage with ipilimumab and nivolumab also enhanced response rates and OS in 067 trial although at the cost of increased toxicity [42, 43], dose optimization strategies lowered adverse events but did not affect efficacy. Combination therapy has also been considered because of the responsiveness observed with BRAFi /MEKi, and the sustaining effect of ICIs. IMspire150 trial established a higher PFS in the presence of atezolizumab in combination with vemurafenib and cobimetinib but the COMBI-I trial did not. Lastly, MEK inhibitors used together with ICIs in BRAF wild-type melanoma have not demonstrated clinical benefit despite demonstrating encouraging preclinical evidence.

Table 2. Inhibitors characteristics and their inhibition activity.

Molecular Target / Pathway

Representative Agents

Phase

Investigated Clinical Setting

Reported ORR (%)

Multi-kinase inhibition (VEGFR1–3, KIT, PDGFR)

Axitinib

II / Ib

Advanced melanoma monotherapy; combined with toripalimab in mucosal melanoma

18.8; 48.3

Multi-target TKI (VEGFR, FGFR, KIT, RET)

Lenvatinib

I / Ib–II

Single-agent studies; combination with pembrolizumab in advanced melanoma

17.2; 48

KIT-directed inhibition

Imatinib, Dasatinib Nilotinib

II

Evaluated mainly in sun-damaged melanoma mucosal, and acral, subtypes

23.3-26.2

IGF-1 receptor blockade

Linsitinib

I

Tested with erlotinib in solid malignancies including melanoma

1

EGFR inhibition

Gefitinib, Erlotinib

I–II

Limited activity as monotherapy; explored with PI3K inhibitors in solid tumors

3.5-4

VEGF neutralization

Bevacizumab

II

Combined with dacarbazine (cutaneous melanoma) or temozolomide (uveal melanoma)

18.9; 0

MEK pathway inhibition

Pimasertib; Selumetinib

I–II

Studied in NRAS-mutant melanoma; compared with temozolomide in advanced disease

23; 5.8

PI3K/mTOR dual blockade

Voxtalisib

Ib

Combination trial alongside pimasertib in genetically altered melanoma (limited benefit)

6

PI3K inhibition

Pictilisib

I

Evaluated with or alone of erlotinib in solid tumors including melanoma

3.5–22

mTOR inhibition

Everolimus

I

Combined with VEGFR inhibitor vatalanib in advanced solid tumors

12.9

mTOR inhibition

Temsirolimus

II

Tested with sorafenib; also combined with bevacizumab in BRAF wild-type melanoma

5; 17.7

AKT inhibition

Uprosertib (GSK2141795)

I

Combined with trametinib in BRAF wild-type melanoma and other cancers

<5

AKT inhibition

Afuresertib

I

Investigated with trametinib in solid tumors and myeloma

5

Wnt pathway blockade

Vantictumab (OMP-18R5)

Preclinical

Demonstrated tumor suppression in xenograft models; not yet in melanoma trials

NA

Wnt secretion inhibitor

LGK974

I

Recruiting trial as monotherapy or with anti–PD-1 agent (PDR001)

NA

IKK/NF-κB inhibition

BMS-345541

Preclinical

Proposed target; no clinical melanoma trials reported

NA

MITF modulation (HDAC inhibition)

Panobinostat

I

Studied in metastatic melanoma patients

0

CDK4/6 inhibition

Palbociclib

II / I–II

Acral melanoma with CDK alterations; combined with vemurafenib in BRAFV600 melanoma

20; 27.8

CDK4/6 inhibition

Abemaciclib

Preclinical

Activity observed in BRAF-resistant melanoma models

NA

NTRK inhibition (next generation)

Selitrectinib; Repotrectinib

Preclinical

Developed for resistance in NTRK/ROS1/ALK fusion cancers

NA

ALK inhibition

Ceritinib; Crizotinib

NA / I

Sensitive mucosal melanoma models; combination trials in BRAF-mutant tumors

11; 29

Spliceosome inhibition (SF3B1)

E7107

I

Early-phase monotherapy trial in solid tumors

0

VEGF, vascular endothelial growth factor; KIT, protooncogene; PDGFR, platelet-derived growth factor receptor; FGFR, fibroblast growth factor receptor; RET, protooncogene; IGF, insulin-like growth factor; EGFR, epidermal growth factor receptor; MEK, methyl ethyl ketone; PI3K, phosphoinositide 3-kinase; AKT, protein kinase B; mTOR, mammalian target of rapamycin; IKK, IκB kinase; NF-kB, Nuclear factor κB; CDK4/6, cyclin-dependent kinases 4/6; NTRK, neurotrophin receptor kinase; ALK, anaplastic lymphoma kinase; SF3B1, protooncogene.

QSAR in drug discovery
QSAR modeling is a ligand-based computational paradigm; mathematically, it correlates chemical structure to biological activity allowing the prediction of its molecular efficacy even before synthesis. This is because at its base, QSAR assumes that molecules with comparable structural and physico-chemical characteristics have comparable biological activity, which is formalized by regression or classification models constructed using data on experimental activities. Traditional QSAR consists of 2D-QSAR and 3D-QSAR methods, in which 2D molecular representations are used as descriptors (electronic, hydrophobic, and steric indices) and 3D fields (CoMFA and CoMSIA) are used in which spatial fields and topographic interactions are taken into consideration to approximate conformational and shape-dependent activity profiles. These techniques have been especially useful in cases where structural data about the biological target is scarce or non-existent, since they will use ligand information on its own in a statistically predictive manner [44].
Recently, the fusion of QSAR with machine learning (ML) and deep learning (DL) systems has sparked a major advancement in the field. Multiple linear regression (or partial least squares)-based classical QSAR models are now being augmented with, recurrent neural networks (RNNs), convolutional neural networks (CNNs), and other AI-driven methods that automatically extract complex structure-activity features in the form of molecular graphs or SMILE strings, and which result in improved predictive accuracy and scalability. Such a deep QSAR paradigm can not only produce nonlinear descriptors-activity relationships but also screen ultra-large compound libraries at high-throughput with increased selectivity and resistance mitigation programs against kinase targets [45, 46].
Applications of QSAR
The applications of QSAR in the discovery of kinase inhibitors is reinforced by its capability to traverse through the structural complexity as well as resistance point of the kinome. Highly conserved ATP-binding regions of protein kinases, e.g., CDKs, JAKs, and PIM kinases, make such molecules hard to selectively inhibit; using QSAR models that can compare fragments of the structure to the pattern of activity in a wide range of inhibitor sets can be used to identify structural determinants of selectivity and potency, avoiding the exhaustive process of wet-lab screening [46]. Various recent studies represent the changing position of QSAR. As an example, field-based models have been used to optimize leads by guiding the design of potent GSK-3 8 inhibitors with high-predicted activities and good pharmacokinetics [47]. Furthermore, a hybrid QSAR workflows have been implemented to discover new JAK3 inhibitors with excellent ADMET characteristics using hybrid ANN and regression models [48]. The recent studies, including quantum multiple kernel learning (Q2SAR), also demonstrate how new computational models can enhance the quality of predictions made by QSAR on its kinase targets by incorporating quantum descriptors with classical learning methods [49]. In comparison with other high-throughput screening (HTS), QSAR is cost-effective, fast and scalable, it avoids animal experimentation and minimizes the number of compounds that need to be synthesized and tested biologically. It is consistent with the modern paradigm of in silico drug discovery, in which silico forecasts guide and direct experimental research, thereby speeding up the process of identifying high-quality therapeutic targets against difficult targets like mutant BRAF in melanoma [44].
Predicting oncogenic kinase inhibitors via QSAR
QSAR strategies have important role in the rational discovery of small-molecule modulators targeting oncogenic kinases, such as mutant BRAF variants which form the basis of melanoma pathobiology. However, instead of using empirical screening alone, QSAR paradigms reduce molecular architecture to numerical input into which they can be interrogated with statistical learning and more recent machine-learning paradigms to predict biological response [50]. The paradigm makes it possible to predict the inhibitory activity and makes it known that the chemical refinements should focus on potency and kinase selectivity. More recent developments in computing power and descriptors engineering have gone beyond linear and descriptor-limited models of QSAR to hybrid workflows including ligand topology, physicochemical descriptors, and nonlinear learning systems [51, 52]. All these advances have significantly increased the use of QSAR as a predictive and hypothesis generating model in modern BRAF-centered drug discovery development programs.
A recent study that has been relevant and used the machine learning-based QSAR on BRAF inhibitors studied pyrimidine-sulfonamide analogues targeting the BRAF V600E protein. The QSAR model by Srisongkram & Tookkane (2024) [53] utilized support vector regression (SVR) along with 15 molecular fingerprint descriptors to forecast the inhibitory behaviors in a collection of pyrimidine-sulfonamide scaffolds, which form the core structure of most approved BRAF inhibitors. The model performed well in terms of selection, robustness and predictability and found nine major fingerprints which had strong correlation with the inhibition’s activity. These fingerprints were also confirmed by network-based activity cliff analysis and molecular docking and confirmed that they are relevant to binding to the BRAF V600E kinase domain. The authors also used their algorithm as an interactive module of potential screening of new analogues. A second on classical QSAR into larger computational pipelines was of imidazo[2,1-b]oxazole derivatives as potential mutant BRAF kinase inhibitors. Boutalaka et al. (2024) [54] constructed 3D-QSAR models utilizing Comparative Molecular Field Analysis (CoMFA) and Comparative Molecular Similarity Indices Analysis (CoMSIA). These standard 3D descriptors integrate steric, electrostatic, hydrophobic, and hydrogen-bonding field contributions. The contour maps obtained identified important structural areas that generated activity against BRAF showing aspects that prefer tighter binding and improved inhibitory properties. In this work the molecular docking and molecular dynamics (MD) simulations were also incorporated to verify binding poses and assess dynamic stability in ATP-binding pocket (PDB: 4G9C). Pharmacokinetic profile and toxicity profile have been evaluated based on the use of ADMET predictions with the identification of several imidazo [2,1-b]oxazole scaffolds exhibiting desirable properties.
Singh et al. (2022) [55] developed a 3D-QSAR models relying on Gaussian fields for pyrimidine-sulfonamide hybrid BRAF inhibitors (V600E), correlating the intensity of steric and electrostatic fields to biological activity and structural understanding to optimize the activity. This theoretical study supported future applications of machine learning through the confirmation of the importance of important substituents in the ATP-binding and the RAF-selective binding pockets. In general melanoma-active compounds QSAR studies outside the narrowly concerned BRAF datasets have also led to a refinement of the methodology. As an example, QSAR using molecular docking of cytotoxic NCI compounds against the SK-MEL- 2 melanoma cell line, including interaction with the V600E-BRAF receptor, showed that a careful change of key aromatic moieties could improve binding affinity relative to such gold standards as vemurafenib. AN2 and AC4 derivatives were capable of docking with better scores in silico, and this is an indication of how QSAR models may help prioritize the modifications needed on lead to proceed with synthesis and testing [56]. In these studies, there are several important methodological aspects. Conventional 2D descriptors (e.g. molecular fingerprints, atom-based features) can still be useful in first SAR mapping, especially in machine learning models where high-dimensional sets of descriptors enhance prediction. Nonlinear regressors like SVR and advanced kernels such as CoMFA and CoMSIA supplement the richness of descriptors by taking into consideration the spatial distributions of the electromagnetic fields as well as the electronic fields, which hold great significance in the description of the complex relationships between functionality groups and activity [57, 58]. QSAR in combination with docking and MD provides more predictive confidence as binding modes and dynamic stability are validated, which is crucial in lead optimization [59].
Irrespective of such developments, there are constraints and challenges. The small size of datasets and the range of chemicals can limit the external predictivity and reliability of applicability domain of many QSAR models. Choosing descriptors and overfitting are the old problems, particularly in the context of complex fingerprints, which are not carefully validated [60]. In addition, ligand-based models in the case of BRAF inhibitors have the potential to not fully recapitulate the effects of conformational flexibility or allosteric modulations by mutations outside the V600E site [61]. Combining structural data with ligand-based QSAR (e.g., hybrid pharmacophore-QSAR models) is potentially effective in overcoming such shortcomings, though more complex alignment techniques are needed and bigger datasets are required. However, the increasing convergence of machine learning, field-based QSAR, and dynamic simulations allows predicting the structure-activity landscape more firmly, and smaller tuning of the impact of substituents on both potency and selectivity. As can be seen by recent work, QSAR may not only suggest synthesis-guiding changes but also hint more effectively at deeper structures like activity cliffs and feature importance landscapes that would not have been revealed by more traditional SAR techniques. Along with the current progress in computing capability and the descriptor algorithm, the optimization of QSAR remains a potent pillar of the rational creation of future-generation BRAF inhibitors to treat melanoma.
Integrated in silico strategies for BRAF inhibitor design
In contemporary drug discovery, individual computational methods are progressively incorporated into multilayered in silico systems that complement each other to overcome the limitations of any single methodology, e.g. QSAR, molecular docking, and pharmacophore modeling. In the case of BRAF and other kinase targets, such synergistic integration does not only permit predicting biological activity upon chemical structure but also provides insights into binding conformations and aspects of spatial interaction such as docking and pharmacophore models and is all the more rapid in identifying promising lead molecules. The most frequent integrative workflow combines QSAR and molecular docking, where QSAR models are constructed to predict structural descriptors against inhibitory activity, and promising candidates are docked into the active site of the target to confirm predicted binding affinity and pose geometry. It is a dual technique that builds confidence in predictions as the cross-verification of the computational scores and the structural hypotheses, especially when dynamic flexibility and solvation effects are included in the latter simulations. A good example that is not related to BRAF but is directly applicable in principle is a recent study that used QSAR models together with docking and molecular dynamics simulations to identify new inhibitors against acetylcholinesterase, where hybrid model-based identification of new molecules with the best predicted binding and drug-like characteristics was observed to be superior to single-mode empirical screening only [62]. In addition to direct docking, pharmacophore modelling may be combined with QSAR to summarize key interaction properties - -hydrogen bond acceptors, hydrogen bond donors and hydrophobic centroids - across active ligands, and project these features onto QSAR models to optimize sets of descriptors. Other targets classes (e.g., FGFR3 inhibition) have also been successful with this type of integrated pharmacophore/QSAR/docking pipelines and show that a combination of spatial interaction hypotheses and statistical structure activity relationships can be used to obtain predictive models that balance 3D interaction logic with ligand pattern recognition [63].
The third key aspect of integration is an improvement of AI and machine learning superimposed on QSAR/docking/pharmacophore frameworks. Surveys of computational strategies centered on kinases point to the fact that machine learning-enhanced QSAR models with deep learning-based deep neural networks such as CNNs and RNNs are capable of independently identifying hierarchical and synergistic feature collections and improving selectivity and activity prediction to a significant level over classical linear QSAR. These improved ones frequently use structural databases, descriptor fingerprints, and experimental binding information in a combined training procedure, providing stronger classifiers to the results of kinase inhibition (Shahin et al., 2024). Besides, AI has the ability to quickly rank poses that are docked or pharmacophore hypotheses by learning scoring functions that are more likely to correlate with experimental data, accelerating virtual screening campaigns without compromising accuracy [64].
These combined in silico methods provide a compound lens, as a result of which it is possible to navigate chemical space more efficiently. QSAR adds predictive structure-activity relationships, docking positions the relationships to physical binding landscapes, and pharmacophore models present blueprints of predictable interactions. Such hybrid pipelines, with machine learning as reinforcement, provide multi-objective optimization, balancing potency and selectivity and drug-likeness, and greatly decrease the use of tedious experimental screening. This system’s view is especially useful in cancer immunotherapeutic indicators such as mutant BRAF, in which conformational plasticity, resistance mechanisms, and off-target profile limit the application of single-method design paradigms. Figure 4 described the QSAR integration with other Insilico approaches.
Figure 4. A schematic depiction of an integrated in silico drug discovery pathway to identify and maximize BRAF V600E inhibitors. In Step 1, target and data acquisition, which involves aspect of retrieval of the BRAF V600E protein structure, experimental structural data (X-ray crystallography and cryo-EM), curated chemical libraries (ZINC, ChEMBL), and biological activity datasets, are depicted. Step 2 identifies complementary computational design approaches that combine structural based drug design (SBDD) and ligand based drug design (LBDD). SBDD was performed, and molecular binding modes and stabilizations of the BRAF active site were examined with the help of molecular docking, scoring, and molecular dynamics. LBDD combines similarity searching (2D), pharmacophore modeling, QSAR analysis and machine learning to predict activity and rank compounds. The results of such approaches are combined by consensus scoring and virtual screening. Step 3 demonstrates candidate selection and optimization which encompasses hit identification, lead prioritization, scaffold diversification, and ADMET profiling, which have resulted in optimized BRAF inhibitors with increased selectivity, potency and clinical potential.
Challenges and future directions
Although the computational strategies of QSAR and its important methods have transformed drug discovery in modern times, a number of limitations encountered in its methodological and operational aspects still restrict its predictive capacity and translational use. The most fundamental of such limitations is the reliance on the quality of data and representativeness; QSAR models can be as strong as the data sets on which these are trained. Scattered, high noise, or irregularly measured bioactivity data compromises model generalizability and frequently results in overfitting or false prophesies particularly in chemical spaces of interest that are not well represented by the training data. Here even well-established QSAR models may fail on structurally novel compounds and it has been shown that larger, more diverse and better-annotated databases are needed to make them reliable predictors [45].
Model interpretability and transparency is another challenge that has remained. The QSAR algorithms of the past are commonly based on linear descriptors that are readily interpretable, but possess a limited expressiveness, whereas the modern machine learning and deep-learning examples are more predictive but are often treated as black boxes. This obscurity precludes the derivation of mechanistic information and is a nuisance to regulatory acceptance, in which a clear knowledge of how a foretelling was produced is becoming more significant to the safety evaluation and decision-making procedure.
QSAR models also have a limited usefulness as well as applicability domain (AD). The inherent nature of each of the models is that it can only be used to give predictions within the chemical and biological space that the model is trained on, and its extrapolations are speculative and unreliable. The quantification of the AD and its expansion represented by uncertainty estimation and domain metrics is an active field of study but not yet easily applicable in practice [65]. The fast-growing adoption of artificial intelligence (AI) and machine learning processes into the QSAR systems present enormous potential to identify the intricate nonlinear structure-activity relationships and allow multi-objective optimization. This integration does not go without challenges though. The attributes of AI models are generally large high-quality datasets and meticulous feature engineering to avoid biases and overfitting; skewed or incomplete data can distort the learning process and diminish model robustness. Another challenge involves ethical and regulatory reviews, where models aiding drug discovery must demonstrate transparency and validation to gain acceptance by regulators and clinicians.
Going forward, the use of personalized medicine in computational design is both an opportunity and a new complication. Precision medicine seeks to personalize treatment in accordance with personal genomic, proteomic and phenotypic data, which requires QSAR and AI models capable of combining multi-omics data and considering the unique response of a patient to drugs. Although such a transformation can lead to more patient-centric therapeutic design, it adds to the data needs and computational expenses, which highlights the point of federated learning, privacy-preserving algorithms, and interoperable data standards [66]. The next steps will depend on combined activities to enhance data curation and sharing, create explainable AI that interacts between computational predictions and mechanistic understanding and enhance cooperation among computational scientists, medicinal chemists, and clinicians. These challenges can be overcome by QSAR and AI-enhanced modeling to achieve their full potential of facilitating precision drug discovery and personalized therapeutic interventions. 
Conclusion
BRAF-mutant melanoma points to the progress as well as unsolved problems of targeted oncology. Although the BRAF and MEK inhibitors have brought about a lot of improvements in clinical outcomes, resistance, tumor heterogeneity, and off-target toxicities still pose a compromise to the ability to achieve durable disease control. Within this context, QSAR-based drug discovery has become an active approach to support computing beyond a supportive tool, but it is now being used as a strategic approach to design and prioritize future-design BRAF inhibitors. In both classical 2D/3D models and recent machine-learning-based methods, QSAR facilitates effective chemical-space search, uncovers non-intuitive structure-activity correlations, and rational lead optimization. It can be used to predict more confidently and facilitate a more mechanistic understanding with its combination with docking, pharmacophore modeling, molecular dynamics, and AI. In the future, it is possible to envision the opportunity of using QSAR together with concepts of precision medicine to find a way of developing more selective, enduring, and personalized therapeutic approaches to melanoma with BRAF tumors.
Declaration
Acknowledgments

No applicable.

Ethics approval

No applicable.

Data availability

The data will be available upon request.

Funding

None.

Authors’ contribution

XCY, YD, GYZ, ZYC and YYZ performed the literature search and data collection. YWZ, CPL, ZHF, ZHM, ZHM, JX and ZXW conducted the critical analysis of the included studies. XCY, YD, ZXW, WKH, XY, JG and DH wrote the masnuctipt.

Competing interests

The authors declare no competing interests.
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Cite this article: Yu XC, Ding Y, Zhang GY, Cao ZY, Zhao YY, Zhu YW, Li CP, Fan ZH, Ma ZH, Xu JW, et al: QSAR-driven optimization of small-molecule inhibitors against BRAF-mutant melanoma. Asia Pac J Oncol 2025, 6: 70-81. https://doi.org/10.32948/ajo.2025.10.24

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