Patient description: A 22-year-old Caucasian man came to the Clinic with a history of tremors since a year ago. The tremor was first in his right hand while holding something. Later the tremor became continuous and extended to both hands and legs and even at rest. The Kayser-Fleischer' ring was detected in the ophthalmologic exam. The physical exam revealed jaundice, hepatosplenomegaly and hypotonia of the upper limbs. He had a constant smile on his face, however, he has aggressive behavior according to his parents' explanation. His laboratory study was significant for a low serum caeruloplasmin (0.05 g/l), and a raised 24 hour urine copper excretion (120 μg/24 h). Wilson disease was confirmed by high liver copper concentration (305 μg/g dry weight of liver).

Clinical trial eligibility criteria: eligible ages (years): 18.0-999.0,  Melanoma Naïve to treatment for locally advanced unresectable disease (Stage IIIB and C). Prior adjuvant therapy (including immunotherapy, e.g., ipilimumab) is allowed if prior to nodal recurrence and ≥ 3 months have elapsed from the last day of adjuvant therapy to start of study treatment2. Biopsy proven unresected melanoma with palpable regional lymph node. 2. Biopsy proven unresected melanoma patients with palpable regional lymph node metastases, presenting with AJCC stage IIIB-C or with recurrent regional lymphadenopathy that are not suitable or not prefered for surgcal intervention. 3. BRAF V600 mutation positive. 4. Eastern Cooperative Oncology Group performance status of 0 or 1. 5. Measurable disease per Response Evaluation in Solid Tumors (RECIST) 1.1 6. Adequate hematologic, renal and liver function within 7 days prior to the first dose of vemurafenib and cobimetinib. 7. Agree to always use an effective form(s) of contraception beginning from the informed consent signature date until at least 6 months after completion of study therapy. 8. Negative serum pregnancy test within 14 days prior to start of treatment in women of childbearing potential only. 9. Absence of any psychological, familial, sociological, or geographical condition potentially hampering compliance with the study protocol and follow-up schedule  Cannot have received any prior therapy for the current recurrence or nodal disease. Previous adjuvant immunotherapy is allowed if prior to nodal recurrence and ≥ 3 months have elapsed from the last day of adjuvant therapy to start of study treatment. 2. History of prior RAF or MEK pathway inhibitor treatment. 3. Active malignancy (other than BRAF-mutated melanoma) or a previous malignancy within the past 3 years are excluded; except for patients with resected melanoma, resected basal cell carcinoma (BCC), resected cutaneous squamous cell carcinoma (SCC), resected melanoma in situ, resected carcinoma in-situ of the cervix, and resected carcinoma in-situ of the breast. 4. Evidence of distant metastatic disease. 5. History of clinically significant liver disease (including cirrhosis), current alcohol abuse, or known infection with Human Immunodeficiency Virus (HIV), hepatitis B virus, or hepatitis C virus. 6. Active infection or chronic infection requiring chronic suppressive antibiotics. 7. Pregnant or breastfeeding at the time of enrollment. 8. Active autoimmune disease (e.g., systemic lupus erythematosus, autoimmune vasculitis, inflammatory bowel disease [Crohn's disease and ulcerative colitis]). 9. Acromegaly 10. History of malabsorption or other clinically significant metabolic dysfunction. 11. Any other serious concomitant medical condition that would compromise safety or compromise the ability to participate in the study. 12. Requires a concomitant medication or dietary supplement that is prohibited during the study. 13. Unwillingness or inability to comply with study and follow-up procedures. 14. Current, recent (within 28 days of enrolment) or planned use of any investigational product outside of this study. 15. The following foods or supplements are prohibited at least 7 days prior to initiation of and during study treatment: 1. St. John's wort or hyperforin 2. Grapefruit juice 16. History of or evidence of retinal pathology on ophthalmologic examination that is considered a risk factor for neurosensory retinal detachment / central serous chorioretinopathy (CSCR), retinal vein occlusion (RVO), or neovascular macular degeneration. 17. Currently are known to have the following conditions: 1. Uncontrolled glaucoma with intra-ocular pressures with > 21 mmHg 2. Retinal venous occlusion (RVO) 3. Hypertensive retinopathy 18. Clinically significant cardiac dysfunction, including the following: 1. Current unstable angina 2. Current symptomatic congestive heart failure of New York Heart Association class 2 or higher 3. History of congenital long QT syndrome or QTcF > 450 msec at baseline or uncorrectable abnormalities in serum electrolytes (sodium, potassium, calcium, magnesium, phosphorus). 4. Current uncontrolled hypertension ≥Grade 2 (patients with a history of hypertension controlled with anti-hypertensives to ≤ Grade 1 are eligible). 5. Left ventricular ejection fraction (LVEF) below institutional lower limit of normal (LLN) or below 50%, whichever is lower. 17. Palliative radiotherapy or major surgery within 14 days prior to first dose of study treatment