Dacarbazine-vindesine versus dacarbazine-vindesine-cisplatin in disseminated malignant melanoma. A randomised phase III trial
(1998) In European Journal of Cancer 34(9). p.1368-1374- Abstract
In a multicentre phase III study of disseminated malignant melanoma performed in Sweden and Norway, 326 patients were randomised to receive treatment with the combination dacarbazine [DTIC] (D) and vindesine (V) with or without the addition of cisplatin (P). D was given intravenously (i.v.) at a dose of 250 mg/m2 days 1-5 every 4 weeks and V was given i.v. at a dose of 3.0 mg/m2 day 1 weekly. P was given i.v. at a dose of 100 mg/m2 day 1 every 4 weeks. There was no statistically significant difference in overall survival between the treatment arms (P = 0.22). Increased toxicity was observed in the treatment arm containing P of which leucopenia, alopecia and nausea/vomiting were the most pronounced. The median time to progression was... (More)
In a multicentre phase III study of disseminated malignant melanoma performed in Sweden and Norway, 326 patients were randomised to receive treatment with the combination dacarbazine [DTIC] (D) and vindesine (V) with or without the addition of cisplatin (P). D was given intravenously (i.v.) at a dose of 250 mg/m2 days 1-5 every 4 weeks and V was given i.v. at a dose of 3.0 mg/m2 day 1 weekly. P was given i.v. at a dose of 100 mg/m2 day 1 every 4 weeks. There was no statistically significant difference in overall survival between the treatment arms (P = 0.22). Increased toxicity was observed in the treatment arm containing P of which leucopenia, alopecia and nausea/vomiting were the most pronounced. The median time to progression was significantly longer in patients treated with DVP (4.2 versus 2.2 months, P = 0.007). In conclusion, adding P to DV did not change overall survival but did significantly increase toxicity.
(Less)
- author
- publishing date
- 1998
- type
- Contribution to journal
- publication status
- published
- keywords
- Adolescent, Adult, Aged, Antineoplastic Combined Chemotherapy Protocols/adverse effects, Cisplatin/administration & dosage, Dacarbazine/administration & dosage, Female, Hematologic Diseases/chemically induced, Humans, Lung Neoplasms/secondary, Male, Melanoma/drug therapy, Middle Aged, Nausea/chemically induced, Prospective Studies, Regression Analysis, Skin Neoplasms/drug therapy, Survival Analysis, Treatment Outcome, Vindesine/administration & dosage, Vomiting/chemically induced
- in
- European Journal of Cancer
- volume
- 34
- issue
- 9
- pages
- 1368 - 1374
- publisher
- Elsevier
- external identifiers
-
- scopus:17344382437
- pmid:9849419
- ISSN
- 0959-8049
- DOI
- 10.1016/s0959-8049(98)00068-9
- language
- English
- LU publication?
- no
- id
- b0b47a66-baa5-4015-ad7f-b51aa7ec59aa
- date added to LUP
- 2022-03-01 12:48:02
- date last changed
- 2024-01-07 23:30:28
@article{b0b47a66-baa5-4015-ad7f-b51aa7ec59aa, abstract = {{<p>In a multicentre phase III study of disseminated malignant melanoma performed in Sweden and Norway, 326 patients were randomised to receive treatment with the combination dacarbazine [DTIC] (D) and vindesine (V) with or without the addition of cisplatin (P). D was given intravenously (i.v.) at a dose of 250 mg/m2 days 1-5 every 4 weeks and V was given i.v. at a dose of 3.0 mg/m2 day 1 weekly. P was given i.v. at a dose of 100 mg/m2 day 1 every 4 weeks. There was no statistically significant difference in overall survival between the treatment arms (P = 0.22). Increased toxicity was observed in the treatment arm containing P of which leucopenia, alopecia and nausea/vomiting were the most pronounced. The median time to progression was significantly longer in patients treated with DVP (4.2 versus 2.2 months, P = 0.007). In conclusion, adding P to DV did not change overall survival but did significantly increase toxicity.</p>}}, author = {{Jungnelius, U and Ringborg, U and Aamdal, S and Mattsson, J and Stierner, U and Ingvar, C and Malmström, P and Andersson, R and Karlsson, M and Willman, K and Wist, E and Bjelkengren, G and Westberg, R}}, issn = {{0959-8049}}, keywords = {{Adolescent; Adult; Aged; Antineoplastic Combined Chemotherapy Protocols/adverse effects; Cisplatin/administration & dosage; Dacarbazine/administration & dosage; Female; Hematologic Diseases/chemically induced; Humans; Lung Neoplasms/secondary; Male; Melanoma/drug therapy; Middle Aged; Nausea/chemically induced; Prospective Studies; Regression Analysis; Skin Neoplasms/drug therapy; Survival Analysis; Treatment Outcome; Vindesine/administration & dosage; Vomiting/chemically induced}}, language = {{eng}}, number = {{9}}, pages = {{1368--1374}}, publisher = {{Elsevier}}, series = {{European Journal of Cancer}}, title = {{Dacarbazine-vindesine versus dacarbazine-vindesine-cisplatin in disseminated malignant melanoma. A randomised phase III trial}}, url = {{http://dx.doi.org/10.1016/s0959-8049(98)00068-9}}, doi = {{10.1016/s0959-8049(98)00068-9}}, volume = {{34}}, year = {{1998}}, }