The effect of tamoxifen and cisplatin on the disease-free and overall survival of patients with high risk malignant melanoma
2000

Tamoxifen and Cisplatin for Melanoma Treatment

Sample size: 153 publication Evidence: moderate

Author Information

Author(s): McClay E F, McClay M E T, Monroe L, Baron P L, Cole D J, O'Brien P H, Metcalf J S, Maize J C

Primary Institution: University of California, San Diego

Hypothesis

Does the combination of tamoxifen and cisplatin improve disease-free and overall survival in high-risk malignant melanoma patients?

Conclusion

Tamoxifen and cisplatin positively impact disease-free and overall survival in high-risk malignant melanoma patients.

Supporting Evidence

  • The disease-free survival (DFS) is 68.4% and overall survival (OS) is 84.5% after 36 months.
  • Kaplan–Meier analysis predicts a 5-year DFS of 62% and OS of 79%.
  • Relapses after 20 months have been rare.
  • The major toxicity was gastrointestinal, with nausea being the most prevalent symptom.

Takeaway

This study tested a combination of two drugs, tamoxifen and cisplatin, to help people with a serious skin cancer called melanoma live longer and stay healthier after treatment.

Methodology

Phase II trial with 153 patients receiving 4 cycles of tamoxifen and cisplatin, followed by regular evaluations.

Limitations

The study's results are preliminary and need confirmation in a larger randomized trial.

Participant Demographics

Patients with high-risk malignant melanoma.

Digital Object Identifier (DOI)

10.1054/bjoc.1999.1220

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