A randomised, phase II study of intetumumab, an anti-αv-integrin mAb, alone and with dacarbazine in stage IV melanoma
2011

Intetumumab in Stage IV Melanoma

Sample size: 129 publication Evidence: moderate

Author Information

Author(s): O'Day S, Pavlick A, Loquai C, Lawson D, Gutzmer R, Richards J, Schadendorf D, Thompson J A, Gonzalez R, Trefzer U, Mohr P, Ottensmeier C, Chao D, Zhong B, de Boer C J, Uhlar C, Marshall D, Gore M E, Lang Z, Hait W, Ho P

Primary Institution: The Angeles Clinic and Research Institute

Hypothesis

Does intetumumab, an anti-αv-integrin monoclonal antibody, improve outcomes in patients with stage IV melanoma when used alone or with dacarbazine?

Conclusion

Intetumumab shows a favorable safety profile and a nonsignificant trend towards improved overall survival in advanced melanoma, warranting further investigation.

Supporting Evidence

  • Median overall survival was 11 months for the combination of dacarbazine and intetumumab.
  • Patients receiving intetumumab alone had a median overall survival of 15 months.
  • Adverse events were mostly low grade and manageable.

Takeaway

This study tested a new drug called intetumumab for patients with advanced skin cancer. It didn't show clear benefits, but it seemed safe and might help some patients live longer.

Methodology

Patients were randomly assigned to receive either dacarbazine alone, intetumumab alone, or a combination of both, and were followed for survival outcomes.

Potential Biases

Potential bias due to the open-label design and crossover treatment options.

Limitations

The study had a small sample size and high crossover rates, which may affect the results.

Participant Demographics

Patients were adults aged 18 and older with histologically confirmed stage IV melanoma.

Digital Object Identifier (DOI)

10.1038/bjc.2011.183

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