Phase II study of second-line therapy with DTIC, BCNU, cisplatin and tamoxifen (Dartmouth regimen) chemotherapy in patients with malignant melanoma previously treated with dacarbazine
2000

Second-line chemotherapy for melanoma

Sample size: 35 publication Evidence: low

Author Information

Author(s): Propper D J, Braybrooke J P, Levitt N C, O'Byrne K, Christodoulos K, Han C, Talbot D C, Ganesan T S, Harris A L

Primary Institution: ICRF Medical Oncology Unit, Churchill Hospital, Headington, Oxford, OX3 7LJ, UK

Hypothesis

Is the DBPT chemotherapy regimen effective for patients with malignant melanoma previously treated with dacarbazine?

Conclusion

The DBPT regimen is not effective for melanoma patients who are primarily refractory to DTIC, but may benefit a small subgroup.

Supporting Evidence

  • Thirty-five patients received the DBPT regimen.
  • Group 1 had 17 patients who were switched directly from DTIC to DBPT.
  • Group 2 had 18 patients who were not immediately switched and included those with partial response or stable disease.

Takeaway

Doctors tested a new combination of medicines for melanoma patients who didn't respond to an earlier treatment, and found it didn't work for most, but might help a few.

Methodology

Patients were divided into two groups based on their previous treatment responses and received the DBPT regimen.

Limitations

The study only included a small number of patients and did not find significant effectiveness in the primary refractory group.

Participant Demographics

Patients with progressive metastatic melanoma previously treated with dacarbazine.

Digital Object Identifier (DOI)

10.1054/bjoc.2000.1141

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