Title
Standard Palliative Care Versus Standard Palliative Care Plus Polychemotherapy in Metastasized Malignant Melanoma
Standard Palliative Care Versus Standard Palliative Care Plus Polychemotherapy (CVD-Protocol) in the Second-Line Therapy of Distant Metastasized Malignant Melanoma
Phase
Phase 4Lead Sponsor
Dermatologic Cooperative Oncology GroupStudy Type
InterventionalStatus
Unknown statusIndication/Condition
Metastatic MelanomaIntervention/Treatment
dacarbazine vindesine cisplatin ...Study Participants
200The purpose of this multicenter study is to examine whether the proposed randomized treatment regime results in a significantly longer survival time and higher quality of life than any additionally applied multiple chemotherapy according to the CVD- scheme. So far neither established treatment regimes nor reliable data exist for the second-line chemotherapy of metastatic malignant melanoma. Patients are therefore mostly treated with single or multiple chemotherapeutics or/and immunomodulatory therapeutics. These regimes however imply often not only a higher toxicity but show rarely a response rate higher than 10%.
Inclusion Criteria: histological diagnosis of metastatic melanoma (stage IV) progressive disease after first-line chemotherapy or immuno-chemotherapy Karnofsky-index > 60% informed consent Exclusion Criteria: Uvea melanoma another primary malignancy except basal cell carcinoma or cervical carcinoma in situ severe and/or uncontrolled medical disease (diabetes mellitus, cardiac insufficiency)