Dacarbazine and/or Cisplatin Compared With Complete Metastasectomy in Treating Patients With Stage IV Melanoma

• Status: Completed
• Trial end date: 2005-05-01
• Target enrollment: 0
• Participant gender: All

Summary

RATIONALE: Drugs used in chemotherapy, such as dacarbazine and cisplatin, work in different ways to stop tumor cells from dividing so they stop growing or die. Complete metastasectomy may be an effective treatment for metastatic melanoma and may improve quality of life and help patients live longer and more comfortably. It is not yet known whether complete metastasectomy is more effective than chemotherapy in treating stage IV melanoma.

PURPOSE: This randomized phase III trial is studying dacarbazine and/or cisplatin to see how well they work compared to complete metastasectomy in treating patients with stage IV melanoma.

• Phase: Phase 3
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: National Cancer Institute (NCI)
• Treatments: Cisplatin; Dacarbazine

Criteria

DISEASE CHARACTERISTICS:

• Diagnosis of metastatic melanoma

• Solitary pulmonary nodule may not be sole site of metastatic disease

• No disease limited to subcutaneous, cutaneous, or peripheral nodal (neck, axillary, groin, or iliac nodes) sites only

• Measurable disease

• Disease progression during or after prior interleukin-2 (IL-2)-based therapy OR ineligible for high-dose IL-2 therapy

• Metastatic disease amenable to complete surgical resection

• Less than 5% estimated mortality from surgery

• Prior complete metastasectomy allowed provided disease did not recur within 6 months after surgery

• No primary ocular or mucosal melanoma

• No brain metastases

PATIENT CHARACTERISTICS:

Age

• 16 and over

Performance status

• ECOG 0-2

Life expectancy

• More than 3 months

Hematopoietic

• WBC at least 3,000/mm^3 OR

• Absolute neutrophil count at least 1,500/mm^3

• Platelet count at least 100,000/mm^3

• No coagulation disorder

Hepatic

• Hepatitis B surface antigen negative

• Hepatitis C antibody negative

Renal

• Creatinine no greater than 1.6 mg/dL OR

• Creatinine clearance at least 70 mL/min

• No major medical illness of the renal system

Cardiovascular

• No major medical illness of the cardiovascular system

Pulmonary

• No major medical illness of the respiratory system

Other

• Not pregnant or nursing

• Negative pregnancy test

• Fertile patients must use effective contraception

• HIV negative

• No active systemic infection

• No form of primary or secondary immunodeficiency

PRIOR CONCURRENT THERAPY:

Biologic therapy

• See Disease Characteristics

Chemotherapy

• Not specified

Endocrine therapy

• Not specified

Radiotherapy

• No concurrent palliative radiotherapy

Surgery

• See Disease Characteristics

• No concurrent palliative surgery

Other

• More than 3 weeks since prior therapy for melanoma (except surgery)

• No other concurrent therapy for melanoma