A Phase II Trial of Vinblastine, Bleomycin, and Cisplatin Induction Followed by Dacarbazine and Dibromodulcitol Maintenance in the Treatment of Metastatic Melanoma A Follow-up Study of Twenty-Two Patients

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Abstract
Twenty-two patients with metastatic melanoma were treated with a chemotherapy regimen consisting of two cycles of induction therapy with vinblastine, bleomycin, and cisplatin, followed by maintenance therapy with dacarbazine and dibromodulcitol. A 17% response rate was noted in this patient group, with a median survival of 40 weeks. Objective responses were limited to cutaneous, nodal, pulmonary, and one adrenal site of metastatic disease. Toxicity was acceptable and was limited to myelosuppression and nausea with emesis. Further study appears warranted to define the optimal treatment plan for metastatic melanoma.