Journal of Clinical Oncology, Vol 2, 316-319, Copyright © 1984 by American Society of Clinical Oncology
Vindesine in patients with metastatic malignant melanoma: a Southwest Oncology Group study
JM Quagliana, RL Stephens, LH Baker and JJ Costanzi
A phase II study using vindesine (3 mg/m2 by slow intravenous push at seven
to 14 day intervals) was carried out in 42 patients with metastatic
melanoma. There was one complete remission (2.5%) of greater than 12 months
duration; seven partial remissions (17.5%) of two, three, three, four,
five, six and eight months duration; 11 with no change (27.5%) of one to 10
months duration; and 21 (52.5%) patients with increasing disease. Toxicity
included neutropenia, neurotoxicity, phlebitis and cellulitis at the site
of injection, alopecia, fever and chills, myalgias, and gastrointestinal
toxicity. It was concluded that vindesine does have activity in some
patients with metastatic malignant melanoma. Further studies in previously
untreated patients are warranted.