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NCT00091572 · CITED IN SOURCE DOCUMENTS

Temozolomide Versus Dacarbazine in Stage IV Metastatic Melanoma (Study P03267)

An NCI or FDA source cites this study. A citation does not establish that it applies to an individual diagnosis.

Phase
PHASE3
Status at capture
COMPLETED
Registry last update
2017-06-06

The purpose of this study is to ascertain if the extended schedule of Temozolomide, which allows increased doses and potential depletion of the enzyme underlaying resistance, is a more effective treatment of metastatic melanoma than single agent dacarbazine.

Open the original ClinicalTrials.gov record → · Download preserved record

What did the study report?

Outcomes, safety and baseline populations are separate source sections. Quality-of-life measures appear under their original outcome titles.

Who could take part
eligibility Criteria
Inclusion Criteria: * Histologically confirmed, stage IV, surgically incurable melanoma * Age 18 years or older * World Health Organization (WHO) Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 * Meets protocol requirements for specified laboratory values * Must be able to take oral medication * Must be disease free from cancer for period of 5 years (except for surgically cured carcinoma in-situ of the cervix and basal or squamous cell carcinoma of the skin). * Women of childbearing potential and men must be practicing a medically approved contraception. * Must provide written informed-consent to participate in the study. * Must have full recovery from major surgery or adjuvant treatment * No clinically uncontrolled infectious disease including HIV or AIDS-related illness Exclusion Criteria: * Ocular melanomas * Brain Metastases * Prior cytokine or chemotherapy for stage IV disease * Pregnant or nursing women
healthy Volunteers
false
minimum Age
18 Years
sex
ALL
std Ages
  1. ADULT
  2. OLDER_ADULT
Treatment arms and interventions
arm Groups
  1. description
    temozolomide 150 mg/m2/day PO, on 7 consecutive days every 14 days ("7 days on / 7 days off" continuously)
    intervention Names
    1. Drug: Temozolomide
    label
    A
    type
    EXPERIMENTAL
  2. description
    dacarbazine 1000 mg/m2 IV, on Day 1 +/- 3 days every 3 weeks
    intervention Names
    1. Drug: Dacarbazine
    label
    B
    type
    ACTIVE_COMPARATOR
interventions
  1. arm Group Labels
    1. A
    description
    oral capsule; 150 mg/m2/day PO (by mouth), on 7 consecutive days every 14 days ("7 days on / 7 days off" continuously); one cycle of temozolomide is defined as a 6-week period; treatment will continue until progression of the disease, unacceptable toxicity, subject refusal, or opinion of the treating physician that it is in the subject's best interest to stop.
    name
    Temozolomide
    other Names
    1. Temodal, Temodar, SCH 52365
    type
    DRUG
  2. arm Group Labels
    1. B
    description
    intravenous solution; dacarbazine 1000 mg/m2 IV (in the vein), on Day 1 +/- 3 days every 3 weeks; one cycle of dacarbazine is defined as a 3-week period; treatment will continue until progression of the disease, unacceptable toxicity, subject refusal, or opinion of the treating physician that it is in the subject's best interest to stop.
    name
    Dacarbazine
    other Names
    1. DTIC-Dome
    type
    DRUG
Study design
allocation
RANDOMIZED
intervention Model
PARALLEL
masking Info
masking
NONE
primary Purpose
TREATMENT
Enrollment
count
859
type
ACTUAL
Registered outcome plans (not posted results)
primary Outcomes
  1. description
    Overall Survival was defined as the time from the date of randomization to the date of death from any cause.
    measure
    Overall Survival
    time Frame
    The final analysis was to be performed when at least 616 deaths had occurred.
secondary Outcomes
  1. description
    Progression free survival was defined as the time from the date of randomization to the date of disease progression or the date of death regardless of the cause.
    measure
    Progression Free Survival
    time Frame
    Treatment continued until disease progression or unacceptable toxicity. Patients will be followed for survival.
  2. description
    Based on investigator's assessment of response in subjects with measurable lesions. Objective response = complete response + partial response. Complete response = disappearance of all target lesions. Partial response = at least a 30% decrease in the sum of longest diameter of target lesions taking as reference the baseline sum longest diameter.
    measure
    Objective Response Rate in Subjects With Measurable Lesions
    time Frame
    Treatment continued until disease progression or unacceptable toxicity.
  3. description
    Duration of objective response was measured from the time the criteria were met for complete response or partial response to the first date that recurrent or progressive disease was objectively documented.
    measure
    Duration of Objective Response
    time Frame
    Treatment continued until disease progression or unacceptable toxicity.
Full study description
brief Summary
The purpose of this study is to ascertain if the extended schedule of Temozolomide, which allows increased doses and potential depletion of the enzyme underlaying resistance, is a more effective treatment of metastatic melanoma than single agent dacarbazine.
Source references
references
  1. citation
    Patel PM, Suciu S, Mortier L, Kruit WH, Robert C, Schadendorf D, Trefzer U, Punt CJ, Dummer R, Davidson N, Becker J, Conry R, Thompson JA, Hwu WJ, Engelen K, Agarwala SS, Keilholz U, Eggermont AM, Spatz A; EORTC Melanoma Group. Extended schedule, escalated dose temozolomide versus dacarbazine in stage IV melanoma: final results of a randomised phase III study (EORTC 18032). Eur J Cancer. 2011 Jul;47(10):1476-83. doi: 10.1016/j.ejca.2011.04.030. Epub 2011 May 18.
    pmid
    21600759
    type
    RESULT
Source notices and limitations
    Discovery and provenance
    1. release id
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      edge id
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      NCT00091572
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      true
      id
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      link basis
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      nct id
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      occurrences
      1. context exact
        se of temozolomide was compared with dacarbazine in a multicenter trial by the European Organisation for Research and Treatment of Cancer (EORTC) (EORTC-18032 [NCT00101218]) that randomly assigned 859 patients. No improvement was seen in OS or PFS for the temozolomide group, and this dose and schedule resulted in more toxicity th
        end
        331307
        exact text
        NCT00101218
        start
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      source file
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      source file sha256
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      source record id
      Source null
      source retrieved at
      2026-09-09T23:22:15.974415+00:00
      source string basis
      UTF-8_text_with_universal_newline_translation
      source string sha256
      10578b000af9132c9cfe25a00f45be6680f43e992f5c12f2b6697492c4a5ca2e
      source title
      Melanoma Treatment (PDQ®)–Health Professional Version
      source update dates
      1. context
        Updated: May 2, 2025
        datetime
        2025-05-02T12:00:00Z
        display
        May 2, 2025

    Preserved source evidence · Not medical advice