Temozolomide Versus Dacarbazine in Stage IV Metastatic Melanoma (Study P03267)
Melanoma
ClinicalTrials.gov recordTREATMENT READING
Source sections for this topic, with the original link and date. Patient and professional reading are labelled separately.
Not medical advice · Not a complete treatment or trial directory
Made by Triangle.
Selected text from the National Cancer Institute, with the original link and date. Made by Triangle. This page is not an NCI PDQ summary. Source topics may be broader than an individual diagnosis.
Source: Melanoma Treatment (PDQ®)–Patient Version, National Cancer Institute.
Source updated: May 16, 2025. Captured 2026-09-09.
Targeted therapy uses drugs or other substances to identify and attack specific cancer cells. Your doctor may suggest biomarker tests to help predict your response to certain targeted therapy drugs. Learn more about Biomarker Testing for Cancer Treatment.
Sources: biomarker tests · Biomarker Testing for Cancer Treatment
Targeted therapies used to treat melanoma include:
binimetinib
Sources: binimetinib
cobimetinib
Sources: cobimetinib
dabrafenib
Sources: dabrafenib
encorafenib
Sources: encorafenib
trametinib
Sources: trametinib
vemurafenib
Sources: vemurafenib
Learn more about Targeted Therapy to Treat Cancer.
Sources: Targeted Therapy to Treat Cancer
This page is made by Triangle. The reading above is selected source text, not a treatment recommendation, and it is not medical advice.
Source: Melanoma Treatment (PDQ®)–Patient Version, National Cancer Institute.
Source updated: May 16, 2025. Captured 2026-09-09.
Source: Melanoma Treatment (PDQ®)–Patient Version, National Cancer Institute.
Source updated: May 16, 2025. Captured 2026-09-09.
Vaccine therapy is a cancer treatment that uses a substance or group of substances to stimulate the immune system to find the tumor and kill it. Vaccine therapy is being studied in the treatment of stage III melanoma that can be removed by surgery.
Sources: stage III melanoma
Source: Melanoma Treatment (PDQ®)–Patient Version, National Cancer Institute.
Source updated: May 16, 2025. Captured 2026-09-09.
For information about side effects caused by treatment for cancer, visit our Side Effects page.
Sources: side effects · Side Effects
Source: Melanoma Treatment (PDQ®)–Patient Version, National Cancer Institute.
Source updated: May 16, 2025. Captured 2026-09-09.
As you go through treatment, you will have follow-up tests or check-ups. Some tests that were done to diagnose or stage the cancer may be repeated to see how well the treatment is working. Decisions about whether to continue, change, or stop treatment may be based on the results of these tests.
Some of the tests will continue to be done from time to time after treatment has ended. The results of these tests can show if your condition has changed or if the cancer has recurred (come back).
Source: Melanoma Treatment (PDQ®)–Patient Version, National Cancer Institute.
Source updated: May 16, 2025. Captured 2026-09-09.
Treatment of stage 0 is usually surgery to remove the area of abnormal cells and a small amount of normal tissue around it.
Learn more about these treatments in the Treatment Option Overview.
Sources: Treatment Option Overview
Use our clinical trial search to find NCI-supported cancer clinical trials that are accepting patients. You can search for trials based on the type of cancer, the age of the patient, and where the trials are being done. General information about clinical trials is also available.
Sources: clinical trial search · General information
Source: Melanoma Treatment (PDQ®)–Patient Version, National Cancer Institute.
Source updated: May 16, 2025. Captured 2026-09-09.
Treatment of stage I melanoma is usually surgery to remove the tumor and some of the normal tissue around it, with or without lymph node mapping and sentinel lymph node biopsy.
Sources: lymph node mapping · sentinel lymph node biopsy
Learn more about these treatments in the Treatment Option Overview.
Sources: Treatment Option Overview
Use our clinical trial search to find NCI-supported cancer clinical trials that are accepting patients. You can search for trials based on the type of cancer, the age of the patient, and where the trials are being done. General information about clinical trials is also available.
Sources: clinical trial search · General information
Source: Melanoma Treatment (PDQ®)–Patient Version, National Cancer Institute.
Source updated: May 16, 2025. Captured 2026-09-09.
Treatment of stage II melanoma may include:
surgery to remove the tumor and some of the normal tissue around it, with lymph node mapping and sentinel lymph node biopsy. If cancer is found in the sentinel lymph node, more lymph nodes may be removed.
Sources: lymph node mapping · sentinel lymph node biopsy · sentinel lymph node
surgery followed by immunotherapy with pembrolizumab if there is a high risk that the cancer will come back
Sources: immunotherapy · pembrolizumab
Learn more about these treatments in the Treatment Option Overview.
Sources: Treatment Option Overview
Use our clinical trial search to find NCI-supported cancer clinical trials that are accepting patients. You can search for trials based on the type of cancer, the age of the patient, and where the trials are being done. General information about clinical trials is also available.
Sources: clinical trial search · General information
Source: Melanoma Treatment (PDQ®)–Patient Version, National Cancer Institute.
Source updated: May 16, 2025. Captured 2026-09-09.
Treatment of stage III melanoma that can be removed by surgery may include:
immunotherapy with pembrolizumab before surgery
Sources: immunotherapy · pembrolizumab
surgery to remove the tumor and some of the normal tissue around it, with or without skin grafting to cover the wound caused by surgery. Sometimes lymph node mapping and sentinel lymph node biopsy are done to check for cancer in the lymph nodes at the same time as the surgery to remove the tumor. If cancer is found in the sentinel lymph node, more lymph nodes may be removed.
Sources: skin grafting · lymph node mapping · sentinel lymph node biopsy · lymph nodes · sentinel lymph node
surgery followed by immunotherapy with nivolumab, pembrolizumab, or ipilimumab if there is a high risk that the cancer will come back
Sources: nivolumab · ipilimumab
surgery followed by targeted therapy with dabrafenib and trametinib if there is a high risk that the cancer will come back
Sources: targeted therapy · dabrafenib · trametinib
Learn more about these treatments in the Treatment Option Overview.
Sources: Treatment Option Overview
Use our clinical trial search to find NCI-supported cancer clinical trials that are accepting patients. You can search for trials based on the type of cancer, the age of the patient, and where the trials are being done. General information about clinical trials is also available.
Sources: clinical trial search · General information
Source: Melanoma Treatment (PDQ®)–Patient Version, National Cancer Institute.
Source updated: May 16, 2025. Captured 2026-09-09.
Treatment of stage III melanoma that cannot be removed by surgery, stage IV melanoma, and recurrent melanoma may include:
Sources: recurrent
immunotherapy with pembrolizumab, nivolumab, ipilimumab, interleukin-2 (IL-2), nivolumab and relatimab, or atezolizumab, given alone or in combination
Sources: immunotherapy · pembrolizumab · nivolumab · ipilimumab · interleukin-2 · nivolumab and relatimab · atezolizumab
targeted therapy with dabrafenib, trametinib, vemurafenib, cobimetinib, encorafenib, binimetinib, given alone or in combination
Sources: targeted therapy · dabrafenib · trametinib · vemurafenib · cobimetinib · encorafenib · binimetinib
oncolytic virus therapy (talimogene laherparepvec) injected into the tumor
Sources: oncolytic virus therapy · talimogene laherparepvec
palliative therapy to relieve symptoms and improve the quality of life:
Sources: palliative therapy · quality of life
palliative therapy to relieve symptoms and improve the quality of life:
chemotherapy
surgery to remove lymph nodes or tumors in the lung, digestive tract, bone, or brain
Sources: lymph nodes · lung · digestive tract
radiation therapy to the brain, spinal cord, or bone
Sources: radiation therapy · spinal cord
Learn more about these treatments in the Treatment Option Overview.
Sources: Treatment Option Overview
Use our clinical trial search to find NCI-supported cancer clinical trials that are accepting patients. You can search for trials based on the type of cancer, the age of the patient, and where the trials are being done. General information about clinical trials is also available.
Sources: clinical trial search · General information
Melanoma
ClinicalTrials.gov recordMelanoma, Metastases
ClinicalTrials.gov recordMelanoma
ClinicalTrials.gov recordHigh Risk Stage III Melanoma
ClinicalTrials.gov recordMelanoma
ClinicalTrials.gov recordMalignant Melanoma
ClinicalTrials.gov recordCancer
ClinicalTrials.gov recordMelanoma
ClinicalTrials.gov recordMelanoma and Brain Metastases
ClinicalTrials.gov recordMelanoma of Unknown Primary, Recurrent Melanoma, Stage IIIB Cutaneous Melanoma AJCC v7, Stage IIIC Cutaneous Melanoma AJCC v7, Stage IV Cutaneous Melanoma AJCC v6 and v7
ClinicalTrials.gov recordMelanoma
ClinicalTrials.gov recordMelanoma
ClinicalTrials.gov recordMelanoma
ClinicalTrials.gov recordMalignant Melanoma
ClinicalTrials.gov recordUnresectable or Metastatic Melanoma
ClinicalTrials.gov recordMelanoma
ClinicalTrials.gov recordUnresectable or Metastatic Melanoma
ClinicalTrials.gov recordMelanoma
ClinicalTrials.gov recordMelanoma
ClinicalTrials.gov recordMelanoma and Brain Metastases
ClinicalTrials.gov recordClinical Stage III Cutaneous Melanoma AJCC v8, Clinical Stage IV Cutaneous Melanoma AJCC v8, Metastatic Melanoma, Recurrent Melanoma, Unresectable Melanoma
ClinicalTrials.gov recordMelanoma
ClinicalTrials.gov recordMetastatic Melanoma
ClinicalTrials.gov recordMelanoma
ClinicalTrials.gov recordMelanoma
ClinicalTrials.gov recordMelanoma
ClinicalTrials.gov recordMelanoma
ClinicalTrials.gov recordMelanoma
ClinicalTrials.gov recordMelanoma
ClinicalTrials.gov recordMelanoma, Surgery, Treatment Outcome
ClinicalTrials.gov recordAcral Lentiginous Melanoma, Clinical Stage III Cutaneous Melanoma AJCC v8, Clinical Stage IV Cutaneous Melanoma AJCC v8, Mucosal Melanoma
ClinicalTrials.gov recordMelanoma
ClinicalTrials.gov recordMalignant Melanoma Stage III
ClinicalTrials.gov recordMelanoma
ClinicalTrials.gov recordAdult patients with unresectable or metastatic melanoma previously treated with a PD-1 blocking antibody, and if BRAF V600 mutation positive, a BRAF inhibitor with or without a MEK inhibitor.
• in combination with binimetinib, for the treatment of patients with unresectable or metastatic melanoma with a BRAF V600E or V600K mutation, as detected by an FDA-authorized test.
1 INDICATIONS AND USAGE COTELLIC ® is a kinase inhibitor indicated: For the treatment of adult patients with unresectable or metastatic melanoma with a BRAF V600E or V600K mutation, in combination with vemurafenib.
1 INDICATIONS AND USAGE IMLYGIC is a genetically modified oncolytic viral therapy indicated for the local treatment of unresectable cutaneous, subcutaneous, and nodal lesions in patients with melanoma recurrent after initial surgery.
1.1 Melanoma KEYTRUDA QLEX ™ is indicated for the treatment of adult patients with unresectable or metastatic melanoma.
1.1 Melanoma KEYTRUDA ® is indicated for the treatment of patients with unresectable or metastatic melanoma.
Unresectable or metastatic melanoma and disease progression following ipilimumab and, if BRAF V600 mutation positive, a BRAF inhibitor
( 1.1 , 2.1 ) the adjuvant treatment of patients with melanoma with BRAF V600E or V600K mutations, as detected by an FDA-approved test, and involvement of lymph node(s), following complete resection.
1.2 Adjuvant Treatment of BRAF V600E or V600K Mutation-Positive Melanoma MEKINIST is indicated, in combination with dabrafenib, for the adjuvant treatment of patients with melanoma with BRAF V600E or V600K mutations as detected by an...
1 INDICATIONS AND USAGE MEKINIST is a kinase inhibitor indicated as a single agent for the treatment of BRAF-inhibitor treatment-naïve patients with unresectable or metastatic melanoma with BRAF V600E or V600K mutations as detected by...
In combination with dabrafenib for unresectable or metastatic melanoma with BRAF V600E or V600K mutations, as detected by an FDA-approved test
1.1 BRAF V600E or V600K Mutation-Positive Unresectable or Metastatic Melanoma MEKINIST ® is indicated, as a single agent in BRAF-inhibitor treatment-naïve patients or in combination with dabrafenib, for the treatment of patients with...
1.1 BRAF V600E or V600K Mutation-Positive Unresectable or Metastatic Melanoma MEKTOVI is indicated, in combination with encorafenib, for the treatment of patients with unresectable or metastatic melanoma with a BRAF V600E or V600K...
Melanoma
1) In combination with ipilimumab for unresectable or metastatic melanoma to remove the restriction for treatment of only patients with BRAF wild-type melanoma; 2) As a single agent for BRAF V600 mutation positive unresectable or...
In combination with ipilimumab for BRAF V600 wild-type unresectable or metastatic melanoma
Unresectable or metastatic melanoma and progression following ipilimumab and, if BRAF V600 mutation positive, a BRAF inhibitor
Pathologic Stage IIIA Cutaneous Melanoma AJCC v8
Pathologic Stage IIIB Cutaneous Melanoma AJCC v8
Pathologic Stage IIIC Cutaneous Melanoma AJCC v8
Pathologic Stage IIID Cutaneous Melanoma AJCC v8
1.2 Metastatic Melanoma Proleukin is indicated for the treatment of adults with metastatic melanoma.
Treatment of Stage 0 Melanoma
Treatment of Stage I Melanoma
Treatment of Stage IA Melanoma
Treatment of Stage IB Melanoma
Treatment of Stage II Melanoma
Treatment of Resectable Stage III Melanoma
Treatment of Stage III Melanoma That Can Be Removed By Surgery
Systematic Treatment for Unresectable Stage III, Stage IV, and Recurrent Disease
Treatment of Stage III Melanoma That Cannot Be Removed By Surgery, Stage IV Melanoma, and Recurrent Melanoma
1.3 Adjuvant Treatment of BRAF V600E or V600K Mutation-Positive Melanoma TAFINLAR is indicated, in combination with trametinib, for the adjuvant treatment of patients with melanoma with BRAF V600E or V600K mutations, as detected by an...
( 1.2 , 2.1 ) the adjuvant treatment of patients with melanoma with BRAF V600E or V600K mutations, as detected by an FDA-approved test, and involvement of lymph node(s), following complete resection.
In combination with trametinib for unresectable or metastatic melanoma with BRAF V600E or V600K mutations, as detected by an FDA-approved test
1.4 Melanoma TECENTRIQ HYBREZA, in combination with cobimetinib and vemurafenib, is indicated for the treatment of adult patients with BRAF V600 mutation-positive unresectable or metastatic melanoma as determined by an FDA-approved test...
1.4 Melanoma TECENTRIQ, in combination with cobimetinib and vemurafenib, is indicated for the treatment of adult patients with BRAF V600 mutation-positive unresectable or metastatic melanoma [see Dosage and Administration (2.1) ] .
In combination with nivolumab for treatment of adult patients with unresectable advanced cutaneous melanoma who experienced disease progression with a programmed death receptor-1 (PD-1)-blocking antibody-based regimen
• Adjuvant treatment of adult patients with cutaneous melanoma with pathologic involvement of regional lymph nodes of more than 1 mm who have undergone complete resection, including total lymphadenectomy.
1 INDICATIONS AND USAGE ZELBORAF ® is a kinase inhibitor indicated for the treatment of patients with unresectable or metastatic melanoma with BRAF V600E mutation as detected by an FDA-approved test.
AMTAGVI is a tumor-derived autologous T cell immunotherapy indicated for the treatment of adult patients with unresectable or metastatic melanoma previously treated with a PD-1 blocking antibody, and if BRAF V600 mutation positive, a...
DailyMed labelCOTELLIC ® is a kinase inhibitor indicated: For the treatment of adult patients with unresectable or metastatic melanoma with a BRAF V600E or V600K mutation, in combination with vemurafenib. ( 1.1 , 14.1 ) As a single agent for the...
DailyMed labelIMLYGIC is a genetically modified oncolytic viral therapy indicated for the local treatment of unresectable cutaneous, subcutaneous, and nodal lesions in patients with melanoma recurrent after initial surgery. Limitations of use :...
DailyMed labelMEKINIST is a kinase inhibitor indicated as a single agent for the treatment of BRAF-inhibitor treatment-naïve patients with unresectable or metastatic melanoma with BRAF V600E or V600K mutations as detected by an FDA-approved test. (...
DailyMed labelTAFINLAR is a kinase inhibitor indicated as a single agent for the treatment of patients with unresectable or metastatic melanoma with BRAF V600E mutation as detected by an FDA-approved test. ( 1.1 , 2.1 ) TAFINLAR is indicated, in...
DailyMed labelTUDRIQEV™ is indicated in combination with nivolumab for the treatment of adult patients with unresectable advanced cutaneous melanoma who experienced disease progression with a programmed death receptor-1 (PD-1)-blocking antibody-based...
DailyMed labelYERVOY is a human cytotoxic T-lymphocyte antigen 4 (CTLA-4)-blocking antibody indicated for: Melanoma • Treatment of unresectable or metastatic melanoma in adults and pediatric patients 12 years and older as a single agent or in...
DailyMed labelZELBORAF ® is a kinase inhibitor indicated for the treatment of patients with unresectable or metastatic melanoma with BRAF V600E mutation as detected by an FDA-approved test. ( 1.1 , 2.1 ) ZELBORAF ® is indicated for the treatment of...
DailyMed label