Creagan E T, Schutt A J, Long H J, Green S J
Med Pediatr Oncol. 1986;14(2):86-7. doi: 10.1002/mpo.2950140206.
Thirty patients with disseminated malignant melanoma received the combination DTIC, BCNU, actinomycin D, and vincristine. The objective response rate was 17 percent concomitant with moderate-to-severe nausea and vomiting in 80 percent of patients. Hematologic toxicity was transient. In the dose and schedule that we used, the four-drug regimen does not offer meaningful benefit for patients with advanced melanoma.