PMID- 1586984 OWN - NLM STAT- MEDLINE DCOM- 19920619 LR - 20190827 IS - 0344-5704 (Print) IS - 0344-5704 (Linking) VI - 30 IP - 1 DP - 1992 TI - A randomised phase II study of carmustine alone or in combination with tumour necrosis factor in patients with advanced melanoma. PG - 73-6 AB - Laboratory data suggest a synergistic interaction between carmustine (BCNU) and tumour necrosis factor (TNF) in melanoma. We therefore studied the activity of 200 mg/m2 BCNU given alone or in combination with 88 micrograms/m2 recombinant human TNF-alpha (rhTNF alpha) as a daily i.v. infusion for 5 days at 48-day intervals to patients with metastatic melanoma. In this randomised phase II trial, the rate of response to BCNU alone was 20% [95% confidence interval (CI), 2%-38%], and this was not improved by the addition of TNF (response rate, 10.5%; 95% CI, 1.3%-33%). Toxicity was higher in the combination arm, and there was no difference in survival. FAU - Jones, A L AU - Jones AL AD - Department of Medicine, Royal Marsden Hospital, London, U.K. FAU - O'Brien, M E AU - O'Brien ME FAU - Lorentzos, A AU - Lorentzos A FAU - Viner, C AU - Viner C FAU - Hanrahan, A AU - Hanrahan A FAU - Moore, J AU - Moore J FAU - Millar, J L AU - Millar JL FAU - Gore, M E AU - Gore ME LA - eng PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - Germany TA - Cancer Chemother Pharmacol JT - Cancer chemotherapy and pharmacology JID - 7806519 RN - 0 (Recombinant Proteins) RN - 0 (Tumor Necrosis Factor-alpha) RN - U68WG3173Y (Carmustine) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Antineoplastic Combined Chemotherapy Protocols/adverse effects/*therapeutic use MH - Carmustine/administration & dosage/blood/*therapeutic use MH - Drug Administration Schedule MH - Drug Evaluation MH - Drug Synergism MH - Female MH - Humans MH - Infusions, Intravenous MH - Male MH - Melanoma/*drug therapy MH - Middle Aged MH - Recombinant Proteins/administration & dosage/therapeutic use MH - Tumor Necrosis Factor-alpha/administration & dosage/*therapeutic use EDAT- 1992/01/01 00:00 MHDA- 1992/01/01 00:01 CRDT- 1992/01/01 00:00 PHST- 1992/01/01 00:00 [pubmed] PHST- 1992/01/01 00:01 [medline] PHST- 1992/01/01 00:00 [entrez] AID - 10.1007/BF00686489 [doi] PST - ppublish SO - Cancer Chemother Pharmacol. 1992;30(1):73-6. doi: 10.1007/BF00686489.