Fotemustine and Dacarbazine Versus Dacarbazine +/- Alpha Interferon in Advanced Malignant Melanoma

Inclusion Criteria

• •Histologically confirmed diagnosis of malignant melanoma in advanced stage or recurrent after surgery, and not amenable to further surgery or local therapy.
• •Presence of measurable disease
• •Age \> or = 18 years and \< or = 75 years
• •Performance status (ECOG) 0 - 2 (Appendix 2)
• •Life expectancy ³ 3 months
• •Adequate bone marrow function (ANC ³ 2,000/mmc; PTL ³ 100,000/mmc; Hb ³ 10 gr/dl), normal liver and renal function (bilirubin \< 1.25 x N, creatinine \< 1.25 x N, SGOT, SGPT \< 3 times upper normal limit of testing laboratory.
• •Written, informed consent prior to study specific procedures, with the understanding that the patient has the right to withdraw from the study at any time, without prejudice.
• •Prior surgery \> 3 weeks from initiating .
• •If palliative radiation is needed, in case of non target lesions, it must be given prior to initiating chemotherapy. If palliative radiation is required during the study the patient should be permanently discontinued from further treatment.
• •Adequate contraceptive measures during study participation for sexually active patients of child bearing potential must implement.