To compare the progression free survival time, overall response rate, and adverse events of Sunitinib with Dacarbazine.
Patients will be randomised equally between the two arms:
Patients will attend clinic visits every 3 weeks and undergo medical imaging every 12 weeks.
Patients will continue to be followed up after they have stopped treatment (if they maintain consent to do so). At first progression of disease, patients may be eligible to crossover to the other study treatment.
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"The experience and treatment I received at the Royal Liverpool Hospital was so fantastic that I had to tell the people involved with my treatment how marvelous they were, so please would you pass on my thanks and gratitude to Professor Neoptolemos and his team of surgeons, the wonderful doctors and nursing staff" - Anon (Participant in ESPAC-3(v2) trial)
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