Purpose: Melanoma is one of the most aggressive types of cancer with currently no chance of cure once the disease has spread to distant sites. Therapeutic options for advanced stage III and IV are very limited, mainly palliative, and show response in only ∼20% of all cases. The presented preclinical study was done to investigate the influence of a combined treatment of the epidermal growth factor receptor inhibitor erlotinib and the vascular endothelial growth factor monoclonal antibody bevacizumab in melanoma. Experimental Design and Results: The epidermal growth factor receptor was expressed in all cell lines tested, and treatment with erlotinib did inhibit the activation of the MEK/ extracellular signal-regulated kinase and AKT signaling pathways. Whereas in vitro no influence on tumor cell proliferation was seen with erlotinib or bevacizumab monotherapy, a decreased invasive potential on erlotinib treatment in a three-dimensional Matrigel assay was observed. Furthermore, both drugs inhibited proliferation and sprouting of endothelial cells. In vivo, in a severe combined immunodeficient mouse xenotransplantation model, reduction in tumor volume under combined treatment with erlotinib and bevacizumab was superior to the additive effect of both single agents. This was associated with reduced cell proliferation, increased apoptosis, and a reduction in tumor angiogenesis compared with control or single treatment groups. Likewise, the reduction in the extent of lymph node and lung metastasis was most pronounced in animals treated with both drugs. Conclusion: The presented data strongly support the use of a combination of erlotinib and bevacizumab as a novel treatment regimen for metastatic melanoma.Malignant melanoma is the most aggressive type of skin cancer. It accounts for 3% of all skin cancers but is responsible for at least 80% of skin cancer-related deaths (1). The incidence of melanoma, especially among Caucasians, has been rapidly increasing within the last decades. The disease outcome of melanoma patients depends on depth of invasion of the primary tumor, tumor burden, ulceration, and sites of metastasis. Wide excision of malignant melanoma in early stages leads to complete cure and a 5-year survival rate of 95%. Involvement of the regional lymph node basin reduces the 5-year survival rates to as low as 26% and spreading to distant sites (lung, liver, and brain) decreases the 1-year survival to 41% and the 5-year survival rates to 14% (2). Despite many efforts to find improved therapeutic regimens, none was proven to be superior to cytostatic therapy with dacarbazine, which itself is associated with response rates of only 10% to 15% and rarely leads to complete remissions.Recently, novel targeted drugs directed against the epidermal growth factor (EGF) receptor (EGFR; erbB1) or the vascular endothelial growth factor (VEGF) have been shown to have significant clinical activity in different types of cancer (3-7).Signaling through the EGFR affects cellular functions from proliferation to differenti...