SearchDictionaryMobileLogin Register FREE

High-dose folinic acid (HDFA) combined with 5-fluorouracil (5-FU) in first line chemotherapy of advanced large bowel cancer.

AbstractThe therapeutic activity of 5-FU in large bowel cancer is enhanced by increasing the intracellular pool of reduced folates. We treated 45 patients with advanced colon cancer with HDFA and 5-FU for 5 consecutive days. None had been given previous radio- or chemotherapy. All had measurable disease. Not one complete response was observed. Thirteen of the 39 evaluable patients showed partial response. Median duration of response was 9+ months. The probability of 50% survival was 15 months for all evaluable patients. There was no case of severe toxicity and the principal toxic effects were oral mucositis and diarrhea. To date, HDFA + 5-FU is one of the most effective treatments for large bowel cancer.
AuthorsC Barone, A Astone, C Garufi, A Grieco, A Cavallaro, G Netri, S Rossi, A Cassano, E Ricevuto, M R Noviello (Affiliation: Istituto di Clinica Medica, Università Cattolica del Sacro, Roma, Italy.)
JournalEuropean journal of cancer & clinical oncology (Eur J Cancer Clin Oncol) Vol. 23 Issue 9 Pg. 1303-6 (Sep 1987) ISSN: 0277-5379 ENGLAND
PMID3500048 (Publication Type: Journal Article)
Chemical References
  • Fluorouracil
  • Leucovorin
Topics
  • Adult
  • Aged
  • Antineoplastic Combined Chemotherapy Protocols (therapeutic use)
  • Colonic Neoplasms (drug therapy, mortality)
  • Diarrhea (chemically induced)
  • Female
  • Fluorouracil (administration & dosage, adverse effects)
  • Humans
  • Leucovorin (administration & dosage, adverse effects)
  • Liver Neoplasms (secondary)
  • Male
  • Middle Aged
  • Mouth Mucosa
  • Rectal Neoplasms (drug therapy, mortality)
  • Stomatitis (chemically induced)