Phase II Study of Trimetrexate, Fluorouracil, and Leucovorin for Advanced Colorectal Cancer

作者: C D Blanke , B Kasimis , P Schein , R Capizzi , M Kurman

DOI: 10.1200/JCO.1997.15.3.915

关键词:

摘要: PURPOSEA phase II study to evaluate the response rate and toxicities of a trimetrexate, fluorouracil (5FU), leucovorin regimen in patients with advanced incurable colorectal cancer.PATIENTS AND METHODSThirty-six unresectable or metastatic cancer who had not been treated for disease received following chemotherapy weekly six courses every 8 weeks: trimetrexate 110 mg/m2 intravenously (I.V.) on day 1, 200 I.V. 2 (24 hours later), 5FU 500 immediately leucovorin, oral 15 mg 6 seven doses starting after 5FU. Patients were until progression unacceptable toxicity.RESULTSThirty assessable response, all 36 toxicity. Two (7%) achieved complete (CR) 13 (43%) partial (PR), an overall (OR) 50% (95% confidence interval [CI], 32% 68%). Analysis by intent treat demonst...

参考文章(30)
Marc Ernstoff, Robert N. Dreyer, James T. Lin, John C. Marsh, Arlene R. Cashmore, Lloyd R. Whitfield, Anthony Grillo-Lopez, Margaret Baker, Robert Delap, Joseph R. Bertino, Phase I studies with trimetrexate: clinical pharmacology, analytical methodology, and pharmacokinetics. Cancer Research. ,vol. 47, pp. 609- 616 ,(1987)
J A Conti, N Kemeny, K Seiter, E Goker, W Tong, M André, K Ragusa, J R Bertino, Trial of sequential trimetrexate, fluorouracil, and high-dose leucovorin in previously treated patients with gastrointestinal carcinoma. Journal of Clinical Oncology. ,vol. 12, pp. 695- 700 ,(1994) , 10.1200/JCO.1994.12.4.695
T R Buroker, M J O'Connell, H S Wieand, J E Krook, J B Gerstner, J A Mailliard, P L Schaefer, R Levitt, C G Kardinal, D H Gesme, Randomized comparison of two schedules of fluorouracil and leucovorin in the treatment of advanced colorectal cancer. Journal of Clinical Oncology. ,vol. 12, pp. 14- 20 ,(1994) , 10.1200/JCO.1994.12.1.14
R Herrmann, J Spehn, J H Beyer, U von Franqué, A Schmieder, K Holzmann, U Abel, Sequential methotrexate and 5-fluorouracil: improved response rate in metastatic colorectal cancer. Journal of Clinical Oncology. ,vol. 2, pp. 591- 594 ,(1984) , 10.1200/JCO.1984.2.6.591
J A Conti, N E Kemeny, L B Saltz, Y Huang, W P Tong, T C Chou, M Sun, S Pulliam, C Gonzalez, Irinotecan is an active agent in untreated patients with metastatic colorectal cancer. Journal of Clinical Oncology. ,vol. 14, pp. 709- 715 ,(1996) , 10.1200/JCO.1996.14.3.709
Jaffer A. Ajani, James L. Abbruzzese, Jack S. Faintuch, Yehuda Z. Patt, Bruce M. Boman, Bernard Levin, Diane E. Jackson, Irwin H. Krakoff, A phase II study of trimetrexate therapy for metastatic colorectal carcinoma. Cancer Investigation. ,vol. 8, pp. 619- 621 ,(1990) , 10.3109/07357909009018929
Thomas D Brown, Thomas R Fleming, Phyllis J Goodman, John S Macdonald, Reginald P Pugh, Timothy OʼRourke, A randomized trial of two schedules of trimetrexate versus 5-fluorouracil in advanced colorectal cancer: a Southwest Oncology Group study. Anti-Cancer Drugs. ,vol. 6, pp. 219- 223 ,(1995) , 10.1097/00001813-199504000-00004
A. Romanini, W. W. Li, J. R. Colofiore, J. R. Bertino, Leucovorin Enhances Chtotoxicity of Trimetrexate/Fluorouracil, But Not Methotrexate/Fluorouracil, in CCRF-CEM Cells Journal of the National Cancer Institute. ,vol. 84, pp. 1033- 1038 ,(1992) , 10.1093/JNCI/84.13.1033
Louise B. Grochow, Dennis A. Noe, David S. Ettinger, Ross C. Donehower, A phase I trial of trimetrexate glucuronate (NSC 352122) given every 3 weeks: clinical pharmacology and pharmacodynamics. Cancer Chemotherapy and Pharmacology. ,vol. 24, pp. 314- 320 ,(1989) , 10.1007/BF00304765