FU-CIS colon(47)
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fluorouracil.... 300 mg/sqm/day by continuous infusion using
ambulatory infusion pump.
cisplatin....... 20 mg/sqm IV over 20 minutes.
FREQUENCY....... Repeat cisplatin therapy every 7 days. Continue
therapy for 12 weeks.
reference...
Cantrell JE Jr. Hart RD. Taylor RF. Harvey JH Jr. Pilot
trial of prolonged continuous-infusion 5-fluorouracil and
weekly cisplatin in advanced colorectal cancer. Cancer
Treatment Reports. 71(6):615-8, 1987 Jun.
abstract...
Thirty-five patients with previously untreated, advanced,
measurable metastatic colorectal carcinoma were treated with a
12-week course of continuous 5-fluorouracil (5-FU) and weekly
cisplatin. Twenty of 32 evaluable patients responded (five
complete and 15 partial responses), for an overall response
rate of 63% (90% confidence limits, 43%-75%). Toxicity was
generally mild and reversible and included mucositis (40%),
painful erythema of the palmar and plantar skin (30%),
diarrhea (21%), nausea and vomiting (15%), and leukopenia
(6%). One patient died of sepsis secondary to mucositis and
myelosuppression. This program is a well-tolerated outpatient
regimen for metastatic colorectal carcinoma. The response rate
is higher than expected for 5-FU and cisplatin and suggests
clinical therapeutic synergism at this dose rate and schedule.
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