FU-L colon(48)
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fluorouracil.... 600 mg/sqm IV bolus 1 hour after start of
leucovorin.
leucovorin...... 500 mg/sqm IV over 2 hours.
FREQUENCY....... Repeat every 7 days and continue for 6 weeks.
reference...
Petrelli N. Herrera L. Rustum Y. Burke P. Creaven P.
Stulc J. Emrich LJ. Mittelman A. A prospective randomized
trial of 5-fluorouracil versus 5-fluorouracil and high-dose
leucovorin versus 5-fluorouracil and methotrexate in
previously untreated patients with advanced colorectal
carcinoma. Journal of Clinical Oncology. 5(10):1559-65, 1987
Oct.
abstract...
Seventy-four previously untreated patients with metastatic
colorectal adenocarcinoma were prospectively randomized into
one of three treatment regimens: (1) 5-fluorouracil (5-FU) 450
mg/m2 as an intravenous (IV) bolus daily for five days or
toxicity, then 200 mg/m2 IV bolus every other day for six
doses; (2) methotrexate (MTX) 50 mg/m2 in normal saline by IV
infusion over four hours followed by an IV bolus of 5-FU 600
mg/m2. This was administered weekly for 4 weeks and then every
2 weeks. (3) Leucovorin 500 mg/m2 in a two-hour IV infusion of
normal saline with 5-FU 600 mg/m2 as an IV bolus one hour
after the Leucovorin began every week for 6 weeks. The
combined complete and partial response rates in the three
regimens were 11%, 5%, and 48%, respectively (P = .0009). The
median duration of response in the 5-FU and Leucovorin regimen
was 10 months. There was no statistically significant
difference between the treatment regimens with respect to
survival time (P = .6). Toxicity in the 5-FU and Leucovorin
regimen was predominantly diarrhea (13 of 30 patients, 40%).
In this regimen, eight of 13 patients (52%) who developed
diarrhea not only required a dose reduction of 5-FU, but also
hospitalization for IV hydration. The predominant toxicity in
the 5-FU alone regimen and the 5-FU and MTX regimen was
leukopenia. One drug-related death occurred in each regimen.
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