title: Treatment of advanced colorectal cancer with folinic acid and 5-fluorouracil in combination with cisplatinum.
abstract: 51 patients with metastatic colorectal cancer (stage Dukes D) were treated with intravenous (i.v.) infusion on days 1, 3, 5, 8 and 16 with folinic acid (200 mg/m2) and 5-fluorouracil (600 mg/m2), and on days 1, 8 and 16 with cisplatinum (25 mg/m2 i.v.); cycles were repeated every 4 weeks. All 51 patients were evaluable for toxicity and response criteria. 26 patients had objective responses (3 complete responses, 5.9%; 23 partial responses, 45.1%), relative risk 51% (95% confidence intervals 36.7-65.0%). Response duration ranged from 4 to 28.0 months (median 16.8). Overall median survival of all patients included was 14.7 months (range 3.0-33.0). Toxicity of WHO grade III, requiring dose reduction, occurred in 9 (18%) patients. The regimen described here appears to be active, safe and well tolerated for treatment of patients with advanced colorectal cancer.
authors.affiliation: Department of Internal Medicine and Medical Oncology, Wilhelminenspital, Vienna, Austria.
authors.forename: P
authors.initials: P
authors.lastname: Sagaster
authors.forename: R
authors.initials: R
authors.lastname: Essl
authors.forename: G
authors.initials: G
authors.lastname: Teich
authors.forename: E
authors.initials: E
authors.lastname: Fritz
authors.forename: M
authors.initials: M
authors.lastname: Wasilewski
authors.forename: H
authors.initials: H
authors.lastname: Umek
authors.forename: E
authors.initials: E
authors.lastname: Dünser
authors.forename: H
authors.initials: H
authors.lastname: Mascher
authors.forename: M
authors.initials: M
authors.lastname: Micksche
mesh_terms: D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D002945:Cisplatin / Q000008:administration & dosage; D003110:Colonic Neoplasms / Q000097:blood / Q000188:drug therapy* / Q000401:mortality; D005260:Female; D005472:Fluorouracil / Q000008:administration & dosage / Q000493:pharmacokinetics; D006801:Humans; D007262:Infusions, Intravenous; D002955:Leucovorin / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D012004:Rectal Neoplasms / Q000097:blood / Q000188:drug therapy* / Q000401:mortality; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D002945:Cisplatin; D002955:Leucovorin; D005472:Fluorouracil