Induction of thymidine phosphorylase as a pharmacodynamic end-point in patients with advanced carcinoma treated with 5-fluorouracil, folinic acid and interferon alpha
2000

Thymidine Phosphorylase and Interferon Alpha in Cancer Treatment

Sample size: 21 publication Evidence: moderate

Author Information

Author(s): Braybrooke J P, Propper D J, O’Byrne K J, Koukourakis M I, Patterson A V, Houlbrook S, Love S D, Varcoe S, Taylor M, Ganesan T S, Talbot D C, Harris A L

Primary Institution: ICRF Medical Oncology Unit, Churchill Hospital, Oxford, OX3 7LJ, UK

Hypothesis

Can interferon alpha upregulate thymidine phosphorylase activity in patients treated with 5-fluorouracil and folinic acid?

Conclusion

A single dose of interferon alpha can significantly increase thymidine phosphorylase activity in patients receiving chemotherapy.

Supporting Evidence

  • Thymidine phosphorylase activity was detected in all patients.
  • 32% of patients had stable disease after treatment.
  • 5-FU and folinic acid alone did not induce thymidine phosphorylase activity.
  • A single dose of interferon alpha led to upregulation of thymidine phosphorylase within 2 hours.

Takeaway

This study shows that a medicine called interferon can help another medicine work better in cancer treatment by increasing an important enzyme.

Methodology

Patients with advanced carcinoma were treated with 5-FU and folinic acid, and TP activity was measured in their blood after administering interferon alpha.

Limitations

The study had a small sample size and variability in patient responses.

Participant Demographics

Patients with advanced carcinoma, specific demographics not detailed.

Statistical Information

P-Value

0.006

Statistical Significance

p=0.006

Digital Object Identifier (DOI)

10.1054/bjoc.2000.1230

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication