A randomized phase II trial of 5-fluorouracil, with or without human interferon-β, for advanced colorectal cancer
1999

5-Fluorouracil with or without Interferon-β for Colorectal Cancer

Sample size: 49 publication Evidence: moderate

Author Information

Author(s): Villar-Grimalt A, Candel M T, Massuti B, Lizón J, Sánchez B, Frau A, Gorostidi B, Goedkoop R

Hypothesis

Does the addition of human interferon-β improve the efficacy of 5-fluorouracil in treating advanced colorectal cancer?

Conclusion

The addition of interferon-β to 5-fluorouracil significantly improved response rates, time to progression, and survival without significantly increasing toxicity.

Supporting Evidence

  • The addition of IFN-β improved response rate from 4.5% to 33.3%.
  • Median time to progression increased from 4.2 months to 7.2 months with the combination therapy.
  • Median survival time improved from 7.2 months to 15.9 months with the addition of IFN-β.
  • More patients receiving monotherapy discontinued treatment due to disease progression.

Takeaway

This study found that adding a medicine called interferon-β to another medicine, 5-fluorouracil, helps people with advanced colorectal cancer live longer and feel better.

Methodology

Patients were randomized to receive either 5-FU alone or in combination with IFN-β, with treatment lasting for 52 weeks or until disease progression.

Limitations

The study was limited to chemotherapy-naive patients and may not be generalizable to all colorectal cancer patients.

Participant Demographics

Chemotherapy-naive patients with unresectable, advanced colorectal carcinoma.

Statistical Information

P-Value

P = 0.021

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6690422

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