Paradoxical effects of 5-FU/folinic acid on lymphokine-activated killer (LAK) cell induction in patients with colorectal cancer
1990

Effects of 5-FU and Folinic Acid on Immune Response in Colorectal Cancer

Sample size: 21 publication Evidence: moderate

Author Information

Author(s): H. Onodera, S.S. Somers, P.J. Guillou

Primary Institution: Academic Surgical Unit, St Mary's Hospital Medical School, London, UK

Hypothesis

Does treatment with 5-FU/folinic acid enhance lymphokine-activated killer (LAK) cell induction in patients with colorectal cancer?

Conclusion

The treatment with 5-FU/folinic acid significantly augmented the capacity to generate LAK cells in patients with advanced colorectal cancer.

Supporting Evidence

  • LAK cell generation was significantly higher on days 14, 28, and 35 compared to pre-treatment values.
  • Patients with stable or diminishing disease were alive between 6 and 14 months after treatment.
  • 12 patients had progressive disease and ceased therapy after 2 months.

Takeaway

This study found that a cancer treatment called 5-FU combined with folinic acid can help the body make more immune cells that fight cancer.

Methodology

The study involved 21 patients with advanced colorectal cancer who received two cycles of 5-FU and folinic acid treatment, followed by evaluations of immune responses.

Limitations

The study had a small sample size and some patients were withdrawn from therapy due to disease progression.

Participant Demographics

The participants included 8 females and 13 males with a mean age of 60.7 years.

Statistical Information

P-Value

0.005

Statistical Significance

p<0.05

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