A less toxic regimen of 5-fluorouracil and high-dose folinic acid for advanced gastrointestinal adenocarcinomas
1991

Less Toxic Treatment for Advanced Gastrointestinal Cancer

Sample size: 64 publication Evidence: moderate

Author Information

Author(s): P.W.M. Johnson, P.I. Thompson, M.T. Seymour, N.P. Deasy, R.C. Thuraisingham, M.L. Slevin, P.F.M. Wrigley

Primary Institution: ICRF Department of Medical Oncology, St Bartholomew's and Homerton Hospitals, London, UK

Hypothesis

Can a regimen of 5-fluorouracil and high-dose folinic acid be effective with lower toxicity for advanced gastrointestinal adenocarcinomas?

Conclusion

The study found that a new treatment regimen is effective with low toxicity for patients with advanced gastrointestinal adenocarcinomas.

Supporting Evidence

  • The overall response rate was 26% in evaluable patients.
  • No toxicity greater than WHO Grade II occurred.
  • Performance status improved in 60% of patients after treatment.

Takeaway

Doctors tested a new way to give medicine to cancer patients that is easier on their bodies, and it worked pretty well.

Methodology

Patients received a specific combination of folinic acid and 5-fluorouracil every two weeks for up to 12 courses, with assessments of response and toxicity.

Limitations

The study had a small sample size and was not a phase III trial.

Participant Demographics

Median age was 54 years, with 38% female; included various types of advanced adenocarcinomas.

Statistical Information

Confidence Interval

95% CI 15-37%

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