Phase II trial of PALA in combination with 5-fluorouracil in advanced pancreatic cancer.

Autor: Rosvold, E, Schilder, R, Walczak, J, DiFino, S M, Flynn, P J, Banerjee, T K, Heim, W J, Engstrom, P F, Ozols, R F, O'Dwyer, P J
Zdroj: Cancer Chemotherapy & Pharmacology; Jul1992, Vol. 29 Issue 4, p305-308, 4p
Abstrakt: Phosphonacetyl-L-aspartate (PALA), in inhibitor of aspartate transcarbamylase that depletes uridine nucleotide pools, selectively potentiates the antitumor activity of 5-fluorouracil (5-FU) in preclinical models. Due to the promising results we obtained using PALA/5-FU in colorectal cancer, we performed a phase II trial in patients presenting with advanced pancreatic cancer. PALA was given intravenously at 250 mg/m2 on day 1, followed 24 h later by 2,600 mg/m2 5-FU given by 24-h infusion. Treatments were repeated weekly. A total of 41 patients who had not previously undergone chemotherapy were entered in the trial; of these, 35 were evaluable for response. Toxicity was generally mild to moderate; neurotoxicity (13/35) and diarrhea (8/35) predominated. Among the 35 patients, 1 achieved a complete response and 4, a partial remission, for an overall response rate of 14%. The median survival was 5.1 months. Pretreatment with PALA alone was not sufficient to enhance the activity of 5-FU in pancreatic cancer. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index