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Mechanism–Based Improvement in the Therapeutic Selectivity of 5-FU Prodrug Alone and Under Conditions of Metabolic Modulation

 

作者: Youcef M. Rustum,  

 

期刊: Oncology  (Karger Available online 1997)
卷期: Volume 54, issue 1  

页码: 7-11

 

ISSN:0030-2414

 

年代: 1997

 

DOI:10.1159/000227738

 

出版商: S. Karger AG

 

关键词: Modulation;UFT®;Leucovorin;Uracil

 

数据来源: Karger

 

摘要:

To compare the antitumor activity of Tegafur (150 mg/kg/day) with continuous intravenous infusion of 5-fluorouracil (5-FU) (12.5 mg/kg/day) and with oral UFT® (60 mg/kg/day) with and without low- or high-dose leucovorin (50 or 200 mg/kg/day), rats with advanced colon cancer were treated with Tegafur or UFT® 3 times daily for 28 days and 5-FU by continuous intravenous infusion for 28 days. UFT® alone had a complete remission (CR) rate of 38%, whereas Tegafur and 5-FU produced no CRs. When high-dose leucovorin was added, the CR rate for UFT® increased to 75%; Tegafur plus high-dose leucovorin resulted in only a partial remission rate of 50%, with no CRs; low-dose leucovorin was not as effective as the high dose. Hence, UFT® clearly offers significant therapeutic advantages over Tegafur and protracted infusion of 5-FU. High-dose leucovorin is essential for significant modulation of drug action in this t

 

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