Phase I Trial of High-Dose Infused Zidovudine Combined with Leucovorin plus Fluorouracil
作者:
BeitzJulie G.,
DamowskiJames W.,
CummingsFrank J.,
BrowneMarcia J.,
ClarkJeffrey W.,
BigleyJoseph W.,
WeitbergAlan B.,
期刊:
Cancer Investigation
(Taylor Available online 1995)
卷期:
Volume 13,
issue 5
页码: 464-469
ISSN:0735-7907
年代: 1995
DOI:10.3109/07357909509024908
出版商: Taylor&Francis
数据来源: Taylor
摘要:
This phase I trial evaluated a high-dose, short-term infusion of zidovudine (AZT) following oral leucovorin (LV) and bolus 5-fluorouracil (FUra). Thirteen patients with metastatic cancer received 30 cycles of therapy. Plasma monitoring demonstrated a dose-dependent increase in peak plasma levels of AZT through the range of dose levels, from 104.3±8.7μM at the 1.5 g/m2dose of AZT to 1312.6±165.9μM at the 11.0 g/m2dose. While AZT did not potentiate the usual clinical toxicities of LV plus FUra, an unexpected finding of symptomatic hypotension during the AZT infusion was the dose-limiting toxicity in this trial. One partial response was observed in a previously untreated patient with metastatic colorectal cancer. The maximal tolerated dose of AZT, 7.0 g/m2over 2 hr, is recommended for future phase II evaluation of this novel combination.
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