A randomized trial of two schedules of trimetrexate versus 5-fluorouracil in advanced colorectal cancer: a Southwest Oncology Group study.

Abstract:

:Trimetrexate (TMQ), a non-classical folate antagonist, was studied in a randomized controlled trial in patients with advanced colorectal cancer and without prior chemotherapy. Patients were randomly assigned to one of three treatments: TMQ at 200 mg/m2 i.v. q 2 weeks, TMQ at 12 mg/m2 i.v. daily x 5 or 5-fluorouracil (5-FU) at 15 mg/kg i.v. weekly. Overall response rates were: 6% (four partial responses in 71 patients, 95% CI of 2-14%) for q 2 week TMQ, 0% (zero of 29, 95% CI of 0-29%) for daily x 5 TMQ and 18% (two complete and nine partial responses in 62 patients, 95% CI of 9-30%) for 5-FU. Median survival estimates were 10.3 months for the q 2 week TMQ schedule, 8.7 months for the daily x 5 TMQ schedule and 13.6 months for the 5-FU schedule. Grade < or = 3 toxicities were significantly more common with TMQ. TMQ does not appear to have significant antitumor activity against colorectal cancer.

journal_name

Anticancer Drugs

journal_title

Anti-cancer drugs

authors

Brown TD,Fleming TR,Goodman PJ,Macdonald JS,Pugh RP,O'Rourke T

doi

10.1097/00001813-199504000-00004

subject

Has Abstract

pub_date

1995-04-01 00:00:00

pages

219-23

issue

2

eissn

0959-4973

issn

1473-5741

journal_volume

6

pub_type

临床试验,杂志文章,随机对照试验
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    journal_title:Anti-cancer drugs

    pub_type: 杂志文章

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    pub_type: 杂志文章

    doi:10.1097/CAD.0000000000000803

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    pub_type: 临床试验,杂志文章

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    journal_title:Anti-cancer drugs

    pub_type: 杂志文章

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    更新日期:1995-10-01 00:00:00

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    journal_title:Anti-cancer drugs

    pub_type: 杂志文章,评审

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    pub_type: 杂志文章,多中心研究

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    pub_type: 临床试验,杂志文章

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    更新日期:2003-01-01 00:00:00

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    journal_title:Anti-cancer drugs

    pub_type: 临床试验,杂志文章,多中心研究

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    更新日期:1992-06-01 00:00:00

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    journal_title:Anti-cancer drugs

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    更新日期:2006-11-01 00:00:00

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    更新日期:2015-07-01 00:00:00

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    journal_title:Anti-cancer drugs

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    更新日期:2006-09-01 00:00:00

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    journal_title:Anti-cancer drugs

    pub_type: 杂志文章

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    authors: Olas B,Wachowicz B,Buczyński A

    更新日期:2000-07-01 00:00:00

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    journal_title:Anti-cancer drugs

    pub_type: 临床试验,杂志文章,随机对照试验

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    更新日期:1999-07-01 00:00:00

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    abstract::It is well known that the anti-cancer drug cisplatin has an ototoxic property; however, the details are not yet evident. In this study, the expression of inducible nitric oxide synthase (INOS/NOS II) in the vestibule of guinea pigs after i.p. injections of cisplatin was examined immunohistochemically. Three days after...

    journal_title:Anti-cancer drugs

    pub_type: 杂志文章

    doi:10.1097/00001813-200001000-00005

    authors: Watanabe K,Hess A,Bloch W,Michel O

    更新日期:2000-01-01 00:00:00