Abstract
A total of 14 patients with platinum-resistant advanced epithelial ovarian cancer were treated with a continuous infusion of high-dose 5-fluorouracil (5-FU, 1200 mg/m2 per day) for 2 consecutive days weekly for 4 weeks and, thereafter, every 2 weeks in combination with a push injection of folinic acid (20 mg/m2) given just before 5-FU and after 24 h. No objective response was documented, and only five patients showed stable disease. The median survival was 6.5 months. There was minimal toxicity. This schedule of 5-FU in combination with folinic acid is not effective as second-line chemotherapy in advanced ovarian cancer.
Similar content being viewed by others
References
Bagley CM, Young RC, Canellos GP, De Vita VT (1972) Treatment of ovarian carcinoma: possibilities for progress. N Engl J Med 287: 856
Budd GT, Fleming TR, Bukowski RM, McCracken JD, Rivkin SE, O'Bryan RM, Balcerzak SP, Macdonald JS (1987) 5-Fluorouracil and folinic acid in the treatment of metastatic colorectal cancer: a randomized comparison. A Southwest Oncology Group study. J Clin Oncol 5: 272
Cannistra SA (1993) Cancer of the ovary. N Engl J Med 329: 1550
Canon J-L, Humblet Y, Symann M (1990) Resistance to cisplatin: how to deal with the problem? Eur J Cancer 26: 1
De Gramont A, Krulik M, Cady J, Lagadec B, Maisani J-E, Loiseau J-P, Grange J-D, Gonzalez-Canali G, Demuynck B, Louvet C, Seroka J, Dray C, Debray J (1988) High-dose folinic acid and 5-fluorouracil bolus and continuous infusion in advanced colorectal cancer. Eur J Cancer Clin Oncol 24: 1499
Erlichman C, Fine S, Wong A, Elhakim T (1988) A randomized trial of 5-fluorouracil and folinic acid in patients with metastatic colorectal carcinoma. J Clin Oncol 6: 469
Louvet C, Gramont A de, Demuynck B, Varette C, Beerblock K, Bennamoun M, Krulik M (1992) Bi-weekly 2-day schedule of high-dose folinic acid, 5-fluorouracil bolus and infusion in pretreated advanced epithelial ovarian cancer: a phase II study. Ann Oncol 3: 657
Pinedo HM, Peters GJ (1988) Fluorouracil: biochemistry and pharmacology. J Clin Oncol 6: 1653
Poon MA, O'Connell MJ, Moertel CG, Wieand HS, Cullinan SA, Everson LK, Krook JE, Mailliard JA, Laurie JA, Tschetter LK, Wiesenfeld M (1989) Biochemical modulation of fluorouracil: evidence of significant improvement of survival and quality of life in patients with advanced colorectal carcinoma. J Clin Oncol 7: 1407
Seifert P, Baker LH, Reed ML, Vaitkevicius VK (1975) Comparison of continuously infused 5-fluorouracil with bolus injection in treatment of patients with colorectal adenocarcinoma. Cancer 36: 123
Thigpen JT, Vance RB, Khansur T (1993) Second-line chemotherapy for recurrent carcinoma of the ovary. Cancer 71: 1559
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Kamphuis, J.T., Huider, M.C., Ras, G.J. et al. High-dose 5-fluorouracil and leucovorin as second-line chemotherapy in patients with platinum-resistant epithelial ovarian cancer. Cancer Chemother. Pharmacol. 37, 190–192 (1995). https://doi.org/10.1007/BF00685649
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00685649