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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
22
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pubmed:dateCreated |
1989-12-11
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pubmed:abstractText |
Eighteen patients with hepatic metastases primarily from colorectal carcinoma were treated on a phase I protocol employing hepatic artery infusion (HAI) of 5-fluorouracil (FUra) and 5-iodo-2'-deoxyuridine (IdUrd) via implantable infusion pump. Patients received a 14-day continuous HAI of 300 mg/day FUra. During days 8-14 of therapy, patients received IdUrd as a separate 3-h HAI daily x 7. Treatment cycles were repeated every 28 days. IdUrd was escalated from 0.1 to 2.86 mg/kg/day x 7. Myelosuppression and stomatitis were mild and not dose limiting. Hepatotoxicity was dose limiting and similar to that reported for 5-fluoro-2'deoxyuridine alone administered as a 14-day infusion every month. One patient developed a clinical picture consistent with sclerosing cholangitis and another had biopsy-proven cholestasis and triaditis. Catheter complications occurred in 7 of 18 patients. Plasma concentrations of FUra during the 7-day continuous HAI of FUra alone were consistently either undetectable or very low (less than or equal to 0.1 microM). At level 3 (1.0 mg/kg/day IdUrd) and beyond, measurable plasma concentrations of FUra, iodouracil, and IdUrd were found at the end of the daily 3-h infusion of IdUrd. The maximum tolerated dose of IdUrd as administered in this trial is 2.2 mg/kg/day x 7 and the recommended starting dose for further clinical investigation is 1.7 mg/kg/day x 7.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0008-5472
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
15
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pubmed:volume |
49
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pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
6437-42
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2804987-Animals,
pubmed-meshheading:2804987-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:2804987-Dogs,
pubmed-meshheading:2804987-Drug Evaluation,
pubmed-meshheading:2804987-Female,
pubmed-meshheading:2804987-Fluorouracil,
pubmed-meshheading:2804987-Hepatic Artery,
pubmed-meshheading:2804987-Humans,
pubmed-meshheading:2804987-Idoxuridine,
pubmed-meshheading:2804987-Infusions, Intra-Arterial,
pubmed-meshheading:2804987-Liver,
pubmed-meshheading:2804987-Liver Neoplasms,
pubmed-meshheading:2804987-Male,
pubmed-meshheading:2804987-Middle Aged
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pubmed:year |
1989
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pubmed:articleTitle |
Phase I trial of hepatic artery infusion of 5-iodo-2'-deoxyuridine and 5-fluorouracil in patients with advanced hepatic malignancy: biochemically based combination chemotherapy.
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pubmed:affiliation |
University of Wisconsin Clinical Cancer Center, Madison.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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