Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
1995-6-15
pubmed:abstractText
There is no known effective salvage chemotherapy for patients with refractory or relapsed urothelial tumors after methotrexate/cisplatin-based regimen. We report the results of a phase II trial with the FIFO regimen that includes from day 1 to 5: fluorouracil 350 mg/m2, folinic acid 20 mg/m2, and ifosfamide 1000 mg/m2, Q4W. Fifteen patients with metastatic measurable urothelial cancer were enrolled in this trial. Previous therapy included M-VAC regimen in 11 patients, CMV regimen in 3 patients, and both regimens in 1 patient. Thirty-one courses were delivered. Toxicity was moderate, including encephalopathy grade 2 in 2 patients and hematological toxicity grade 3 in 2 others. However, an early death occurred on day 1 in a patient who progressed rapidly and died from hepatic insufficiency after initial encephalopathy. No objective response was seen. Twelve patients progressed during FIFO therapy and 3 patients experienced a stable disease. Despite almost encouraging results of fluorouracil and ifosfamide in the literature, their combination according to our schedule is not active in urothelial cancer.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0735-7907
pubmed:author
pubmed:issnType
Print
pubmed:volume
13
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
276-9
pubmed:dateRevised
2006-4-24
pubmed:meshHeading
pubmed-meshheading:7743380-Adrenal Gland Neoplasms, pubmed-meshheading:7743380-Adult, pubmed-meshheading:7743380-Aged, pubmed-meshheading:7743380-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:7743380-Bone Neoplasms, pubmed-meshheading:7743380-Carcinoma, Transitional Cell, pubmed-meshheading:7743380-Fluorouracil, pubmed-meshheading:7743380-Hepatic Encephalopathy, pubmed-meshheading:7743380-Humans, pubmed-meshheading:7743380-Ifosfamide, pubmed-meshheading:7743380-Leucovorin, pubmed-meshheading:7743380-Liver Neoplasms, pubmed-meshheading:7743380-Lung Neoplasms, pubmed-meshheading:7743380-Male, pubmed-meshheading:7743380-Middle Aged, pubmed-meshheading:7743380-Neoplasm Recurrence, Local, pubmed-meshheading:7743380-Retroperitoneal Neoplasms, pubmed-meshheading:7743380-Salvage Therapy, pubmed-meshheading:7743380-Treatment Failure, pubmed-meshheading:7743380-Urologic Neoplasms
pubmed:year
1995
pubmed:articleTitle
Phase II trial of ifosfamide, fluorouracil, and folinic acid (FIFO regimen) in relapsed and refractory urothelial cancer.
pubmed:affiliation
Department of Medicine, Institut Gustave Roussy, Villejuif, France.
pubmed:publicationType
Journal Article, Clinical Trial, Clinical Trial, Phase II