Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
1996-5-24
pubmed:abstractText
For patients with advanced, unresectable head and neck (HN) cancer, surgery and/or radiotherapy are the standard treatments but have poor results. A phase II trial of a continuous infusion of cisplatin, 5-FU, and high dose folinic acid (PFL) as induction chemotherapy in patients with previously untreated, locally advanced HN cancer was performed in an attempt to confirm the encouraging results reported by Dana Farber investigators using an identical regimen. Forty-five consecutive patients with unresectable HN cancer were treated every 28 days with a continuous infusion of cisplatin 25 mg/m(2)/day (days 1-5), 5-FU 800 mg/m(2)/day (days 2-6), and folinic acid 500 mg/m(2)/day (days 1-6). After three courses of chemotherapy, patients were treated with surgery and/or radiotherapy. Objective responses were observed in 26 of 38(69%) evaluable patients with 14(37%) clinical complete responses. Grade III-IV toxicity was important and consisted mainly of mucositis and neutropenia that were found in 47 and 18%, respectively , of patients after the first course. There was one toxic death. PFL is an active, toxic induction regimen for far-advanced HN cancer, yielding a response rate in the range of the widely used cisplatin and 5-FU (PF) schedule; a comparative trial is warranted before concluding that PFL is superior to the latter combination.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0277-3732
pubmed:author
pubmed:issnType
Print
pubmed:volume
19
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
140-3
pubmed:dateRevised
2006-4-24
pubmed:meshHeading
pubmed-meshheading:8610637-Adult, pubmed-meshheading:8610637-Aged, pubmed-meshheading:8610637-Antidotes, pubmed-meshheading:8610637-Antimetabolites, Antineoplastic, pubmed-meshheading:8610637-Antineoplastic Agents, pubmed-meshheading:8610637-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:8610637-Carcinoma, Squamous Cell, pubmed-meshheading:8610637-Cause of Death, pubmed-meshheading:8610637-Cisplatin, pubmed-meshheading:8610637-Combined Modality Therapy, pubmed-meshheading:8610637-Female, pubmed-meshheading:8610637-Fluorouracil, pubmed-meshheading:8610637-Follow-Up Studies, pubmed-meshheading:8610637-Head and Neck Neoplasms, pubmed-meshheading:8610637-Humans, pubmed-meshheading:8610637-Leucovorin, pubmed-meshheading:8610637-Male, pubmed-meshheading:8610637-Middle Aged, pubmed-meshheading:8610637-Mucous Membrane, pubmed-meshheading:8610637-Neutropenia, pubmed-meshheading:8610637-Remission Induction, pubmed-meshheading:8610637-Survival Rate
pubmed:year
1996
pubmed:articleTitle
Cisplatin, 5-fluorouracil, and high-dose folinic acid in patients with advanced unresectable head and neck cancer.
pubmed:affiliation
Department of Oncology, Hospital Clinico Universitario, Malaga, Spain.
pubmed:publicationType
Journal Article, Clinical Trial, Clinical Trial, Phase II