Sequential administration of thymidine, 5-fluorouracil, and PALA. A phase I-II study

Am J Clin Oncol. 1985 Aug;8(4):332-5. doi: 10.1097/00000421-198508000-00012.

Abstract

Twenty-seven patients with colorectal adenocarcinoma, (12) non-small cell bronchogenic carcinoma, (11) gastric adenocarcinoma (3), and adenocarcinoma of unknown primary lesion (1) were treated with the combination of thymidine (TdR), 5-fluorouracil (FU), and N-phosphonacetyl-L-aspartic acid (PALA). PALA 1 g/m2 was given over 1 hour on day 1, followed on day 2 by 30 g of TdR given over 3 hours. FU, 150-300 mg/m2, was administered sequentially over 1 hour immediately following TdR infusion. There were no responses seen using this dose schedule. Gastrointestinal and central nervous system toxicities were dose-limiting. Myelosuppression was seen at all dose levels and was not dose related. Fever and infection occurred in 16% and 3% of the courses. The maximum tolerated dosages on this schedule were PALA, 1 g/m2; TdR, 30 g; and FU, 250 mg/m2. Pharmacologic studies done revealed the following half-lives: TdR, 1.6 hours; thymine, 5.0 hours; FU, 6.8 hours; and FUDR, 3.7 hours. The significant prolongation of the half-life of FU with this drug combination implies that the tumor tissues may be exposed longer to the anticancer action of FU.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adenocarcinoma / drug therapy*
  • Adult
  • Aged
  • Antineoplastic Combined Chemotherapy Protocols
  • Aspartic Acid / administration & dosage
  • Aspartic Acid / analogs & derivatives*
  • Aspartic Acid / metabolism
  • Aspartic Acid / therapeutic use
  • Carcinoma, Bronchogenic / drug therapy*
  • Chromatography, High Pressure Liquid
  • Colonic Neoplasms / drug therapy*
  • Drug Administration Schedule
  • Drug Evaluation
  • Fluorouracil / administration & dosage
  • Fluorouracil / metabolism
  • Fluorouracil / therapeutic use*
  • Half-Life
  • Humans
  • Infusions, Parenteral
  • Middle Aged
  • Organophosphorus Compounds / therapeutic use*
  • Phosphonoacetic Acid / administration & dosage
  • Phosphonoacetic Acid / analogs & derivatives
  • Phosphonoacetic Acid / metabolism
  • Phosphonoacetic Acid / therapeutic use*
  • Stomach Neoplasms / drug therapy*
  • Thymidine / administration & dosage
  • Thymidine / metabolism
  • Thymidine / therapeutic use*

Substances

  • Organophosphorus Compounds
  • Aspartic Acid
  • sparfosic acid
  • Phosphonoacetic Acid
  • Fluorouracil
  • Thymidine