Overview of N-(phosphonacetyl)-L-asparate + fluorouracil in clinical trials Journal Article


Authors: Martin, D. S.; Kemeny, N. E.
Article Title: Overview of N-(phosphonacetyl)-L-asparate + fluorouracil in clinical trials
Abstract: The clearest example of successful biochemical modulation of cancer chemotherapy in the laboratory, followed by initial failure to reproduce successful therapeutic results in the clinic, and then eventually followed by clinical success, is that of the combination of N-(phosphonacetyl)-l-asparate (PALA) and fluorouracil (5-FU). This review covers the biochemistry involved, the preclinical findings, the many clinical trials, and explains the differences between the initial unsuccessful and the later successful clinical studies. The overall findings demonstrate that, to be successful, the design of modulation-based clinical trials should adhere to the principles determined in preclinical studies. © 1992.
Keywords: review; fluorouracil; cancer combination chemotherapy; drug potentiation; nonhuman; neurotoxicity; colorectal cancer; liver toxicity; bone marrow suppression; antimetabolites, antineoplastic; antineoplastic combined chemotherapy protocols; drug administration schedule; antineoplastic activity; drug synergism; gastrointestinal toxicity; cancer regression; drug mechanism; forecasting; aspartic acid; clinical trials; uridine; intravenous drug administration; phosphonoacetic acid; maximum permissible dose; sparfosic acid; human; priority journal; support, non-u.s. gov't; support, u.s. gov't, p.h.s.; acyclouridine derivative
Journal Title: Seminars in Oncology
Volume: 19
Issue: 2 Suppl. 3
ISSN: 0093-7754
Publisher: Elsevier Inc.  
Date Published: 1992-04-01
Start Page: 228
End Page: 233
Language: English
PUBMED: 1557654
PROVIDER: scopus
DOI/URL:
Notes: Source: Scopus
Citation Impact
MSK Authors
  1. Nancy Kemeny
    543 Kemeny