@article{3051438, title = "Double biochemical modulation of 5-fluorouracil by methotrexate and folinic acid for the treatment of advanced colorectal cancer", author = "Polyzos, A and Tsavaris, N and Kosmas, C and Petrikos, G and and Stamatiadis, D and Kalahanis, N and Giannopoulos, A and Karatzas, G and and Sfikakis, PP", journal = "Clinical Drug Investigation", year = "1999", volume = "17", number = "2", pages = "83-88", publisher = "Adis International Ltd", issn = "1173-2563", doi = "10.2165/00044011-199917020-00001", abstract = "Objective: We investigated the double biochemical modulation of 5-fluorouracil (5-FU) by methotrexate (MTX) and folinic acid (FA) for the treatment of 65 patients with advanced colorectal cancer. In particular, we studied the response and toxicity of the regimen. Methods: A combination of MTX 130 mg/m(2) intravenously at day 0, followed 24 hours later by FA orally as MTX rescue, and FA 300 mg/m2 intravenously daily (days 1 to 4) followed by 5-FU 500 mg/m(2) intravenously daily (days 1 to 4) was administered. Results: Objective response was achieved by 23 patients, with three complete and 20 partial responses [35%: 95% confidence interval (CI) 23 to 48%]. Median survival of the group was 12 months (range 6 to 36 months). Conclusion: According to these results, double biochemical modulation of 5-FU : with MTX and FA led to a significantly higher response rate followed by considerable toxicity." }