A randomized study of two different schedules of methyl CCNU, 5-FU and vincristine for metastatic colorectal carcinoma

Cancer. 1979 Jan;43(1):78-82. doi: 10.1002/1097-0142(197901)43:1<78::aid-cncr2820430111>3.0.co;2-h.

Abstract

Sixty-seven patients with measurable colorectal carcinoma were randomized to receive two different schedules of Methyl CCNU, 5-FU and Vincristine (MOF). The treatment schedule consisted of Methyl CCNU 150 mg/m2 po q 70 days, 5-FU 300 mg/m2 iv for 5 consecutive days q 35 days, and Vincristine 1 mg/m2 IV q 35 days. The same total dose was used in each arm; in MOF A, the Methyl CCNU was given on day 1, while in MOF B, the Methyl CCNU was divided and given over 5 consecutive days. In MOF A, there was a 10% partial response rate and a 10% minor response rate. In MOF B, the partial response rate was 12% and the minor response rate was 21%. This difference is not statistically significant, but the patients in MOF B experienced less gastrointestinal toxicity (p less than .001).

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Antineoplastic Agents / administration & dosage*
  • Antineoplastic Agents / adverse effects
  • Clinical Trials as Topic
  • Colonic Neoplasms / drug therapy*
  • Digestive System / drug effects
  • Drug Administration Schedule
  • Drug Therapy, Combination
  • Female
  • Fluorouracil / administration & dosage
  • Humans
  • Male
  • Middle Aged
  • Neoplasm Metastasis / drug therapy
  • Rectal Neoplasms / drug therapy*
  • Remission, Spontaneous
  • Semustine / administration & dosage
  • Vincristine / administration & dosage

Substances

  • Antineoplastic Agents
  • Semustine
  • Vincristine
  • Fluorouracil