Treatment of liver metastases from colorectal cancer with hepatic artery occlusion, intraportal 5‐fluorouracil infusion, and oral allopurinol. A randomized clinical trial

Background. Regional therapy for colorectal liver metastases aimed at prolonging survival has not been tested fully in a randomized trial with untreated control subjects. This study explored the efficacy of temporary hepatic artery occlusion followed by intraportal infusion of 5‐fluorouracil(5‐FU) and oral allopurinol as biochemical modulators in prolonging the survival of patients with nonresectable liver metastases and no extrahepatic cancer.

[1]  P. Rougier,et al.  Hepatic arterial infusion of floxuridine in patients with liver metastases from colorectal carcinoma: long-term results of a prospective randomized trial. , 1992, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[2]  M. Inbar,et al.  Treatment of advanced colorectal cancer by 5‐fluorouracil-leucovorin combination with or without allopurinol: a prospective randomized study , 1991, Anti-Cancer Drugs.

[3]  M. Buyse,et al.  Hepatic artery ligation with and without portal infusion of 5-FU. A randomized study in patients with unresectable liver metastases from colorectal carcinoma. The E.O.R.T.C. Gastrointestinal Cancer Cooperative Group (G.I. Group). , 1991, European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology.

[4]  J. K. Martin,et al.  Intra-arterial floxuridine vs systemic fluorouracil for hepatic metastases from colorectal cancer. A randomized trial. , 1990, Archives of surgery.

[5]  N. Kemeny,et al.  Randomized study of continuous infusion fluorouracil versus fluorouracil plus cisplatin in patients with metastatic colorectal cancer. , 1990, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[6]  J. Hannigan,et al.  A randomized trial of continuous intravenous versus hepatic intraarterial floxuridine in patients with colorectal cancer metastatic to the liver: the Northern California Oncology Group trial. , 1989, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[7]  L. Hutchins,et al.  Regional chemotherapy of liver metastases from colorectal carcinoma: hepatic artery or portal vein infusion? , 1988, Cancer treatment reviews.

[8]  P D Schneider,et al.  A prospective randomized trial of regional versus systemic continuous 5-fluorodeoxyuridine chemotherapy in the treatment of colorectal liver metastases. , 1987, Annals of surgery.

[9]  N. Geller,et al.  Intrahepatic or systemic infusion of fluorodeoxyuridine in patients with liver metastases from colorectal carcinoma. A randomized trial. , 1987, Annals of internal medicine.

[10]  B. Gustavsson,et al.  Intravesical high dose 5-fluorouracil instillations combined with allopurinol--a therapeutic alternative in the treatment of multiple bladder tumors. , 1984, The Journal of urology.

[11]  D. Ilstrup,et al.  The Natural History of Hepatic Metastases from Colorectal Cancer: A Comparison with Resective Treatment , 1984, Annals of surgery.

[12]  S. Howell,et al.  Effect of allopurinol on the toxicity of high‐dose 5‐fluorouracil administered by intermittent bolus injection , 1983, Cancer.

[13]  S. Howell,et al.  Modulation of 5‐fluorouracil toxicity by allopurinol in man , 1981, Cancer.

[14]  P. Jönsson,et al.  Natural history of patients with untreated liver metastases from colorectal cancer. , 1981, American journal of surgery.

[15]  C. Dukes,et al.  The classification of cancer of the rectum , 1980 .

[16]  M. Tattersall,et al.  ALLOPURINOL MODULATION OF HIGH-DOSE FLUOROURACIL TOXICITY , 1979, The Lancet.

[17]  J. Welch,et al.  Detection and treatment of recurrent cancer of the colon and rectum. , 1978, American journal of surgery.

[18]  I. Taylor Cytotoxic perfusion for colorectal liver metastases , 1978, The British journal of surgery.

[19]  L H Blumgart,et al.  A retrospective study of the natural history of patients with liver metastases from colorectal cancer. , 1976, Clinical oncology.

[20]  N. Kemeny Is hepatic infusion of chemotherapy effective treatment for liver metastases? Yes! , 1992, Important advances in oncology.

[21]  M. Buyse,et al.  Randomized phase II study of a combination of cisplatin (DDP), 5-fluorouracil (5-FU), and allopurinol (HPP) versus 5-FU in advanced colorectal carcinoma. An EORTC Gastrointestinal Tract Cancer Cooperative Group study. , 1990, Cancer investigation.

[22]  P. Creaven 5-Fluorouracil and folinic acid: summary of clinical experience. , 1988, Advances in experimental medicine and biology.

[23]  G. Carlsson,et al.  Arterial devascularisation procedures in the treatment of liver cancer. , 1986, Annales chirurgiae et gynaecologiae. Supplementum.

[24]  P. Woolley,et al.  A controlled trial of the effect of 4-hydroxypyrazolopyrimidine (allopurinol) on the toxicity of a single bolus dose of 5-fluorouracil. , 1985, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[25]  U. Tylén,et al.  Transient hepatic dearterialization followed by regional intra-arterial 5-fluorouracil infusion as treatment for liver tumors. , 1981, Annals of surgery.

[26]  Leissner Kh,et al.  Results of liver dearterialization combined with regional infusion of 5-fluorouracil for liver cancer. , 1976, Acta chirurgica Scandinavica.