Review Article

CoFactor: Folate Requirement for Optimization of 5-Fluouracil Activity in Anticancer Chemotherapy

Table 1

Preclinical studies of CoFactor.

Preclinical studyStudy conducted onRegimenProtocolResults

Bjelogrlić et al. (2007) [22]human colon cancer cells:
LS-174 and HT-29
CoFactor, LV, CoFactor/5-FU, LV/5-FUSingle agent concentrations ranged from 0.1 to 300 microM for 5-FU, CoFactor, and LV. In combined treatment, 5-FU concentration was matched with CoFactor or LV. Sulforodamine B cytotoxic test was used.CoFactor showed cytotoxic effect on both cell lines. Addition of LV did not change 5-FU cytotoxicity, whereas,
the combination of 5-FU with Co-
Factor revealed synergistic and add-
itive interactions.
Cantwell and Robbins (2005) [23]athymic nude miceLV- or CoFactor-
regimens of 5-FU combined with: irinotecan, oxaliplatin, bevacizumab or gemcitabine
A human tumor xenotransplant model for colorectaland pancreatic cancer in athymic nude mice was used as well as an in vivo Balb/c systemic toxicity model.           
CoFactor increases the therapeutic index of 5-FU- regimens since it induces equivalent or better antitumor response, less systemic toxicity and less weight loss as compared to LV-containing regimens.
Cantwell et al. (2004) [24]6–8 week old nude mice inoculated
subcutaneously with 2 × 106 HT-29 cells.
Combinations of 5-FU, CoFactor, leucovorin, and 𝛼 VEGF (recomb-
inant antibody, angiogenesis inhibitor)
When tumors reached 0.1–0.3 cm3 in volume, drugs were administered intraperitoneally. All drugs were dosed daily for 5 consecutive days with the exception of 𝛼 VEGF, dosed on day 1. CoFactor or LV were injected 20 minutes prior to 5-FU.Mean tumor volumes after Co-
Factor/VEGF/5-FU combination we-
re smaller than after 5-FU alone, CoFactor/FU, or leucovorin/5-FU. There was greater survival of mice treated with CoFactor/5-FU either with or without 𝛼 VEGF compared to mice treated with only 5-FU.