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Tetrahydrofolic acid (THF) is required for the synthesis of both purine bases and thymidine. Formation of THF from folic acid involves dihydrofolate reductase. The folate analogues aminopterin and methotrexate (amethopterin) inhibit enzyme activity as false substrates. As cellular stores of THF are depleted, synthesis of DNA and RNA building blocks ceases.
Patients are randomly allotted to two groups, namely, the placebo and the active or test drug group. In a double-blind trial, neither the patients nor the treating physicians know which patient is given drug and which placebo. Finally, a switch from drug to placebo and vice versa can be made in a successive phase of treatment, the cross-over trial. |
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