A new nutriceutical to improve tolerance of adjuvant chemotherapy
https://doi.org/10.18027/2224-5057-2019-9-3-38-47
Abstract
Introduction. Treatment of malignant neoplasms often requires adjuvant chemotherapy (ACT). In real-life clinical practice, a high proportion of patients develop serious toxicities of anticancer therapy. Thus, the need to reduce treatment toxicity while maintaining the same dose levels of chemotherapeutic agents is a pressing challenge in oncology. This article presents the results of the study assessing the effects of the complex nutraceutical Oncoxin on ACT tolerability.
Materials and methods. The study included 133 patients aged 50 to 70 years with stage IIB — IIIC gastric cancer or stage IIB — IIIA non-small-cell lung cancer; 84 patients received Oncoxin, and 49 were in the control group.
Results. The study revealed that after two weeks, patients receiving Oncocoxin had a twice higher chance of significant (obvious) improvement in their quality of life (ESAS questionnaire) compared to the control group: OR 2.07 [95% CI 1.00-4.29]. By the end of the follow-up period (3 weeks), patients receiving Oncoxin had a significantly higher albumin level compared to the control group (38.1 [95% CI 37.1-39.1] g/L and 35.5 [95% CI 33.9-37.0], р =0.03, respectively). Moreover, the use of Oncoxin allowed significant reducing ACT-related liver toxicity.
Conclusions. This study conducted within our current clinical practice showed for the first time a high efficacy of Oncoxin in improving the quality of life of patients and reducing ACT toxicity.
About the Authors
D. R. KaydarovaRussian Federation
Dilyara R. Kaydarova - MD, PhD, DSc, Prof, Oncologist of Highest Qualification Category, Academician of the National Academy of Sciences of the Republic of Kazakhstan, Director KRIOR.
Almaty
Competing Interests: not
M. V. Kopp
Kazakhstan
Mikhail V. Kopp - MD, PhD, DSc, Professor of the Clinical Medicine Department.
Samara
Competing Interests: not
A. S. Mochalova
Russian Federation
Anastasia S. Mochalova - MD, PhD, Head of Anticancer Chemotherapy Department.
MoscowCompeting Interests: not
V. S. Pokrovsky
Russian Federation
Vadim S. Pokrovsky - MD, PhD, DSc, Prof, Head of Combination Tumor Therapy Laboratory, N.N. Blokhin National Medical Research Center of Oncology.
Moscow
Competing Interests: not
Zh. M. Akimzhanova
Kazakhstan
Zhanna M. Akimzhanova - Oncologist, Chemotherapy Department.
Almaty
Competing Interests: not
R. Z. Abdrakhmanov
Kazakhstan
Ramil Z. Abdrakhmanov - MD, PhD, Oncologist, Head of Chemotherapy Department No. 2.
Almaty
Competing Interests: not
E. V. Bilan
Russian Federation
Evgheni V. Bilan - Oncologist, Deputy Head of Oncology.
Khanty-MansiyskCompeting Interests: not
A. V. Byakhov
Russian Federation
Anton V. Byakhov - Oncologist, Chemotherapy Department.
Moscow
Competing Interests: not
S. N. Gurov
Russian Federation
Sergey N. Gurov - MD, PhD, Oncologist, Head of Chemotherapy Department.
Moscow
Competing Interests: not
I. A. Koroleva
Russian Federation
Irina A. Koroleva - MD, PhD, DSc, Professor of Clinical Medicine Department of Postgraduate Education.
Samara
Competing Interests: not
S. S. Povaga
Russian Federation
Svetlana S. Povaga - Oncologist, Chemotherapy Department.
Smolensk
Competing Interests: not
M. V. Raygorodsky
Russian Federation
Maxim V. Raygorodsky - Oncologist.
Chelyabinsk
Competing Interests: not
E. M. Saydasheva
Russian Federation
Elina M. Saydasheva - Assistant Professor at Pharmacology and Clinical Pharmacology Department.
Khanty-Mansiysk
Competing Interests: not
E. V. Shilova
Russian Federation
Ekaterina V. Shilova - Assistant Professor at Pharmacology and Clinical Pharmacology Departmentю
Khanty-Mansiysk
Competing Interests: not
B. Z. Dzhafarova
Russian Federation
Bakhaly Z. Dzhafarova - Assistant Professor at Pharmacology and Clinical Pharmacology Department.
Khanty-Mansiysk
Competing Interests: not
I. V. Turova
Russian Federation
Inna V. Turova - Assistant Professor at Pharmacology and Clinical Pharmacology Department.
Khanty-Mansiysk
Competing Interests: not
Yu. A. Petrovskaya
Russian Federation
Yulia A. Petrovskaya - MD, PhD, Associate Professor, Head of Pharmacology and Clinical Pharmacology Department.
Khanty-Mansiysk
Competing Interests: not
F. I. Petrovsky
Russian Federation
Fedor I. Petrovsky - MD, PhD, DSc, Professor at Pharmacology and Clinical Pharmacology Department.
Khanty-MansiyskCompeting Interests: not
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Review
For citations:
Kaydarova D.R., Kopp M.V., Mochalova A.S., Pokrovsky V.S., Akimzhanova Zh.M., Abdrakhmanov R.Z., Bilan E.V., Byakhov A.V., Gurov S.N., Koroleva I.A., Povaga S.S., Raygorodsky M.V., Saydasheva E.M., Shilova E.V., Dzhafarova B.Z., Turova I.V., Petrovskaya Yu.A., Petrovsky F.I. A new nutriceutical to improve tolerance of adjuvant chemotherapy. Malignant tumours. 2019;9(3):38-47. (In Russ.) https://doi.org/10.18027/2224-5057-2019-9-3-38-47