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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. Kaydarova
Kazakh Research Institute of Oncology and Radiology
Russian 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
«Reaviz» Medical University
Kazakhstan

Mikhail V. Kopp - MD, PhD, DSc, Professor of the Clinical Medicine Department.

Samara


Competing Interests: not


A. S. Mochalova
MEDSI Clinical Hospital
Russian Federation

Anastasia S. Mochalova - MD, PhD, Head of Anticancer Chemotherapy Department.

Moscow

Competing Interests: not


V. S. Pokrovsky
N.N. Blokhin National Medical Research Center of Oncology
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
Unitary Enterprise Based on the Right of Economic Management «Almaty Oncology Center», Almaty Healthcare Department
Kazakhstan

Zhanna M. Akimzhanova - Oncologist, Chemotherapy Department.

Almaty


Competing Interests: not


R. Z. Abdrakhmanov
Kazakh Research Institute of Oncology and Radiology
Kazakhstan

Ramil Z. Abdrakhmanov - MD, PhD, Oncologist, Head of Chemotherapy Department No. 2.

Almaty


Competing Interests: not


E. V. Bilan
District Clinical Hospital
Russian Federation

Evgheni V. Bilan - Oncologist, Deputy Head of Oncology.

Khanty-Mansiysk

Competing Interests: not


A. V. Byakhov
A.S. Loginov Moscow Clinical Scientific Center of the Department of Health of the City of Moscow
Russian Federation

Anton V. Byakhov - Oncologist, Chemotherapy Department.

Moscow


Competing Interests: not


S. N. Gurov
Clinical Oncology Dispensary No. 1
Russian Federation

Sergey N. Gurov - MD, PhD, Oncologist, Head of Chemotherapy Department.

Moscow


Competing Interests: not


I. A. Koroleva
«Reaviz» Medical University
Russian Federation

Irina A. Koroleva - MD, PhD, DSc, Professor of Clinical Medicine Department of Postgraduate Education.

Samara


Competing Interests: not


S. S. Povaga
The Department Hospital at Smolensk Station of Open JSC «Russian Railways»
Russian Federation

Svetlana S. Povaga - Oncologist, Chemotherapy Department.

Smolensk


Competing Interests: not


M. V. Raygorodsky
Medical Center «EVIMED»
Russian Federation

Maxim V. Raygorodsky - Oncologist.

Chelyabinsk


Competing Interests: not


E. M. Saydasheva
Khanty-Mansiysk State Medical Academy
Russian Federation

Elina M. Saydasheva - Assistant Professor at Pharmacology and Clinical Pharmacology Department.

Khanty-Mansiysk


Competing Interests: not


E. V. Shilova
Khanty-Mansiysk State Medical Academy
Russian Federation

Ekaterina V. Shilova - Assistant Professor at Pharmacology and Clinical Pharmacology Departmentю

Khanty-Mansiysk


Competing Interests: not


B. Z. Dzhafarova
Khanty-Mansiysk State Medical Academy
Russian Federation

Bakhaly Z. Dzhafarova - Assistant Professor at Pharmacology and Clinical Pharmacology Department.

Khanty-Mansiysk


Competing Interests: not


I. V. Turova
Khanty-Mansiysk State Medical Academy
Russian Federation

Inna V. Turova - Assistant Professor at Pharmacology and Clinical Pharmacology Department.

Khanty-Mansiysk


Competing Interests: not


Yu. A. Petrovskaya
Khanty-Mansiysk State Medical Academy
Russian Federation

Yulia A. Petrovskaya - MD, PhD, Associate Professor, Head of Pharmacology and Clinical Pharmacology Department.

Khanty-Mansiysk


Competing Interests: not


F. I. Petrovsky
Khanty-Mansiysk State Medical Academy
Russian Federation

Fedor I. Petrovsky - MD, PhD, DSc, Professor at Pharmacology and Clinical Pharmacology Department.

Khanty-Mansiysk

Competing 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

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ISSN 2224-5057 (Print)
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