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Multicomponent nutritional supplement Oncoxin and its influence on quality of life and therapy toxicity in patients receiving adjuvant chemotherapy

机译:辅助化疗患者中的多成分营养补品癌毒素及其对生活质量和治疗毒性的影响

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摘要

Treatment of cancer often requires the use of adjuvant chemotherapy (ACT). In real clinical practice, numerous patients suffer from severe toxicity and reduced quality of life (QoL). Hence, there is a need to maintain QoL and to reduce therapy toxicity to comply with recommended chemotherapy (CT) regimens. The present study focused on the effects of the multi-component nutritional supplement Oncoxin (ONCX) on QoL and CT-induced toxicity in patients undergoing ACT. A total of 133 patients aged 50–70 years with gastric cancer IIB-IIIC or non-small cell lung cancer IIB-IIIA were enrolled in the present study: 84 received ONCX, and 49 were included in the control arm and received CT only. It was identified that after 2 weeks of treatment the patients receiving ONCX exhibited clinically meaningful improvement of QoL (measured by Edmonton Symptom Assessment System Questionnaire) compared with those in the control group (odds ratio, 2.07; 95% CI, 1.00–4.29). By the end of a 3 week-period, the albumin level was higher in patients of the ONCX group compared with those in the control group (mean, 38.1; 95% CI, 37.1–39.1 g/l; vs. mean, 35.5; 95% CI, 33.9–37.0; P=0.03; respectively). Furthermore, the use of ONCX substantively reduced the hepatic toxicity of ACT. The present prospective real clinical setting study revealed positive effects of ONCX on QoL and ACT toxicity. The present study was retrospectively registered under the study registration number at (June 8, 2018).
机译:癌症的治疗通常需要使用辅助化疗(ACT)。在实际的临床实践中,许多患者患有严重的毒性和生活质量(QoL)下降。因此,需要维持QoL并降低治疗毒性以符合推荐的化疗(CT)方案。本研究的重点是多成分营养补充剂Oncoxin(ONCX)对接受ACT的患者的QoL和CT诱导的毒性的影响。本研究共纳入133位年龄在50-70岁的患有胃癌IIB-IIIC或非小细胞肺癌IIB-IIIA的患者:84例接受ONCX,49例纳入对照组,仅接受CT检查。经确认,与对照组相比,接受ONCX治疗的患者在接受2周治疗后,其QoL表现出了临床上有意义的QoL改善(通过埃德蒙顿症状评估系统问卷调查)(优势比为2.07; 95%CI为1.00-4.29)。到第3周结束时,ONCX组患者的白蛋白水平高于对照组(平均值为38.1; 95%CI为37.1-39.1 g / l;平均值为35.5; 95%CI,33.9–37.0; P = 0.03;分别)。此外,ONCX的使用大大降低了ACT的肝毒性。目前的前瞻性真实临床研究表明,ONCX对QoL和ACT毒性具有积极作用。本研究以(2018年6月8日)的研究注册号进行回顾性注册。

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