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[硒对乳腺癌患者辅助化疗/放疗副作用的影响。一项临床研究设计]

[Effect of selenium on the side effect profile of adjuvant chemotherapy/radiotherapy in patients with breast carcinoma. Design for a clinical study].

作者信息

Schumacher K

出版信息

Med Klin (Munich). 1999 Oct 15;94 Suppl 3:45-8. doi: 10.1007/BF03042191.

Abstract

Selenium is a very important component of the antioxidative protective mechanism which belong to every cell. By chemotherapy and radiotherapy a strong increase of free oxygen radicals is induced leading to a damage also of normal tissue. This phenomenon is registered as adverse drug reactions. Since, in addition, tumor patients frequently have low selenium blood levels the application of higher doses of selenium in connection with chemo- and radiotherapy will induce the toxicity of the treatment without lowering the efficiency. Within the presented prospective randomized placebo-controlled double-blind phase-III study we intend to answer the question whether the application of higher doses of sodium selenite will reduce the toxicity of chemotherapy and radiotherapy. Primary targets of the study are therefore the evaluation of toxicity according to CTC-criteria and of life quality.

摘要

硒是每个细胞抗氧化保护机制的非常重要的组成部分。化疗和放疗会导致游离氧自由基大量增加,进而对正常组织造成损害。这种现象被记录为药物不良反应。此外,由于肿瘤患者的血硒水平经常偏低,在化疗和放疗中应用较高剂量的硒会在不降低疗效的情况下引发治疗毒性。在本前瞻性随机安慰剂对照双盲III期研究中,我们旨在回答高剂量亚硒酸钠的应用是否会降低化疗和放疗毒性这一问题。因此,该研究的主要目标是根据CTC标准评估毒性以及评估生活质量。

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