Department of Medicine, Saint Agnes Hospital, 900 South Caton Avenue, Box 198, Baltimore, MD 21229, USA.
Future Oncol. 2009 Oct;5(8):1211-20. doi: 10.2217/fon.09.106.
Cancer cachexia is a complex syndrome, affecting up to 60% of the approximately 1.4 million patients diagnosed with cancer each year in the USA. This condition is characterized by progressive deterioration of a patient's nutritional status, weight loss, anorexia, diminished quality of life and increased mortality and morbidity. Current therapy with progestational, anti-inflammatory and anabolic agents is often ineffective and has a large number of undesirable effects. The newly developed nonsteroidal selective androgen receptor modulator Ostarine has demonstrated promising results in Phase I and II clinical trials, increasing total lean body mass, enhancing functional performance and decreasing total tissue percent fat. This selective androgen receptor modulator may have the ability to perform as a potent anabolic agent with minimal side effects on other organs (prostate and hair follicles), thus presenting a new strategy in managing cancer cachexia. However, more extensive data is required before its efficacy is confirmed.
癌症恶病质是一种复杂的综合征,影响了美国每年约 140 万癌症患者中的 60%。这种情况的特征是患者的营养状况逐渐恶化,体重减轻,食欲不振,生活质量下降,死亡率和发病率增加。目前使用孕激素、抗炎和合成代谢药物进行治疗往往无效,且有大量不良反应。新开发的非甾体选择性雄激素受体调节剂 Ostarine 在 I 期和 II 期临床试验中显示出有希望的结果,增加了总的瘦体重,提高了功能表现,减少了总组织脂肪百分比。这种选择性雄激素受体调节剂可能具有作为一种有效的合成代谢剂的能力,对其他器官(前列腺和毛囊)的副作用最小,因此为治疗癌症恶病质提供了一种新策略。然而,在确认其疗效之前,需要更多广泛的数据。