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一项针对植物化合物混合物 LCS101 预防乳腺癌化疗引起血液学并发症的前瞻性、对照研究。

A prospective, controlled study of the botanical compound mixture LCS101 for chemotherapy-induced hematological complications in breast cancer.

机构信息

Refuot Integrative Medical Center, 18 Feinstein Street, Tel Aviv 69123, Israel.

出版信息

Oncologist. 2011;16(9):1197-202. doi: 10.1634/theoncologist.2011-0150. Epub 2011 Jun 28.

Abstract

BACKGROUND

This prospective, controlled study evaluated the safety, tolerability, and efficacy of the mixture of botanical compounds known as LCS101 in preventing chemotherapy-induced hematological toxicity in breast cancer patients.

METHODS

Female patients diagnosed with localized breast cancer were randomly allocated to receive treatment with either LCS101 or placebo capsules, in addition to conventional chemotherapy. The study intervention was initiated 2 weeks prior to the initiation of chemotherapy and continued until chemotherapy was completed, with participants receiving 2 g of LCS101 capsules thrice daily. Subjects were assessed for the development of hematological and nonhematological toxicities, as well as the tolerability and safety of the study intervention.

RESULTS

Sixty-five breast cancer patients were recruited, with 34 allocated to LCS101 and 31 allocated to placebo treatment. Patients in the treatment group developed significantly less severe (grades 2-4) anemia (p < .01) and leukopenia (p < .03) when comparing grades 0-1 with grades 2-4, with significantly less neutropenia (p < .04) when comparing grades 0-2 with grades 3-4. This effect was more significant among patients undergoing a dose-dense regimen. No statistically significant effect was found with respect to nonhematological toxicities, and side effect rates were not significantly different between the groups, with no severe or life-threatening events observed in either group.

CONCLUSION

The addition of LCS101 to anthracycline- and taxane-based chemotherapy is safe and well tolerated, and may significantly prevent some chemotherapy-induced hematological toxicities in early breast cancer patients. These results should encourage further larger and more extensive clinical trials.

摘要

背景

本前瞻性、对照研究评估了植物化合物混合物 LCS101 预防乳腺癌患者化疗引起的血液学毒性的安全性、耐受性和疗效。

方法

女性局部乳腺癌患者随机分为 LCS101 或安慰剂胶囊加常规化疗组。研究干预于化疗开始前 2 周开始,持续至化疗结束,患者每日接受 2 g LCS101 胶囊 3 次。评估受试者血液学和非血液学毒性的发生情况,以及研究干预的耐受性和安全性。

结果

共招募 65 例乳腺癌患者,其中 34 例分配至 LCS101 组,31 例分配至安慰剂组。治疗组发生严重程度(2-4 级)贫血(p <.01)和白细胞减少(p <.03)的患者明显少于 0-1 级与 2-4 级,且中性粒细胞减少(p <.04)的患者明显少于 0-2 级与 3-4 级。在接受密集剂量方案的患者中,这种作用更为显著。在非血液学毒性方面,未发现统计学显著差异,两组间不良反应发生率无显著差异,两组均未观察到严重或危及生命的事件。

结论

LCS101 联合蒽环类和紫杉烷类化疗是安全且耐受良好的,可能显著预防早期乳腺癌患者化疗引起的某些血液学毒性。这些结果应鼓励进一步开展更大规模和更广泛的临床试验。

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本文引用的文献

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Addition of drug/s to a chemotherapy regimen for metastatic breast cancer.在转移性乳腺癌化疗方案中添加药物。
Cochrane Database Syst Rev. 2010 Nov 10;2010(11):CD003368. doi: 10.1002/14651858.CD003368.pub3.
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Single agent versus combination chemotherapy for metastatic breast cancer.转移性乳腺癌的单药化疗与联合化疗
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