Effect of Chemotherapy With Paclitaxel/Cisplatin on Development Dysgeusia in Non Small Cell Lung Cancer
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Purpose
One of the most widely used treatments for non-small cell lung cancer (NSCLC) is the combination of paclitaxel-cisplatin. These drugs may contribute to taste alterations like dysgeusia. Which alters the feeding of cancer patients, contributing to the anorexia, weight loss and malnutrition, which leads to a prognostic impact in a lower patient response to chemotherapy, radiotherapy and surgical treatment as well as increased toxic effects, impacting treatment discontinuation and therefore, morbidity and survival of patients. The objective of this study is to describe the threshold of perception and recognition of basic tastes in patients with NSCLC before treatment with platin and paclitaxel-based chemotherapy and after the second cycle, and analyze the effect in the developement of dysgeusia, as well as the association between these and the nutritional status and quality of life.
| Condition |
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Non-Small Cell Lung Cancer Dysgeusia Taste Disorders Lung Neoplasms Small Cell Lung Carcinoma |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Effect of Chemotherapy With Paclitaxel and Cisplatin on Development Dysgeusia in Non-small Cell Lung Cancer Patients |
- dysgeusia [ Time Frame: Change from Baseline in threshold of perception and recognition at 6 weeks ] [ Designated as safety issue: Yes ]describe the threshold of perception and recognition of 3 basic tastes (sweet, bitter and umami) with 5 dilutions with different concentrations
- Body composition [ Time Frame: Change from Baseline in threshold of perception and recognition at 6 weeks ] [ Designated as safety issue: Yes ]fat mass, fat-free mass and phase angle by bioelectrical impedance
- Body Mass Index [ Time Frame: Change from Baseline in threshold of perception and recognition at 6 weeks ] [ Designated as safety issue: Yes ]using the formula kg/m2
- weight loss [ Time Frame: from 6 month ago to baseline ] [ Designated as safety issue: Yes ]asking the patient or or looking into medical history
- Subjective Global Assessment [ Time Frame: Change from Baseline in threshold of perception and recognition at 6 weeks ] [ Designated as safety issue: Yes ]validated questionnaire to identify patients with malnutrition or risk of malnutrition
- proportion of Anorexia [ Time Frame: Change from Baseline in threshold of perception and recognition at 6 weeks ] [ Designated as safety issue: Yes ]by section related to nutrition from FAACT.
- energy and nutrimental consumption [ Time Frame: Change from Baseline in threshold of perception and recognition at 6 weeks ] [ Designated as safety issue: Yes ]by questionarie SNUT
- quality o f life [ Time Frame: Change from Baseline in threshold of perception and recognition at 6 weeks ] [ Designated as safety issue: Yes ]bye EORT questionarie
| Estimated Enrollment: | 60 |
| Study Start Date: | December 2010 |
| Estimated Study Completion Date: | May 2012 |
| Primary Completion Date: | December 2011 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
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BASELINE
Outpatients from National Cancer Institute with stage III and IV NSCLC candidates for 1 st line chemotherapy paclitaxel-cisplatin based agreeing to participate in the study
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Show Detailed Description
Eligibility| Ages Eligible for Study: | 18 Years to 90 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Outpatients from National Cancer Institute with stage III and IV NSCLC candidates for 1 st line chemotherapy paclitaxel-cisplatin based agreeing to participate in the study.
Inclusion Criteria:
- Patients over 18 years old with INCan histopathological diagnosis of Lung Cancer Stage III or IV
- ECOG score ≤ 2
- Candidates for first-line chemotherapy based 1 st Paclitaxel / cisplatin 200 mg/m2 and 75 every 3 weeks
- Signed informed consent (and ethical scientific committee No. (010/023 (IMO) (CB/618
Exclusion Criteria:
- Patients who withdraw their consent and not want to continue with the evaluation of the study
- Common cold or hay fever, recent dental procedure, evidence of gingival inflammation or infection or oral mucosa
- People diagnosed with epilepsy or some other neurological disorders associated
- Concomitant radiotherapy in head and neck.
Contacts and Locations| Contact: Oscar G Arrieta, MD M Sc | 56 28 04 00 ext 353 | ogar@unam.mx |
| Contact: Karla P Sánchez, M Sc. | 5528880264 | kpao82@hotmail.com |
| Mexico | |
| National Cancer Institute of Mexico | Recruiting |
| Mexico city, Distrito Federal, Mexico, 14080 | |
| Contact: Oscar G Arrieta, MD M Sc. 56 28 04 00 ext 353 ogar@unam.mx | |
| Contact: Karla P Sánchez, M Sc. 5528880264 kpao82@hotmail.com | |
| Principal Investigator: Oscar G Arrieta, Oncologist | |
| Principal Investigator: | Oscar G Arrieta, MD M Sc | Mexico. Nacional Cancer Institute |
More Information
Publications:
| Responsible Party: | Oscar Gerardo Arrieta Rodriguez MD, SNI II, Instituto Nacional de Cancerologia de Mexico |
| ClinicalTrials.gov Identifier: | NCT01540045 History of Changes |
| Other Study ID Numbers: | ECPCDLC2012 |
| Study First Received: | January 13, 2012 |
| Last Updated: | February 22, 2012 |
| Health Authority: | Mexico: Ethics Committee |
Keywords provided by Instituto Nacional de Cancerologia de Mexico:
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Non-Small Cell Lung Cancer Dysgeusia Antineoplastic Combined Chemotherapy Protocols Paclitaxel Cisplatin |
Additional relevant MeSH terms:
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Lung Neoplasms Small Cell Lung Carcinoma Neoplasms Carcinoma Carcinoma, Non-Small-Cell Lung Dysgeusia Taste Disorders Neoplasms, Glandular and Epithelial Neoplasms by Histologic Type Carcinoma, Bronchogenic Bronchial Neoplasms Respiratory Tract Neoplasms Thoracic Neoplasms Neoplasms by Site Lung Diseases |
Respiratory Tract Diseases Sensation Disorders Neurologic Manifestations Nervous System Diseases Signs and Symptoms Cisplatin Paclitaxel Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Radiation-Sensitizing Agents Physiological Effects of Drugs Tubulin Modulators Antimitotic Agents Mitosis Modulators |
ClinicalTrials.gov processed this record on May 23, 2013