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Cancer-Associated Anorexia and Cachexia : Implications for Drug Therapy.

C L Loprinzi1, R M Goldberg2, N L Burnham1

  • 1The Mayo Clinic, 200 1st Street SW, Rochester, Minnesota, 55905, USA.

Drugs
|April 20, 2017
PubMed
Summary
This summary is machine-generated.

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Megestrol acetate shows promise in stimulating appetite and improving weight in cancer patients, unlike cyproheptadine or corticosteroids. Further research is ongoing for anabolic steroids and hydrazine sulfate in managing cancer-related anorexia and cachexia.

Area of Science:

  • Oncology
  • Pharmacology
  • Clinical Nutrition

Background:

  • Cancer-associated anorexia and cachexia significantly impact patient well-being.
  • Conventional treatments like chemotherapy and nutritional support often fail to reverse these conditions.
  • Pharmacological interventions are being explored to manage cancer-related appetite loss and weight decline.

Purpose of the Study:

  • To review the efficacy of various drugs in ameliorating cancer-associated anorexia and cachexia.
  • To evaluate the potential of cyproheptadine, corticosteroids, and megestrol acetate.
  • To discuss ongoing research into anabolic steroids and hydrazine sulfate.

Main Methods:

  • Review of randomized clinical trials and preliminary evidence for drug efficacy.

Related Experiment Videos

  • Analysis of studies investigating appetite stimulation and weight changes.
  • Assessment of antiemetic properties and ongoing clinical trials.
  • Main Results:

    • Cyproheptadine demonstrated minimal appetite stimulation without significant weight gain.
    • Corticosteroids were shown to stimulate appetite but did not lead to substantial non-fluid weight gain.
    • Megestrol acetate exhibited potent appetite stimulation and improved non-fluid body weight in advanced cancer patients, with preliminary antiemetic effects.

    Conclusions:

    • Megestrol acetate appears to be a promising agent for managing cancer anorexia/cachexia due to its effects on appetite and weight.
    • Corticosteroids and cyproheptadine have limited efficacy in improving weight.
    • Anabolic steroids and hydrazine sulfate require further investigation before clinical recommendations can be made.