Exploring the relationship between anorexia and therapeutic efficacy in advanced lung cancer treatment: a retrospective study.

IF 2.3 3区医学 Q3 ONCOLOGY Thoracic Cancer Pub Date : 2024-09-01 Epub Date: 2024-07-29 DOI:10.1111/1759-7714.15403

Kosei Doshita, Tateaki Naito, Suguru Matsuda, Meiko Morita, Motoki Sekikawa, Keita Miura, Hiroaki Kodama, Michitoshi Yabe, Noboru Morikawa, Yuko Iida, Nobuaki Mamesaya, Haruki Kobayashi, Ryo Ko, Kazushige Wakuda, Akira Ono, Haruyasu Murakami, Hirotsugu Kenmotsu, Toshiaki Takahashi

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Abstract

Background: Chemotherapy-induced anorexia is a common occurrence in patients undergoing treatment for advanced lung cancer. However, the relationship between chemotherapy-induced anorexia and weight loss during platinum-based chemotherapy combined with immune checkpoint inhibitors is unclear. This study explored the relationship between chemotherapy-induced anorexia and therapeutic outcomes in patients with stage IV non-small-cell lung cancer undergoing platinum-based chemotherapy combined with immune checkpoint inhibitors.

Methods: The study retrospectively reviewed the medical records of 106 patients with stage IV non-small-cell lung cancer treated with platinum-based chemotherapy and immune checkpoint inhibitors between January 2019 and October 2022. The incidence of weight loss and its association with treatment efficacy was assessed in the chemotherapy-induced anorexia group. Chemotherapy-induced anorexia, nausea, and vomiting were evaluated using Common Terminology Criteria for Adverse Events v 5.0. Progression-free and overall survival were used to measure treatment efficacy.

Results: Chemotherapy-induced anorexia was observed in 13.2% of patients. These patients exhibited significant weight loss at 6 and 9 weeks after treatment initiation compared to those in the non-chemotherapy-induced anorexia group. Progression-free and overall survival were shorter in the chemotherapy-induced anorexia group than in the non-chemotherapy-induced anorexia group, but the difference was not statistically significant.

Conclusions: Chemotherapy-induced anorexia was associated with significant weight loss and reduced treatment efficacy in patients with stage IV non-small-cell lung cancer. These results highlight the importance of implementing robust supportive care for chemotherapy-induced anorexia to mitigate weight loss and uphold treatment effectiveness during platinum-based chemotherapy combined with immune checkpoint inhibitors.

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探索晚期肺癌治疗中厌食与疗效之间的关系：一项回顾性研究。

背景：化疗诱发的厌食症是晚期肺癌患者接受治疗时经常出现的情况。然而，在铂类化疗联合免疫检查点抑制剂期间，化疗诱发的厌食与体重下降之间的关系尚不清楚。本研究探讨了接受铂类化疗联合免疫检查点抑制剂治疗的IV期非小细胞肺癌患者化疗诱发的厌食与治疗结果之间的关系：该研究回顾性审查了2019年1月至2022年10月期间接受铂类化疗和免疫检查点抑制剂治疗的106例IV期非小细胞肺癌患者的病历。评估了化疗诱发厌食组中体重减轻的发生率及其与疗效的关系。化疗引起的厌食、恶心和呕吐采用不良事件通用术语标准 v 5.0 进行评估。无进展生存期和总生存期用于衡量疗效：结果：13.2%的患者出现化疗引起的厌食。与非化疗诱发厌食组相比，这些患者在治疗开始后6周和9周体重明显下降。化疗诱发厌食组的无进展生存期和总生存期均短于非化疗诱发厌食组，但差异无统计学意义：化疗引起的厌食与IV期非小细胞肺癌患者体重明显下降和治疗效果降低有关。这些结果凸显了在铂类化疗联合免疫检查点抑制剂期间，对化疗诱发的厌食症实施强有力的支持护理以减轻体重减轻和维持治疗效果的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Thoracic Cancer ONCOLOGY-RESPIRATORY SYSTEM

CiteScore

5.20

自引率

3.40%

发文量

439

审稿时长

2 months

期刊介绍： Thoracic Cancer aims to facilitate international collaboration and exchange of comprehensive and cutting-edge information on basic, translational, and applied clinical research in lung cancer, esophageal cancer, mediastinal cancer, breast cancer and other thoracic malignancies. Prevention, treatment and research relevant to Asia-Pacific is a focus area, but submissions from all regions are welcomed. The editors encourage contributions relevant to prevention, general thoracic surgery, medical oncology, radiology, radiation medicine, pathology, basic cancer research, as well as epidemiological and translational studies in thoracic cancer. Thoracic Cancer is the official publication of the Chinese Society of Lung Cancer, International Chinese Society of Thoracic Surgery and is endorsed by the Korean Association for the Study of Lung Cancer and the Hong Kong Cancer Therapy Society. The Journal publishes a range of article types including: Editorials, Invited Reviews, Mini Reviews, Original Articles, Clinical Guidelines, Technological Notes, Imaging in thoracic cancer, Meeting Reports, Case Reports, Letters to the Editor, Commentaries, and Brief Reports.