TY - JOUR
T1 - A controlled trial of megestrol acetate on appetite, caloric intake, nutritional status, and other symptoms in patients with advanced cancer
AU - Bruera, Eduardo
AU - Macmillan, Karen
AU - Kuehn, Norma
AU - Hanson, John
AU - MacDonald, R. Neil
N1 - Copyright:
Copyright 2016 Elsevier B.V., All rights reserved.
PY - 1990/9/15
Y1 - 1990/9/15
N2 - This double‐blind, cross‐over trial was designed to assess the effects of megestrol acetate (MA) on cancer‐induced cachexia. Forty consecutive malnourished patients with advanced non‐hormone‐responsive tumors receiving no antineoplastic treatment were randomized to receive MA 480 mg/day versus placebo for 7 days. During day 8, a cross‐over was made until day 15. Appetite, pain, nausea, depression, energy, and well‐being were assessed with a visual analog scale (0 to 100 mm) at 9:00 am and 4:00 pm during days 6, 7, 13, and 14. Weight (W; kg), tricep skinfold (TS; mm), arm circumference (AC; cm), and calf circumference (CC; cm) were measured at days 1, 8, and 15. Caloric intake (CI; Kcal/day) was determined during days 6, 7, 13, and 14. In 31 evaluable patients, the percentual difference in appetite at 9:00 am, appetite at 4:00 pm, energy, and well‐being after MA was +15.1, +14, +3.2, and +5.2, versus −12 (P = 0.03), −5.1 (P = 0.015), −10 (P = 0.024), and −8.3 (not significant) after placebo. Percentual difference in W, TS, AC, and CC after MA was +0.2, +1, −0.1, and +0.4 versus −0.8 (P = 0.03), −0.8 (P = 0.001), −0.3 (not significant), and −0.5 (P = 0.04) after placebo. CI during MA was 3480 ± 1574 (48‐hour intake), versus 2793 ± 1542 (P <0.001) during placebo. Patients and investigators blindly chose MA in 20 (66%, P = 0.023) and 28 cases (92%, P < 0.001), placebo in eight and two cases, and made no choice in three and one cases, respectively. Toxicity consisted of mild edema and nausea in three and two cases, respectively. After mean follow‐up of 27 ± 13 days, on an open basis, an average increase in W and AC of 4.8 ± 1.7 kg and 2.8 ± 1.7 cm was observed, respectively. The authors conclude that MA is a powerful appetite stimulant with subjective and objective effects on nutritional status.
AB - This double‐blind, cross‐over trial was designed to assess the effects of megestrol acetate (MA) on cancer‐induced cachexia. Forty consecutive malnourished patients with advanced non‐hormone‐responsive tumors receiving no antineoplastic treatment were randomized to receive MA 480 mg/day versus placebo for 7 days. During day 8, a cross‐over was made until day 15. Appetite, pain, nausea, depression, energy, and well‐being were assessed with a visual analog scale (0 to 100 mm) at 9:00 am and 4:00 pm during days 6, 7, 13, and 14. Weight (W; kg), tricep skinfold (TS; mm), arm circumference (AC; cm), and calf circumference (CC; cm) were measured at days 1, 8, and 15. Caloric intake (CI; Kcal/day) was determined during days 6, 7, 13, and 14. In 31 evaluable patients, the percentual difference in appetite at 9:00 am, appetite at 4:00 pm, energy, and well‐being after MA was +15.1, +14, +3.2, and +5.2, versus −12 (P = 0.03), −5.1 (P = 0.015), −10 (P = 0.024), and −8.3 (not significant) after placebo. Percentual difference in W, TS, AC, and CC after MA was +0.2, +1, −0.1, and +0.4 versus −0.8 (P = 0.03), −0.8 (P = 0.001), −0.3 (not significant), and −0.5 (P = 0.04) after placebo. CI during MA was 3480 ± 1574 (48‐hour intake), versus 2793 ± 1542 (P <0.001) during placebo. Patients and investigators blindly chose MA in 20 (66%, P = 0.023) and 28 cases (92%, P < 0.001), placebo in eight and two cases, and made no choice in three and one cases, respectively. Toxicity consisted of mild edema and nausea in three and two cases, respectively. After mean follow‐up of 27 ± 13 days, on an open basis, an average increase in W and AC of 4.8 ± 1.7 kg and 2.8 ± 1.7 cm was observed, respectively. The authors conclude that MA is a powerful appetite stimulant with subjective and objective effects on nutritional status.
UR - http://www.scopus.com/inward/record.url?scp=0025127861&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0025127861&partnerID=8YFLogxK
U2 - 10.1002/1097-0142(19900915)66:6<1279::AID-CNCR2820660630>3.0.CO;2-R
DO - 10.1002/1097-0142(19900915)66:6<1279::AID-CNCR2820660630>3.0.CO;2-R
M3 - Article
C2 - 2205358
AN - SCOPUS:0025127861
SN - 0008-543X
VL - 66
SP - 1279
EP - 1282
JO - Cancer
JF - Cancer
IS - 6
ER -