Acceptability, Compliance, and Safety of Non-small Cell Lung Cancer Cachectic Participants Continuing Compassionate Access in the ACCeRT Clinical Study
Article
Rogers, Elaine S., Sasidharan, Rita, Sequeira, Graeme M., Wood, Matthew R., Bird, Stephen P., Keogh, Justin W. L., Arroll, Bruce, Stewart, Joanna and MacLeod, Roderick D.. 2022. "Acceptability, Compliance, and Safety of Non-small Cell Lung Cancer Cachectic Participants Continuing Compassionate Access in the ACCeRT Clinical Study." Journal of Health Science and Medical Research. 40 (3), pp. 335-347. https://doi.org/10.31584/jhsmr.2021842
| Article Title | Acceptability, Compliance, and Safety of Non-small Cell Lung Cancer Cachectic Participants Continuing Compassionate Access in the ACCeRT Clinical Study |
|---|---|
| Article Category | Article |
| Authors | Rogers, Elaine S. (Author), Sasidharan, Rita (Author), Sequeira, Graeme M. (Author), Wood, Matthew R. (Author), Bird, Stephen P. (Author), Keogh, Justin W. L. (Author), Arroll, Bruce (Author), Stewart, Joanna (Author) and MacLeod, Roderick D. (Author) |
| Journal Title | Journal of Health Science and Medical Research |
| Journal Citation | 40 (3), pp. 335-347 |
| Number of Pages | 13 |
| Year | 2022 |
| Publisher | Prince of Songkla University |
| Place of Publication | Thailand |
| ISSN | 2586-9981 |
| 2630-0559 | |
| Digital Object Identifier (DOI) | https://doi.org/10.31584/jhsmr.2021842 |
| Web Address (URL) | https://www.jhsmr.org/index.php/jhsmr/article/view/842 |
| Abstract | Objective: Cancer cachexia is defined as: a ‘multifactorial syndrome’, and it has been suggested that a multitargeted approach is required in its management. High prevalence is seen within non-small cell lung cancer, and patients may continue to experience cachexia post end of anti-cancer treatment, and in the late/end stage. Material and Methods: Participants who had completed week 20/End of Trial visit in the main Auckland’s Cancer Cachexia evaluating Resistance Training (ACCeRT) study were invited to continue with treatment under compassionate use. Participants could continue with 2.09 g of eicosapentaenoic acid (EPA), 300 mg COX-2 inhibitor (celecoxib), once daily; plus two sessions per week of progressive resistance training (PRT), and 20 g oral essential amino acids (EAA); high in leucine, in a split dose over three days post each session. Data was collected on the acceptability, compliance and adherence to medication/PRT sessions. Secondary endpoints included: change in body weight and fat free mass, handgrip and leg strength, the Functional Assessment of Anorexia/Cachexia Therapy, Multidimensional Fatigue Symptom Inventory-Short Form, World Health Organization Quality of Life — BREF, Glasgow prognostic score, and pro-inflammatory cytokines. Results: All six participants, who completed the main ACCeRT study, opted to continue with compassionate use. Acceptability remained high, with overall compliance to last study/PRT visit of 81.0% for EPA, 98.8% for celecoxib, 78.9% for PRT and 77.2% for EAA. Participants continued to lose body weight and Fat-Free Mass, along with reduced albumin and increased C-Reactive protein levels. Mean time on compassionate study treatment was 78 days, and with a mean overall survival of 257 days (140 + 117). Conclusion: Non-small cell lung cancer (NSCLC) cachectic patients are willing to be enrolled onto a multi-targeted treatment regimen, and may benefit from cachexia symptom management even during their late/refractory stage. |
| Keywords | refractory cancer cachexia; resistance training; NSCLC cachectic patients; multi-targeted treatment |
| ANZSRC Field of Research 2020 | 420199. Allied health and rehabilitation science not elsewhere classified |
| 420899. Traditional, complementary and integrative medicine not elsewhere classified | |
| Byline Affiliations | University of Auckland, New Zealand |
| Auckland City Hospital, New Zealand | |
| Manukau Institute of Technology, New Zealand | |
| Auckland University of Technology, New Zealand | |
| University of Wollongong | |
| Bond University | |
| University of Sydney | |
| Institution of Origin | University of Southern Queensland |
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Rogers, Elaine S., Sasidharan, Rita, Sequeira, Graeme M., Wood, Matthew R., Bird, Stephen P., Keogh, Justin W.L., Arroll, Bruce, Stewart, Joanna and MacLeod, Roderick D.. 2020. "Updated protocol and guest participant results from the ACCeRT clinical study." Journal of Basic Research in Medical Sciences. 7 (1), pp. 10-21.A multi-targeted treatment approch to cancer cachexia: Auckland's Cancer Cachexia evaluating Resistance Training (ACCeRT) trial
Rogers, Elaine S., Sasidharan, Rita, Sequeira, Graeme M., Wood, Matthew R., Bird, Stephen P., Keogh, Justin W.L., Arroll, Bruce, Stewart, Joanna and MacLeod, Roderick D.. 2020. "A multi-targeted treatment approch to cancer cachexia: Auckland's Cancer Cachexia evaluating Resistance Training (ACCeRT) trial." JCSM Rapid Communications. 3 (1), pp. 11-24. https://doi.org/10.1002/rco2.10Nutritional knowledge of youth academy athletes
Bird, Stephen P. and Rushton, Benjamin D.. 2020. "Nutritional knowledge of youth academy athletes." BMC Nutrition. 6, pp. 1-8. https://doi.org/10.1186/s40795-020-00360-9Podcasts as an eLearning educational tool
Bird, Stephen P.. 2020. "Podcasts as an eLearning educational tool." University of Southern Queensland 25th Postgraduate and Early Career Researcher Group Research Symposium: Uncertain times: Adaptability in the areas of work, study and research. Online 24 Jun 2020Basketball New Zealand COVID-19 return to training and competition framework: guidelines for safe return to training and competition for coaches and players
King, Leonard, Osborne, Hamish, Bird, Stephen P. and Huyghe, Thomas. 2020. Basketball New Zealand COVID-19 return to training and competition framework: guidelines for safe return to training and competition for coaches and players. Wellington, New Zealand. Basketball New Zealand.Season suspension and summer extension: Unique opportunity for professional team-sport athletes and support staff during and following the COVID-19 crisis
Huyghe, Thomas G., Bird, Stephen P., Calleja-Gonzalez, Julio and Alcaraz, Pedro E.. 2020. "Season suspension and summer extension: Unique opportunity for professional team-sport athletes and support staff during and following the COVID-19 crisis." Frontiers in Sports and Active Living. 2 (98). https://doi.org/10.3389/fspor.2020.00098Welcome to the International Universities Strength and Conditioning Association Journal: publishing research with a view to the future
Bird, Stephen P.. 2020. "Welcome to the International Universities Strength and Conditioning Association Journal: publishing research with a view to the future." International Universities Strength and Conditioning Association Journal. 1 (1).Bridging the gap: why strength and conditioning practitioners and researchers should collaborate
Langford, Andrew and Bird, Stephen P.. 2020. "Bridging the gap: why strength and conditioning practitioners and researchers should collaborate." International Universities Strength and Conditioning Association Journal. 1 (1).Psychometric viability of measures of functional performance commonly used for people with dementia: a systematic review of measurement properties
Fox, Benjamin, Henwood, Timothy, Keogh, Justin and Neville, Christine. 2016. "Psychometric viability of measures of functional performance commonly used for people with dementia: a systematic review of measurement properties." JBI Database Systematic Review Implementation Reports. 14 (8), pp. 115-171. https://doi.org/10.11124/JBISRIR-2016-003064Relative and absolute reliability of functional performance measures for adults with dementia living in residential aged care
Fox, Benjamin, Henwood, Timothy, Neville, Christine and Keogh, Justin. 2014. "Relative and absolute reliability of functional performance measures for adults with dementia living in residential aged care." International Psychogeriatrics. 26 (10), pp. 1659-1667. https://doi.org/10.1017/S1041610214001124This item comprises data from the following sources: Scopus