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Emerging Treatment Options For Cancer-Associated Cachexia: A Literature Review

Authors Naito T

Received 29 August 2019

Accepted for publication 8 October 2019

Published 29 October 2019 Volume 2019:15 Pages 1253—1266


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Professor Deyun Wang

Video abstract presented by Tateaki Naito.

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Tateaki Naito

Division of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan

Correspondence: Tateaki Naito
Division of Thoracic Oncology, Shizuoka Cancer Center, 1007 Shimonagakubo, Nagaizumi, Sunto District, Shizuoka 411-0934, Japan
Tel +81-55-989-5222
Fax +81-55-989-5783
Email [email protected]

Abstract: Cachexia is a disease that has been recognized since antiquity; however, research in this area has recently increased. Promising new agents, including anamorelin hydrochloride, have been tested in large randomized controlled studies, and multidrug as well as multimodal approaches have been proposed as having the potential to improve outcomes in patients with cancer cachexia. However, standard treatment remains elusive. This review summarizes the current literature on treatment of cancer-associated cachexia, showing that there are challenges associated with conducting clinical trials in such patients. First, poor recruitment, retention, and compliance among cachectic patients cause research delays. Second, the lack of consensus regarding clinically meaningful endpoints impedes standardization of study designs and results. Further consideration is needed to identify the most suitable study design and endpoints, which can lead to the development of pharmacological and nonpharmacological interventions that improve patients’ prognosis and outcomes.

Keywords: cancer cachexia, physical function, anamorelin, multimodal intervention

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