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Cancer de prostate, nutrition pauvre en polyamines et docétaxel

Prostate cancer, a low-polyamine diet and docetaxel

  • Recherche Clinique / Clinical Research
  • Published:
Oncologie

Abstract

A prospective study of the safety of the combination of a low-polyamine diet (NTL solute) and docetaxel chemotherapy in 30 patients with symptomatic, metastatic, castration-resistant prostate cancer was conducted. Chemotherapy was started after an initial three-week neoadjuvant phase of maximum polyamine depletion, and then accompanied by a progressive reduction in polyamine depletion. Patients continued with their previous treatments during the study protocol. Exclusive consumption of NTL solute with its low-polyamine level or its use in combination with docetaxel was well tolerated both on a clinical and biological level. The study protocol was well observed. Improvements in general health, nutritional status, pain, quality of life and prostate specific antigen (PSA) levels were observed.

Résumé

Étude prospective de la tolérance de l’association d’un régime à faible teneur en polyamines (soluté NTL) et d’une chimiothérapie par docétaxel chez 30 patients atteints d’un cancer de la prostate métastatique, symptomatiques, en échappement à la castration. La chimiothérapie débutait après une première phase néoadjuvante de trois semaines de déplétion maximale en polyamines, puis était accompagnée par une déplétion en polyamines progressivement décroissante. Les patients poursuivaient leurs traitements antérieurs pendant le protocole. La consommation du soluté NTL à très faible teneur en polyamines, en utilisation exclusive ou en association avec le docétaxel, a été bien tolérée aux plans clinique et biologique. L’observance a été très bonne. L’état général, le statut nutritionnel, la douleur, la qualité de vie et les taux de PSA (prostate specific antigen) ont été améliorés.

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Cipolla, B., Miglianico, L., Bligny, D. et al. Cancer de prostate, nutrition pauvre en polyamines et docétaxel. Oncologie 15, 555–563 (2013). https://doi.org/10.1007/s10269-013-2260-3

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  • DOI: https://doi.org/10.1007/s10269-013-2260-3

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