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Renal protection with magnesium subcarbonate and magnesium sulphate in patients with epithelial ovarian cancer after cisplatin and paclitaxel chemotherapy: A randomised phase II study

Abstract Background The aim of this study was to examine the effect of magnesium supplementation on nephrotoxicity accompanying standard cisplatin-based chemotherapy in patients with epithelial ovarian cancer (EOC). Patients and methods A double-blind, placebo-controlled, randomised study was conduc...

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Bibliographic Details
Published in:European journal of cancer (1990) 2008-11, Vol.44 (17), p.2608-2614
Main Authors: Bodnar, Lubomir, Wcislo, Gabriel, Gasowska-Bodnar, Agnieszka, Synowiec, Agnieszka, Szarlej-Wcisło, Katarzyna, Szczylik, Cezary
Format: Article
Language:English
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Summary:Abstract Background The aim of this study was to examine the effect of magnesium supplementation on nephrotoxicity accompanying standard cisplatin-based chemotherapy in patients with epithelial ovarian cancer (EOC). Patients and methods A double-blind, placebo-controlled, randomised study was conducted in which study arm magnesium sulphate (5 g) was administered before each course of standard chemotherapy with paclitaxel (135 mg/m2 /24 h) plus cisplatin (75 mg/m2 ) every 3 weeks in patients with EOC. Magnesium subcarbonate (500 mg), three times per day orally, was administered during the treatment intervals. The control arm was administered a placebo instead of both magnesium salts. Magnesium serum levels (sMg) and GFR markers: serum levels of creatinine (sCr), Cockroft–Gault (ClCG) and Modification Diet of Renal Disease (MDRD) formulae were recorded before each cycle, and 3 weeks after the sixth course. Results 41 EOC patients were randomised and 40 were eligible. sMg varied significantly between the supplemented and placebo groups ( p
ISSN:0959-8049
1879-0852
DOI:10.1016/j.ejca.2008.08.005