Cancer, Palliative Care, Quality of Life, Survival
Conditions
Brief summary
Palliative care in cancer aims at alleviating the suffering of patients. A previous study in patients with advanced non-small-cell lung cancer showed that adenosine 5'-triphosphate (ATP) infusions had a favourable effect on fatigue, appetite, body weight, muscle strength, functional status, quality of life, and survival. Based on these promising results, the present study was designed 1. To evaluate whether the beneficial effects of ATP administration observed in patients with advanced lung cancer would also be present in pre-terminal cancer patients of different tumour types, and 2. To test the feasibility of application of ATP infusions in a home care setting.
Interventions
Weekly ATP infusions (in total 8 infusions) during 8 - 12 hours in a maximum dose of 50 mcg/kg.min
Sponsors
Study design
Eligibility
Inclusion criteria
* cytologically or histologically confirmed cancer * medical treatment options restricted to supportive care * a life expectancy \< 6 months * World Health Organization (WHO) performance status 1 or 2 * suffering from at least one of the following complaints: fatigue, weight loss \> 5% over the last 6 months, or anorexia
Exclusion criteria
* symptomatic angina pectoris * symptomatic heart failure * any form of atrioventricular (AV) block (assessed by electrocardiogram) * life expectancy \< 4 weeks * concurrent palliative chemotherapy * cognitive dysfunction, and other diseases hampering adequate follow up
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Survival Physical restriction Fatigue Quality of life | 0-8 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Appetite Nutritional intake Body height Body weight Triceps skin fold thickness Mid-upper arm circumference Strength of elbow flexor and knee extensor muscles Handgrip strength Process evaluation | 0-8 weeks |
Countries
Netherlands