Tuesday, June 4, 2013

HUGE NEWS FROM MEDSCAPE!  PRACTICE CHANGING! IN ALL FAIRNESS GO TO MEDSCAPE FOR A FULL REPORT!

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Stop Using Calcium and Magnesium With Oxaliplatin

Zosia Chustecka
Jun 03, 2013
 
CHICAGO, Illinois — The common practice of administering intravenous calcium and magnesium along with oxaliplatin to reduce the side effect of neuropathy should be stopped, experts say.
The first placebo-randomized phase 3 trial of this practice has shown no benefit. The results were presented here at the 2013 Annual Meeting of the American Society of Clinical Oncology (ASCO®) by Charles Loprinzi, MD, from the Mayo Clinic in Rochester, Minnesota.
The trial was conducted in 353 patients with colon cancer undergoing adjuvant therapy with FOLFOX (5-fluorouracil, oxaliplatin, and leucovorin), who were randomized to receive intravenous CaMg (1g calcium gluconate, 1 mg magnesium sulfate) or placebo before and after oxaliplatin. There was also a third arm in the trial, in which patients received CaMg before and placebo after the oxaliplatin.
The results showed no differences between the groups in either acute neurotoxicity or cumulative sensory neurotoxicity, as assessed both by patient and physician questionnaires."

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