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      Homeopathic Treatment as an Add‐On Therapy May Improve Quality of Life and Prolong Survival in Patients with Non‐Small Cell Lung Cancer: A Prospective, Randomized, Placebo‐Controlled, Double‐Blind, Three‐Arm, Multicenter Study

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          Abstract

          Lessons Learned

          • Conventional medicine and homeopathy work well together.

          • Quality of life improves with additive homeopathy in patients with non‐small cell lung cancer (NSCLC).

          • Survival improves with additive homeopathy in patients with NSCLC.

          Background

          Patients with advanced non‐small cell lung cancer (NSCLC) have limited treatment options. Alongside conventional anticancer treatment, additive homeopathy might help to alleviate side effects of conventional therapy. The aim of the present study was to investigate whether additive homeopathy might influence quality of life (QoL) and survival in patients with NSCLC.

          Methods

          In this prospective, randomized, placebo‐controlled, double‐blind, three‐arm, multicenter, phase III study, we evaluated the possible effects of additive homeopathic treatment compared with placebo in patients with stage IV NSCLC, with respect to QoL in the two randomized groups and survival time in all three groups. Treated patients visited the outpatients' centers every 9 weeks: 150 patients with stage IV NSCLC were included in the study; 98 received either individualized homeopathic remedies ( n = 51) or placebo ( n = 47) in a double‐blinded fashion; and 52 control patients without any homeopathic treatment were observed for survival only. The constituents of the different homeopathic remedies were mainly of plant, mineral, or animal origin. The remedies were manufactured by stepwise dilution and succussion, thereby preparing stable Good Manufacturing Practice grade formulations.

          Results

          QoL as well as functional and symptom scales showed significant improvement in the homeopathy group when compared with placebo after 9 and 18 weeks of homeopathic treatment ( p < .001). Median survival time was significantly longer in the homeopathy group (435 days) versus placebo (257 days; p = .010) as well as versus control (228 days; p < .001). Survival rate in the homeopathy group differed significantly from placebo ( p = .020) and from control ( p < .001).

          Conclusion

          QoL improved significantly in the homeopathy group compared with placebo. In addition, survival was significantly longer in the homeopathy group versus placebo and control. A higher QoL might have contributed to the prolonged survival. The study suggests that homeopathy positively influences not only QoL but also survival. Further studies including other tumor entities are warranted.

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          Most cited references34

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          Pembrolizumab plus Chemotherapy in Metastatic Non–Small-Cell Lung Cancer

          First-line therapy for advanced non-small-cell lung cancer (NSCLC) that lacks targetable mutations is platinum-based chemotherapy. Among patients with a tumor proportion score for programmed death ligand 1 (PD-L1) of 50% or greater, pembrolizumab has replaced cytotoxic chemotherapy as the first-line treatment of choice. The addition of pembrolizumab to chemotherapy resulted in significantly higher rates of response and longer progression-free survival than chemotherapy alone in a phase 2 trial.
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            Lung cancer: current therapies and new targeted treatments.

            Lung cancer is the most frequent cause of cancer-related deaths worldwide. Every year, 1·8 million people are diagnosed with lung cancer, and 1·6 million people die as a result of the disease. 5-year survival rates vary from 4-17% depending on stage and regional differences. In this Seminar, we discuss existing treatment for patients with lung cancer and the promise of precision medicine, with special emphasis on new targeted therapies. Some subgroups, eg-patients with poor performance status and elderly patients-are not specifically addressed, because these groups require special treatment considerations and no frameworks have been established in terms of new targeted therapies. We discuss prevention and early detection of lung cancer with an emphasis on lung cancer screening. Although we acknowledge the importance of smoking prevention and cessation, this is a large topic beyond the scope of this Seminar.
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              Early palliative care for patients with metastatic non-small-cell lung cancer.

              Patients with metastatic non-small-cell lung cancer have a substantial symptom burden and may receive aggressive care at the end of life. We examined the effect of introducing palliative care early after diagnosis on patient-reported outcomes and end-of-life care among ambulatory patients with newly diagnosed disease. We randomly assigned patients with newly diagnosed metastatic non-small-cell lung cancer to receive either early palliative care integrated with standard oncologic care or standard oncologic care alone. Quality of life and mood were assessed at baseline and at 12 weeks with the use of the Functional Assessment of Cancer Therapy-Lung (FACT-L) scale and the Hospital Anxiety and Depression Scale, respectively. The primary outcome was the change in the quality of life at 12 weeks. Data on end-of-life care were collected from electronic medical records. Of the 151 patients who underwent randomization, 27 died by 12 weeks and 107 (86% of the remaining patients) completed assessments. Patients assigned to early palliative care had a better quality of life than did patients assigned to standard care (mean score on the FACT-L scale [in which scores range from 0 to 136, with higher scores indicating better quality of life], 98.0 vs. 91.5; P=0.03). In addition, fewer patients in the palliative care group than in the standard care group had depressive symptoms (16% vs. 38%, P=0.01). Despite the fact that fewer patients in the early palliative care group than in the standard care group received aggressive end-of-life care (33% vs. 54%, P=0.05), median survival was longer among patients receiving early palliative care (11.6 months vs. 8.9 months, P=0.02). Among patients with metastatic non-small-cell lung cancer, early palliative care led to significant improvements in both quality of life and mood. As compared with patients receiving standard care, patients receiving early palliative care had less aggressive care at the end of life but longer survival. (Funded by an American Society of Clinical Oncology Career Development Award and philanthropic gifts; ClinicalTrials.gov number, NCT01038271.)
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                Author and article information

                Contributors
                office@ordination-frass.at
                Journal
                Oncologist
                Oncologist
                10.1002/(ISSN)1549-490X
                ONCO
                theoncologist
                The Oncologist
                John Wiley & Sons, Inc. (Hoboken, USA )
                1083-7159
                1549-490X
                07 November 2020
                December 2020
                : 25
                : 12 ( doiID: 10.1002/onco.v25.12 )
                : e13548
                Affiliations
                [ 1 ] Medical University of Vienna, Department of Medicine I, Clinical Division of Oncology and Institute for Homeopathic Research Vienna Austria
                [ 2 ] Scientific Society for Homeopathy (WissHom) Koethen Germany
                [ 3 ] Hospital of Lienz, Department of Medicine Lienz Austria
                [ 4 ] General Practitioner Enns Austria
                [ 5 ] Department of Respiratory and Critical Care Medicine, Respiratory Oncology Unit, Karl Landsteiner Institute of Lung Research and Pulmonary Oncology, Klinik Floridsdorf Vienna Austria
                [ 6 ] Witten/Herdecke University, Faculty of Health Sciences, Witten Germany
                [ 7 ] Medical University of Vienna, Department of Medicine I, Clinical Division of Oncology Vienna Austria
                [ 8 ] Austrian Chamber of Pharmacists, Department Vienna, HomResearch, Interdisciplinary Homeopathic Research Group Vienna Austria
                [ 9 ] Elisabethinenspital, Department of Medicine Linz Austria
                [ 10 ] Central Council for Research in Homeopathy, Ministry of AYUSH, Government of India and LMHI, West Delhi Delhi India
                [ 11 ] StatistikAmbulanz, Consulting Company, Leobendorf Austria
                [ 12 ] Department of Respiratory and Critical Care Medicine and Ludwig Boltzmann Institute for Lung Health, Otto Wagner Hospital and Sigmund Freud University, Medical School Vienna Austria
                Author notes
                [*] [* ]Correspondence: Michael Frass, M.D., Medical University of Vienna, Department of Medicine I, Clinical Division of Oncology, Waehringer Guertel 18‐20, A 1090 Vienna, and Institute for Homeopathic Research, Gaudenzdorfer Guertel 63, 1120 Vienna, Austria. Telephone: 0043‐664‐545‐3040; e‐mail: office@ 123456ordination-frass.at
                Author information
                https://orcid.org/0000-0003-4140-4258
                Article
                ONCO13548
                10.1002/onco.13548
                8108047
                33010094
                cd5134f1-d4b5-4c75-9c5f-5b5ffd6546f4
                © 2020 The Authors. The Oncologist published by Wiley Periodicals LLC on behalf of AlphaMed Press.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 09 July 2020
                : 28 September 2020
                Page count
                Figures: 3, Tables: 17, Pages: 26, Words: 8575
                Categories
                4
                14
                Clinical Trial Results
                Clinical Trial Results
                Custom metadata
                2.0
                December 2020
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.0.2 mode:remove_FC converted:10.05.2021

                Oncology & Radiotherapy
                additive homeopathy,adult oncology,complementary and alternative medicine,global health status,lung cancer,survival

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