A randomised study comparing intermittent to continuous administration of magnesium aspartate hydrochloride in cisplatin-induced hypomagnesaemia
1990

Comparing Continuous and Intermittent Magnesium for Cancer Patients

Sample size: 23 publication Evidence: moderate

Author Information

Author(s): E.E. Vokes, R. Mick, N.J. Vogelzang, R. Geiser, F. Douglas

Primary Institution: The University of Chicago Pritzker School of Medicine

Hypothesis

Can magnesium aspartate hydrochloride prevent or replenish magnesium loss in patients undergoing cisplatin chemotherapy?

Conclusion

The study found that continuous magnesium supplementation is more effective in preventing hypomagnesaemia in patients receiving cisplatin chemotherapy.

Supporting Evidence

  • Patients receiving continuous magnesium had higher serum magnesium levels compared to those on intermittent therapy.
  • By the third cycle of chemotherapy, nearly all patients in the intermittent group required magnesium supplementation.
  • No patients experienced side effects related to magnesium administration.
  • Severe hypomagnesaemia was rare in both treatment groups.

Takeaway

This study looked at how giving magnesium all the time versus only when needed helps cancer patients who are getting a specific type of chemotherapy. It turns out that giving it all the time is better.

Methodology

Patients were randomized into two groups: one received continuous magnesium supplementation, while the other received it only when magnesium levels dropped.

Potential Biases

No significant bias risks were reported.

Limitations

Some patients did not complete all cycles of therapy due to complications or personal choice.

Participant Demographics

Patients had locally advanced head and neck cancer and were previously untreated.

Statistical Information

P-Value

0.0004

Statistical Significance

p<0.05

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