Dietary supplementation with L-arginine in patients with breast cancer (> 4 cm) receiving multimodality treatment: report of a feasibility study
1994

L-Arginine Supplementation in Breast Cancer Patients

Sample size: 44 publication Evidence: moderate

Author Information

Author(s): J. Brittenden, S.D. Heys, I. Miller, T.K. Sarkar, A.W. Hutcheon, G. Needham, F. Gilbert, M. McKean, A.K. Ah-Seel, O. Eremin

Primary Institution: University of Aberdeen, UK

Hypothesis

Can dietary supplementation with L-arginine improve the response of large breast cancers to chemotherapy?

Conclusion

The study found that L-arginine supplementation led to high clinical response rates in patients with large breast cancers undergoing chemotherapy.

Supporting Evidence

  • 95% of patients had a clinical response after treatment.
  • 30% achieved a complete response and 65% a partial response.
  • Imaging showed response rates of 91% and 76% for ultrasound and mammography respectively.
  • Histological examination revealed no residual evidence of tumor in 18% of cases.

Takeaway

Giving patients with large breast cancer a special nutrient called L-arginine before chemotherapy helped them respond better to the treatment.

Methodology

Patients received L-arginine 30 g/day for 3 days before each cycle of CHOP chemotherapy, followed by radiotherapy.

Potential Biases

Potential biases may arise from the lack of a control group and the subjective nature of some assessments.

Limitations

The study was a pilot and had a small sample size, limiting the generalizability of the results.

Participant Demographics

Patients were aged 31-73 years, with a median age of 53; 19 were premenopausal and 25 post-menopausal.

Statistical Information

P-Value

p<0.05

Confidence Interval

95% CI for response rate 81-97%

Statistical Significance

p<0.05

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