title: Pilot study of a specific dietary supplement in tumor-bearing mice and in stage IIIB and IV non-small cell lung cancer patients.
abstract: Previously, a specific dietary supplement, selected vegetables (SV), was found to be associated with prolonged survival of stage III and IV non-small cell lung cancer (NSCLC) patients. In this study, several anticancer components in SV were measured; the anticancer activity of SV was assessed using a lung tumor model, line 1 in BALB/c mice. SV was also used in conjunction with conventional therapies by stage IIIB and IV NSCLC patients whose survival and clinical responses were evaluated. A daily portion (283 g) of SV was found to contain 63 mg of inositol hexaphosphate, 4.4 mg of daidzein, 2.6 mg of genistein, and 16 mg of coumestrol. Mouse food containing 5% SV (wt/wt) was associated with a 53-74% inhibition of tumor growth rate. Fourteen of the 18 patients who ingested SV daily for 2-46 months were included in the analyses; none showed evidence of toxicity. The first lead case remained tumor free for > 133 months; the second case showed complete regression of multiple brain lesions after using SV and radiotherapy. The median survival time of the remaining 12 patients was 33.5 months, and one-year survival was > 70%. The median survival time of the 16 "intent-to-treat" patients (including ineligible patients) was 20 months, and one-year survival was 55%. The Karnofsky performance status of eligible patients was 55 +/- 13 at entry but improved to 92 +/- 9 after use of SV for five months or longer (p < 0.01). Five patients had stable lesions for 30, 30, 20, 12, and 2 months; two of them, whose primary tumor was resected, used SV alone and demonstrated an objective response of their metastatic tumors. In addition to the two lead cases, eight patients had no new metastases after using SV. Three patients had complete regression of brain metastases after using radiotherapy and SV. In this study, daily ingestion of SV was associated with objective responses, prolonged survival, and attenuation of the normal pattern of progression of stage IIIB and IV NSCLC. A large randomized phase III clinical trial is needed to confirm the results observed in this pilot study.
authors.affiliation: Connecticut Institute for Aging and Cancer, Milford, CT 06460, USA.
authors.forename: A S
authors.initials: AS
authors.lastname: Sun
authors.forename: H C
authors.initials: HC
authors.lastname: Yeh
authors.forename: L H
authors.initials: LH
authors.lastname: Wang
authors.forename: Y P
authors.initials: YP
authors.lastname: Huang
authors.forename: H
authors.initials: H
authors.lastname: Maeda
authors.forename: A
authors.initials: A
authors.lastname: Pivazyan
authors.forename: C
authors.initials: C
authors.lastname: Hsu
authors.forename: E R
authors.initials: ER
authors.lastname: Lewis
authors.forename: H W
authors.initials: HW
authors.lastname: Bruckner
authors.forename: T M
authors.initials: TM
authors.lastname: Fasy
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D000970:Antineoplastic Agents / Q000008:administration & dosage; D002289:Carcinoma, Non-Small-Cell Lung / Q000178:diet therapy* / Q000401:mortality; D003375:Coumestrol / Q000008:administration & dosage; D019587:Dietary Supplements; D004195:Disease Models, Animal; D005260:Female; D019833:Genistein / Q000008:administration & dosage; D006801:Humans; D007529:Isoflavones / Q000008:administration & dosage; D017567:Karnofsky Performance Status; D008175:Lung Neoplasms / Q000178:diet therapy* / Q000401:mortality; D008297:Male; D051379:Mice; D008807:Mice, Inbred BALB C; D008875:Middle Aged; D009367:Neoplasm Staging; D009753:Nutritive Value; D010833:Phytic Acid / Q000008:administration & dosage; D010865:Pilot Projects; D016019:Survival Analysis; D013997:Time Factors; D014675:Vegetables / Q000737:chemistry*
chemical_list: D000970:Antineoplastic Agents; D007529:Isoflavones; C004742:daidzein; D010833:Phytic Acid; D019833:Genistein; D003375:Coumestrol