Cancer patients with chronic pain syndrome: can we improve their quality of life?
https://doi.org/10.17650/1994-4098-2023-19-1-90-98
Abstract
Many patients with different malignancies require analgesic therapy not only at advanced stages of the disease, but also during their diagnosis and treatment, as well as after treatment completion to ensure pain relief. New highly effective painkillers with a lower adverse event burden are critical to improve the quality of life of cancer patients with chronic pain syndrome. Tafalgin (tyrosyl-arginyl-phenylalanyl-glycinamide) is a highly specific μ1-opioid receptor agonist. It is an innovative Russian drug for subcutaneous administration, which has no analogues abroad. This article discusses the results of phase I–III clinical trials assessing tafalgin efficacy, safety, and potential to improve patients’ quality of life.
Keywords
About the Authors
M. M. KonstantinovaRussian Federation
Mariya Mikhaylovna Konstantinova
198255
56 Prospekt Veteranov
Saint Petersburg
R. M. Paltuev
Russian Federation
198255
56 Prospekt Veteranov
197758
68 Leningradskaya St.
Pesochnyy Settlement
Saint Petersburg
References
1. Caraceni A., Shkodra M. Cancer pain assessment and classification. Cancers (Basel) 2019; 11 (4): 510. DOI: 10.3390/cancers11040510
2. International Association for the Study of Pain (IASP); 1992. Available at: http://www.iasp-pain.org.
3. World Health Organization. WHO guidelines for the pharmacological and radiotherapeutic management of cancer pain in adults and adolescents. Geneva: World Health Organization, 2018.
4. Paice J. A., Bell R. F., Kalso E. A., Soyyannwo O. A. Cancer Pain: From Molecules to Suffering. IASP Press, 2010.
5. Kosorukov V. S., Abuzarova G. R., Zakharochkina E. R. et al. Tafalgin: an innovative tetrapeptide for subcutaneous administration: a review of the results of phase I and II clinical trials. Opukholi golovy i shei = Head and Neck Tumors 2022; 12 (2): 89–107. (In Russ.)
6. Abuzarova G. R., Kosorukov V. S., Gamzeleva O. Yu. et al. Efficacy and safety of tafalgin in patients with oncological pain. Results of an open-label, multicenter, randomized clinical trial. Onkologiya. Zhurnal im. P. A. Gertsena = Oncology. Journal named after P. A. Herzen 2022; 11 (5): 38–48. (In Russ.)
7. International Council for Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use. ICH harmonised guideline. Integrated addendum to ICH E6 (R1): guideline for good clinical practice E6(R2). 2016. Available at: https://database.ich.org/sites/default/files/E6_R2_Addendum.pdf.
8. General Assembly of the World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. J Am Coll Dent 2014; 81 (3): 14–8.
9. International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use. ICH harmonised tripartite guideline. Statistical principles for clinical trials. E9. 1998. Available at: https://database.ich.org/sites/default/files/E9_Guideline.pdf.
10. Decision of the Council of the Eurasian Economic Commission No. 79 dated November 3, 2016 “Approval of the Rules of Good Clinical Practice for the Eurasian Economic Union”. Astana. Available at: https://docs.cntd.ru/document/456026110. (In Russ.)
11. Board of the Eurasian Economic Commission. Recommendation No. 19 dated November 03, 2020 “Guidelines for the application of biostatistics principles in clinical trials”. Moscow. Available at: https://legalacts.ru/doc/rekomendatsija-kollegii-evraziiskoi-ekonomicheskoi-komissii-ot-03112020-n-19/. (In Russ.)
12. Chronic pain syndrome in adult patients requiring palliative care. Clinical guideline. 2016. Available at: https://b67c110e-c342-4f509588-194d66f0d842.filesusr.com/ugd/b488e5_3a5e5299af1645fda81a3cf6d5f2cdd6.pdf. (In Russ.)
Review
For citations:
Konstantinova M.M., Paltuev R.M. Cancer patients with chronic pain syndrome: can we improve their quality of life? Tumors of female reproductive system. 2023;19(1):90-98. (In Russ.) https://doi.org/10.17650/1994-4098-2023-19-1-90-98