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- W3088441057 abstract "Several systemic anti-cancer therapies, including paclitaxel contain alcohol as a solvent, which may pose a risk to those who drive home after treatment. This study aimed to provide a better understanding of the effect of ethanol diluent on breath alcohol concentration in an Irish population. In this prospective study, patients attending the Oncology Day Unit at Beaumont Hospital were invited to participate on their treatment day. Breath alcohol concentration was measured using the Alcosense™ breathalyser before and after paclitaxel infusion. The primary end-point was the number of patients who were above the legal alcohol threshold for driving in Ireland. Secondary end-points included the exploration of factors that might influence breath alcohol levels. A total of 50 patients were included over a ten month period. Median age was 56 years, 34 (68%) were female. Most (56%) had breast or oesophageal (30%) cancer. The mean BSA was 1.8m2 (range 1.51-2.29 m2). 10 (20%) had metastatic disease including 4 (8%) with hepatic spread. Mean ALT level for the three visits was 26 IU/L (range 7-63 IU/L). The infusion duration was sixty minutes for all patients. Mean paclitaxel dose was 118 mg, mean total amount of ethanol infused was 7.7g. Overall, 27 patients had a detectable breath alcohol level on at least one visit (range 4-11 mcg/100mls of breath). Mean breath alcohol level was 2 mcg/100mls of breath for overall group. A weak correlation was observed between breath alcohol level and total amount of ethanol infused. The maximum breath alcohol level recorded was 11 mcg/100mls of breath, 50% of the statutory limit for the majority of drivers and exceeding the threshold for professional, learner and novice drivers in Ireland.Table:Pts baseline characteristicsDetectable (n=27)Undetectable (n=23)Overall (n=50)Age, median (SD), years48 (10.5)67 (11)56 (13.5)BSA, mean (SD), m21.8 (0.17)1.9 (0.2)1.8 (0.2)Diagnosis, n (%) Breast Oesophageal Other25 (93) 2 (7) -3 (13) 13 (57) 7 (30)28 (56) 15 (30) 7 (14)Metastatic disease, n (%)4 (15)6 (26)10 (20)Taxol dose, mean (SD), mg135 (21.5)98 (14.9)118 (26.6)Total amount of ethanol infused, mean (SD), mg8.8 (1.4)6.4 (0.97)7.7 (1.7)Cycle at baseline, median (SD)3 (2)2 (3.2)2 (2.6) Open table in a new tab . Although definitive conclusions are limited by relatively small numbers, it seems unlikely that weekly paclitaxel infusions pose any significant risk to patients breaching drink driving limits." @default.
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- W3088441057 date "2020-09-01" @default.
- W3088441057 modified "2023-09-28" @default.
- W3088441057 title "1894P Final results from a prospective study examining exhaled breath alcohol levels following weekly paclitaxel chemotherapy" @default.
- W3088441057 doi "https://doi.org/10.1016/j.annonc.2020.08.1541" @default.
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