PMID- 33448618 OWN - NLM STAT- MEDLINE DCOM- 20210922 LR - 20210922 IS - 1476-5829 (Electronic) IS - 1476-5810 (Print) IS - 1476-5810 (Linking) VI - 19 IP - 1 DP - 2021 Mar TI - Fasting reduces the incidence of vincristine-associated adverse events in dogs. PG - 61-68 LID - 10.1111/vco.12638 [doi] AB - Fasting has been shown to decrease chemotherapy-associated adverse events (AEs), in part through insulin-like growth factor (IGF-1) reduction, and may induce a protective effect on normal cells during chemotherapy treatment in mice and people. The purpose of this study was to evaluate the effect of fasting on constitutional, bone marrow and gastrointestinal (GI) AEs, and serum glucose, IGF-1 and insulin levels in dogs receiving vincristine. The study was a prospective, crossover clinical trial in tumour-bearing dogs. Dogs were randomized to be fasted for 24 to 28 hours prior to and 6 hours following their first or second vincristine treatment, and fed normally for the alternate dose. A significant reduction in nausea, anorexia, lethargy and serum insulin was observed when dogs were fasted; however, no significant differences were found in other GI symptoms, neutrophil count, serum glucose or IGF-1. Fasting prior to vincristine therapy is a safe and effective treatment modality that helped mitigate constitutional and GI AEs in tumour-bearing dogs. CI - (c) 2020 The Authors. Veterinary and Comparative Oncology published by John Wiley & Sons Ltd. FAU - Duckett, Margaret E AU - Duckett ME AUID- ORCID: 0000-0003-3820-1791 AD - Department of Clinical Sciences, Carlson College of Veterinary Medicine, Oregon State University, Corvallis, Oregon, USA. FAU - Curran, Kaitlin M AU - Curran KM AD - Department of Clinical Sciences, Carlson College of Veterinary Medicine, Oregon State University, Corvallis, Oregon, USA. FAU - Leeper, Haley J AU - Leeper HJ AUID- ORCID: 0000-0003-0900-0851 AD - Department of Clinical Sciences, Carlson College of Veterinary Medicine, Oregon State University, Corvallis, Oregon, USA. FAU - Ruby, Carl E AU - Ruby CE AD - Department of Clinical Sciences, Carlson College of Veterinary Medicine, Oregon State University, Corvallis, Oregon, USA. FAU - Bracha, Shay AU - Bracha S AD - Veterinary Medicine & Biomedical Sciences, Texas A&M University, College Station, Texas, USA. LA - eng PT - Clinical Trial, Veterinary PT - Journal Article DEP - 20200826 PL - England TA - Vet Comp Oncol JT - Veterinary and comparative oncology JID - 101185242 RN - 0 (Antineoplastic Agents) RN - 0 (Blood Glucose) RN - 0 (Insulin) RN - 5J49Q6B70F (Vincristine) RN - 67763-96-6 (Insulin-Like Growth Factor I) SB - IM MH - Animal Feed MH - Animals MH - Antineoplastic Agents/*adverse effects/therapeutic use MH - Blood Glucose/*drug effects MH - Bone Marrow/drug effects MH - Cross-Over Studies MH - Dog Diseases/*chemically induced/drug therapy MH - Dogs MH - Food Deprivation MH - Gastrointestinal Diseases/chemically induced/*veterinary MH - Insulin/blood/metabolism MH - Insulin-Like Growth Factor I/metabolism MH - Neoplasms/drug therapy/*veterinary MH - Vincristine/*adverse effects/therapeutic use PMC - PMC7891372 OTO - NOTNLM OT - cancer OT - chemotherapy OT - dogs OT - fasting OT - toxicity OT - vincristine COIS- The authors declare no conflicts of interest. EDAT- 2021/01/16 06:00 MHDA- 2021/09/23 06:00 PMCR- 2021/02/18 CRDT- 2021/01/15 08:47 PHST- 2020/03/09 00:00 [received] PHST- 2020/07/14 00:00 [revised] PHST- 2020/07/15 00:00 [accepted] PHST- 2021/01/16 06:00 [pubmed] PHST- 2021/09/23 06:00 [medline] PHST- 2021/01/15 08:47 [entrez] PHST- 2021/02/18 00:00 [pmc-release] AID - VCO12638 [pii] AID - 10.1111/vco.12638 [doi] PST - ppublish SO - Vet Comp Oncol. 2021 Mar;19(1):61-68. doi: 10.1111/vco.12638. Epub 2020 Aug 26.