全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Dermatoprotective Effect of Ocoxin Cream in Cancer Patients Treated with Radiation Therapy. Case Series

DOI: 10.4236/crcm.2025.141004, PP. 25-39

Keywords: Dermatitis, Radiation Therapy, Ocoxin Cream, Quality of Life

Full-Text   Cite this paper   Add to My Lib

Abstract:

Background: The effects of radiation therapy can impact patients’ quality of life, leading to treatment interruptions and therefore sub-optimal outcomes. The main aim was to evaluate the preliminary effects of Ocoxin cream in the prevention of radiation therapy. Methods: Fifty patients were enrolled in an observational, longitudinal, prospective, single-centre clinical trial in the Department of Radiation Therapy at the National Institute of Oncology and Radiobiology in Havana, Cuba. The Radiation Therapy Oncology Group (RTOG) toxicity criteria were used to classify the radiation therapy, and the Dermatology Life Quality Index (DLQI) instrument was used to assess quality of life. Results: Patients who met the inclusion criteria were enrolled consecutively and were treated with teletherapy using a 60Co source with 1.25 MeV energy. 70.0% of the patients were head and neck cancer patients. No grade 3 - 4 radiation therapy was reported, nor were there any interruptions in radiation treatment due to skin toxicity. Radiation therapy was observed in only 14.0% of patients, and of these, only two patients developed grade 2 toxicity. The perception of quality of life before vs. after radiation therapy remained within an average range of “no effect” (at the start of radiation therapy) to “small effect” (at the end of radiation therapy). Conclusions: This clinical study is the first report of the use of Ocoxin cream in cancer patients and demonstrates that it is able to prevent radiation therapy and reduce the severity of toxicity of treatment with ionising radiation.

References

[1]  Ryan, J.L. (2012) Ionizing Radiation: The Good, the Bad, and the Ugly. Journal of Investigative Dermatology, 132, 985-993.
https://doi.org/10.1038/jid.2011.411
[2]  McQuestion, M. (2006) Evidence-Based Skin Care Management in Radiation Therapy. Seminars in Oncology Nursing, 22, 163-173.
https://doi.org/10.1016/j.soncn.2006.04.004
[3]  Hymes, S.R., Strom, E.A. and Fife, C. (2006) Radiation Dermatitis: Clinical Presentation, Pathophysiology, and Treatment 2006. Journal of the American Academy of Dermatology, 54, 28-46.
https://doi.org/10.1016/j.jaad.2005.08.054
[4]  Feight, D., Baney, T., Bruce, S. and McQuestion, M. (2011) Putting Evidence into Practice. Clinical Journal of Oncology Nursing, 15, 481-492.
https://doi.org/10.1188/11.cjon.481-492
[5]  Bray, F.N., Simmons, B.J., Wolfson, A.H. and Nouri, K. (2016) Acute and Chronic Cutaneous Reactions to Ionizing Radiation Therapy. Dermatology and Therapy, 6, 185-206.
https://doi.org/10.1007/s13555-016-0120-y
[6]  Hu, S.C., Hou, M., Luo, K., Chuang, H., Wei, S., Chen, G., et al. (2014) Changes in Biophysical Properties of the Skin Following Radiotherapy for Breast Cancer. The Journal of Dermatology, 41, 1087-1094.
https://doi.org/10.1111/1346-8138.12669
[7]  Vano‐Galvan, S., Fernandez‐Lizarbe, E., Truchuelo, M., Diaz‐Ley, B., Grillo, E., Sanchez, V., et al. (2012) Dynamic Skin Changes of Acute Radiation Dermatitis Revealed by in Vivo Reflectance Confocal Microscopy. Journal of the European Academy of Dermatology and Venereology, 27, 1143-1150.
https://doi.org/10.1111/j.1468-3083.2012.04680.x
[8]  Sánchez-Sánchez, E., Cerón-Márquez, V.J., Vela-Ruiz, S. and Muñoz-Guerrero, M.J. (2016) Protocolo de cuidados de enfermería en el manejo de la radiodermitis. Revista ROL de enfermería, 39, 38-47.
[9]  Freedman, G.M., Anderson, P.R., Li, J., Eisenberg, D.F., Hanlon, A.L., Wang, L., et al. (2006) Intensity Modulated Radiation Therapy (IMRT) Decreases Acute Skin Toxicity for Women Receiving Radiation for Breast Cancer. American Journal of Clinical Oncology, 29, 66-70.
https://doi.org/10.1097/01.coc.0000197661.09628.03
[10]  Singh, M., Alavi, A., Wong, R. and Akita, S. (2016) Radiodermatitis: A Review of Our Current Understanding. American Journal of Clinical Dermatology, 17, 277-292.
https://doi.org/10.1007/s40257-016-0186-4
[11]  Leventhal, J. and Young, M.R. (2017) Radiation Dermatitis: Recognition, Prevention, and Management. Oncology, 31, 885-899.
[12]  Gray-Lovio, O.R., Abreu-Daniel, A., Valencia-Durán, E.A., Gutiérrez, C., Campos, N., Barreras, A., Bonito-Lovio, D. and Díaz-González, O. (2012) Feasibility of Using Ocoxin Cream and Oncoxin + Viusid to Treat Actinic Keratoses. Derma 3. Tisícročia: Odborný časopis dermatovenerológie, estetickej dermatológie a kozmetiky. Prešov: Kozmezel, DERMA komfort, 12, 82-90.
[13]  Cox, J.D., Stetz, J. and Pajak, T.F. (1995) Toxicity Criteria of the Radiation Therapy Oncology Group (RTOG) and the European Organization for Research and Treatment of Cancer (EORTC). International Journal of Radiation Oncology Biology Physics, 31, 1341-1346.
https://doi.org/10.1016/0360-3016(95)00060-c
[14]  Finlay, A.Y. and Khan, G.K. (1994) Dermatology Life Quality Index (DLQI)—A Simple Practical Measure for Routine Clinical Use. Clinical and Experimental Dermatology, 19, 210-216.
https://doi.org/10.1111/j.1365-2230.1994.tb01167.x
[15]  De Tiedra, A.G., Mercadal, J., Badía, X., Mascaró, J.M., Herdman, M., Lozano, R. (1998). Adaptación transcultural al español del cuestionario Dermatology Life Qual-ity Index (DLQI): El Índice de Calidad de Vida en Dermatología. Actas Dermo-Sifiliográficas, 89, 692-700.
[16]  (2020) The Society and College of Radiographers. Practice Guidelines. Radiation Dermatitis Guidelines for Radiotherapy Healthcare Professionals.
https://www.sor.org/getmedia/53bd52ff-679e-48de-82a0-dc8dae570896/2020_version_4_final_practice_guideline_radiotherapy_skin_care_llv1.pdf
[17]  Lu, Y., Wu, S., Xiang, B., Li, L. and Lin, Y. (2020) Curcumin Attenuates Oxaliplatin-Induced Liver Injury and Oxidative Stress by Activating the Nrf2 Pathway. Drug Design, Development and Therapy, 14, 73-85.
https://doi.org/10.2147/dddt.s224318
[18]  Gamerith, G. and Fuereder, T. (2020) Treating Head and Neck Cancer—A Multidisciplinary Effort. MEMO—Magazine of European Medical Oncology, 13, 359-360.
https://doi.org/10.1007/s12254-020-00656-3
[19]  EBCTCG (Early Breast Cancer Trialists' Collaborative Group) (2014) Effect of Radiotherapy after Mastectomy and Axillary Surgery on 10-Year Recurrence and 20-Year Breast Cancer Mortality: Meta-Analysis of Individual Patient Data for 8135 Women in 22 Randomised Trials. The Lancet, 383, 2127-2135.
https://doi.org/10.1016/s0140-6736(14)60488-8
[20]  Bontempo, P.D.S.M., Ciol, M.A., Menêses, A.G.D., Simino, G.P.R., Ferreira, E.B. and Reis, P.E.D.D. (2021) Acute Radiodermatitis in Cancer Patients: Incidence and Severity Estimates. Revista da Escola de Enfermagem da USP, 55, e03676.
https://doi.org/10.1590/s1980-220x2019021703676
[21]  Pazdrowski, J., Gornowicz-Porowska, J., Kaźmierska, J., Krajka-Kuźniak, V., Polanska, A., Masternak, M., et al. (2024) Radiation-Induced Skin Injury in the Head and Neck Region: Pathogenesis, Clinics, Prevention, Treatment Considerations and Proposal for Management Algorithm. Reports of Practical Oncology and Radiotherapy, 29, 373-390.
https://doi.org/10.5603/rpor.100775
[22]  Elliott, E.A., Wright, J.R., Swann, R.S., Nguyen-Tân, F., Takita, C., Bucci, M.K., et al. (2006) Phase III Trial of an Emulsion Containing Trolamine for the Prevention of Radiation Dermatitis in Patients with Advanced Squamous Cell Carcinoma of the Head and Neck: Results of Radiation Therapy Oncology Group Trial 99-13. Journal of Clinical Oncology, 24, 2092-2097.
https://doi.org/10.1200/jco.2005.04.9148
[23]  Beamer, L.C. and Grant, M. (2019) Using the Dermatology Life Quality Index to Assess How Breast Radiodermatitis Affects Patients’ Quality of Life. Breast Cancer: Basic and Clinical Research, 13.
https://doi.org/10.1177/1178223419835547
[24]  De Rauglaudre, G., Courdi, A., Delaby-Chagrin, F., d’Hombres, A., Hannoun-Levi, J., Moureau-Zabotto, L., et al. (2008) Tolérance de l’association de sucralfate/sels de Cu-Zn dans les radiodermites. Annales de Dermatologie et de Vénéréologie, 135, 11-15.
https://doi.org/10.1016/s0151-9638(08)70092-9
[25]  Vilhena, F.D.M., Pereira, O.V., Sousa, F.D.J.D.D., Martins, N.C.N., Albuquerque, G.P.X., Lopes, R.G.B.D.S., et al. (2024) Factors Associated with the Quality of Life of Women Undergoing Radiotherapy. Revista Gaúcha de Enfermagem, 45, e20230062.
https://doi.org/10.1590/1983-1447.2024.20230062.en
[26]  Department of Dermatology, Wales College of Medicine, Cardiff University. Dermatology Quality of Life Index (DLQI). Quality of Life Questionnaires. DLQI Instructions for Use and Scoring.
https://www.cardiff.ac.uk/medicine/resources/quality-of-life-questionnaires/dermatology-life-quality-index
[27]  Di Franco, R., Sammarco, E., Calvanese, M.G., De Natale, F., Falivene, S., DiLecce, A., et al. (2013) Preventing the Acute Skin Side Effects in Patients Treated with Radiotherapy for Breast Cancer: The Use of Corneometry in Order to Evaluate the Protective Effect of Moisturizing Creams. Radiation Oncology, 8, Article No. 57.
https://doi.org/10.1186/1748-717x-8-57
[28]  Chargari, C., Fromantin, I. and Kirova, Y.M. (2009) Intérêt des applications cutanées en cours de radiothérapie pour la prévention et le traitement des épithéliites radio-induites. Cancer/Radiothérapie, 13, 259-266.
https://doi.org/10.1016/j.canrad.2009.04.003
[29]  Guan, Y., Liu, S., Li, A. and Cheng, W. (2024) Comparison of the Efficacy among Different Interventions for Radiodermatitis: A Bayesian Network Meta-Analysis of Randomized Controlled Trials. PLOS ONE, 19, e0298209.
https://doi.org/10.1371/journal.pone.0298209
[30]  Finkelstein, S., Kanee, L., Behroozian, T., Wolf, J.R., van den Hurk, C., Chow, E., et al. (2022) Comparison of Clinical Practice Guidelines on Radiation Dermatitis: A Narrative Review. Supportive Care in Cancer, 30, 4663-4674.
https://doi.org/10.1007/s00520-022-06829-6
[31]  Behroozian, T., Goldshtein, D., Ryan Wolf, J., van den Hurk, C., Finkelstein, S., Lam, H., et al. (2023) MASCC Clinical Practice Guidelines for the Prevention and Management of Acute Radiation Dermatitis: Part 1) Systematic Review. eClinicalMedicine, 58, Article ID: 101886.
https://doi.org/10.1016/j.eclinm.2023.101886
[32]  Stacey, S.K. and McEleney, M. (2021 Topical Corticosteroids: Choice and Applica-tion. American Family Physician, 103, 337-343.
[33]  Liu, W., Wang, L., Meng, D., Hong, C., Zhang, Q. and Yang, J. (2024) Effectiveness of Topical Corticosteroids on the Prevention of Acute Radiation Dermatitis in Patients with Breast Cancer: An Updated Systematic Review and Meta-Analysis. Asia-Pacific Journal of Oncology Nursing, 11, Article ID: 100553.
https://doi.org/10.1016/j.apjon.2024.100553
[34]  Villegas-Becerril, E., Jimenez-Garcia, C., Perula-de Torres, L.A., Espinosa-Calvo, M., Bueno-Serrano, C.M., Romero-Ruperto, F., et al. (2024) Efficacy of an Aloe Vera, Chamomile, and Thyme Cosmetic Cream for the Prophylaxis and Treatment of Mild Dermatitis Induced by Radiation Therapy in Breast Cancer Patients (the Alantel Study). Contemporary Clinical Trials Communications, 39, Article ID: 101288.
https://doi.org/10.1016/j.conctc.2024.101288
[35]  Amber, K.T., Shiman, M.I. and Badiavas, E.V. (2013) The Use of Antioxidants in Radiotherapy-Induced Skin Toxicity. Integrative Cancer Therapies, 13, 38-45.
https://doi.org/10.1177/1534735413490235
[36]  Kim, J.H., Kolozsvary, A.J.J., Jenrow, K.A. and Brown, S.L. (2013) Mechanisms of Radiation-Induced Skin Injury and Implications for Future Clinical Trials. International Journal of Radiation Biology, 89, 311-318.
https://doi.org/10.3109/09553002.2013.765055
[37]  Yasueda, A., Urushima, H. and Ito, T. (2015) Efficacy and Interaction of Antioxidant Supplements as Adjuvant Therapy in Cancer Treatment: A Systematic Review. Integrative Cancer Therapies, 15, 17-39.
https://doi.org/10.1177/1534735415610427
[38]  Pandiella-Alonso, A., Díaz-Rodríguez, E. and Sanz, E. (2020) Antitumoral Properties of the Nutritional Supplement Ocoxin Oral Solution: A Comprehensive Review. Nutrients, 12, Article 2661.
https://doi.org/10.3390/nu12092661
[39]  García‐Perdomo, H.A., Gómez‐Ospina, J.C. and Reis, L.O. (2021) Immunonutrition Hope? Oral Nutritional Supplement on Cancer Treatment. International Journal of Clinical Practice, 75, e14625.
https://doi.org/10.1111/ijcp.14625
[40]  Li, C., Li, T., Zhu, M., Lai, J. and Wu, Z. (2021) Pharmacological Properties of Glabridin (a Flavonoid Extracted from Licorice): A Comprehensive Review. Journal of Functional Foods, 85, Article ID: 104638.
https://doi.org/10.1016/j.jff.2021.104638
[41]  Na, H. and Surh, Y. (2008) Modulation of Nrf2-Mediated Antioxidant and Detoxifying Enzyme Induction by the Green Tea Polyphenol EGCG. Food and Chemical Toxicology, 46, 1271-1278.
https://doi.org/10.1016/j.fct.2007.10.006
[42]  Ancuceanu, R., Anghel, A.I., Hovaneț, M.V., Ciobanu, A., Lascu, B.E. and Dinu, M. (2024) Antioxidant Activity of Essential Oils from Pinaceae Species. Antioxidants, 13, Article 286.
https://doi.org/10.3390/antiox13030286
[43]  Barnhart, A., Anthony, A., Conaway, K., Sibbitt, B., Delaney, E., Haluschak, J., et al. (2023) Safety and Efficacy of Vitamin C, Vitamin E, and Selenium Supplementation in the Oncology Setting: A Systematic Review. Journal of Oncology Pharmacy Practice, 30, 678-696.
https://doi.org/10.1177/10781552231182362
[44]  Kim, H.C., Oh, H., You, J.S. and Chung, Y.E. (2021) Glycyrrhizin Ameliorating Sterile Inflammation Induced by Low-Dose Radiation Exposure. Scientific Reports, 11, Article No. 18356.
https://doi.org/10.1038/s41598-021-97800-8
[45]  Musial, C., Kuban-Jankowska, A. and Gorska-Ponikowska, M. (2020) Beneficial Properties of Green Tea Catechins. International Journal of Molecular Sciences, 21, Article 1744.
https://doi.org/10.3390/ijms21051744
[46]  Bylka, W., Znajdek-Awiżeń, P., Studzińska-Sroka, E., Dańczak-Pazdrowska, A. and Brzezińska, M. (2014) Centella asiatica in Dermatology: An Overview. Phytotherapy Research, 28, 1117-1124.
https://doi.org/10.1002/ptr.5110
[47]  Ertekin, M.V., Tekin, S.B., Erdogan, F., Karslioglu, I., Gepdiremen, A., Sezen, O., et al. (2004) The Effect of Zinc Sulphate in the Prevention of Radiation-Induced Dermatitis. Journal of Radiation Research, 45, 543-548.
https://doi.org/10.1269/jrr.45.543
[48]  Huang, H. and Chang, T. (2008) Ceramide 1 and Ceramide 3 Act Synergistically on Skin Hydration and the Transepidermal Water Loss of Sodium Lauryl Sulfate‐irritated Skin. International Journal of Dermatology, 47, 812-819.
https://doi.org/10.1111/j.1365-4632.2008.03687.x
[49]  Davies, A., Gormally, J., Wyn-Jones, E., Wedlock, D.J. and Phillips, G.O. (1983) A Study of Factors Influencing Hydration of Sodium Hyaluronate from Compressibility and High-Precision Densimetric Measurements. Biochemical Journal, 213, 363-369.
https://doi.org/10.1042/bj2130363

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133