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Published in: BMC Complementary Medicine and Therapies 1/2021

Open Access 01-12-2021 | Radiotherapy | Research

Effects of nanomicelle curcumin capsules on prevention and treatment of oral mucosits in patients under chemotherapy with or without head and neck radiotherapy: a randomized clinical trial

Authors: Seyed Javad Kia, Maryam Basirat, Hamid Saeidi Saedi, Seyed Ali Arab

Published in: BMC Complementary Medicine and Therapies | Issue 1/2021

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Abstract

Background

One of the most prevalent complications of chemotherapy and radiotherapy is oral mucositis (OM) and manifests as erythema and ulceration. Curcumin is one of the components of turmeric and possesses anti-inflammatory and anti-oxidative features. Some of studies have proved the effectiveness of Curcumin in OM. This study aimed to investigate the effects of nanomicelle Curcumin on OM related chemotherapy and head and neck radiotherapy.

Methods

In this clinical trial study, 50 patients underwent chemotherapy with or without head and neck radiotherapy were divided into study and control group. The study group was received Curcumin nanomicelle capsules 80 mg twice a day and the control group took placebo two times a day for 7 weeks and the severity and pain of OM was measured.

Results

Oral mucositis severity in control group in the first (P = 0.010), fourth (P = 0.022) and seventh (P < 0.001) weeks were significantly more than the study group. Pain grade in study group was lower than control group only in the seventh week. (P = 0.001) Additionally, NRS incremental gradient in control group was more than study group. OM severity in patients who underwent only chemotherapy in the control group were significantly more than the study group in all weeks. In patients who were under chemotherapy and head and neck radiotherapy, OM in control group was significantly more intense than the study group only in the fourth and seventh weeks.

Conclusions

Nabomicelle Curcumin capsules is effective on prevention and treatment of head and neck radiotherapy and especially chemotherapy induced OM.

Trial registration

Registered 12 February 2019 at Iranian Registry of Clinical Trials (IRCT). IRCT code: IRCT201001010029​50N6. https://​en.​irct.​ir/​trial/​36665. GUMS ethical code: IR.Gums.Rec.1397.296.
Literature
1.
go back to reference Worthington HV, Clarkson JE, Bryan G, Furness S, Glenny AM, Littlewood A, et al. Interventions for preventing oral mucositis for patients with cancer receiving treatment. Cochrane Database Syst Rev. 2011;4. Worthington HV, Clarkson JE, Bryan G, Furness S, Glenny AM, Littlewood A, et al. Interventions for preventing oral mucositis for patients with cancer receiving treatment. Cochrane Database Syst Rev. 2011;4.
5.
go back to reference Chaveli-López B. Oral toxicity produced by chemotherapy: a systematic review. J Clin Exp Dent. 2014;6(1):e81.CrossRef Chaveli-López B. Oral toxicity produced by chemotherapy: a systematic review. J Clin Exp Dent. 2014;6(1):e81.CrossRef
6.
go back to reference Zecha JAEM, Raber-Durlacher JE, Nair RG, Epstein JB, Elad S, Hamblin MR, et al. Low-level laser therapy/photobiomodulation in the management of side effects of chemoradiation therapy in head and neck cancer: part 2: proposed applications and treatment protocols. 2016;24(6):2793–805. Zecha JAEM, Raber-Durlacher JE, Nair RG, Epstein JB, Elad S, Hamblin MR, et al. Low-level laser therapy/photobiomodulation in the management of side effects of chemoradiation therapy in head and neck cancer: part 2: proposed applications and treatment protocols. 2016;24(6):2793–805.
7.
go back to reference Bensadoun RJ, Le Page F, Darcourt V, Bensadoun F, Ciais G, Rostom YA, et al. Radiation-induced mucositis of the aerodigestive tract: prevention and treatment. MASCC/ISOO mucositis group’s recommendations. Bull Cancer. 2006;93(2):201–11.PubMed Bensadoun RJ, Le Page F, Darcourt V, Bensadoun F, Ciais G, Rostom YA, et al. Radiation-induced mucositis of the aerodigestive tract: prevention and treatment. MASCC/ISOO mucositis group’s recommendations. Bull Cancer. 2006;93(2):201–11.PubMed
8.
go back to reference Wilkes JD. Prevention and treatment of oral mucositis following cancer chemotherapy. Semin Oncol. 1998;25(5):538–51.PubMed Wilkes JD. Prevention and treatment of oral mucositis following cancer chemotherapy. Semin Oncol. 1998;25(5):538–51.PubMed
9.
go back to reference Arbabi-kalati F, Arbabi-kalati F, Deghatipour M, Moghaddam AA. Evaluation of the efficacy of zinc sulfate in the prevention of chemotherapy-induced mucositis: a double-blind randomized clinical trial. Arch Iran Med. 2012;15(7):413–7 DOI: 012157/AIM.008.PubMed Arbabi-kalati F, Arbabi-kalati F, Deghatipour M, Moghaddam AA. Evaluation of the efficacy of zinc sulfate in the prevention of chemotherapy-induced mucositis: a double-blind randomized clinical trial. Arch Iran Med. 2012;15(7):413–7 DOI: 012157/AIM.008.PubMed
10.
go back to reference Chaveli-López B, Bagán-Sebastián JV. Treatment of oral mucositis due to chemotherapy. J Clin Exp Dent. 2016;8(2):e201.PubMedPubMedCentral Chaveli-López B, Bagán-Sebastián JV. Treatment of oral mucositis due to chemotherapy. J Clin Exp Dent. 2016;8(2):e201.PubMedPubMedCentral
13.
go back to reference Lestari ML, Indrayanto G. Curcumin. In: Profiles of drug substances, excipients and related methodology 2014 Jan 1 (Vol. 39, pp. 113-204). Academic Press. Lestari ML, Indrayanto G. Curcumin. In: Profiles of drug substances, excipients and related methodology 2014 Jan 1 (Vol. 39, pp. 113-204). Academic Press.
15.
20.
go back to reference Rahimi HR, Nedaeinia R, Shamloo AS, Nikdoust S, Oskuee RK. Novel delivery system for natural products: Nano-curcumin formulations. Avicenna J Phytomed. 2016;6(4):383–98.PubMedPubMedCentral Rahimi HR, Nedaeinia R, Shamloo AS, Nikdoust S, Oskuee RK. Novel delivery system for natural products: Nano-curcumin formulations. Avicenna J Phytomed. 2016;6(4):383–98.PubMedPubMedCentral
25.
go back to reference Elad S, Meidan I, Sellam G, Simaan S, Zeevi I, Waldman E, Weintraub M. Topical curcumin for the prevention of oral mucositis in pediatric patients: case series. Altern Ther Health Med 2013; 19(3):21-24. Elad S, Meidan I, Sellam G, Simaan S, Zeevi I, Waldman E, Weintraub M. Topical curcumin for the prevention of oral mucositis in pediatric patients: case series. Altern Ther Health Med 2013; 19(3):21-24.
26.
go back to reference Francis M, Williams S. Effectiveness of Indian turmeric powder with honey as complementary therapy on Oral mucositis: a nursing perspective among Cancer patients in Mysore. Nurs J India. 2014;105(6):258–60.PubMed Francis M, Williams S. Effectiveness of Indian turmeric powder with honey as complementary therapy on Oral mucositis: a nursing perspective among Cancer patients in Mysore. Nurs J India. 2014;105(6):258–60.PubMed
27.
go back to reference Charantimath S. Use of curcumin in Radiochemotherapy induced Oral mucositis patients: a control trial study. World Acad Sci Eng Technol Int J Med Health Biomed Bioeng Pharm Eng. 2016;10(3):147–52. Charantimath S. Use of curcumin in Radiochemotherapy induced Oral mucositis patients: a control trial study. World Acad Sci Eng Technol Int J Med Health Biomed Bioeng Pharm Eng. 2016;10(3):147–52.
28.
go back to reference Mansourian A, Amanlou M, Shirazian S, Jahromi ZM, Amirian A. The effect of “Curcuma longa” topical gel on radiation-induced oral mucositis in patients with head and neck cancer. Iran J Radiat Res. 2015;13(3):269–74. Mansourian A, Amanlou M, Shirazian S, Jahromi ZM, Amirian A. The effect of “Curcuma longa” topical gel on radiation-induced oral mucositis in patients with head and neck cancer. Iran J Radiat Res. 2015;13(3):269–74.
31.
go back to reference Delavarian Z, Pakfetrat A, Ghazi A, Jaafari MR, Homaei Shandiz F, Dalirsani Z, et al. Oral administration of nanomicelle curcumin in the prevention of radiotherapy-induced mucositis in head and neck cancers. Special Care Dentistry. 2019;39(2):166–72. https://doi.org/10.1111/scd.12358.CrossRef Delavarian Z, Pakfetrat A, Ghazi A, Jaafari MR, Homaei Shandiz F, Dalirsani Z, et al. Oral administration of nanomicelle curcumin in the prevention of radiotherapy-induced mucositis in head and neck cancers. Special Care Dentistry. 2019;39(2):166–72. https://​doi.​org/​10.​1111/​scd.​12358.CrossRef
32.
go back to reference Al Ibraheemi AA, Shamoun S. Incidence and risk factors of oral mucositis in patients with breast cancer who receiving chemotherapy in Al-Bashir hospital. Int J Hematol Oncol Stem Cell Res. 2016;10(4):217–23.PubMedPubMedCentral Al Ibraheemi AA, Shamoun S. Incidence and risk factors of oral mucositis in patients with breast cancer who receiving chemotherapy in Al-Bashir hospital. Int J Hematol Oncol Stem Cell Res. 2016;10(4):217–23.PubMedPubMedCentral
34.
go back to reference Nishii M, Soutome S, Kawakita A, Yutori H, Iwata E, Akashi M, et al. Factors associated with severe oral mucositis and candidiasis in patients undergoing radiotherapy for oral and oropharyngeal carcinomas: a retrospective multicenter study of 326 patients. Support Care Cancer. 2019;8:1–7. Nishii M, Soutome S, Kawakita A, Yutori H, Iwata E, Akashi M, et al. Factors associated with severe oral mucositis and candidiasis in patients undergoing radiotherapy for oral and oropharyngeal carcinomas: a retrospective multicenter study of 326 patients. Support Care Cancer. 2019;8:1–7.
35.
go back to reference Glick M. Burket’s Oral medicine, 12e: PMPH-USA; 2015. p. chapter 9. Glick M. Burket’s Oral medicine, 12e: PMPH-USA; 2015. p. chapter 9.
36.
go back to reference Strojan P, Hutcheson KA, Eisbruch A, Beitler JJ, Langendijk JA, Lee A, et al. Treatment of late sequelae after radiotherapy for head and neck cancer. Cancer Treat Rev. 2017;59:79–92.CrossRef Strojan P, Hutcheson KA, Eisbruch A, Beitler JJ, Langendijk JA, Lee A, et al. Treatment of late sequelae after radiotherapy for head and neck cancer. Cancer Treat Rev. 2017;59:79–92.CrossRef
38.
go back to reference Hey J, Setz J, Gerlach R, Vordermark D, Gernhardt CR, Kuhnt T. Effect of cisplatin on parotid gland function in concomitant radiochemotherapy. Int J Radiat Oncol Biol Phys. 2009;75(5):1475–80.CrossRef Hey J, Setz J, Gerlach R, Vordermark D, Gernhardt CR, Kuhnt T. Effect of cisplatin on parotid gland function in concomitant radiochemotherapy. Int J Radiat Oncol Biol Phys. 2009;75(5):1475–80.CrossRef
39.
go back to reference Kosuda S, Satoh M, Yamamoto F, Uematsu M, Kusano S. Assessment of salivary gland dysfunction following chemoradiotherapy using quantitative salivary gland scintigraphy. Int J Radiat Oncol Biol Phys. 1999;45(2):379–84.CrossRef Kosuda S, Satoh M, Yamamoto F, Uematsu M, Kusano S. Assessment of salivary gland dysfunction following chemoradiotherapy using quantitative salivary gland scintigraphy. Int J Radiat Oncol Biol Phys. 1999;45(2):379–84.CrossRef
40.
go back to reference Brinkmeier T, Frosch PJ. Pyodermatitis-pyostomatitis vegetans: a clinical course of two decades with response to cyclosporine and low-dose prednisolone. Acta Dermatovenereologica-Stockholm. 2001;81(2):134–6. Brinkmeier T, Frosch PJ. Pyodermatitis-pyostomatitis vegetans: a clinical course of two decades with response to cyclosporine and low-dose prednisolone. Acta Dermatovenereologica-Stockholm. 2001;81(2):134–6.
Metadata
Title
Effects of nanomicelle curcumin capsules on prevention and treatment of oral mucosits in patients under chemotherapy with or without head and neck radiotherapy: a randomized clinical trial
Authors
Seyed Javad Kia
Maryam Basirat
Hamid Saeidi Saedi
Seyed Ali Arab
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2021
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/s12906-021-03400-4

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