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Natural products and complementary therapies for chemotherapy-induced peripheral neuropathy: A systematic review
Critical reviews in oncology/hematology
Short Title: Crit.Rev.Oncol.Hematol.
Format: Journal Article
Publication Date: Nov 30, 2015
Pages: 325 - 334
Sources ID: 40511
Notes: LR: 20180105; CI: Copyright (c) 2015; GR: P30 CA008748/CA/NCI NIH HHS/United States; GR: R21 CA173263/CA/NCI NIH HHS/United States; JID: 8916049; 0 (Antineoplastic Agents); 0 (Biological Products); 0 (Fatty Acids, Omega-3); 0RH81L854J (Glutamine); 1406-18-4 (Vitamin E); NIHMS745151; OTO: NOTNLM; 2015/06/02 00:00 [received]; 2015/10/27 00:00 [revised]; 2015/11/19 00:00 [accepted]; 2015/12/15 06:00 [entrez]; 2015/12/15 06:00 [pubmed]; 2016/12/15 06:00 [medline]; ppublish
Visibility: Public (group default)
Abstract: (Show)
Chemotherapy-induced peripheral neuropathy (CIPN) is a serious dose-limiting side-effect without any FDA-approved treatment option. Prior reviews focus mostly on pharmacological interventions, but nonpharmaceutical interventions have also been evaluated. A Web of Science and PubMed database search to identify relevant RCTs from January 2005 to May 2015 included the terms: CIPN, cancer; and supplements, vitamin E, goshajinkigan, kampo, acetyl-L-carnitine, carnitine, alpha-lipoic acid, omega-3, glutamine, or glutamate; or massage, acupuncture, mind-body practice, yoga, meditation, Tai-Chi, physical activity, or exercise. Of 1465 publications screened, 12 RCTs evaluated natural products and one evaluated electroacupuncture. Vitamin E may help prevent CIPN. L-Glutamine, goshajinkigan, and omega-3 are also promising. Acetyl-L-carnitine may worsen CIPN and alpha-lipoic acid activity is unknown. Electroacupuncture was not superior to placebo. No RCTs were published regarding other complementary therapies, although some studies mention positive incidental findings. Natural products and complementary therapies deserve further investigation, given the lack of effective CIPN interventions.