Evaluation of nano-curcumin oral formulation efficacy in prevention of chemotherapy-induced adverse reactions in metastatic colorectal cancer patients

Objective: The aim of the present study is to evaluate the effectiveness of oral formulation of nano-curcumin in prevention of some chemotherapy-induced adverse reactions.Materials and Methods: In this study, ۸۴ patients with metastatic colorectal cancer were randomly assigned into the nano-curcumin (۴۰ mg capsule) or placebo groups, receiving treatments three times daily, beginning the first day to the end of the sixth cycle of chemotherapy. To investigate various adverse events, including hematologic adverse reactions, diarrhea, hand-foot syndrome (HFS) and neuropathy, the criteria of National Cancer Institute Common Terminology for Adverse Events (NCI-CTCAE) version ۵ were implemented after the third and sixth course.Results: The CTCAE peripheral neuropathy score was significantly different between the two groups at the end of the ۶th course (p=۰.۰۲۹) but not the third course (p=۰.۱۵۷). No significant response was observed for neutropenia, anemia, thrombocytopenia, HFS, or diarrhea at the end of both third (P=۰.۲۶۷, ۰.۲۵۸, ۰.۹۳۳, ۰.۳۷۷, and ۰.۸۱۱, respectively) and ۶th courses (p=۰.۴۵۶, ۰.۶۴۵, ۰.۷۷۲, ۰.۳۴, and ۰.۱۱۴, respectively).Conclusion: Nano-curcumin in dose of ۴۰ mg thrice daily was not effective in prevention of neuropathy, HFS and hematologic adverse reactions induced by XELOX/FOLFOX-۶ regimens. Further research with larger sample size on different nano-curcumin dosing schedules is suggested.

کلیدواژه ها:

Metastatic colorectal cancer Nanocurcumin ، Chemotherapy toxicity ، Cancer progression ، FOLFOX/XELOX±Bevacizumab