Natural products and complementary therapies for chemotherapy-induced peripheral neuropathy: A systematic review Journal Article


Authors: Brami, C.; Bao, T.; Deng, G.
Article Title: Natural products and complementary therapies for chemotherapy-induced peripheral neuropathy: A systematic review
Abstract: 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. © 2015 Elsevier Ireland Ltd.
Keywords: chemotherapy; peripheral neuropathy; randomized controlled trials; complementary therapies; dietary supplements; integrative medicine; natural products; platinum drugs
Journal Title: Critical Reviews in Oncology/Hematology
Volume: 98
ISSN: 1040-8428
Publisher: Elsevier Science, Inc.  
Date Published: 2016-02-01
Start Page: 325
End Page: 334
Language: English
DOI: 10.1016/j.critrevonc.2015.11.014
PROVIDER: scopus
PMCID: PMC4727999
PUBMED: 26652982
DOI/URL:
Notes: Review -- Export Date: 3 March 2016 -- Source: Scopus
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  1. Gary E Deng
    77 Deng
  2. Ting   Bao
    76 Bao