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Does Vitamin E Mitigate Cisplatin-induced Nephrotoxicity in Cancer Patients: Results from a Randomized Placebo-Controlled Clinical Trial | ||
Middle East Journal of Cancer | ||
مقاله 6، دوره 11، شماره 2 - شماره پیاپی 42، تیر 2020، صفحه 174-184 اصل مقاله (1.31 M) | ||
نوع مقاله: Original Article(s) | ||
شناسه دیجیتال (DOI): 10.30476/mejc.2019.78710.0 | ||
نویسندگان | ||
Farzaneh Ashrafi1؛ Mohammad Naeimi Tabiei2؛ Sarah Mousavi* 3؛ Mehdi Nematbakhsh4؛ Parisa Sotoodehnasab5؛ Ghasem Janbabaei6 | ||
1Department of Hematology and Oncology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran | ||
2Department of Hematology and Oncology, School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran | ||
3Department of Clinical Pharmacy and Pharmacy Practice, School of Pharmacy and Pharmaceutical Sciences, Isfahan University of Medical Sciences, Isfahan, Iran | ||
4Water and Electrolytes Research Center, Department of Physiology, Isfahan University of Medical Sciences, Isfahan, Iran | ||
5School of Pharmacy and Pharmaceutical Sciences, Isfahan University of Medical Sciences, Isfahan, Iran | ||
6Department of Hematology and Oncology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran | ||
چکیده | ||
Background: Cisplatin (CP) is a potent antineoplastic agent in the treatment of wide a range of cancers, but it is accompanied with nephrotoxicity, a major limiting side effect. The aim of the present study was to evaluate the possible protective effect of vitamin E in the prevention of CP-induced nephrotoxicity. Method: In this randomized clinical trial, a total of 51 patients treated with CP chemotherapy were randomly assigned to receive vitamin E supplementation (400 Iu/ daily) (N=26) or placebo (N=25). Serum creatinine, glomerular filtration rate (GFR), and neutrophil gelatinase-associated lipocalin were measured prior to each chemotherapy cycle and one month after the cessation of the cycles. Result: Compared to the baseline, a significant decrease was observed in the blood levels of neutrophil gelatinase-associated lipocalin and serum creatinine in the vitamin E group (P=0.001). GFR was not reduced in the vitamin E group (P=0.001), and vitamin E was generally tolerated well. Conclusion: Our findings indicated that vitamin E exert protective effects against CP-induced nephrotoxicity, a finding which requires larger studies for confirmation. | ||
کلیدواژهها | ||
Cisplatin؛ Nephrotoxicity؛ Neutrophil gelatinase-associated lipocalin؛ Vitamin E | ||
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