Efficacy of GMI, a fungal immunomodulatory protein, for head and neck cancer patients with chemotherapy-related oral mucositis

Abstract. Background:. Cancer patients usually suffer from intensive chemotherapy-related oral mucositis (OM), yet limited effective treatment can rapidly alleviate OM severity. Methods:. This prospective study examined the efficacy of Reishimmune-S containing one fungal immunomodulatory protein, GM...

Full description

Bibliographic Details
Main Authors: Hsueh-Ju Lu, MD, PhD, Che-Hsing Li, MD, Yu-Ting Kang, PhD, Chi-Mei Wu, MS, Chih-Hsien Wu, PhD, Jiunn-Liang Ko, PhD, Ming-Fang Wu, MD, PhD, Maya Saranathan.
Format: Article
Language:English
Published: Wolters Kluwer 2022-04-01
Series:Medicine
Online Access:http://journals.lww.com/10.1097/MD.0000000000029185
_version_ 1828795454874189824
author Hsueh-Ju Lu, MD, PhD
Che-Hsing Li, MD
Yu-Ting Kang, PhD
Chi-Mei Wu, MS
Chih-Hsien Wu, PhD
Jiunn-Liang Ko, PhD
Ming-Fang Wu, MD, PhD
Maya Saranathan.
author_facet Hsueh-Ju Lu, MD, PhD
Che-Hsing Li, MD
Yu-Ting Kang, PhD
Chi-Mei Wu, MS
Chih-Hsien Wu, PhD
Jiunn-Liang Ko, PhD
Ming-Fang Wu, MD, PhD
Maya Saranathan.
author_sort Hsueh-Ju Lu, MD, PhD
collection DOAJ
description Abstract. Background:. Cancer patients usually suffer from intensive chemotherapy-related oral mucositis (OM), yet limited effective treatment can rapidly alleviate OM severity. Methods:. This prospective study examined the efficacy of Reishimmune-S containing one fungal immunomodulatory protein, GMI on OM in patients with head and neck cancer. Patients with head and neck cancer and the diagnosis of chemotherapy-related OM were enrolled randomizedly to receive standard supportive care with/without Reishimmune-S 500 mg/day orally for consecutive 14 days. Due to intolerance to standard supportive care alone in the control arm, only the experimental arm with Reishimmune-S supplementation was analyzed in our trial. OM grading was evaluated as the primary outcome on day 1, 8, and 15. Secondary outcomes were absolute neutrophil counts and quality of life assessed by the EORTC-QLQ-H&N 35 questionnaire on day 1, 8, and 15. Results:. Reishimmune-S supplement significantly reduced OM grading both at day 8 and 15. Trouble with social contact and weight loss conditions were also improved by Reishimmune-S. Reishimmune-S did not significantly affect absolute neutrophil counts during the 15-day follow-up. Conclusion:. Reishimmune-S supplement potentially alleviates the severity of chemotherapy-mediated OM.
first_indexed 2024-12-12T04:05:22Z
format Article
id doaj.art-dd98237dc68048d5902e68f14ea67579
institution Directory Open Access Journal
issn 0025-7974
1536-5964
language English
last_indexed 2024-12-12T04:05:22Z
publishDate 2022-04-01
publisher Wolters Kluwer
record_format Article
series Medicine
spelling doaj.art-dd98237dc68048d5902e68f14ea675792022-12-22T00:38:48ZengWolters KluwerMedicine0025-79741536-59642022-04-0110116e2918510.1097/MD.0000000000029185202204220-00007Efficacy of GMI, a fungal immunomodulatory protein, for head and neck cancer patients with chemotherapy-related oral mucositisHsueh-Ju Lu, MD, PhDChe-Hsing Li, MDYu-Ting Kang, PhDChi-Mei Wu, MSChih-Hsien Wu, PhDJiunn-Liang Ko, PhDMing-Fang Wu, MD, PhDMaya Saranathan.Abstract. Background:. Cancer patients usually suffer from intensive chemotherapy-related oral mucositis (OM), yet limited effective treatment can rapidly alleviate OM severity. Methods:. This prospective study examined the efficacy of Reishimmune-S containing one fungal immunomodulatory protein, GMI on OM in patients with head and neck cancer. Patients with head and neck cancer and the diagnosis of chemotherapy-related OM were enrolled randomizedly to receive standard supportive care with/without Reishimmune-S 500 mg/day orally for consecutive 14 days. Due to intolerance to standard supportive care alone in the control arm, only the experimental arm with Reishimmune-S supplementation was analyzed in our trial. OM grading was evaluated as the primary outcome on day 1, 8, and 15. Secondary outcomes were absolute neutrophil counts and quality of life assessed by the EORTC-QLQ-H&N 35 questionnaire on day 1, 8, and 15. Results:. Reishimmune-S supplement significantly reduced OM grading both at day 8 and 15. Trouble with social contact and weight loss conditions were also improved by Reishimmune-S. Reishimmune-S did not significantly affect absolute neutrophil counts during the 15-day follow-up. Conclusion:. Reishimmune-S supplement potentially alleviates the severity of chemotherapy-mediated OM.http://journals.lww.com/10.1097/MD.0000000000029185
spellingShingle Hsueh-Ju Lu, MD, PhD
Che-Hsing Li, MD
Yu-Ting Kang, PhD
Chi-Mei Wu, MS
Chih-Hsien Wu, PhD
Jiunn-Liang Ko, PhD
Ming-Fang Wu, MD, PhD
Maya Saranathan.
Efficacy of GMI, a fungal immunomodulatory protein, for head and neck cancer patients with chemotherapy-related oral mucositis
Medicine
title Efficacy of GMI, a fungal immunomodulatory protein, for head and neck cancer patients with chemotherapy-related oral mucositis
title_full Efficacy of GMI, a fungal immunomodulatory protein, for head and neck cancer patients with chemotherapy-related oral mucositis
title_fullStr Efficacy of GMI, a fungal immunomodulatory protein, for head and neck cancer patients with chemotherapy-related oral mucositis
title_full_unstemmed Efficacy of GMI, a fungal immunomodulatory protein, for head and neck cancer patients with chemotherapy-related oral mucositis
title_short Efficacy of GMI, a fungal immunomodulatory protein, for head and neck cancer patients with chemotherapy-related oral mucositis
title_sort efficacy of gmi a fungal immunomodulatory protein for head and neck cancer patients with chemotherapy related oral mucositis
url http://journals.lww.com/10.1097/MD.0000000000029185
work_keys_str_mv AT hsuehjulumdphd efficacyofgmiafungalimmunomodulatoryproteinforheadandneckcancerpatientswithchemotherapyrelatedoralmucositis
AT chehsinglimd efficacyofgmiafungalimmunomodulatoryproteinforheadandneckcancerpatientswithchemotherapyrelatedoralmucositis
AT yutingkangphd efficacyofgmiafungalimmunomodulatoryproteinforheadandneckcancerpatientswithchemotherapyrelatedoralmucositis
AT chimeiwums efficacyofgmiafungalimmunomodulatoryproteinforheadandneckcancerpatientswithchemotherapyrelatedoralmucositis
AT chihhsienwuphd efficacyofgmiafungalimmunomodulatoryproteinforheadandneckcancerpatientswithchemotherapyrelatedoralmucositis
AT jiunnliangkophd efficacyofgmiafungalimmunomodulatoryproteinforheadandneckcancerpatientswithchemotherapyrelatedoralmucositis
AT mingfangwumdphd efficacyofgmiafungalimmunomodulatoryproteinforheadandneckcancerpatientswithchemotherapyrelatedoralmucositis
AT mayasaranathan efficacyofgmiafungalimmunomodulatoryproteinforheadandneckcancerpatientswithchemotherapyrelatedoralmucositis