Abstract

Purpose. This study was performed to evaluate the efficacy and safety of Jaungo in preventing radiation dermatitis in patients with breast cancer. Methods. Thirty patients were prospectively enrolled and randomly assigned to receive Jaungo or general supportive skin care. Radiation dermatitis and pain were examined at daily intervals from the start of radiotherapy until 4 weeks after its completion. The primary endpoint of this study was the incidence of radiation dermatitis. The secondary endpoints were time to onset of radiation dermatitis, duration of radiation dermatitis, and maximum pain score. Results. Jaungo reduced the incidence of grade ≥2 (46.7% versus 78.6%) and grade 3 radiation dermatitis (20.0% versus 50.0%) in comparison with general supportive skin care. Jaungo also delayed the onset of grade 2 dermatitis (35 days versus 30 days). In terms of time to onset of grade 3 dermatitis, duration of dermatitis, and maximum pain score, Jaungo showed results comparable to those achieved with general supportive skin care. No patients experienced adverse effects caused by Jaungo administration. Conclusions. Jaungo minimized radiation dermatitis in patients with breast cancer without causing adverse effects. Further randomized studies with a larger sample size are required to assess clinical use of Jaungo.

Highlights

  • Radiation dermatitis is the most common complication of radiotherapy (RT) and can impair the quality of life of patients with breast cancer as a result of pain associated with the condition [1, 2]

  • Several clinical studies have been conducted to evaluate the efficacy of topical agents in preventing and treating radiation dermatitis; sufficient evidence to support the efficacy of any particular agent has not been found [3, 4]

  • In the analysis of the duration of radiation dermatitis, Jaungo showed results comparable to those achieved with general supportive skin care

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Summary

Introduction

Radiation dermatitis is the most common complication of radiotherapy (RT) and can impair the quality of life of patients with breast cancer as a result of pain associated with the condition [1, 2]. Several clinical studies have been conducted to evaluate the efficacy of topical agents in preventing and treating radiation dermatitis; sufficient evidence to support the efficacy of any particular agent has not been found [3, 4]. No clear guidelines have been established for preventing and treating radiation dermatitis in patients with breast cancer. The interest of patients and physicians in using natural products to treat modern medical conditions has increased. Jaungo is composed of Lithospermi radix and Angelica sinensis.

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