Vitamin E neuroprotection against cisplatin ototoxicity: Preliminary results from a randomized, placebo-controlled trial

Head Neck. 2016 Apr:38 Suppl 1:E2118-21. doi: 10.1002/hed.24396. Epub 2016 Feb 5.

Abstract

Background: Few studies have investigated the effect of vitamin E in reducing the cisplatin (CDDP)-induced ototoxicity. This study evaluated vitamin E supplementation as a protecting agent against CDDP-induced ototoxicity.

Methods: Patients who started CDDP were randomly assigned to receive vitamin E supplementation at 400 mg per day (group 1) or placebo (group 2). Audiograms and evoked brainstem responses were obtained at baseline, and after 1, 2, and 3 months.

Results: Twenty-three patients affected by solid malignancies were enrolled (13 in group 1 and 10 in group 2). At 1 month, a significant hearing loss in group 2 at both 2000 HZ (right ear: p = .05; left ear: p = .04) and 8000 HZ (right ear: p = .04; left ear: p = .03) was detected when compared to baseline values. Audiograms did not show significant changes. At 1 month, evoked brainstem responses remained unchanged in both arms without significant differences between groups.

Conclusion: These preliminary findings confirm the neuroprotective properties of vitamin E against the CDDP-induced ototoxicity. © 2016 Wiley Periodicals, Inc. Head Neck 38: E2118-E2121, 2016.

Keywords: antioxidant; cisplatin; neuroprotection; ototoxicity; vitamin E.

Publication types

  • Clinical Trial, Phase III
  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Antineoplastic Agents / adverse effects*
  • Cisplatin / adverse effects*
  • Dietary Supplements*
  • Evoked Potentials, Auditory, Brain Stem
  • Female
  • Hearing Loss / chemically induced
  • Hearing Loss / prevention & control*
  • Humans
  • Male
  • Middle Aged
  • Neuroprotection*
  • alpha-Tocopherol / therapeutic use*

Substances

  • Antineoplastic Agents
  • alpha-Tocopherol
  • Cisplatin