Long-Term Effects of Ozone Treatment in Patients with Persistent Numbness and Tingling Secondary to Chemotherapy-Induced Peripheral Neuropathy. A Retrospective Study

Background: Numbness and tingling secondary to chemotherapy-induced peripheral neuropathy (CIPN) are frequent side effects that limit chemotherapy treatment and quality of life. Successful treatments for CIPN are limited. This preliminary report shows the potential long-term effects of ozone treatme...

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Main Authors: Bernardino Clavo MD, PhD, Delvys Rodríguez-Abreu MD, PhD, Saray Galván-Ruiz MD, Mario Federico MD, PhD, Angeles Cánovas-Molina RN, Yolanda Ramallo-Fariña MSc, Carla Antonilli MD, Gretel Benítez MD, Himar Fabelo BEng MSc, PhD, Carla García-Lourve RN, MRes, Damián González-Beltrán CNS, MSc, Ignacio J. Jorge MD, PhD, Francisco Rodríguez-Esparragón BSc, PhD, Gustavo M. Callico MEng, PhD
Format: Article
Language:English
Published: SAGE Publishing 2025-01-01
Series:Integrative Cancer Therapies
Online Access:https://doi.org/10.1177/15347354241307038
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author Bernardino Clavo MD, PhD
Delvys Rodríguez-Abreu MD, PhD
Saray Galván-Ruiz MD
Mario Federico MD, PhD
Angeles Cánovas-Molina RN
Yolanda Ramallo-Fariña MSc
Carla Antonilli MD
Gretel Benítez MD
Himar Fabelo BEng MSc, PhD
Carla García-Lourve RN, MRes
Damián González-Beltrán CNS, MSc
Ignacio J. Jorge MD, PhD
Francisco Rodríguez-Esparragón BSc, PhD
Gustavo M. Callico MEng, PhD
author_facet Bernardino Clavo MD, PhD
Delvys Rodríguez-Abreu MD, PhD
Saray Galván-Ruiz MD
Mario Federico MD, PhD
Angeles Cánovas-Molina RN
Yolanda Ramallo-Fariña MSc
Carla Antonilli MD
Gretel Benítez MD
Himar Fabelo BEng MSc, PhD
Carla García-Lourve RN, MRes
Damián González-Beltrán CNS, MSc
Ignacio J. Jorge MD, PhD
Francisco Rodríguez-Esparragón BSc, PhD
Gustavo M. Callico MEng, PhD
author_sort Bernardino Clavo MD, PhD
collection DOAJ
description Background: Numbness and tingling secondary to chemotherapy-induced peripheral neuropathy (CIPN) are frequent side effects that limit chemotherapy treatment and quality of life. Successful treatments for CIPN are limited. This preliminary report shows the potential long-term effects of ozone treatment in the management of persistent numbness and tingling secondary to CIPN. Methods: Ozone treatment was administered by rectal insufflation in 15 patients (female/male: 8/7, age: 66 years old) suffering from persistent numbness and tingling secondary to grade-2 or grade-3 CIPN. Planned ozone treatment consisted of 40 sessions over 4 months. The initial concentration of 10 μg/mL was progressively increased to 30 μg/mL. The initial gas volume of 180 mL/session was progressively increased to 300 mL/session if tolerated. Before and after ozone treatment, and at 3- and 6- months after the end of treatment, they were assessed (i) the grade of CIPN-toxicity, and (ii) the self-reported decrease in numbness and tingling. Results: After ozone treatment, 47% of patients experienced a decrease in the grade of CIPN-toxicity ( P  = .016), and 67% of patients reported a decrease in numbness and tingling ≥50% ( P  = .002). These effects were maintained at 3- and 6- months after the end of O 3 T. Conclusions: In this retrospective report, patients with persistent numbness and tingling secondary to CIPN showed clinically relevant and long-term improvements after ozone treatment. The magnitude and duration of the observed effects merit further research and support our ongoing clinical trials.
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spelling doaj-art-0357580aeb084f9e997c7beda38fe8e32025-01-11T14:03:36ZengSAGE PublishingIntegrative Cancer Therapies1552-695X2025-01-012410.1177/15347354241307038Long-Term Effects of Ozone Treatment in Patients with Persistent Numbness and Tingling Secondary to Chemotherapy-Induced Peripheral Neuropathy. A Retrospective StudyBernardino Clavo MD, PhD0Delvys Rodríguez-Abreu MD, PhD1Saray Galván-Ruiz MD2Mario Federico MD, PhD3Angeles Cánovas-Molina RN4Yolanda Ramallo-Fariña MSc5Carla Antonilli MD6Gretel Benítez MD7Himar Fabelo BEng MSc, PhD8Carla García-Lourve RN, MRes9Damián González-Beltrán CNS, MSc10Ignacio J. Jorge MD, PhD11Francisco Rodríguez-Esparragón BSc, PhD12Gustavo M. Callico MEng, PhD13Spanish Group of Clinical Research in Radiation Oncology (GICOR), Madrid, SpainComplejo Hospitalario Universitario Insular Materno-Infantil de Gran Canaria, Las Palmas de Gran Canaria, SpainHospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, SpainHospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, SpainFundación Canaria Instituto de Investigación Sanitaria de Canarias (FIISC), Las Palmas de Gran Canaria/Tenerife, SpainServicio de Evaluación y Planificación del Servicio Canario de Salud (SESCS), Santa Cruz de Tenerife, SpainHospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, SpainComplejo Hospitalario Universitario Insular Materno-Infantil de Gran Canaria, Las Palmas de Gran Canaria, SpainUniversity of Las Palmas de Gran Canaria (ULPGC), Las Palmas de Gran Canaria, SpainFundación Canaria Instituto de Investigación Sanitaria de Canarias (FIISC), Las Palmas de Gran Canaria/Tenerife, SpainFundación Canaria Instituto de Investigación Sanitaria de Canarias (FIISC), Las Palmas de Gran Canaria/Tenerife, SpainHospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, SpainCIBERINFEC, Instituto de Salud Carlos III, Madrid, SpainUniversity of Las Palmas de Gran Canaria (ULPGC), Las Palmas de Gran Canaria, SpainBackground: Numbness and tingling secondary to chemotherapy-induced peripheral neuropathy (CIPN) are frequent side effects that limit chemotherapy treatment and quality of life. Successful treatments for CIPN are limited. This preliminary report shows the potential long-term effects of ozone treatment in the management of persistent numbness and tingling secondary to CIPN. Methods: Ozone treatment was administered by rectal insufflation in 15 patients (female/male: 8/7, age: 66 years old) suffering from persistent numbness and tingling secondary to grade-2 or grade-3 CIPN. Planned ozone treatment consisted of 40 sessions over 4 months. The initial concentration of 10 μg/mL was progressively increased to 30 μg/mL. The initial gas volume of 180 mL/session was progressively increased to 300 mL/session if tolerated. Before and after ozone treatment, and at 3- and 6- months after the end of treatment, they were assessed (i) the grade of CIPN-toxicity, and (ii) the self-reported decrease in numbness and tingling. Results: After ozone treatment, 47% of patients experienced a decrease in the grade of CIPN-toxicity ( P  = .016), and 67% of patients reported a decrease in numbness and tingling ≥50% ( P  = .002). These effects were maintained at 3- and 6- months after the end of O 3 T. Conclusions: In this retrospective report, patients with persistent numbness and tingling secondary to CIPN showed clinically relevant and long-term improvements after ozone treatment. The magnitude and duration of the observed effects merit further research and support our ongoing clinical trials.https://doi.org/10.1177/15347354241307038
spellingShingle Bernardino Clavo MD, PhD
Delvys Rodríguez-Abreu MD, PhD
Saray Galván-Ruiz MD
Mario Federico MD, PhD
Angeles Cánovas-Molina RN
Yolanda Ramallo-Fariña MSc
Carla Antonilli MD
Gretel Benítez MD
Himar Fabelo BEng MSc, PhD
Carla García-Lourve RN, MRes
Damián González-Beltrán CNS, MSc
Ignacio J. Jorge MD, PhD
Francisco Rodríguez-Esparragón BSc, PhD
Gustavo M. Callico MEng, PhD
Long-Term Effects of Ozone Treatment in Patients with Persistent Numbness and Tingling Secondary to Chemotherapy-Induced Peripheral Neuropathy. A Retrospective Study
Integrative Cancer Therapies
title Long-Term Effects of Ozone Treatment in Patients with Persistent Numbness and Tingling Secondary to Chemotherapy-Induced Peripheral Neuropathy. A Retrospective Study
title_full Long-Term Effects of Ozone Treatment in Patients with Persistent Numbness and Tingling Secondary to Chemotherapy-Induced Peripheral Neuropathy. A Retrospective Study
title_fullStr Long-Term Effects of Ozone Treatment in Patients with Persistent Numbness and Tingling Secondary to Chemotherapy-Induced Peripheral Neuropathy. A Retrospective Study
title_full_unstemmed Long-Term Effects of Ozone Treatment in Patients with Persistent Numbness and Tingling Secondary to Chemotherapy-Induced Peripheral Neuropathy. A Retrospective Study
title_short Long-Term Effects of Ozone Treatment in Patients with Persistent Numbness and Tingling Secondary to Chemotherapy-Induced Peripheral Neuropathy. A Retrospective Study
title_sort long term effects of ozone treatment in patients with persistent numbness and tingling secondary to chemotherapy induced peripheral neuropathy a retrospective study
url https://doi.org/10.1177/15347354241307038
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