Local application of otoprotective compounds other than sodium thiosulfate to prevent cisplatin-induced hearing loss: a systematic review.

Drug DelivMay 1, 2026 (epub)
Clinical ResearchPediatricsOncology (Medical)Open access

Amirhossein Masroor, Nienke Streefkerk, Martine Van Grotel et al.

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In 30 seconds

This systematic review evaluated the efficacy and safety of locally applied otoprotective agents other than sodium thiosulfate (STS) to prevent cisplatin-induced hearing loss in pediatric cancer patients. The review included 70 preclinical and eight clinical studies, identifying dexamethasone and N-acetylcysteine as the most investigated agents. Dexamethasone showed statistically significant but not clinically relevant benefits in two of three randomized clinical trials.

Key findings

  • Dexamethasone showed statistically significant benefits in two out of three randomized clinical trials.
  • N-acetylcysteine was minimally effective in one randomized clinical trial and one clinical study.
  • The review included 70 preclinical studies and eight clinical studies on otoprotective agents.

Why it matters

Cisplatin-induced hearing loss significantly affects the quality of life in pediatric cancer patients. Understanding alternative otoprotective strategies is crucial for improving patient outcomes and managing treatment-related side effects.

Source

Published in Drug Deliv. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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AI-generated summaries may contain errors or omissions. Verify clinically important information with the original publication.

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