PMID- 35810217 OWN - NLM STAT- MEDLINE DCOM- 20220928 LR - 20220928 IS - 1433-7339 (Electronic) IS - 0941-4355 (Linking) VI - 30 IP - 10 DP - 2022 Oct TI - Photobiomodulation: a promising innovative approach for preventing oral mucositis in patients undergoing hematopoietic stem cell transplantation. PG - 8211-8216 LID - 10.1007/s00520-022-07280-3 [doi] AB - PURPOSE: This single-center retrospective study aims to assess the feasibility, safety, and tolerability of CareMin650, a new photobiomodulation device, for both preventing oral mucositis (OM) and reducing its severity in the setting of hematopoietic stem cell transplantation (HCT). METHODS: Patients who underwent autologous HCT for hematological malignancies between November 2020 and October 2021 could be included. Prophylactic photobiomodulation (PBM) was used daily from day 1 of conditioning until the day of neutrophil recovery at a dose of 3 J/cm(2). Curative PBM was started at a dose of 6 J/cm(2) when at least one grade 1 OM had occurred. For each OM case, time of onset, National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) v5.0 grade for OM, analgesic dose, and time to resolution were reported. RESULTS: Twenty-five consecutive patients were included. The median age was 58 years (range, 39-74) and 14 (56%) were male. Twenty-one patients (84%) received a high-dose melphalan conditioning regimen for multiple myeloma, and 4 (16%) patients received BEAM conditioning for aggressive lymphoma. A total of 178 CareMin650 sessions were performed, with a median of 7 days of application (range, 4-12), with no device-related adverse events (AEs). According to the NCI-CTCAE v5.0 scale, 76% (19 of 25) of patients presented grade 0 or 1 mucositis (no ulcers), five patients (20%) developed small ulcers (grade 2), and only one patient developed grade 4 mucositis. Satisfaction rates were high among patients and users. CONCLUSION: Photobiomodulation provides excellent safety and tolerance, as well as promising efficacy, both as a preventive and curative strategy, in patients undergoing autologous HCT. CI - (c) 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. FAU - Stocker, Nicolas AU - Stocker N AD - Centre de Recherche Saint-Antoine (CRSA), INSERM, Sorbonne Universite, 75012, Paris, France. nicolas.stocker@aphp.fr. AD - Service Hematologie Clinique Et Therapie Cellulaire, Hopital Saint-Antoine, AP-HP, 184 rue du Faubourg Saint-Antoine, 75012, Paris, France. nicolas.stocker@aphp.fr. FAU - Baltes, Virginie AU - Baltes V AD - Centre de Recherche Saint-Antoine (CRSA), INSERM, Sorbonne Universite, 75012, Paris, France. FAU - Bellaiche, Solal AU - Bellaiche S AD - Centre de Recherche Saint-Antoine (CRSA), INSERM, Sorbonne Universite, 75012, Paris, France. FAU - Brouillard, Flora AU - Brouillard F AD - Centre de Recherche Saint-Antoine (CRSA), INSERM, Sorbonne Universite, 75012, Paris, France. FAU - Belmoufid, Nadia AU - Belmoufid N AD - Centre de Recherche Saint-Antoine (CRSA), INSERM, Sorbonne Universite, 75012, Paris, France. FAU - Rousseau, Celine AU - Rousseau C AD - Service Hematologie Clinique Et Therapie Cellulaire, Hopital Saint-Antoine, AP-HP, 184 rue du Faubourg Saint-Antoine, 75012, Paris, France. FAU - Bonnin, Agnes AU - Bonnin A AD - Service Hematologie Clinique Et Therapie Cellulaire, Hopital Saint-Antoine, AP-HP, 184 rue du Faubourg Saint-Antoine, 75012, Paris, France. FAU - Van de Wyngaert, Zoe AU - Van de Wyngaert Z AD - Centre de Recherche Saint-Antoine (CRSA), INSERM, Sorbonne Universite, 75012, Paris, France. AD - Service Hematologie Clinique Et Therapie Cellulaire, Hopital Saint-Antoine, AP-HP, 184 rue du Faubourg Saint-Antoine, 75012, Paris, France. FAU - Ricard, Laure AU - Ricard L AD - Centre de Recherche Saint-Antoine (CRSA), INSERM, Sorbonne Universite, 75012, Paris, France. AD - Service Hematologie Clinique Et Therapie Cellulaire, Hopital Saint-Antoine, AP-HP, 184 rue du Faubourg Saint-Antoine, 75012, Paris, France. FAU - Banet, Anne AU - Banet A AD - Centre de Recherche Saint-Antoine (CRSA), INSERM, Sorbonne Universite, 75012, Paris, France. AD - Service Hematologie Clinique Et Therapie Cellulaire, Hopital Saint-Antoine, AP-HP, 184 rue du Faubourg Saint-Antoine, 75012, Paris, France. FAU - Malard, Florent AU - Malard F AD - Centre de Recherche Saint-Antoine (CRSA), INSERM, Sorbonne Universite, 75012, Paris, France. AD - Service Hematologie Clinique Et Therapie Cellulaire, Hopital Saint-Antoine, AP-HP, 184 rue du Faubourg Saint-Antoine, 75012, Paris, France. FAU - Dulery, Remy AU - Dulery R AD - Centre de Recherche Saint-Antoine (CRSA), INSERM, Sorbonne Universite, 75012, Paris, France. AD - Service Hematologie Clinique Et Therapie Cellulaire, Hopital Saint-Antoine, AP-HP, 184 rue du Faubourg Saint-Antoine, 75012, Paris, France. FAU - Mohty, Mohamad AU - Mohty M AD - Centre de Recherche Saint-Antoine (CRSA), INSERM, Sorbonne Universite, 75012, Paris, France. AD - Service Hematologie Clinique Et Therapie Cellulaire, Hopital Saint-Antoine, AP-HP, 184 rue du Faubourg Saint-Antoine, 75012, Paris, France. FAU - Brissot, Eolia AU - Brissot E AD - Centre de Recherche Saint-Antoine (CRSA), INSERM, Sorbonne Universite, 75012, Paris, France. AD - Service Hematologie Clinique Et Therapie Cellulaire, Hopital Saint-Antoine, AP-HP, 184 rue du Faubourg Saint-Antoine, 75012, Paris, France. LA - eng PT - Journal Article DEP - 20220709 PL - Germany TA - Support Care Cancer JT - Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer JID - 9302957 RN - Q41OR9510P (Melphalan) SB - IM MH - Female MH - *Hematopoietic Stem Cell Transplantation/adverse effects MH - Humans MH - Male MH - Melphalan/adverse effects MH - Middle Aged MH - *Mucositis/chemically induced MH - Retrospective Studies MH - *Stomatitis/etiology/pathology/prevention & control MH - Transplantation Conditioning/adverse effects MH - Transplantation, Autologous OTO - NOTNLM OT - HCT OT - Hematological malignancies OT - Oral mucositis OT - Photobiomodulation EDAT- 2022/07/10 06:00 MHDA- 2022/09/28 06:00 CRDT- 2022/07/09 23:19 PHST- 2022/05/19 00:00 [received] PHST- 2022/07/06 00:00 [accepted] PHST- 2022/07/10 06:00 [pubmed] PHST- 2022/09/28 06:00 [medline] PHST- 2022/07/09 23:19 [entrez] AID - 10.1007/s00520-022-07280-3 [pii] AID - 10.1007/s00520-022-07280-3 [doi] PST - ppublish SO - Support Care Cancer. 2022 Oct;30(10):8211-8216. doi: 10.1007/s00520-022-07280-3. Epub 2022 Jul 9.