Application Of Zizao Yangrong Granules For Treating Targeted Drugs-Related Skin Xerosis: A Randomized Double-Blinded Controlled Study

Background:Dermatologic toxicities are the most common side effects associated with the targeted drugs epidermal growth factor receptor inhibitors (EGFRIs), in which xerosis commonly complicated by pruritus severely disturbs the quality of life. The study has observed the curative effect of Zizao Yangrong granules (ZYG) from Chishui Xuanzhu in the treatment of EGFRIs-related xerosis and pruritus, as well as evaluating the safety of the prescription.Methods:Patients (n = 68) who had xerosis after using EGFRIs were enrolled and then randomly divided into the treatment group and control group, respectively, receiving ZYG and placebo granules combined with vitamin E ointment. The intervention lasted 4 weeks. Changes in xerosis and pruritus were observed, and blood routine examination as well as liver and kidney functionare observed as safety indexes.The water content of skin and qualify of life were observed.Results:A total of 66 out of 68 patients finished the study with 34 patientsin each group. The effective rates of xerosis among the treatment group and control group were 84.8% and 69.7% after 2 weeks' treatment (P< .05), while they were 84.8% and 75.8% after 4 weeks' treatment (P< .05). The patients in the experimental group had better quality of life than that in the control group (P= .045).Conclusion:ZYG can effectively improve the skin dryness associated with EGFRIs, and significantly improve the quality of life of patients with good safety; however, larger randomized controlled trials are needed to verify these findings.