ORIGINAL RESEARCH article
Front. Pharmacol.
Sec. Inflammation Pharmacology
Volume 16 - 2025 | doi: 10.3389/fphar.2025.1673190
A double layer oral film loaded with doxepin hydrochloride for the treatment of chemotherapy-induced oral mucositis
Provisionally accepted- Department of Stomatology, Affiliated Hospital of Qingdao University, Qingdao, China
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Chemotherapy-induced oral mucositis is a common complication in cancer therapy. Multiple studies demonstrate that doxepin mouthwash is effective in controlling CIOM pain, while research on its ulcer healing effects and underlying mechanisms remains limited. Additionally, local adhesive formulations of doxepin for oral application are still lacking. In this study, we developed a bilayer oral patch using 3D-printing technology for the localized sustained release of doxepin hydrochloride. This patch demonstrated favorable characteristics, including thinness, flexibility, and excellent mucosal adhesion, while promoting ulcer healing in CIOM animal models. Further investigation revealed that the healing mechanism involves the alleviation of oxidative stress and attenuation of excessive inflammatory responses. The doxepin hydrochloride patch developed in this study provides a novel pharmaceutical option for clinical management of CIOM.
Keywords: Chemotherapy-induced oral mucositis, 3D printing, oral mucosal adhesive materials, Doxepin hydrochloride, Wound Healing
Received: 25 Jul 2025; Accepted: 06 Oct 2025.
Copyright: © 2025 Wang, Wang, Zhang, Sun, Yuan, Guo, Liu, Jiao, Chi, Kexin, Deng and Yu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Jing Deng, dengjing3333@126.com
Xiaofei Yu, yuxiaofei0532@qdu.edu.cn
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