Your new experience awaits. Try the new design now and help us make it even better

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
Peiyan  WangPeiyan WangTianlu  WangTianlu WangHui  ZhangHui ZhangPei  SunPei SunChangqing  YuanChangqing YuanYiqing  GuoYiqing GuoZhaochen  LiuZhaochen LiuMengyu  JiaoMengyu JiaoJingwen  ChiJingwen ChiWang  KexinWang KexinJing  DengJing Deng*Xiaofei  YuXiaofei Yu*
  • Department of Stomatology, Affiliated Hospital of Qingdao University, Qingdao, China

The final, formatted version of the article will be published soon.

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

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.