Glutamine (Enterex, NutriStore, various generic formulations)

Other Medications · Approved since 1990

US FDA Approved Oral 2 Clinical Trials

Description

Glutamine is a conditionally essential amino acid used as a supportive care medication in colorectal cancer treatment to prevent and manage chemotherapy-induced toxicities. It serves as a cytoprotective agent specifically employed to reduce oxaliplatin-induced peripheral neuropathy and irinotecan-induced severe diarrhea. Glutamine supplementation helps maintain intestinal barrier function and supports the repair of chemotherapy-damaged tissues, particularly the gastrointestinal mucosa and peripheral nerves.

Mechanism of Action

Glutamine functions as the primary fuel source for rapidly dividing cells, including intestinal epithelial cells and immune cells, supporting cellular metabolism and protein synthesis during periods of metabolic stress. It serves as a precursor for glutathione synthesis, enhancing antioxidant defenses that protect against chemotherapy-induced oxidative damage to normal tissues. Additionally, glutamine maintains intestinal barrier integrity by supporting tight junction proteins and promoting mucosal healing.

Side Effects

Nausea Abdominal cramping Bloating Diarrhea Headache Dizziness Fatigue Altered taste sensation

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT01087658 Phase 3
Archived
Oral Glutamine in the Prevention of Oxaliplatin-induced Neurotoxicity
Canada
NCT00255229 Phase 2
Archived
Study of Glutamine as Prophylaxis for Irinotecan Induced Diarrhea
Canada