Silymari (Legalon, Siliphos, various generic formulations)

Other

US Off-label Oral 2 Clinical Trials
BCL2 antioxidant pathways hepatocyte membrane stabilization

Description

Silymarin is a flavonoid complex extracted from milk thistle (Silybum marianum) that has been evaluated as an adjuvant complementary therapy in metastatic colorectal cancer patients. This herbal compound is being assessed for its potential hepatoprotective and anti-cancer properties when used alongside standard chemotherapy regimens like FOLFIRI. Silymarin represents a natural product approach to potentially enhance treatment outcomes and reduce chemotherapy-related toxicity in CRC patients.

Mechanism of Action

Silymarin exerts its effects through multiple pathways including antioxidant activity, modulation of apoptosis-related proteins such as BCL2, and potential anti-inflammatory mechanisms. The compound may also provide hepatoprotective effects by stabilizing liver cell membranes and promoting hepatocyte regeneration, which could be beneficial for patients receiving hepatotoxic chemotherapy regimens.

Molecular Targets

Side Effects

Gastrointestinal upset Diarrhea Nausea Abdominal bloating Allergic reactions Headache Skin rash Dizziness

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

Clinical Trials

NCT05631041 med_phase_prefix3
Unknown
Effect of Silymarin in Metastatic Colorectal Cancer Patients
Egypt
NCT03130634 med_phase_prefix4
Archived
The Efficacy of Silymarin as Adjuvant Therapy on Colorectal Cancer Patients Undergoing FOLFIRI Treatment
Taiwan