PMID- 30459612 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240403 IS - 1663-9812 (Print) IS - 1663-9812 (Electronic) IS - 1663-9812 (Linking) VI - 9 DP - 2018 TI - Maintenance Chemotherapy With Chinese Herb Medicine Formulas vs. With Placebo in Patients With Advanced Non-small Cell Lung Cancer After First-Line Chemotherapy: A Multicenter, Randomized, Double-Blind Trial. PG - 1233 LID - 10.3389/fphar.2018.01233 [doi] LID - 1233 AB - Background: Chinese Herb Medicine Formulas (CHMF) was reported to improve the quality of life (QoL) in advanced NSCLC patients. The present study was designed to investigate whether maintenance chemotherapy plus CHMF in patients would improve QoL and progression-free survival (PFS). Methods: Seventy-one patients were enrolled from 8 medical centers in China, and were randomly assigned to a maintenance chemotherapy plus CHMF group (n = 35) or a maintenance chemotherapy plus placebo group (n = 36). The outcome measures included PFS, Karnofsky performance status (KPS) scores, QoL (assessed with the lung cancer symptom scale (LCSS) questionnaire), and adverse events (AEs). Results: Patients in the CHMF group showed significant improvements in median PFS (HR = 0.55, 95% CI 0.28-0.88, P = 0.019), KPS scores (P = 0.047), fatigue (cycle [C] 3: P = 0.03), interference with daily activities (C3: P = 0.04) and dyspnea (C2: P = 0.03) compared with patients in the placebo group. Compared with the placebo group, the incidence of AEs decreased in the CHMF group, including loss of appetite (C2: P = 0.011, C4: P = 0.004) and dry mouth (C4: P = 0.011). Conclusion: The essential finding of our study is that maintenance chemotherapy combined with CHMF may prolong PFS, relieve symptoms, improve QoL and alleviate the side effects. FAU - Wang, Qin AU - Wang Q AD - Department of Oncology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China. FAU - Jiao, Lijing AU - Jiao L AD - Department of Oncology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China. AD - Institute of Clinical Immunology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China. FAU - Wang, Shengfei AU - Wang S AD - Department of Thoracic Surgery, Fudan University Shanghai Cancer Center, Shanghai, China. FAU - Chen, Peiqi AU - Chen P AD - Department of Oncology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China. FAU - Bi, Ling AU - Bi L AD - Department of Oncology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China. FAU - Zhou, Di AU - Zhou D AD - Department of Oncology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China. FAU - Yao, Jialin AU - Yao J AD - Department of Oncology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China. FAU - Li, Jiaqi AU - Li J AD - Department of Oncology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China. FAU - Chen, Zhiwei AU - Chen Z AD - Lung Tumor Clinical Medical Center, Shanghai Chest Hospital, Shanghai Jiaotong University, Shanghai, China. FAU - Jia, Yingjie AU - Jia Y AD - Department of Oncology, First Hospital Affiliated to Tianjin College of Traditional Chinese Medicine, Tianjin, China. FAU - Zhang, Ziwen AU - Zhang Z AD - Department of Oncology, Changshu the 2nd People's Hospital, Jiangsu, China. FAU - Shen, Weisheng AU - Shen W AD - Department of Oncology, Affiliated Jiang-yin Hospital of the Southeast University Medical College, Jiangsu, China. FAU - Zhu, Weirong AU - Zhu W AD - Department of Traditional Chinese Medicine, Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China. FAU - Xu, Jianfang AU - Xu J AD - Department of Oncology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China. FAU - Gao, Yong AU - Gao Y AD - Department of Oncology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China. FAU - Gong, Yabin AU - Gong Y AD - Department of Oncology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China. FAU - Xu, Ling AU - Xu L AD - Department of Oncology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China. AD - Tumor Institute of Traditional Chinese Medicine, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China. LA - eng PT - Journal Article DEP - 20181106 PL - Switzerland TA - Front Pharmacol JT - Frontiers in pharmacology JID - 101548923 PMC - PMC6232388 OTO - NOTNLM OT - NSCLC OT - adverse events OT - chinese herb medicine formulas OT - maintenance chemotherapy OT - quality of life EDAT- 2018/11/22 06:00 MHDA- 2018/11/22 06:01 PMCR- 2018/11/06 CRDT- 2018/11/22 06:00 PHST- 2018/07/07 00:00 [received] PHST- 2018/10/11 00:00 [accepted] PHST- 2018/11/22 06:00 [entrez] PHST- 2018/11/22 06:00 [pubmed] PHST- 2018/11/22 06:01 [medline] PHST- 2018/11/06 00:00 [pmc-release] AID - 10.3389/fphar.2018.01233 [doi] PST - epublish SO - Front Pharmacol. 2018 Nov 6;9:1233. doi: 10.3389/fphar.2018.01233. eCollection 2018.