思脾万全汤治疗癌症伴厌食症患者:一项先导性随机对照试验方案
Sipjeondaebo-tang in patients with cancer with anorexia: a protocol for a pilot, randomised, controlled trial.
作者信息
Cheon Chunhoo, Park Sunju, Park Yu Lee, Huang Ching-Wen, Ko Youme, Jang Bo-Hyoung, Shin Yong-Cheol, Ko Seong-Gyu
机构信息
Department of Korean Preventive Medicine, Graduate School, Kyung Hee University, Seoul, Republic of Korea.
Department of Preventive Medicine, College of Korean Medicine, Daejeon University, Daejeon, Republic of Korea.
出版信息
BMJ Open. 2016 May 12;6(5):e011212. doi: 10.1136/bmjopen-2016-011212.
INTRODUCTION
Cancer-related anorexia is the loss of appetite or desire to eat in patients with cancer. Although treatments for cancer-related anorexia do exist, patients have sought complementary and alternative medicine including herbal remedies, due to safety concerns. Sipjeondaebo-tang is one among other popular herbal medicines that are beneficial to management of anorexia in Korea. The purpose of this study is to examine the feasibility for a full randomised clinical trial of Sipjeondaebo-tang for cancer-related anorexia.
METHODS AND ANALYSIS
This study is a randomised, double-blinded and placebo-controlled trial of Sipjeondaebo-tang. For the study, 40 patients with cancer, aged 20-80 years, who reported anorexia, will be recruited. The participants will receive either 3 g of Sipjeondaebo-tang or a placebo, 3 times a day for 4 weeks. The primary end point is a change in the anorexia/cachexia subscale (A/CS) of Functional Assessment of Anorexia/Cachexia Therapy (FAACT). The secondary end points include changes in the visual analogue scale (VAS) of appetite, cortisol and ghrelin. The outcomes will be measured on every visit. Each participant will visit once a week during 4 weeks.
ETHICS AND DISSEMINATION
The present study has been approved by the Institutional Review Board of the Dunsan Korean Medicine Hospital of Daejeon University (reference DJDSKH-15-03-2 (V.2.0)). The results will be disseminated in a peer-reviewed journal and scientific conference.
TRIAL REGISTRATION NUMBER
NCT02468141; Pre-results.
引言
癌症相关性厌食是指癌症患者食欲减退或不想进食。尽管存在针对癌症相关性厌食的治疗方法,但由于安全问题,患者寻求包括草药疗法在内的补充和替代医学。四君子汤是韩国其他有助于治疗厌食症的常用草药之一。本研究的目的是检验四君子汤用于癌症相关性厌食的全随机临床试验的可行性。
方法与分析
本研究是一项四君子汤的随机、双盲和安慰剂对照试验。将招募40名年龄在20至80岁之间、报告有厌食症的癌症患者参与研究。参与者将接受3克四君子汤或安慰剂,每天3次,共4周。主要终点是厌食/恶病质治疗功能评估(FAACT)中厌食/恶病质子量表(A/CS)的变化。次要终点包括食欲视觉模拟量表(VAS)、皮质醇和胃饥饿素的变化。每次就诊时都将测量结果。在4周内,每位参与者每周就诊一次。
伦理与传播
本研究已获得大田大学敦山韩医院机构审查委员会的批准(参考编号DJDSKH-15-03-2(V.2.0))。研究结果将在同行评审期刊和科学会议上发表。
试验注册号
NCT02468141;预结果。
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