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绿茶提取物治疗癌症:一项系统评价方案

Green tea extract for treatment of cancers: A systematic review protocol.

作者信息

Cheng Kai, Chi Nan-Nan, Liu Jun-Dong

机构信息

Second Ward of Gastroenterology Department.

Department of Pharmacy, First Affiliated Hospital of Jiamusi University, Jiamusi, China.

出版信息

Medicine (Baltimore). 2019 Apr;98(15):e15117. doi: 10.1097/MD.0000000000015117.

DOI:10.1097/MD.0000000000015117
PMID:30985669
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6485720/
Abstract

BACKGROUND

Previous clinical studies suggested that green tea extract (GTE) may benefit patients with a variety of cancers. However, its efficacy is still inconclusive. Thus, the objective of this study will systematically collate the clinical studies testing its efficacy and safety for cancers.

METHODS

We will perform a systematic review of clinical studies assessing the efficacy of GTE in variety of cancers. We will search Cochrane Central Register of Controlled Trials (CENTRAL), EMBASE, MEDILINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Allied and Complementary Medicine Database (AMED), and Chinese Biomedical Literature Database (CBM) using a comprehensive strategy. We will also screen the reference lists of relevant studies to identify any additional studies for potential inclusion. All databases will be searched up to February 1, 2019. All eligible case-control studies and randomized controlled trials will be included in this study. Two independent authors will review all searched literature. Upon inclusion of trials, we will extract data by using a predefined standardized form. The risk of bias assessment will be evaluated by using Cochrane risk of bias tool. We will use RevMan 5.3 software to pool the data and carry out meta-analysis.

RESULTS

The primary outcome includes overall response rate. The secondary outcomes comprise of overall survival, progression-free survival, the disease control rate, and any adverse events.

CONCLUSIONS

The results of this study will contribute to the understanding of the efficacy of GTE in the setting of cancers and promote future research of GTE in patients with cancers.

DISSEMINATION AND ETHICS

The results of this systematic review are expected to be published through peer-reviewed journals. This study does not need ethic approval, because it does not utilize individual patient data.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO CRD42019125111.

摘要

背景

先前的临床研究表明,绿茶提取物(GTE)可能对多种癌症患者有益。然而,其疗效仍不明确。因此,本研究的目的是系统整理测试其对癌症疗效和安全性的临床研究。

方法

我们将对评估GTE在多种癌症中疗效的临床研究进行系统评价。我们将使用综合策略检索Cochrane对照试验中心注册库(CENTRAL)、EMBASE、MEDILINE、护理学与健康相关文献累积索引(CINAHL)、补充与替代医学数据库(AMED)以及中国生物医学文献数据库(CBM)。我们还将筛选相关研究的参考文献列表,以确定任何可能纳入的其他研究。所有数据库将检索至2019年2月1日。所有符合条件的病例对照研究和随机对照试验都将纳入本研究。两名独立作者将审查所有检索到的文献。纳入试验后,我们将使用预定义的标准化表格提取数据。将使用Cochrane偏倚风险工具评估偏倚风险。我们将使用RevMan 5.3软件汇总数据并进行荟萃分析。

结果

主要结局包括总缓解率。次要结局包括总生存期、无进展生存期、疾病控制率以及任何不良事件。

结论

本研究结果将有助于了解GTE在癌症治疗中的疗效,并促进未来对癌症患者使用GTE的研究。

传播与伦理

本系统评价的结果预计将通过同行评审期刊发表。本研究不需要伦理批准,因为它不使用个体患者数据。

系统评价注册

PROSPERO CRD42019125111

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aa9/6485720/8000c06301e0/medi-98-e15117-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aa9/6485720/8000c06301e0/medi-98-e15117-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aa9/6485720/8000c06301e0/medi-98-e15117-g002.jpg

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本文引用的文献

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[Specific immunotherapies in the treatment of cancers].[癌症治疗中的特异性免疫疗法]
Bull Cancer. 2019 Jan;106(1):37-47. doi: 10.1016/j.bulcan.2018.12.007. Epub 2019 Jan 11.
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Experimental Evidence of the Presence of Bimolecular Caffeine/Catechin Complexes in Green Tea Extracts.实验证据表明绿茶提取物中存在双分子咖啡因/儿茶素复合物。
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Epidemiological Profile, Gastrointestinal Toxicity, and Treatment of Pelvic Cancers in Patients Managed with Radiotherapy to the Abdominal Pelvic Area.
腹部盆腔区域放疗患者盆腔癌的流行病学概况、胃肠道毒性及治疗
Rev Invest Clin. 2018;70(3):112-116. doi: 10.24875/RIC.18002528.
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A Randomized Controlled Trial of Green Tea Extract Supplementation and Mammographic Density in Postmenopausal Women at Increased Risk of Breast Cancer.绿茶提取物补充剂对有乳腺癌风险增加的绝经后妇女的乳腺密度的随机对照试验。
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A Presurgical Study of Lecithin Formulation of Green Tea Extract in Women with Early Breast Cancer.早期乳腺癌女性患者绿茶提取物卵磷脂制剂的术前研究。
Cancer Prev Res (Phila). 2017 Jun;10(6):363-370. doi: 10.1158/1940-6207.CAPR-16-0298. Epub 2017 Apr 11.
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Supplementation with Brazil nuts and green tea extract regulates targeted biomarkers related to colorectal cancer risk in humans.补充巴西坚果和绿茶提取物可调节与人类结直肠癌风险相关的靶向生物标志物。
Br J Nutr. 2016 Dec;116(11):1901-1911. doi: 10.1017/S0007114516003937. Epub 2016 Dec 7.
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Obesity and Other Cancers.肥胖与其他癌症。
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Epidemiological evidence on environmental tobacco smoke and cancers other than lung or breast.关于环境烟草烟雾与肺癌或乳腺癌以外其他癌症的流行病学证据。
Regul Toxicol Pharmacol. 2016 Oct;80:134-63. doi: 10.1016/j.yrtph.2016.06.012. Epub 2016 Jun 16.
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Surgery and radiation therapy of triple-negative breast cancers: From biology to clinics.三阴性乳腺癌的手术与放射治疗:从生物学到临床
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