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肝癌术后患者的肝积方:一项多中心、随机、双盲、对照试验

Ganji Formulation for Patients with Hepatocellular Carcinoma Who Have Undergone Surgery: A Multicenter, Randomized, Double-Blind, Controlled Trial.

作者信息

Zhang Jing-Hao, Zheng Chao, Zhu Xiao-Jun, Zhang Xin, Hou Zhi-Jun, Zhou Zhen-Hua, Wang Yu-Qing, Wang Kai-Xia, Yu Zhuo, Li Man, Gao Yue-Qiu, Sun Xue-Hua

机构信息

Department of Hepatopathy, Shuguang Hospital, Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China.

Shanghai Traditional Chinese Medicine Clinical Center of Hepatopathy, Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China.

出版信息

Evid Based Complement Alternat Med. 2019 Jun 19;2019:9492034. doi: 10.1155/2019/9492034. eCollection 2019.

Abstract

To ascertain the efficacy and safety of Ganji Formulation (GF) for patients with Hepatocellular carcinoma (HCC) who had undergone surgery. A total of 262 HCC patients who had undergone liver resection, local ablation, or transcatheter arterial chemoembolization (TACE) were divided randomly into the treatment group and control group. The former was treated with GF and the later with placebo, both for 6 months. The primary endpoint was overall survival (OS). Second endpoints were disease-free survival (DFS) or time to disease progression (TTP). OS of the treatment group was significantly longer than that of the control group ( < 0.05). Subgroup analysis showed that, for patients who received TACE, the TTP was significantly longer in the treatment group than in the control group (P < 0.05). However, for patients who underwent liver resection or local ablation, there was no significant difference in DFS between the two groups ( > 0.05). GF could improve postoperative cumulative survival and prolong the TTP. This clinical trial number is registered with ChiCTR-IOR-15007349.

摘要

为确定肝复乐方(GF)对已接受手术的肝细胞癌(HCC)患者的疗效和安全性。总共262例接受过肝切除术、局部消融或经动脉化疗栓塞术(TACE)的HCC患者被随机分为治疗组和对照组。前者接受肝复乐方治疗,后者接受安慰剂治疗,均为期6个月。主要终点是总生存期(OS)。次要终点是无病生存期(DFS)或疾病进展时间(TTP)。治疗组的OS显著长于对照组(P<0.05)。亚组分析表明,对于接受TACE的患者,治疗组的TTP显著长于对照组(P<0.05)。然而,对于接受肝切除术或局部消融的患者,两组之间的DFS无显著差异(P>0.05)。肝复乐方可改善术后累积生存率并延长TTP。本临床试验注册号为ChiCTR-IOR-15007349。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bee2/6607716/80e6569bd9c0/ECAM2019-9492034.001.jpg

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