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一项评估癌症绿色疗法治疗Ⅲb/Ⅳ期非小细胞肺癌疗效的多中心随机对照试验。

A multicenter randomized controlled trial to assess the efficacy of cancer green therapy in treatment of stage IIIb/IV non-small cell lung cancer.

作者信息

Sun Manqiang, Zhou Tian, Fang Xueni, Wang Dan, Pang Haoyue, Chen Yu, Hu Kaiwen

机构信息

Dongfang hospital Beijing University of Chinese Medicine, No.6 Community 1 Fangxingyuan, Fengtai District, Beijing, China.

出版信息

Medicine (Baltimore). 2020 Aug 14;99(33):e21626. doi: 10.1097/MD.0000000000021626.

Abstract

BACKGROUND

Chemotherapy is the main therapy for stage IIIB/IV non-small cell lung cancer (NSCLC). However, the 5-year survival rate is 6%. Cancer Green Therapy is a novel therapy in China, which refers to cryoablation combined with traditional Chinese medicine (TCM) formula. Our previous retrospective analysis showed that patients with NSCLC had longer survival time and better quality of life after receiving cryoablation combined with TCM formula, compared with patients who received chemotherapy alone.

METHODS

This study is a multicenter, randomized, controlled clinical study. The experiment will be carried out in 6 hospitals at the same time, and a total of 450 cases of participants will be randomly assigned to the experimental group and the control group (n = 225). The experimental group will be given cryoablation and 28-days TCM formula, and the control group will be given 4 cycles chemotherapy. After 30 months of follow-up, the efficacy and safety of cryoablation combines with TCM formula in patients with stage IIIB/IV NSCLC will be observed. The primary outcome is overall survival. The secondary outcomes include progression-free survival, objective response rate, and quality of life. We will also conduct a safety evaluation of the treatment at the end of the trial.

DISCUSSION

This multicenter, randomized, controlled clinical study not only provides data on the efficacy and safety of cryoablation combined with TCM formula, but also provides a novel treatment strategy for clinicians and advanced NSCLC patients.

摘要

背景

化疗是ⅢB/Ⅳ期非小细胞肺癌(NSCLC)的主要治疗方法。然而,其5年生存率为6%。癌症绿色疗法是中国的一种新型疗法,指的是冷冻消融联合中药方剂。我们之前的回顾性分析表明,与单纯接受化疗的患者相比,接受冷冻消融联合中药方剂的NSCLC患者生存时间更长,生活质量更高。

方法

本研究是一项多中心、随机、对照临床研究。实验将同时在6家医院进行,共450例参与者将被随机分为实验组和对照组(n = 225)。实验组将接受冷冻消融和为期28天的中药方剂治疗,对照组将接受4个周期的化疗。随访30个月后,观察冷冻消融联合中药方剂治疗ⅢB/Ⅳ期NSCLC患者的疗效和安全性。主要结局是总生存期。次要结局包括无进展生存期、客观缓解率和生活质量。我们还将在试验结束时对治疗进行安全性评估。

讨论

这项多中心、随机、对照临床研究不仅提供了冷冻消融联合中药方剂疗效和安全性的数据,也为临床医生和晚期NSCLC患者提供了一种新的治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64f5/7437773/90e70da54180/medi-99-e21626-g001.jpg

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