Low-Frequency Sonophoresis of Chinese Medicine Formula Improves Efficacy of Malignant Pleural Effusion Treatment

Objective To evaluate whether low-frequency ultrasound-facilitated transdermal delivery of a Chinese medicine (CM) formula could improve the efficacy of intrapleural administration of interleukin-2 (IL-2) in treatment of malignant pleural effusion (MPE). Methods A total of 110 eligible participants...

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Veröffentlicht in:Chinese journal of integrative medicine 2020-04, Vol.26 (4), p.263-269
Hauptverfasser: Tian, Ai-ping, Yin, Yu-kun, Yu, Lei, Yang, Bo-yan, Li, Ning, Li, Jian-ying, Bian, Zhi-min, Hu, Shang-ying, Weng, Chun-xiao, Feng, Li
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container_issue 4
container_start_page 263
container_title Chinese journal of integrative medicine
container_volume 26
creator Tian, Ai-ping
Yin, Yu-kun
Yu, Lei
Yang, Bo-yan
Li, Ning
Li, Jian-ying
Bian, Zhi-min
Hu, Shang-ying
Weng, Chun-xiao
Feng, Li
description Objective To evaluate whether low-frequency ultrasound-facilitated transdermal delivery of a Chinese medicine (CM) formula could improve the efficacy of intrapleural administration of interleukin-2 (IL-2) in treatment of malignant pleural effusion (MPE). Methods A total of 110 eligible participants were randomized into the low-frequency sonophoresis (LFS) of CM (LSF/CM) group (55 cases) and the control group (55 cases) by simple randomization using a random number table. The control group was treated with an intrapleural administration of IL-2; and the LFS/CM group was treated with LFS of a CM gel formulation, combined with the same IL-2 injection as in the control group. The CM formula consisted of Semen Lepidii, Semen Sinapis, Ramulus Cinnamomi, Poriacocos, Herba Lycopi , and Radix Paeoniae Rubra. After 2-week treatment, the therapeutic outcome was determined by the change of the amount of MPE, which was evaluated by B-scan ultrasound and/or chest X-ray, and the change of quality of life (QOL) scores, which were evaluated by the Eastern Cooperative Oncology Group (ECOG) performance status. Results A significantly higher objective remission rate (ORR) was obtained with intrapleural IL-2 plus LFS/CM than IL-2 treatment alone ( P =0.049). In addition, more patients in the LFS/CM group than in the control group had an improved QOL score ( P =0.048), and no patients in the LFS/CM group had a reduced QOL. Conclusion : LFS of CM formulation could effectively alleviate MPE and improve the QOL of cancer patients.
doi_str_mv 10.1007/s11655-019-3167-7
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Methods A total of 110 eligible participants were randomized into the low-frequency sonophoresis (LFS) of CM (LSF/CM) group (55 cases) and the control group (55 cases) by simple randomization using a random number table. The control group was treated with an intrapleural administration of IL-2; and the LFS/CM group was treated with LFS of a CM gel formulation, combined with the same IL-2 injection as in the control group. The CM formula consisted of Semen Lepidii, Semen Sinapis, Ramulus Cinnamomi, Poriacocos, Herba Lycopi , and Radix Paeoniae Rubra. After 2-week treatment, the therapeutic outcome was determined by the change of the amount of MPE, which was evaluated by B-scan ultrasound and/or chest X-ray, and the change of quality of life (QOL) scores, which were evaluated by the Eastern Cooperative Oncology Group (ECOG) performance status. Results A significantly higher objective remission rate (ORR) was obtained with intrapleural IL-2 plus LFS/CM than IL-2 treatment alone ( P =0.049). In addition, more patients in the LFS/CM group than in the control group had an improved QOL score ( P =0.048), and no patients in the LFS/CM group had a reduced QOL. Conclusion : LFS of CM formulation could effectively alleviate MPE and improve the QOL of cancer patients.</description><identifier>ISSN: 1672-0415</identifier><identifier>EISSN: 1993-0402</identifier><identifier>DOI: 10.1007/s11655-019-3167-7</identifier><identifier>PMID: 31444669</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Administration, Cutaneous ; Humans ; Immunotherapy ; Interleukin-2 - administration &amp; dosage ; Medicine ; Medicine &amp; Public Health ; Medicine, Chinese Traditional ; Original Article ; Pleural Effusion, Malignant - drug therapy ; Quality of Life ; Ultrasonic Therapy</subject><ispartof>Chinese journal of integrative medicine, 2020-04, Vol.26 (4), p.263-269</ispartof><rights>The Chinese Journal of Integrated Traditional and Western Medicine Press and Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c344t-de49029350546bd04d8f67a913e99d95c33a5b3f0a8847ff4e871e7a7971e4a23</citedby><cites>FETCH-LOGICAL-c344t-de49029350546bd04d8f67a913e99d95c33a5b3f0a8847ff4e871e7a7971e4a23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11655-019-3167-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11655-019-3167-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31444669$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tian, Ai-ping</creatorcontrib><creatorcontrib>Yin, Yu-kun</creatorcontrib><creatorcontrib>Yu, Lei</creatorcontrib><creatorcontrib>Yang, Bo-yan</creatorcontrib><creatorcontrib>Li, Ning</creatorcontrib><creatorcontrib>Li, Jian-ying</creatorcontrib><creatorcontrib>Bian, Zhi-min</creatorcontrib><creatorcontrib>Hu, Shang-ying</creatorcontrib><creatorcontrib>Weng, Chun-xiao</creatorcontrib><creatorcontrib>Feng, Li</creatorcontrib><title>Low-Frequency Sonophoresis of Chinese Medicine Formula Improves Efficacy of Malignant Pleural Effusion Treatment</title><title>Chinese journal of integrative medicine</title><addtitle>Chin. J. Integr. Med</addtitle><addtitle>Chin J Integr Med</addtitle><description>Objective To evaluate whether low-frequency ultrasound-facilitated transdermal delivery of a Chinese medicine (CM) formula could improve the efficacy of intrapleural administration of interleukin-2 (IL-2) in treatment of malignant pleural effusion (MPE). Methods A total of 110 eligible participants were randomized into the low-frequency sonophoresis (LFS) of CM (LSF/CM) group (55 cases) and the control group (55 cases) by simple randomization using a random number table. The control group was treated with an intrapleural administration of IL-2; and the LFS/CM group was treated with LFS of a CM gel formulation, combined with the same IL-2 injection as in the control group. The CM formula consisted of Semen Lepidii, Semen Sinapis, Ramulus Cinnamomi, Poriacocos, Herba Lycopi , and Radix Paeoniae Rubra. After 2-week treatment, the therapeutic outcome was determined by the change of the amount of MPE, which was evaluated by B-scan ultrasound and/or chest X-ray, and the change of quality of life (QOL) scores, which were evaluated by the Eastern Cooperative Oncology Group (ECOG) performance status. Results A significantly higher objective remission rate (ORR) was obtained with intrapleural IL-2 plus LFS/CM than IL-2 treatment alone ( P =0.049). In addition, more patients in the LFS/CM group than in the control group had an improved QOL score ( P =0.048), and no patients in the LFS/CM group had a reduced QOL. 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J. Integr. Med</stitle><addtitle>Chin J Integr Med</addtitle><date>2020-04-01</date><risdate>2020</risdate><volume>26</volume><issue>4</issue><spage>263</spage><epage>269</epage><pages>263-269</pages><issn>1672-0415</issn><eissn>1993-0402</eissn><abstract>Objective To evaluate whether low-frequency ultrasound-facilitated transdermal delivery of a Chinese medicine (CM) formula could improve the efficacy of intrapleural administration of interleukin-2 (IL-2) in treatment of malignant pleural effusion (MPE). Methods A total of 110 eligible participants were randomized into the low-frequency sonophoresis (LFS) of CM (LSF/CM) group (55 cases) and the control group (55 cases) by simple randomization using a random number table. The control group was treated with an intrapleural administration of IL-2; and the LFS/CM group was treated with LFS of a CM gel formulation, combined with the same IL-2 injection as in the control group. The CM formula consisted of Semen Lepidii, Semen Sinapis, Ramulus Cinnamomi, Poriacocos, Herba Lycopi , and Radix Paeoniae Rubra. After 2-week treatment, the therapeutic outcome was determined by the change of the amount of MPE, which was evaluated by B-scan ultrasound and/or chest X-ray, and the change of quality of life (QOL) scores, which were evaluated by the Eastern Cooperative Oncology Group (ECOG) performance status. Results A significantly higher objective remission rate (ORR) was obtained with intrapleural IL-2 plus LFS/CM than IL-2 treatment alone ( P =0.049). In addition, more patients in the LFS/CM group than in the control group had an improved QOL score ( P =0.048), and no patients in the LFS/CM group had a reduced QOL. 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source MEDLINE; Alma/SFX Local Collection; SpringerLink Journals - AutoHoldings
subjects Administration, Cutaneous
Humans
Immunotherapy
Interleukin-2 - administration & dosage
Medicine
Medicine & Public Health
Medicine, Chinese Traditional
Original Article
Pleural Effusion, Malignant - drug therapy
Quality of Life
Ultrasonic Therapy
title Low-Frequency Sonophoresis of Chinese Medicine Formula Improves Efficacy of Malignant Pleural Effusion Treatment
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