Efficacy of Aidi Injection and Brucea javanica Oil Emulsion Injection in Rectal Cancer during CapeOX Adjuvant Chemotherapy

Background. Adjuvant chemotherapy with CapeOX regimen is widely used in resected rectal cancer, which brings benefits to patients. But drug-related toxicities are severe during this process; thus, survival outcomes may potentially be affected. This study explored the efficacy of two Chinese herbal i...

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Veröffentlicht in:BioMed research international 2021, Vol.2021 (1), p.2033353
Hauptverfasser: Meng, Wenjun, Zeng, Xiaoge, Gao, Yuchen, Chen, Qi, Bai, Lian
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Zeng, Xiaoge
Gao, Yuchen
Chen, Qi
Bai, Lian
description Background. Adjuvant chemotherapy with CapeOX regimen is widely used in resected rectal cancer, which brings benefits to patients. But drug-related toxicities are severe during this process; thus, survival outcomes may potentially be affected. This study explored the efficacy of two Chinese herbal injections, Aidi injection (ADI) and Brucea javanica oil emulsion injection (BJOEI), as adjuvant drugs in CapeOX adjuvant chemotherapy on rectal cancer patients. Methods. A total of 240 cases were enrolled in this retrospective study. 80 cases received CapeOX with ADI (the ADI group), 80 cases received CapeOX with BJOEI (the BJOEI group), and the rest 80 cases received CapeOX alone (the control group). After four cycles’ chemotherapy, adverse reactions (ADRs) and quality of life (QOL) were analyzed. Then, patients received follow-up for at least one year, and the endpoint was disease-free survival (DFS). Results. All patients completed at least four cycles’ adjuvant chemotherapy. The incidence of leukopenia and thrombocytopenia was significantly lower in the ADI group; the incidence of nausea was significantly lower in the BJOEI group; the incidence of hand-foot syndrome was significantly lower in both the ADI group and BJOEI group. Significant difference was found in the control group regarding the Karnofsky Performance Status (KPS) scores prior and posttreatment. No difference was found among three groups regarding one-year DFS. Conclusion. As adjuvant drugs for rectal cancer during CapeOX chemotherapy, ADI shows advantages in decreasing leukopenia and thrombocytopenia, while BJOEI results better in remitting nausea. Both two CHIs had positive impacts on decreasing hand-foot syndrome and the maintenance of patients’ QOL. It is worthy of further study and promotion for CHIs.
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Adjuvant chemotherapy with CapeOX regimen is widely used in resected rectal cancer, which brings benefits to patients. But drug-related toxicities are severe during this process; thus, survival outcomes may potentially be affected. This study explored the efficacy of two Chinese herbal injections, Aidi injection (ADI) and Brucea javanica oil emulsion injection (BJOEI), as adjuvant drugs in CapeOX adjuvant chemotherapy on rectal cancer patients. Methods. A total of 240 cases were enrolled in this retrospective study. 80 cases received CapeOX with ADI (the ADI group), 80 cases received CapeOX with BJOEI (the BJOEI group), and the rest 80 cases received CapeOX alone (the control group). After four cycles’ chemotherapy, adverse reactions (ADRs) and quality of life (QOL) were analyzed. Then, patients received follow-up for at least one year, and the endpoint was disease-free survival (DFS). Results. All patients completed at least four cycles’ adjuvant chemotherapy. The incidence of leukopenia and thrombocytopenia was significantly lower in the ADI group; the incidence of nausea was significantly lower in the BJOEI group; the incidence of hand-foot syndrome was significantly lower in both the ADI group and BJOEI group. Significant difference was found in the control group regarding the Karnofsky Performance Status (KPS) scores prior and posttreatment. No difference was found among three groups regarding one-year DFS. Conclusion. As adjuvant drugs for rectal cancer during CapeOX chemotherapy, ADI shows advantages in decreasing leukopenia and thrombocytopenia, while BJOEI results better in remitting nausea. Both two CHIs had positive impacts on decreasing hand-foot syndrome and the maintenance of patients’ QOL. It is worthy of further study and promotion for CHIs.</description><identifier>ISSN: 2314-6133</identifier><identifier>ISSN: 2314-6141</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2021/2033353</identifier><identifier>PMID: 34765675</identifier><language>eng</language><publisher>United States: Hindawi</publisher><subject>Aged ; Antineoplastic Combined Chemotherapy Protocols - therapeutic use ; Biomedical research ; Brucea javanica ; Cancer ; Cancer therapies ; Case-Control Studies ; Chemotherapy ; Chemotherapy, Adjuvant - adverse effects ; Chemotherapy, Adjuvant - methods ; China - epidemiology ; Chinese medicine ; Colorectal cancer ; Colorectal Neoplasms - drug therapy ; Disease-Free Survival ; Drug dosages ; Drugs ; Drugs, Chinese Herbal - administration &amp; dosage ; Drugs, Chinese Herbal - pharmacology ; Emulsions - therapeutic use ; Feet ; Female ; Herbal medicine ; Hospitals ; Humans ; Injection ; Injections - methods ; Laparoscopy ; Leukopenia ; Leukopenia - drug therapy ; Leukopenia - prevention &amp; control ; Male ; Medical prognosis ; Middle Aged ; Nausea ; Nausea - drug therapy ; Nausea - prevention &amp; control ; Patients ; Pharmaceuticals ; Quality of Life ; Rectal Neoplasms - drug therapy ; Rectum ; Retrospective Studies ; Surgery ; Survival ; Thrombocytopenia ; Thrombocytopenia - drug therapy ; Thrombocytopenia - prevention &amp; control ; Toxicity ; Treatment Outcome ; Tumors</subject><ispartof>BioMed research international, 2021, Vol.2021 (1), p.2033353</ispartof><rights>Copyright © 2021 Wenjun Meng et al.</rights><rights>Copyright © 2021 Wenjun Meng et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2021 Wenjun Meng et al. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c448t-5bd6a603dfb5f6c1162e7ae10d04d849cc990a32bedb7254ed4ed9f2af73b0a3</citedby><cites>FETCH-LOGICAL-c448t-5bd6a603dfb5f6c1162e7ae10d04d849cc990a32bedb7254ed4ed9f2af73b0a3</cites><orcidid>0000-0002-6780-8720 ; 0000-0002-7368-6600</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8577932/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8577932/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,4010,27900,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34765675$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Shen, Yingbin</contributor><creatorcontrib>Meng, Wenjun</creatorcontrib><creatorcontrib>Zeng, Xiaoge</creatorcontrib><creatorcontrib>Gao, Yuchen</creatorcontrib><creatorcontrib>Chen, Qi</creatorcontrib><creatorcontrib>Bai, Lian</creatorcontrib><title>Efficacy of Aidi Injection and Brucea javanica Oil Emulsion Injection in Rectal Cancer during CapeOX Adjuvant Chemotherapy</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><description>Background. Adjuvant chemotherapy with CapeOX regimen is widely used in resected rectal cancer, which brings benefits to patients. But drug-related toxicities are severe during this process; thus, survival outcomes may potentially be affected. This study explored the efficacy of two Chinese herbal injections, Aidi injection (ADI) and Brucea javanica oil emulsion injection (BJOEI), as adjuvant drugs in CapeOX adjuvant chemotherapy on rectal cancer patients. Methods. A total of 240 cases were enrolled in this retrospective study. 80 cases received CapeOX with ADI (the ADI group), 80 cases received CapeOX with BJOEI (the BJOEI group), and the rest 80 cases received CapeOX alone (the control group). After four cycles’ chemotherapy, adverse reactions (ADRs) and quality of life (QOL) were analyzed. Then, patients received follow-up for at least one year, and the endpoint was disease-free survival (DFS). Results. All patients completed at least four cycles’ adjuvant chemotherapy. The incidence of leukopenia and thrombocytopenia was significantly lower in the ADI group; the incidence of nausea was significantly lower in the BJOEI group; the incidence of hand-foot syndrome was significantly lower in both the ADI group and BJOEI group. Significant difference was found in the control group regarding the Karnofsky Performance Status (KPS) scores prior and posttreatment. No difference was found among three groups regarding one-year DFS. Conclusion. As adjuvant drugs for rectal cancer during CapeOX chemotherapy, ADI shows advantages in decreasing leukopenia and thrombocytopenia, while BJOEI results better in remitting nausea. Both two CHIs had positive impacts on decreasing hand-foot syndrome and the maintenance of patients’ QOL. 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Adjuvant chemotherapy with CapeOX regimen is widely used in resected rectal cancer, which brings benefits to patients. But drug-related toxicities are severe during this process; thus, survival outcomes may potentially be affected. This study explored the efficacy of two Chinese herbal injections, Aidi injection (ADI) and Brucea javanica oil emulsion injection (BJOEI), as adjuvant drugs in CapeOX adjuvant chemotherapy on rectal cancer patients. Methods. A total of 240 cases were enrolled in this retrospective study. 80 cases received CapeOX with ADI (the ADI group), 80 cases received CapeOX with BJOEI (the BJOEI group), and the rest 80 cases received CapeOX alone (the control group). After four cycles’ chemotherapy, adverse reactions (ADRs) and quality of life (QOL) were analyzed. Then, patients received follow-up for at least one year, and the endpoint was disease-free survival (DFS). Results. All patients completed at least four cycles’ adjuvant chemotherapy. The incidence of leukopenia and thrombocytopenia was significantly lower in the ADI group; the incidence of nausea was significantly lower in the BJOEI group; the incidence of hand-foot syndrome was significantly lower in both the ADI group and BJOEI group. Significant difference was found in the control group regarding the Karnofsky Performance Status (KPS) scores prior and posttreatment. No difference was found among three groups regarding one-year DFS. Conclusion. As adjuvant drugs for rectal cancer during CapeOX chemotherapy, ADI shows advantages in decreasing leukopenia and thrombocytopenia, while BJOEI results better in remitting nausea. Both two CHIs had positive impacts on decreasing hand-foot syndrome and the maintenance of patients’ QOL. It is worthy of further study and promotion for CHIs.</abstract><cop>United States</cop><pub>Hindawi</pub><pmid>34765675</pmid><doi>10.1155/2021/2033353</doi><orcidid>https://orcid.org/0000-0002-6780-8720</orcidid><orcidid>https://orcid.org/0000-0002-7368-6600</orcidid><oa>free_for_read</oa></addata></record>
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subjects Aged
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Biomedical research
Brucea javanica
Cancer
Cancer therapies
Case-Control Studies
Chemotherapy
Chemotherapy, Adjuvant - adverse effects
Chemotherapy, Adjuvant - methods
China - epidemiology
Chinese medicine
Colorectal cancer
Colorectal Neoplasms - drug therapy
Disease-Free Survival
Drug dosages
Drugs
Drugs, Chinese Herbal - administration & dosage
Drugs, Chinese Herbal - pharmacology
Emulsions - therapeutic use
Feet
Female
Herbal medicine
Hospitals
Humans
Injection
Injections - methods
Laparoscopy
Leukopenia
Leukopenia - drug therapy
Leukopenia - prevention & control
Male
Medical prognosis
Middle Aged
Nausea
Nausea - drug therapy
Nausea - prevention & control
Patients
Pharmaceuticals
Quality of Life
Rectal Neoplasms - drug therapy
Rectum
Retrospective Studies
Surgery
Survival
Thrombocytopenia
Thrombocytopenia - drug therapy
Thrombocytopenia - prevention & control
Toxicity
Treatment Outcome
Tumors
title Efficacy of Aidi Injection and Brucea javanica Oil Emulsion Injection in Rectal Cancer during CapeOX Adjuvant Chemotherapy
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