Evidence map›Paper›PMID 41466018›Full record

Trial reportMedicine2025

A randomized, controlled, multicenter phase III clinical trial of Huo Xiang Zheng Qi oral liquid for the prevention and control of nausea and vomiting caused by multiday cisplatin-based regimen.

Liping Tong, Songze Wu, Zixuan Ye, Ying Wang, Juan Chen, Ting Li, Xianguo Liu, Na Li, Taifang Peng, Yangang Zhou and 8 more

Abstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Liping TongDivision of Thoracic Tumor Multimodality Treatment and Department of Medical Oncology, Cancer Center, West China Hospital, Sichuan University/Department of medical oncology, Shangjin Nanfu Hospital, Chengdu, Sichuan, China.
Songze WuDepartment of Respiratory and Critical Care Medicine, State Key Laboratory of Respiratory Health and Multimorbidity, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Zixuan YeDivision of Thoracic Tumor Multimodality Treatment and Department of Medical Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Ying WangDepartment of Oncology, Cancer Prevention and Treatment Institute of Chengdu, Chengdu Fifth People's Hospital (The Second Clinical Medical College, Affiliated Fifth People's Hospital of Chengdu University of Traditional Chinese Medicine), Chengdu, Sichuan, China.
Juan ChenCancer Center of 903 Hospital, City of Jiangyou, Sichuan, China.
Ting LiDepartment of oncology, the second people's hospital of Yibin, Yibin, Sichuan, China.
Xianguo LiuDepartment of Oncology, The Affiliated Chengdu 363 Hospital of Southwest Medical University, Chengdu, Sichuan, China.
Na LiDepartment of Oncology, Suining Central Hospital, Suining, Sichuan, China.
Taifang PengChongqing University Qianjiang Hospital/ Qianjiang Central Hospital of Chongqing, Chongqing, China.
Yangang ZhouOncology Department, The First Afffliated Hospital of Chengdu Medical College, Chengdu, Sichuan, China.
Liqin XiaWest China-Guang'An Hospital, Sichuan University, Guang'an, Sichuan, China.
Zengjin HuOncology Department, Qianjiang National Hospital, Qianjiang, Chongqing, China.
Zhiying YueDepartment of Biotherapy Research, Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Jie XianDivision of Thoracic Tumor Multimodality Treatment and Department of Medical Oncology, Cancer Center, West China Hospital, Sichuan University/Department of medical oncology, Shangjin Nanfu Hospital, Chengdu, Sichuan, China.
Jun HeCancer Center of 903 Hospital, City of Jiangyou, Sichuan, China.
Lang HeDepartment of Oncology, Cancer Prevention and Treatment Institute of Chengdu, Chengdu Fifth People's Hospital (The Second Clinical Medical College, Affiliated Fifth People's Hospital of Chengdu University of Traditional Chinese Medicine), Chengdu, Sichuan, China.
Yu SunRadiotherapy Physics and Technology Center, Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Jiang ZhuDivision of Thoracic Tumor Multimodality Treatment and Department of Medical Oncology, Cancer Center, West China Hospital, Sichuan University/Department of medical oncology, Shangjin Nanfu Hospital, Chengdu, Sichuan, China.ORCID 0000-0002-5496-8450

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStandardized chemotherapy-induced nausea and vomiting (CINV) prevention in HEC is critical, yet NK1RAs remain inaccessible for some patients due to cost and availability. Our prior study demonstrated HXZQ + 5HT3RAs + dexamethasone's superior efficacy; this phase III trial aimed to validate this regimen.

methodThis multicenter, double-blind, randomized phase III trial (10 hospitals, Southwest China; March 2023-August 2024) assigned patients to group HX (HXZQ + 5HT3RA + dexamethasone) or group C (control). Primary endpoints: mean No CINV Days (NCDs) during the full cycle and complete control (CC) rate beyond the risk period. Secondary endpoints: safety, CC rate during the risk period, mean no nausea days and life function.

resultsA total of 166 patients were enrolled and 139 patients completed the study, 73 in group HX and 66 in group C. The mean NCDs was significantly better in group HX (17.92 ± 4.06) than that in group C (15.26 ± 5.91, P = .002). Group HX showed better NCDs in acute, delayed and the period beyond the risk phases than group C, with a higher CC rate of CINV beyond the risk phase (80.8% vs 60.6%, P = .009). The mean no nausea days in group HX was significantly better than that in group C (18.26 vs 15.45, P = .001). Group HX also showed a trend to better functional living index-emesis score, but only achieved the significance during the period beyond the risk phase.

conclusionHXZQ in combination with a 5-HT3 receptor antagonist and dexamethasone is safe and feasible for preventing CINV due to 3-day cisplatin-containing HEC throughout the whole cycle.

Indexed as

AntiemeticsAntineoplastic AgentsCisplatinDrugs, Chinese HerbalNauseaVomitingAdultAgedChinaDexamethasoneDouble-Blind MethodFemaleHumansMaleMiddle AgedAntiemeticsAntineoplastic AgentsCisplatinDexamethasoneDrugs, Chinese HerbalChemotherapy-induced nausea and vomiting (CINV)highly emetogenic chemotherapy (HEC)Huo Xiang Zheng Qi Oral Liquid (HXZQ)multiday cisplatin

Identifiers

PMID41466018
PMCPMC12746988

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.