Evidence map›Paper›PMID 23701184›Full record

Trial reportBritish journal of clinical pharmacology2013

The effect of Echinacea purpurea on the pharmacokinetics of docetaxel.

Andrew K L Goey, Irma Meijerman, Hilde Rosing, Jacobus A Burgers, Marja Mergui-Roelvink, Marianne Keessen, Serena Marchetti, Jos H Beijnen, Jan H M Schellens

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in British journal of clinical pharmacology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
5.4field-weighted citation impact, top 6% of its field
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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

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  7. In Vitro Evaluation of Olive Leaf (Pharmaceuticals (Basel, Switzerland) · 2025
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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

9 authors at 4 institutions in 1 country.

Andrew K L GoeyDepartment of Pharmaceutical Sciences, Division of Pharmacoepidemiology & Clinical Pharmacology, Utrecht University, Utrecht, The Netherlands.
Irma Meijerman
Hilde Rosing
Jacobus A Burgers
Marja Mergui-Roelvink
Marianne Keessen
Serena Marchetti
Jos H Beijnen
Jan H M Schellens
The Netherlands Cancer Institute · NLOncode Institute · NLPharmo Institute · NLUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe herbal medicine Echinacea purpurea (E. purpurea) has been shown to induce cytochrome P450 3A4 (CYP3A4) both in vitro and in humans. This study explored whether E. purpurea affects the pharmacokinetics of the CYP3A4 substrate docetaxel in cancer patients.

methodsTen evaluable cancer patients received docetaxel (135 mg, 60 min IV infusion) before intake of a commercially available E. purpurea extract (20 oral drops three times daily) and 3 weeks later after a 14 day supplementation period with E. purpurea. In both cycles, pharmacokinetic parameters of docetaxel were determined.

resultsBefore and after supplementation with E. purpurea, the mean area under the plasma concentration-time curve of docetaxel was 3278 ± 1086 and 3480 ± 1285 ng ml(-1) h, respectively. This result was statistically not significant. Nonsignificant alterations were also observed for the elimination half-life (from 30.8 ± 19.7 to 25.6 ± 5.9 h, P = 0.56) and maximum plasma concentration of docetaxel (from 2224 ± 609 to 2097 ± 925 ng ml(-1) , P = 0.30).

conclusionsThe multiple treatment of E. purpurea did not significantly alter the pharmacokinetics of docetaxel in this study. The applied E. purpurea product at the recommended dose may be combined safely with docetaxel in cancer patients.

Indexed as

Administration, OralAdultAgedAntineoplastic AgentsCytochrome P-450 CYP3ADocetaxelDose-Response Relationship, DrugDrug Administration ScheduleDrug InteractionsEchinaceaEnzyme InductionFemaleHumansInfusions, IntravenousMaleMetabolic Clearance RateAntineoplastic AgentsCYP3A4 protein, humanCytochrome P-450 CYP3ADocetaxelEchinaforcePlant ExtractsTaxoidsclinical trialCYP3A4docetaxelEchinacea purpureaherb-drug interactionspharmacokinetics

Identifiers

PMID23701184
PMCPMC3769673
OpenAlexW1593960462

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.