Evidence map›Paper›PMID 25664323›Full record

Trial reportBioMed research international2015

Immunomodulatory effects of the Agaricus blazei Murrill-based mushroom extract AndoSan in patients with multiple myeloma undergoing high dose chemotherapy and autologous stem cell transplantation: a randomized, double blinded clinical study.

Jon-Magnus Tangen, Anne Tierens, Jo Caers, Marilene Binsfeld, Ole Kristoffer Olstad, Anne-Marie Siebke Trøseid, Junbai Wang, Geir Erland Tjønnfjord, Geir Hetland

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BioMed research international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00970021 (Use of the Medicinal Mushroom Agaricus Blazei Murill in Addition to High Dose Chemotherapy in Patients With Multiple Myeloma.), which is not on this map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 9% 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.

NCT00970021 phase2completednot on this map

Use of the Medicinal Mushroom Agaricus Blazei Murill in Addition to High Dose Chemotherapy in Patients With Multiple Myeloma.

TypeinterventionalSponsorUllevaal University HospitalRan2009 to 2014Enrolled39ConditionsMultiple MyelomaArmsIntake of 60 ml placebo daily in addition to chemotherapy, Intake of 60 ml agaricus daily in addition to chemotherapy
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Nutrients · 2019
    Trial
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  6. Review
  7. Review
  8. Review
  9. The Immune Regulation of Melanin FromFood science & nutrition · 2025
    Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Review
  15. Review
  16. Review
  17. Effects of Medicinal Fungi-Derived β-Glucan on Tumor Progression.Journal of fungi (Basel, Switzerland) · 2021
    Review
  18. Medicinal Mushrooms: Bioactive Compounds, Use, and Clinical Trials.International journal of molecular sciences · 2021
    Review
  19. Review
  20. 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

9 authors at 2 institutions in 3 countries.

Jon-Magnus TangenDeparment of Haematology, Oslo University Hospital, 0424 Oslo, Norway ; Institute of Clinical Medicine, University of Oslo, 0372 Oslo, Norway.ORCID 0000-0003-4290-7746
Anne TierensDepartment of Pathology, Oslo University Hospital, 0424 Oslo, Norway ; Laboratory Medicine Program, Toronto General Hospital, University Health Network, Toronto, ON, Canada M5G 2C4.
Jo CaersLaboratory of Hematology, GIGA-Research, University of Liege, 4000 Sart Tilman, Belgium.
Marilene BinsfeldLaboratory of Hematology, GIGA-Research, University of Liege, 4000 Sart Tilman, Belgium.
Ole Kristoffer OlstadDepartment Medical Biochemistry, Oslo University Hospital, 0424 Oslo, Norway.
Anne-Marie Siebke TrøseidDepartment Medical Biochemistry, Oslo University Hospital, 0424 Oslo, Norway.
Junbai WangDepartment of Pathology, Oslo University Hospital, 0424 Oslo, Norway.
Geir Erland TjønnfjordDeparment of Haematology, Oslo University Hospital, 0424 Oslo, Norway ; Institute of Clinical Medicine, University of Oslo, 0372 Oslo, Norway.
Geir HetlandInstitute of Clinical Medicine, University of Oslo, 0372 Oslo, Norway ; Department of Immunology and Transfusion Medicine, Oslo University Hospital, 0424 Oslo, Norway.
Oslo University Hospital · NOUniversity of Liège · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Forty patients with multiple myeloma scheduled to undergo high dose chemotherapy with autologous stem cell support were randomized in a double blinded fashion to receive adjuvant treatment with the mushroom extract AndoSan, containing 82% of Agaricus blazei Murrill (19 patients) or placebo (21 patients). Intake of the study product started on the day of stem cell mobilizing chemotherapy and continued until the end of aplasia after high dose chemotherapy, a period of about seven weeks. Thirty-three patients were evaluable for all study endpoints, while all 40 included patients were evaluable for survival endpoints. In the leukapheresis product harvested after stem cell mobilisation, increased percentages of Treg cells and plasmacytoid dendritic cells were found in patients receiving AndoSan. Also, in this group, a significant increase of serum levels of IL-1ra, IL-5, and IL-7 at the end of treatment was found. Whole genome microarray showed increased expression of immunoglobulin genes, Killer Immunoglobulin Receptor (KIR) genes, and HLA genes in the Agaricus group. Furthermore, AndoSan displayed a concentration dependent antiproliferative effect on mouse myeloma cells in vitro. There were no statistically significant differences in treatment response, overall survival, and time to new treatment. The study was registered with Clinicaltrials.gov NCT00970021.

Indexed as

Hematopoietic Stem Cell TransplantationAdultAgaricusAgedAnimalsBiomarkers, TumorCell Line, TumorCell MembraneCell ProliferationChemokinesComplex MixturesDose-Response Relationship, DrugDouble-Blind MethodFemaleGene Expression RegulationHumansAndoSanBiomarkers, TumorChemokinesComplex MixturesImmunologic FactorsIntercellular Signaling Peptides and ProteinsTissue Extracts

Identifiers

PMID25664323
PMCPMC4312620
OpenAlexW1993173402

What OpenQuestion holds

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Registered trials

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.