Evidence map›Paper›PMID 25945893›Full record

ReviewExpert opinion on pharmacotherapy2015

Anamorelin hydrochloride for the treatment of cancer-anorexia-cachexia in NSCLC.

Hongjie Zhang, Jose M Garcia

Registry-linked trialAbstract readReview
In one paragraph

Review in Expert opinion on pharmacotherapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07231120 (A Phase I Clinical Study Evaluating the Safety, Tolerability, Pharmacokinetic Characteristics, and Preliminary Efficacy of SXRN Injection in Patients With Cancer Cachexia), which is not on this map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
5.1field-weighted citation impact, top 4% 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.

NCT07231120 phase1recruitingnot on this mapstarted 2025, after this paper: background citation

A Phase I Clinical Study Evaluating the Safety, Tolerability, Pharmacokinetic Characteristics, and Preliminary Efficacy of SXRN Injection in Patients With Cancer Cachexia

TypeinterventionalSponsorJiangsu Nutai Biologics Co., LtdRan2025 to 2026Enrolled54ConditionsCachexia-Anorexia Syndrome, Solid Tumor MalignanciesArmsSXRN Injection
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Ghrelin for the management of cachexia associated with cancer.The Cochrane database of systematic reviews · 2018
    Pooled it
  2. Anamorelin for cancer anorexia-cachexia syndrome: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017
    Pooled it
  3. Trial
  4. Anamorelin (ONO-7643) in Japanese patients with non-small cell lung cancer and cachexia: results of a randomized phase 2 trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016
    Trial
  5. Observational
  6. Cancer cachexia: molecular basis and therapeutic advances.Signal transduction and targeted therapy · 2026
    Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Binding Domain Characterization of Growth Hormone Secretagogue Receptor.Journal of translational internal medicine · 2022
    Article
  12. Anamorelin combined with physical activity, and nutritional counseling for cancer-related fatigue: a preliminary study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Medicinal cannabinoids in palliative care.British journal of clinical pharmacology · 2018
    Review
  20. Molecular mechanism of sarcopenia and cachexia: recent research advances.Pflugers Archiv : European journal of physiology · 2017
    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

2 authors at 1 institution in 1 country.

Hongjie ZhangDivision of Endocrinology, Diabetes and Metabolism, Center for Translational Research on Inflammatory Diseases (CTRID), Michael E. DeBakey Veterans Affairs Medical Center, Baylor College of Medicine , 2002 Holcombe Blvd, Building 109, Room 210, Houston, TX 77030 USA 713 794 7989 ; 713 794 7771 ; jgarcia1@bcm.edu.
Jose M Garcia
Michael E. DeBakey VA Medical Center · US

Funding

The role of ghrelin and the ghrelin receptor GHSR1a in sarcopenia of agingR03AG040583 · NIA · BAYLOR COLLEGE OF MEDICINE · PI GARCIA, JOSE M. · 2011 to 2012
$157k
Mechanisms of action of ghrelin in muscle and adipose tissue in cancer-related caI01BX000507 · VA · MICHAEL E DEBAKEY VA MEDICAL CENTER · PI GARCIA, JOSE M. · 2009 to 2013
–
The Role of Ghrelin in Cancer CachexiaI01CX000174 · VA · MICHAEL E DEBAKEY VA MEDICAL CENTER · PI GARCIA, JOSE M. · 2009 to 2014
–
BLRD VA I01 BX000507BLRD VA I01 BX002807CSRD VA I01 CX000174NIA NIH HHS AG040583NIA NIH HHS R03 AG040583
6 · The paper itself

Abstract

introductionCancer anorexia-cachexia syndrome (CACS) is associated with increased morbidity and mortality. Anamorelin is a novel, orally active ghrelin receptor agonist in clinical development for the treatment of CACS in NSCLC. The aim of this review is to summarize preclinical and clinical studies evaluating anamorelin as a potential promising treatment for CACS in NSCLC. AREAS COVERED: Pharmacodynamics, pharmacokinetics and metabolism, clinical efficacy, safety and tolerability of anamorelin for the treatment of CACS in NSCLC were reviewed. Anamorelin administration may lead to increases in food intake, body weight and lean body mass, and a stimulatory effect on growth hormone secretion in NSCLC patients. Anamorelin is well tolerated with no dose-limiting toxicities identified to date. EXPERT OPINION: Targeting ghrelin receptors presents the advantage of potentially addressing multiple mechanisms of CACS simultaneously including appetite, muscle protein balance, adipose tissue metabolism, energy expenditure and inflammation. Clinical data suggest that anamorelin is well tolerated and it effectively increases appetite, body weight and lean mass in patients with advanced NSCLC. Long-term safety remains unknown at this time. The potential synergistic effects of anamorelin with nutritional support or exercise as well as its efficacy/safety in other tumor types are also unknown.

Indexed as

AnimalsAnorexiaAppetiteCachexiaCarcinoma, Non-Small-Cell LungClinical Trials, Phase II as TopicHumansHydrazinesLung NeoplasmsOligopeptidesRandomized Controlled Trials as TopicReceptors, GhrelinanamorelinHydrazinesOligopeptidesReceptors, Ghrelinanamorelincancer-anorexia-cachexia syndromeghrelinNSCLC

Identifiers

PMID25945893
PMCPMC4677053
OpenAlexW1654990989

What OpenQuestion holds

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Read underepoch 390

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.