Evidence map›Paper›PMID 30278529›Full record

Trial reportMedicine2018

Effects of the Chinese herb formula Yufeining on stable chronic obstructive pulmonary disease: A randomized, double-blind, placebo-controlled trial.

Minli Hong, Chunlin Hong, Huinuan Chen, Gengshen Ke, Jinrong Huang, Xiaohua Huang, Yanhong Liu, Fengsen Li, Candong Li

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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  4. Review
  5. Review
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  12. Evidence-based complementary and alternative medicine : eCAM · 2019
    Article
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.

Minli HongFujian University of Traditional Chinese Medicine, Fuzhou.
Chunlin HongFujian Province Zhangzhou Municipal TCM Hospital, Affiliated Hospital of Fujian University of Traditional Chinese Medicine, Zhangzhou.
Huinuan ChenFujian Province Zhangzhou Municipal TCM Hospital, Affiliated Hospital of Fujian University of Traditional Chinese Medicine, Zhangzhou.
Gengshen KeFujian Province Zhangzhou Municipal TCM Hospital, Affiliated Hospital of Fujian University of Traditional Chinese Medicine, Zhangzhou.
Jinrong HuangFujian Province Zhangzhou Municipal TCM Hospital, Affiliated Hospital of Fujian University of Traditional Chinese Medicine, Zhangzhou.
Xiaohua HuangFujian Province Zhangzhou Municipal TCM Hospital, Affiliated Hospital of Fujian University of Traditional Chinese Medicine, Zhangzhou.
Yanhong LiuFujian Province Zhangzhou Municipal TCM Hospital, Affiliated Hospital of Fujian University of Traditional Chinese Medicine, Zhangzhou.
Fengsen LiTraditional Chinese Medicine Hospital, Affiliated to Xinjiang Medical University & National Clinical Research Base of Traditional Chinese Medicine, Wulumuqi, Xinjiang, China.
Candong LiFujian University of Traditional Chinese Medicine, Fuzhou.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA Chinese herb formula Yufeining (YFN) has showed promise in the treatment of stable chronic obstructive pulmonary disease (COPD), less is known that the impact of YFN in combination with standard Western treatments on lung inflammation. This study evaluated the safety and efficacy of YFN as a treatment for stable COPD and as an anti-inflammatory agent.

methodsSixty patients with stable COPD were randomly assigned to two treatment groups (YFN treatment, N = 30; placebo treatment, N = 30). Both groups received inhaled steroids and bronchodilators during an 8-week intervention, and patient status was assessed at 8 weeks later and 4 months after treatment. The primary outcome included clinical efficacy. The secondary outcomes involved CAT score, mMRC grade, six-minute walking distance (6MWD). IL-8, TNF-α, IL-17A, LTB4, TGF-β1 and CRP were also detection in peripheral serum, as well as adverse reaction conditions.

resultsThe YFN group demonstrated a significant improvement in clinical efficacy (compare 89.3% to 63.3% in the placebo group; P < 0.05). CAT scores and mMRC grades significantly decreased (P < 0.05, P < 0.01), and 6MWD significantly increased (P<0.05), after YFN treatment. The levels of IL-8, TNF-α, LTB4 and CRP decreased significantly after 8 weeks of treatment compared to baseline levels in both groups. Only in the YFN treatment group, the levels of IL-17A decreased significantly after treatment compared to baseline levels (P < 0.05). No changes were observed inTGF-β1 from pre-to post-treatment in either group (P > 0.05). Serum levels of IL-8, TNF-α, IL-17A, LTB4 and CRP decreased significantly after YFN treatment compared to the placebo group (P < 0.05).

conclusionA combinatorial treatment approach with YFN, inhaled steroids and bronchodilators produced a clinically effective treatment for stable COPD, leading to a significant decrease in circulating inflammatory mediators. The study appeared YFN was safety. CLINICAL TRIAL REGISTRATION NUMBER: No. ChiCTR-IOR-17013577.

Indexed as

Administration, InhalationAgedAnti-Inflammatory AgentsBronchodilator AgentsC-Reactive ProteinDouble-Blind MethodDrugs, Chinese HerbalDrug Therapy, CombinationFemaleHumansInterleukin-17Interleukin-8Leukotriene B4MaleMedicine, Chinese TraditionalMiddle AgedAnti-Inflammatory AgentsBronchodilator AgentsC-Reactive ProteinDrugs, Chinese HerbalIL17A protein, humanInterleukin-17Interleukin-8Leukotriene B4SteroidsTumor Necrosis Factor-alpha

Identifiers

PMID30278529
PMCPMC6181551

What OpenQuestion holds

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LicenceCC BY-NC
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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.