Evidence map›Paper›PMID 30678249›Full record

ArticleCancers2019

Karnofsky Performance Status as A Predictive Factor for Cancer-Related Fatigue Treatment with Astragalus Polysaccharides (PG2) Injection-A Double Blind, Multi-Center, Randomized Phase IV Study.

Cheng-Hsu Wang, Cheng-Yao Lin, Jen-Shi Chen, Ching-Liang Ho, Kun-Ming Rau, Jo-Ting Tsai, Cheng-Shyong Chang, Su-Peng Yeh, Chieh-Fang Cheng, Yuen-Liang Lai

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
2.5field-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.

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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Synergistic antitumor effects ofFrontiers in pharmacology · 2025
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  7. Frontiers in nutrition · 2025
    Article
  8. RepurposingViruses · 2023
    Article
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  12. Review
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  14. Revealing the Mechanism ofEvidence-based complementary and alternative medicine : eCAM · 2021
    Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. The extracts ofInternational journal of medical sciences · 2020
    Article
  20. Nutrients · 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

10 authors at 8 institutions in 1 country.

Cheng-Hsu WangDivision of Hematology/Oncology, Department of Internal Medicine, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Keelung 204, Taiwan. wwww9208@ms19.hinet.net.
Cheng-Yao LinChi Mei Medical Center, Liouying, Tainan City 736, Taiwan. cylin0615@yahoo.com.tw.
Jen-Shi ChenDepartment of Hematology/Oncology, Linkou Chang Gung Memorial Hospital, Taoyuan 333, Taiwan. js1101@cgmh.org.tw.ORCID 0000-0001-9756-3974
Ching-Liang HoTri-Service General Hospital, Taipei 114, Taiwan. hochingliang@yahoo.com.tw.
Kun-Ming RauHematology-Oncology Division, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833, Taiwan. liu07822@ms57.hinet.net.
Jo-Ting TsaiDepartment of Radiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan. kitty4024@gmail.com.
Cheng-Shyong ChangChanghua Christian Hospital, Changhua County 500, Taiwan. 15120@cch.org.tw.
Su-Peng YehChina Medical University Hospital, Taichung City 40447, Taiwan. supengyeh@gmail.com.
Chieh-Fang ChengPhytohealth Co., Taipei 105, Taiwan. cfcheng@phytohealth.com.tw.ORCID 0000-0001-9583-8911
Yuen-Liang LaiMacKay Memorial Hospital, New Taipei City 25160, Taiwan. enochlai@mmh.org.tw.ORCID 0000-0002-0295-6255
Chang Gung University · TWChanghua Christian Hospital · TWChi Mei Medical Center · TWChina Medical University · TWE-Da Hospital · TWMackay Memorial Hospital · TWTaipei Medical University-Shuang Ho Hospital · TWTri-Service General Hospital · TW

Funding

PhytoHealth Co. PH-CP012
6 · The paper itself

Abstract

Fatigue is a common and debilitating symptom in patients with advanced cancer, resulting in poor quality of life and reduced treatment efficacy. Phytotherapeutic agents have shown potential effects to relieve cancer-related fatigue in these patients. The aim of this study was to evaluate the efficacy and safety of Astragalus Polysaccharides injection and identify predictive factors associated with this treatment. Patients with advanced cancer receiving palliative care with moderate to severe cancer-related fatigue were enrolled in this study for two treatment cycles. Fatigue improvement response rates were analyzed as the primary endpoint at the end of the first cycle to determine treatment efficacy. The drug safety profile was evaluated by the reporting of adverse events. Three hundred and ten patients were enrolled in this study and 214 patients were included ITT population. Improvement in fatigue scores by at least 10% was observed in greater than 65% of subjects after one treatment cycle compared to scores at baseline. Patients with higher Karnofsky Performance Status (KPS) responded better to the Astragalus Polysaccharides injection. Drug-related adverse event rates were less than 9%. This study identified KPS as a promising predictive factor for the therapeutic efficacy of Astragalus Polysaccharides injection.

Indexed as

cancereywords: astragalus polysaccharidesfatigueKPSpalliative care

Identifiers

PMID30678249
PMCPMC6406819
OpenAlexW2914459826

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.