Evidence map›Paper›PMID 31415709›Full record

ArticleCancer2019

A multicenter, open-label, single-arm study of anamorelin (ONO-7643) in advanced gastrointestinal cancer patients with cancer cachexia.

Satoshi Hamauchi, Junji Furuse, Toshimi Takano, Yoshinori Munemoto, Ken Furuya, Hideo Baba, Manabu Takeuchi, Yasuhiro Choda, Takashi Higashiguchi, Tateaki Naito and 6 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed
9.0field-weighted citation impact, top 2% 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

89 citing papers in PubMed, 158 citations in OpenAlex.

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  11. Predictors of the early discontinuation of anamorelin hydrochloride in gastrointestinal cancer-related cachexia: a multicenter retrospective cohort study (HGCSG2201).Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  12. Cancer cachexia: molecular basis and therapeutic advances.Signal transduction and targeted therapy · 2026
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  17. Effect of anamorelin on body weight in patients with gastric cancer-associated cachexia: an observational study.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2025
    Observational
  18. Physical Activity, Exerkines, and Their Role in Cancer Cachexia.International journal of molecular sciences · 2025
    Review
  19. Review
  20. Article

29 more citing papers are in PubMed but not listed here.

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

16 authors at 13 institutions in 1 country.

Satoshi HamauchiDepartment of Gastrointestinal Oncology, Shizuoka Cancer Center, Shizuoka, Japan.ORCID https://orcid.org/0000-0002-9857-2095
Junji FuruseDepartment of Medical Oncology, Faculty of Medicine, Kyorin University, Tokyo, Japan.
Toshimi TakanoDepartment of Medical Oncology, Toranomon Hospital, Tokyo, Japan.
Yoshinori MunemotoDepartment of Surgery, Fukui-ken Saiseikai Hospital, Fukui, Japan.
Ken FuruyaDepartment of Gastroenterology and Hepatology, Japan Community Health Care Organization, Hokkaido Hospital, Hokkaido, Japan.
Hideo BabaDepartment of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.
Manabu TakeuchiDepartment of Gastroenterology, Nagaoka Red Cross Hospital, Niigata, Japan.
Yasuhiro ChodaDepartment of Surgery, Hiroshima Citizens Hospital, Hiroshima, Japan.
Takashi HigashiguchiDepartment of Surgery and Palliative Medicine, Fujita Health University School of Medicine, Aichi, Japan.
Tateaki NaitoDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.ORCID https://orcid.org/0000-0003-4047-2929
Kei MuroDepartment of Clinical Oncology, Aichi Cancer Center Hospital, Nagoya, Japan.
Koichi TakayamaDepartment of Pulmonary Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Shusuke OyamaData Science, Ono Pharmaceutical Company Ltd, Osaka, Japan.
Toru TakiguchiClinical Development Planning, Ono Pharmaceutical Company Ltd, Osaka, Japan.ORCID https://orcid.org/0000-0001-6118-2977
Naoyuki KomuraClinical Development Planning, Ono Pharmaceutical Company Ltd, Osaka, Japan.
Kazuo TamuraGeneral Medical Research Center, Fukuoka University, Fukuoka, Japan.
Ono Pharmaceutical (Japan) · JPShizuoka Cancer Center · JPAichi Cancer Center · JPFujita Health University · JPFukui-ken Saiseikai Hospital · JPFukuoka University · JPHiroshima City Asa Citizens Hospital · JPHokkaido hospital · JPKumamoto University · JPKyorin University · JPKyoto Prefectural University of Medicine · JPNagaoka Red Cross Hospital · JPToranomon Hospital · JP

Funding

Ono Pharmaceutical Co., Ltd.Ono Pharmaceutical Company Ltd
6 · The paper itself

Abstract

backgroundCancer cachexia is characterized by weight loss and is associated with increased morbidity and mortality in patients with cancer. Anamorelin (ONO-7643; ANAM) is a novel and selective ghrelin receptor agonist that improves appetite, lean body mass (LBM), body weight, and anorexia.

methodsThis multicenter, open-label, single-arm study investigated the efficacy and safety of 100 mg anamorelin in 50 Japanese patients with advanced and unresectable gastrointestinal (colorectal, gastric, or pancreatic) cancer. ANAM was administered once daily over 12 weeks. The primary endpoint was the proportion of patients that maintained or gained LBM over the course of the study. Secondary endpoints included changes in LBM, body weight, quality of life (QoL), and nutritional status biomarkers.

resultsThe proportion of patients who responded to treatment was 63.3% (95% CI, 48.3%-76.6%), with a least square mean ± SE change in LBM and body weight from baseline of 1.89 ± 0.36 kg and 1.41 ± 0.61 kg, respectively. Appetite-related questions on the QoL questionnaire showed that ANAM improved appetite. Adverse events occurred in 79.6% of patients, and the most common treatment-related adverse events were increased γ-glutamyl transpeptidase (8.2%), diabetes mellitus (6.1%), hyperglycemia (6.1%), and prolonged QRS complex (6.1%).

conclusionsANAM improved anorexia and patients' nutritional status, resulting in rapid increases in LBM and body weight in patients with advanced gastrointestinal cancer who had cancer cachexia. ANAM treatment was well tolerated over 12 weeks. ANAM is a potential clinically beneficial pharmacotherapeutic option for patients with advanced gastrointestinal cancer who have cancer cachexia.

Indexed as

AgedAged, 80 and overCachexiaFemaleGastrointestinal NeoplasmsHumansHydrazinesMaleMiddle AgedOligopeptidesanamorelinHydrazinesOligopeptidesanamorelinanorexiabody weightcachexiagastrointestinal neoplasms

Identifiers

PMID31415709
PMCPMC6900019
OpenAlexW2968736548

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.