Evidence map›Paper›PMID 33010094›Full record

Trial reportThe oncologist2020

Homeopathic Treatment as an Add-On Therapy May Improve Quality of Life and Prolong Survival in Patients with Non-Small Cell Lung Cancer: A Prospective, Randomized, Placebo-Controlled, Double-Blind, Three-Arm, Multicenter Study.

Michael Frass, Peter Lechleitner, Christa Gründling, Claudia Pirker, Erwin Grasmuk-Siegl, Julian Domayer, Maximilian Hochmair, Katharina Gaertner, Cornelia Duscheck, Ilse Muchitsch and 6 more

RetractedErratum issued Registry-linked trialOpen access · bronzeAbstract readMulticenter StudyRandomized Controlled TrialRetracted Publication
In one paragraph

Trial report in The oncologist, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. It is linked to trial NCT05833165 (Feasibility of Integrating Homeopathic Approach in a Comprehensive Cancer Center), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 6% 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.

NCT05833165 recruitingnot on this mapstarted 2023, after this paper: background citation

Feasibility of Integrating Homeopathic Approach in a Comprehensive Cancer Center

TypeobservationalSponsorRambam Health Care CampusRan2023 to 2028Enrolled250ConditionsCancer, Quality of Life, Complementary Medicine, Integrative MedicineArmsFeasibility of a supportive approach
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Homeopathy effects in patients during oncological treatment: a systematic review.Journal of cancer research and clinical oncology · 2023
    Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Dynamized ultra-low dilution ofCell adhesion & migration · 2023
    Article
  7. Article
  8. Complementary and Alternative Therapies in Oncology.International journal of environmental research and public health · 2022
    Review
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 11 institutions in 7 countries.

Michael FrassMedical University of Vienna, Department of Medicine I, Clinical Division of Oncology and Institute for Homeopathic Research, Vienna, Austria.ORCID 0000-0003-4140-4258
Peter LechleitnerHospital of Lienz, Department of Medicine, Lienz, Austria.
Christa GründlingGeneral Practitioner, Enns, Austria.
Claudia PirkerDepartment of Respiratory and Critical Care Medicine, Respiratory Oncology Unit, Karl Landsteiner Institute of Lung Research and Pulmonary Oncology, Klinik Floridsdorf, Vienna, Austria.
Erwin Grasmuk-SieglDepartment of Respiratory and Critical Care Medicine, Respiratory Oncology Unit, Karl Landsteiner Institute of Lung Research and Pulmonary Oncology, Klinik Floridsdorf, Vienna, Austria.
Julian DomayerDepartment of Respiratory and Critical Care Medicine, Respiratory Oncology Unit, Karl Landsteiner Institute of Lung Research and Pulmonary Oncology, Klinik Floridsdorf, Vienna, Austria.
Maximilian HochmairDepartment of Respiratory and Critical Care Medicine, Respiratory Oncology Unit, Karl Landsteiner Institute of Lung Research and Pulmonary Oncology, Klinik Floridsdorf, Vienna, Austria.
Katharina GaertnerInstitute of Complementary Medicine, University of Bern, Inselspital, Bern, Switzerland.
Cornelia DuscheckMedical University of Vienna, Department of Medicine I, Clinical Division of Oncology, Vienna, Austria.
Ilse MuchitschAustrian Chamber of Pharmacists, Department Vienna, HomResearch, Interdisciplinary Homeopathic Research Group, Vienna, Austria.
Christine MarosiMedical University of Vienna, Department of Medicine I, Clinical Division of Oncology, Vienna, Austria.
Michael SchumacherElisabethinenspital, Department of Medicine, Linz, Austria.
Sabine Zöchbauer-MüllerMedical University of Vienna, Department of Medicine I, Clinical Division of Oncology, Vienna, Austria.
Raj K ManchandaCentral Council for Research in Homeopathy, Ministry of AYUSH, Government of India and LMHI, West Delhi, Delhi, India.
Andrea SchrottStatistikAmbulanz, Consulting Company, Leobendorf, Austria.
Otto BurghuberDepartment of Respiratory and Critical Care Medicine and Ludwig Boltzmann Institute for Lung Health, Otto Wagner Hospital and Sigmund Freud University, Medical School, Vienna, Austria.
Medical University of Vienna · ATInstitut für Lungenforschung · DEChamber of Labour · ATGeneral Practitioners Research Institute · NLGovernment of India · INKarl Landsteiner Society · ATKrankenhaus der Elisabethinen · ATLiebherr (Austria) · ATLudwig Boltzmann Institute for COPD And Respiratory Epidemiology · ATStatistical Research (United States) · USWitten/Herdecke University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

lessons learnedConventional medicine and homeopathy work well together. Quality of life improves with additive homeopathy in patients with non-small cell lung cancer (NSCLC). Survival improves with additive homeopathy in patients with NSCLC.

backgroundPatients with advanced non-small cell lung cancer (NSCLC) have limited treatment options. Alongside conventional anticancer treatment, additive homeopathy might help to alleviate side effects of conventional therapy. The aim of the present study was to investigate whether additive homeopathy might influence quality of life (QoL) and survival in patients with NSCLC.

methodsIn this prospective, randomized, placebo-controlled, double-blind, three-arm, multicenter, phase III study, we evaluated the possible effects of additive homeopathic treatment compared with placebo in patients with stage IV NSCLC, with respect to QoL in the two randomized groups and survival time in all three groups. Treated patients visited the outpatients' centers every 9 weeks: 150 patients with stage IV NSCLC were included in the study; 98 received either individualized homeopathic remedies (n = 51) or placebo (n = 47) in a double-blinded fashion; and 52 control patients without any homeopathic treatment were observed for survival only. The constituents of the different homeopathic remedies were mainly of plant, mineral, or animal origin. The remedies were manufactured by stepwise dilution and succussion, thereby preparing stable Good Manufacturing Practice grade formulations.

resultsQoL as well as functional and symptom scales showed significant improvement in the homeopathy group when compared with placebo after 9 and 18 weeks of homeopathic treatment (p < .001). Median survival time was significantly longer in the homeopathy group (435 days) versus placebo (257 days; p = .010) as well as versus control (228 days; p < .001). Survival rate in the homeopathy group differed significantly from placebo (p = .020) and from control (p < .001).

conclusionQoL improved significantly in the homeopathy group compared with placebo. In addition, survival was significantly longer in the homeopathy group versus placebo and control. A higher QoL might have contributed to the prolonged survival. The study suggests that homeopathy positively influences not only QoL but also survival. Further studies including other tumor entities are warranted.

Indexed as

Carcinoma, Non-Small-Cell LungHomeopathyLung NeoplasmsDouble-Blind MethodHumansProspective StudiesQuality of LifeTreatment OutcomeAdditive homeopathyAdult oncologyComplementary and alternative medicineGlobal health statusLung cancerSurvival

Identifiers

PMID33010094
PMCPMC8108047
OpenAlexW3089859795

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.