Evidence map›Paper›PMID 38710920›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2024

A phase II randomized, double-blind, placebo-controlled study of Nuvastatic (C50SEW505OESA), a standardized rosmarinic acid-rich polymolecular botanical extract formulation to reduce cancer-related fatigue in patients with solid tumors.

Mei Ling Ng, Amin Malik Shah Abdul Majid, Siew Mei Yee, V Natesan, Mohamed Khadeer Ahamed Basheer, Ashok Gnanasekaran, Fouad Saleih Resq Al-Suede, Christopher Parish, Meena Dalal, Long Chiau Ming and 6 more

Registry-linked trialAbstract readRandomized Controlled TrialClinical Trial, Phase IIMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04546607 (A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel, Study Assessing NuvastaticTM), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

NCT04546607 phase2 / phase3completednot on this map

A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel, Study Assessing NuvastaticTM (C5OSEW5050ESA) 1000 mg (3 Times a Day) in Improving Fatigue in Patients With Solid Stage I - IV Tumors

TypeinterventionalSponsorNatureceuticals Sdn BhdRan2017 to 2019Enrolled110ConditionsAsthenia, CancerArmsNuvastatic TM (C5OSEW5050ESA) 1000 mg
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Cancer-related fatigue in cancer survivors: an updated clinical practice review for healthcare providers.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Review
  2. Review
  3. Herbal and pharmacological treatments in cancer-related fatigue.Translational gastroenterology and hepatology · 2026
    Article
  4. 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

16 authors.

Mei Ling NgDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Amin Malik Shah Abdul Majid *EMAN Research Ltd, Symonston, Australia.
Siew Mei Yee *Faculty of Pharmacy, SEGi University, Petaling Jaya, Malaysia.
V NatesanEMAN Research Ltd, Symonston, Australia.
Mohamed Khadeer Ahamed BasheerEMAN Research Ltd, Symonston, Australia.
Ashok GnanasekaranDepartment of Pharmacology, Faculty of Medicine, Quest International University, Ipoh, Malaysia.
Fouad Saleih Resq Al-SuedeEMAN Research Ltd, Symonston, Australia.
Christopher ParishCollege of Health & Medicine, Australian National University, Canberra, Australia.
Meena DalalNotrox Research Private Limited, Hospital & Health Care Bangalore, Bangalore, Karnataka, India.
Long Chiau MingSchool of Medical and Life Sciences, Sunway University, Sunway City, Malaysia.
Mansoureh Nazari VEMAN Biodiscoveries Sdn. Bhd, Sungai Petani, Malaysia.
Shamsuddin Sultan KhanEMAN Research Ltd, Symonston, Australia.
Siti Balkees Stn Hameed SultanEMAN Biodiscoveries Sdn. Bhd, Sungai Petani, Malaysia.
K Govind Babu *HCG Cancer Centre-Double Road, Bengaluru, Karnataka, India.
Aman Shah Abdul Majid *Department of Pharmacology, Faculty of Medicine, Quest International University, Ipoh, Malaysia. amanharvard2020@outlook.com.
Mohamed Amir Shah Abdul AzizIcon Cancer Centre, Island Hospital, George Town, Penang, Malaysia.

Funding

The Malaysian Ministry of Agriculture, Malaysia KP/ITTP/S/1/367-1 Jld.2 (91)
6 · The paper itself

Abstract

aimWe evaluated the efficacy and safety of Nuvastatic™ (C5OSEW5050ESA) in improving cancer-related fatigue (CRF) among cancer patients.

methodsThis multicenter randomized double-blind placebo-controlled phase 2 trial included 110 solid malignant tumor patients (stage II-IV) undergoing chemotherapy. They were randomly selected and provided oral Nuvastatic™ 1000 mg (N = 56) or placebo (N = 54) thrice daily for 9 weeks. The primary outcomes were fatigue (Brief Fatigue Inventory (BFI)) and Visual Analog Scale for Fatigue (VAS-F)) scores measured before and after intervention at baseline and weeks 3, 6, and 9. The secondary outcomes were mean group difference in the vitality subscale of the Medical Outcome Scale Short Form-36 (SF-36) and urinary F2-isoprostane concentration (an oxidative stress biomarker), Eastern Cooperative Oncology Group scores, adverse events, and biochemical and hematologic parameters. Analysis was performed by intention-to-treat (ITT). Primary and secondary outcomes were assessed by two-way repeated-measures analysis of variance (mixed ANOVA).

resultsThe Nuvastatic™ group exhibited an overall decreased fatigue score compared with the placebo group. Compared with the placebo group, the Nuvastatic™ group significantly reduced BFI-fatigue (BFI fatigue score, F (1.4, 147) = 16.554, p < 0.001, partial η

conclusionNuvastatic™ is potentially an effective adjuvant for CRF management in solid tumor patients and worthy of further investigation in larger trials.

trial registrationClinicalTrial.gov ID: NCT04546607. Study registration date (first submitted): 11-05-2020.

Indexed as

CinnamatesDepsidesFatigueNeoplasmsRosmarinic AcidAdultAgedDouble-Blind MethodFemaleHumansMaleMiddle AgedPlant ExtractsCinnamatesDepsidesPlant ExtractsRosmarinic AcidC5OSEW5050ESACancer-related fatigueNuvastaticOrthosiphon stamineus

Identifiers

What OpenQuestion holds

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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.