Evidence map›Paper›PMID 39465324›Full record

Trial reportScientific reports2024

Astragalus polysaccharides improve adjuvant chemotherapy-induced fatigue for patients with early breast cancer.

Wen-Chi Shen, Shin-Cheh Chen, Cheng-Hsu Wang, Chao-Ming Hung, Meng-Ting Peng, Chien-Ting Liu, Yueh-Shih Chang, Wen-Ling Kuo, Hsu-Huan Chou, Kun-Yun Yeh and 7 more

Registry-linked trialAbstract readRandomized Controlled TrialClinical Trial, Phase II
In one paragraph

Trial report in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03314805 (PG2 Treatment for Reduction of Chemotherapy-Induced Toxicity and Encouraging Compliance With Chemotherapy Among Stage II/III Breast Cancer Patients Receiving Adjuvant Chemotherapy), which is not on this map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 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.

NCT03314805 phase2completednot on this map

PG2 Treatment for Reduction of Chemotherapy-Induced Toxicity and Encouraging Compliance With Chemotherapy Among Stage II/III Breast Cancer Patients Receiving Adjuvant Chemotherapy

TypeinterventionalSponsorPhytoHealth CorporationRan2018 to 2021Enrolled67ConditionsCancer-related Fatigue, Neutropenia, MalignantArmsAstragalus polysaccharides 500 mg, Placebo, EC Chemotherapy
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Synergistic antitumor effects ofFrontiers in pharmacology · 2025
    Pooled it
  3. Review
  4. Astragalus Polysaccharides Target the Wnt/β-catenin Pathway to Suppress Malignant Behavior in Hepatocellular Carcinoma.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2026
    Article
  5. Article
  6. Review
  7. The role ofFrontiers in immunology · 2026
    Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. 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

17 authors.

Wen-Chi ShenDivision of Hematology-Oncology, Department of Internal Medicine, Linkou Chang Gung Memorial Hospital, Taoyuan City, Taiwan.
Shin-Cheh ChenCollege of Medicine, Chang Gung University, Taoyuan City, Taiwan.
Cheng-Hsu WangCollege of Medicine, Chang Gung University, Taoyuan City, Taiwan.ORCID http://orcid.org/0000-0002-7248-3983
Chao-Ming HungDepartment of General Surgery, E-Da Cancer Hospital, Kaohsiung City, Taiwan.
Meng-Ting PengDivision of Hematology-Oncology, Department of Internal Medicine, Linkou Chang Gung Memorial Hospital, Taoyuan City, Taiwan.
Chien-Ting LiuCollege of Medicine, Chang Gung University, Taoyuan City, Taiwan.ORCID http://orcid.org/0009-0003-6209-2537
Yueh-Shih ChangDivision of Hematology-Oncology, Department of Internal Medicine, Chang Gung Memorial Hospital, Keelung, Keelung City, Taiwan.ORCID http://orcid.org/0000-0001-5182-7911
Wen-Ling KuoCollege of Medicine, Chang Gung University, Taoyuan City, Taiwan.ORCID http://orcid.org/0000-0002-1145-8514
Hsu-Huan ChouCollege of Medicine, Chang Gung University, Taoyuan City, Taiwan.
Kun-Yun YehCollege of Medicine, Chang Gung University, Taoyuan City, Taiwan.ORCID http://orcid.org/0000-0001-5572-7897
Tsung-Han WuCollege of Medicine, Chang Gung University, Taoyuan City, Taiwan.ORCID http://orcid.org/0000-0001-8455-8009
Chun-Feng WuCollege of Medicine, Chang Gung University, Taoyuan City, Taiwan.
Pei-Hung ChangCollege of Medicine, Chang Gung University, Taoyuan City, Taiwan.ORCID http://orcid.org/0000-0002-5006-0277
Yen-Min HuangCollege of Medicine, Chang Gung University, Taoyuan City, Taiwan.ORCID http://orcid.org/0000-0002-1114-8268
Chi-Chang YuCollege of Medicine, Chang Gung University, Taoyuan City, Taiwan.ORCID http://orcid.org/0000-0002-2565-4305
Chun-Hui LeeCollege of Medicine, Chang Gung University, Taoyuan City, Taiwan.ORCID http://orcid.org/0009-0004-4500-5611
Kun-Ming RauSchool of Medicine, College of Medicine, I-Shou University, Kaohsiung City, Taiwan. kmrau59@gmail.com.ORCID http://orcid.org/0000-0002-1209-3043

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to evaluate the effect of Astragalus polysaccharides (PG2) on reducing chemotherapy-induced fatigue (CIF) and toxicity, thereby encouraging compliance to chemotherapy. This was a randomized, placebo-controlled, phase 2 study. Patients with stage II/III early breast cancer planning to undergo adjuvant anthracycline-based chemotherapy were randomly assigned to receive PG2 500 mg or placebo on days 1, 3, and 8 every 21 days. The fatigue global score (FGS) was assessed using the brief fatigue inventory (BFI)-Taiwan. The Breast Cancer-Specific Module of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaires-Core30 evaluated the health-related quality of life during the first four cycles of adjuvant chemotherapy. Overall, 66 eligible patients were equally randomized into the PG2 and placebo groups between March 01, 2018, and March 09, 2021. The mean change in the FGS and fatigue intensity did not significantly differ between both groups. However, the FGS and fatigue intensity were less aggravated in the first four cycles in the premenopausal-PG2 group than in the placebo group. Our study concluded PG2 combined with adjuvant chemotherapy can reduce CIF, insomnia, the negative effect on future perspectives, and improve global health status, especially for premenopausal patients with breast cancer. Trial registration number: NCT03314805 registered on 19/10/2017.

Indexed as

Astragalus PlantBreast NeoplasmsFatiguePolysaccharidesQuality of LifeAdultAntineoplastic Combined Chemotherapy ProtocolsChemotherapy, AdjuvantFemaleHumansMiddle AgedPolysaccharidesAdjuvant chemotherapyAstragalus polysaccharidesBreast cancerCancer-related fatigueChemotherapy-related fatigue

Identifiers

PMID39465324
PMCPMC11514294

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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.