Evidence map›Paper›PMID 39616563›Full record

ArticleDrugs - real world outcomes2025

Effects of the Japanese Kampo Medicines Rikkunshito, Shakuyakukanzoto and Goreisan on Lenvatinib Plasma Concentrations in Japanese Patients with Thyroid Cancer.

Kazuma Fujita, Akifumi Suzuki, Mitsuji Nagahama, Kiminori Sugino, Chie Masaki, Koichi Ito, Masatomo Miura

Abstract read
In one paragraph

Article in Drugs - real world outcomes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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

1 citing paper in PubMed.

  1. 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

7 authors.

Kazuma FujitaDepartment of Pharmacy, Akita University Hospital, Akita, Japan.
Akifumi SuzukiDepartment of Surgery, Ito Hospital, Shibuya, Japan.
Mitsuji NagahamaDepartment of Surgery, Ito Hospital, Shibuya, Japan.
Kiminori SuginoDepartment of Surgery, Ito Hospital, Shibuya, Japan.
Chie MasakiDepartment of Surgery, Ito Hospital, Shibuya, Japan.
Koichi ItoDepartment of Surgery, Ito Hospital, Shibuya, Japan.
Masatomo MiuraDepartment of Pharmacy, Akita University Hospital, Akita, Japan. m-miura@hos.akita-u.ac.jp.ORCID http://orcid.org/0000-0001-7120-2425

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKampo medicines are often used in Japan as therapy for the side effects induced by oral kinase inhibitors. However, the pharmacokinetic interactions between Kampo medicines and oral kinase inhibitors such as lenvatinib have not been studied.

objectiveWe investigated the effects of Kampo medicines (rikkunshito, shakuyakukanzoto and goreisan) on the steady-state plasma trough concentration (C

methodsThirty-nine patients receiving lenvatinib therapy at Ito Hospital between May 2015 and December 2019 were enrolled. The mean C

resultsAfter the repeated administration of rikkunshito (n = 21), shakuyakukanzoto (n = 10) or goreisan (n = 8), the mean C

conclusionsAlthough these Kampo medicines are reported to inhibit drug-metabolizing enzymes and drug transporters, the risk of drug interactions for patients receiving lenvatinib therapy is low. Patients should feel confident that they can receive Kampo medicines as supportive care for lenvatinib therapy without a risk of drug interactions that could affect treatment efficacy.

Identifiers

PMID39616563
PMCPMC11829860

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