Evidence map›Paper›PMID 40165069›Full record

Trial reportBMC infectious diseases2025

Efficacy and metabolomic analysis of the pneumonia compound formulation against community-acquired pneumonia: an observational controlled before-after clinical trial.

Ying Zhou, Yi Wei, Jieqiong Wang, Leqian Wang, Meixia Zheng, Fanxuan Zhang, Wenmin Wang, Feihua Huang

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

8 authors.

Ying ZhouTongde Hospital of Zhejiang Province Affiliated to Zhejiang Chinese Medical University, Hangzhou, Zhejiang, 310053, China.
Yi WeiPulmonary and Critical Care Medicine, Tongde Hospital of Zhejiang Province, Hangzhou, Zhejiang, 310012, China.
Jieqiong WangDepartment of Respiratory Medicine, Tongde Hospital of Zhejiang Province, No. 234, Gucui Road, Hangzhou, Zhejiang, 310012, China.
Leqian WangCollege of Pharmacy, Hangzhou Normal University, Hangzhou, Zhejiang, 311121, China.
Meixia ZhengCollege of Pharmacy, Hangzhou Medical College, Hangzhou, Zhejiang, 310023, China.
Fanxuan ZhangTongde Hospital of Zhejiang Province Affiliated to Zhejiang Chinese Medical University, Hangzhou, Zhejiang, 310053, China.
Wenmin WangThe Yangtze River Delta Biological Medicine Research and Development Center of Zhejiang Province, Yangtze Delta Region Institution of Tsinghua University, Hangzhou, Zhejiang, 314006, China.
Feihua HuangDepartment of Respiratory Medicine, Tongde Hospital of Zhejiang Province, No. 234, Gucui Road, Hangzhou, Zhejiang, 310012, China. Hfhua238@sohu.com.

Funding

Chinese medicine emergency special project of the State Administration of Traditional Chinese Medicine on novel coronavirus infection 2023ZYLCYJ02-10
6 · The paper itself

Abstract

backgroundPneumonia Compound Formulation (PCF) is a traditional Chinese medicine (TCM) formula used for the clinical treatment of novel coronavirus pneumonia. However, its efficacy and mechanism of action for community-acquired pneumonia (CAP) are unknown. Therefore, the aim of this study was to evaluate the efficacy of PCF combined with antibiotics in the treatment of CAP and to explore its mechanism based on metabolomics. PATIENTS AND

methodsThis prospective controlled study included 100 CAP patients from June to December 2023. Patients were randomized into an antibiotics-only group (NCM, n = 50) and a combined antibiotics and PCF treatment group (CM, n = 50). Clinical data were collected for all participants. The efficacy of the treatments was assessed by comparing traditional Chinese medicine syndrome scores and clinical parameters before and after treatment. Levels of inflammatory mediators (CRP, IL-6, TNF-α) and immunoglobulins (IgA, IgG, IgM) in the plasma were measured using ELISA. Plasma metabolomics analysis was conducted using ultra-performance liquid chromatography-high resolution mass spectrometry (UPLC-HRMS).

resultsBoth the NCM and CM group improved the clinical symptoms of CAP patients, with the CM group showing more significant improvements. Both groups effectively reduced the levels of the inflammatory mediators CRP, but had no significant impact on immunoglobulin levels. CM group using additional PCF significantly altered glycerophospholipid metabolism in patients, primarily characterized by increased levels of phosphatidylinositol, phosphatidylglycerol, and 1-acyl-sn-glycero-3-phosphoethanolamine, and decreased levels of phosphatidylcholine and phosphatidylethanolamine.

conclusionsPCF is an effective adjunct therapy to antibiotics for the treatment of CAP, enhancing clinical symptom improvement. Its mechanism may involve the regulation of glycerophospholipid metabolism levels in patients, providing a new theoretical basis for the application of PCF in the treatment of CAP.

trial registrationChiCTR2400086283 (2024-06-27).

Indexed as

Anti-Bacterial AgentsCommunity-Acquired InfectionsCOVID-19 Drug TreatmentDrugs, Chinese HerbalPneumoniaAdultAgedCommunity-Acquired PneumoniaCOVID-19FemaleHumansMaleMedicine, Chinese TraditionalMetabolomicsMiddle AgedProspective StudiesAnti-Bacterial AgentsDrugs, Chinese HerbalCommunity-acquired pneumoniaGlycerophospholipidsMetabolomicsTraditional Chinese medicine

Identifiers

PMID40165069
PMCPMC11956265

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.