Evidence map›Paper›PMID 40252163›Full record

ArticleAdvances in therapy2025

Co-treatment with Gabapentinoid and Japanese Herbal Medicine Goshajinkigan for CIPN is Associated with Longer Duration and Higher Dose of Chemotherapy.

Kanako Miyano, Yasuhito Uezono, Takuhiro Yamaguchi, Wataru Hashimoto, Satoshi Komoriya

Abstract read
In one paragraph

Article in Advances in therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Kanako MiyanoDepartment of Pain Control Research, The Jikei University School of Medicine, Nishi-Shimbashi, Minato-ku, Tokyo, Japan. k.miyano.fy@juntendo.ac.jp.
Yasuhito UezonoDepartment of Pain Control Research, The Jikei University School of Medicine, Nishi-Shimbashi, Minato-ku, Tokyo, Japan.
Takuhiro YamaguchiDivision of Biostatistics, Tohoku University Graduate School of Medicine, Miyagi, Japan.
Wataru HashimotoData Intelligence Department, Daiichi Sankyo Co., Ltd., Tokyo, Japan.
Satoshi KomoriyaR&D Division, R&D Management Department, Daiichi Sankyo Co., Ltd., Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn Japan, both gabapentinoids and the Japanese traditional herbal medicine goshajinkigan (GJG) are used to manage chemotherapy-induced peripheral neuropathy (CIPN); however, evidence for their effectiveness is inconclusive. Patients with CIPN experience reduced quality of life and often undergo reductions in dose or discontinuation of chemotherapy. Therefore, this retrospective cohort study used a real-world database to examine the efficacy of gabapentinoids and GJG therapy for patients with CIPN by evaluating chemotherapy duration and dose.

methodsData from 145,384 patients diagnosed with CIPN while receiving platinum- or taxane-based chemotherapy between April 1, 2008 and March 31, 2022 were stratified by CIPN treatment: simultaneous gabapentinoid (mirogabalin or pregabalin) plus GJG (prescription dates overlap); non-simultaneous gabapentinoid plus GJG (prescription dates do not overlap); gabapentinoid alone; GJG alone; and neither gabapentinoids nor GJG. Duration and dose of chemotherapy were the primary outcomes.

resultsTreatment with either a gabapentinoid or GJG alone was associated with longer duration and higher doses of chemotherapy versus neither gabapentinoids nor GJG in patients treated with carboplatin, cisplatin, or paclitaxel. Combined gabapentinoid plus GJG treatment elicited further longer duration and higher doses of chemotherapy versus gabapentinoid alone or GJG alone in patients treated with carboplatin, oxaliplatin, cisplatin, paclitaxel, or docetaxel. When stratified by cancer type, similar trends were observed regarding combination gabapentinoid plus GJG treatment among patients with colorectal cancer treated with oxaliplatin and patients with gastric, lung, or breast cancer treated with paclitaxel.

conclusionCombination treatment with gabapentinoid plus GJG might prevent reductions in dose or discontinuation of chemotherapy, and might be effective for the treatment of CIPN.

Indexed as

Antineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsDrugs, Chinese HerbalGabapentinPeripheral Nervous System DiseasesAdultAgedEast Asian PeopleFemaleHumansJapanMaleMiddle AgedPregabalinRetrospective StudiesAntineoplastic AgentsDrugs, Chinese HerbalGabapentingosha-jinki-ganPregabalinChemotherapy-induced peripheral neuropathyGabapentinoidGoshajinkiganJapanese herbal Kampo medicinePlatinum-based chemotherapyTaxane-based chemotherapy

Identifiers

PMID40252163
PMCPMC12085328

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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.