Evidence map›Paper›PMID 40411697›Full record

ReviewMedical oncology (Northwood, London, England)2025

Pterostilbene as a Multifaceted Anticancer Agent: Molecular Mechanisms, Therapeutic Potential and Future Directions.

Muhammad Asif Ali, Nabeeha Kaleem, Ahmad Ali, Noohela Khan, Muniba Khaliq, Nafeesa Arif, Zainab M Almarhoon, Solomon Habtemariam, William N Setzer, Daniela Calina and 1 more

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Medical oncology (Northwood, London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03671811 (Open-Label Randomized Phase II Trial of Megestrol Acetate With or Without Pterostilbene in Patients With Endometrial Cancer Scheduled for Hysterectomy), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT03671811 phase2active not recruitingnot on this map

Open-Label Randomized Phase II Trial of Megestrol Acetate With or Without Pterostilbene in Patients With Endometrial Cancer Scheduled for Hysterectomy

TypeinterventionalSponsorCity of Hope Medical CenterRan2019 to 2027Enrolled44ConditionsAtypical Endometrial Hyperplasia, Endometrial CarcinomaArmsMegestrol Acetate, Pterostilbene
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

11 authors.

Muhammad Asif AliDepartment of Food Science and Human Nutrition, UVAS, Lahore, Pakistan.
Nabeeha KaleemDepartment of Food Science and Human Nutrition, UVAS, Lahore, Pakistan.
Ahmad AliDepartment of Food Science and Human Nutrition, UVAS, Lahore, Pakistan.
Noohela KhanDepartment of Nutrition Sciences, Riphah International University, Lahore, Pakistan.
Muniba KhaliqDepartment of Food Science and Human Nutrition, UVAS, Lahore, Pakistan.
Nafeesa ArifDepartment of Food Science and Human Nutrition, UVAS, Lahore, Pakistan.
Zainab M AlmarhoonDepartment of Chemistry, College of Science, King Saud University, P. O. Box 2455, 11451, Riyadh, Saudi Arabia.
Solomon HabtemariamPharmacognosy Research &, Herbal Analysis Services UK, Central Avenue, Chatham-Maritime, Kent, ME4 4TB, UK.
William N SetzerAromatic Plant Research Center, 230 N 1200 E, Suite 100, Lehi, UT, 84043, USA.
Daniela CalinaDepartment of Clinical Pharmacy, University of Medicine and Pharmacy of Craiova, 200349, Craiova, Romania. calinadaniela@gmail.com.
Javad Sharifi-RadUniversidad Espíritu Santo, 092301, Samborondón, Ecuador. javad.sharifirad@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pterostilbene (PT), a natural dimethoxy analogue of resveratrol, exhibits enhanced bioavailability and lipophilicity, making it a more effective therapeutic candidate than resveratrol. These pharmacokinetic advantages improve its cellular uptake and metabolic stability, positioning PT as a promising compound in cancer treatment. PT has shown significant anticancer activity in several malignancies, including melanoma, breast, colorectal, and ovarian cancers. Its mechanisms of action include induction of apoptosis through caspase activation, cell cycle arrest, and inhibition of angiogenesis and metastasis via downregulation of matrix metalloproteinase-9 and vascular endothelial growth factor. PT also modulates epigenetic processes such as DNA methylation and histone modifications, and targets cancer stem cells by reducing the expression of stemness markers like CD44 and c-Myc. Additionally, PT enhances the efficacy of standard chemotherapeutic agents such as cisplatin, doxorubicin, and 5-fluorouracil, with preclinical studies showing synergistic effects and reversal of drug resistance. A Phase II clinical trial (NCT03671811) in endometrial cancer patients has confirmed the safety of PT and revealed its ability to modulate immune-related gene expression and suppress mechanistic target of rapamycin (mTOR) signaling. Despite promising results, several challenges remain particularly low water solubility, limited systemic bioavailability, lack of large-scale human studies, and undefined therapeutic protocols. Future research should focus on advanced formulation strategies, rigorous clinical trials across cancer types, and identification of patient-specific therapeutic responses to support PT's integration into oncology practice.

Indexed as

Antineoplastic AgentsNeoplasmsStilbenesAnimalsClinical Trials, Phase II as TopicHumansRandomized Controlled Trials as TopicAntineoplastic AgentspterostilbeneStilbenesAnticancer propertiesApoptosisMolecular mechanismsPreclinical studiesPterostilbeneSignalling pathways

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.