Evidence map›Paper›PMID 40672072›Full record

ArticleJournal of gastrointestinal oncology2025

Real-world effectiveness of anamorelin in patients with unresectable and relapse pancreatic cancer: a prospective observational study.

Atsushi Yamaguchi, Hiroki Kamada, Shigeaki Semba, Naohiro Kato, Yuji Teraoka, Takeshi Mizumoto, Yuzuru Tamaru, Tsuyoshi Hatakeyama, Hirotaka Kouno, Yoshiyuki Shibata and 9 more

Abstract read
In one paragraph

Article in Journal of gastrointestinal oncology, 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. Beyond Hunger: The Structure, Signaling, and Systemic Roles of Ghrelin.International journal of molecular sciences · 2025
    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

19 authors.

Atsushi YamaguchiDepartment of Gastroenterology, Kure Medical Center and Chugoku Cancer Center, Kure, Hiroshima, Japan.
Hiroki KamadaDepartment of Endoscopy, Kure Medical Center and Chugoku Cancer Center, Kure, Hiroshima, Japan.
Shigeaki SembaDepartment of Endoscopy, Kure Medical Center and Chugoku Cancer Center, Kure, Hiroshima, Japan.
Naohiro KatoDepartment of Endoscopy, Kure Medical Center and Chugoku Cancer Center, Kure, Hiroshima, Japan.
Yuji TeraokaDepartment of Gastroenterology, Kure Medical Center and Chugoku Cancer Center, Kure, Hiroshima, Japan.
Takeshi MizumotoDepartment of Endoscopy, Kure Medical Center and Chugoku Cancer Center, Kure, Hiroshima, Japan.
Yuzuru TamaruDepartment of Endoscopy, Kure Medical Center and Chugoku Cancer Center, Kure, Hiroshima, Japan.
Tsuyoshi HatakeyamaDepartment of Endoscopy, Kure Medical Center and Chugoku Cancer Center, Kure, Hiroshima, Japan.
Hirotaka KounoDepartment of Gastroenterology, Kure Medical Center and Chugoku Cancer Center, Kure, Hiroshima, Japan.
Yoshiyuki ShibataDepartment of Surgery, Kure Medical Center and Chugoku Cancer Center, Kure, Hiroshima, Japan.
Sho TazumaDepartment of Surgery, Kure Medical Center and Chugoku Cancer Center, Kure, Hiroshima, Japan.
Takeshi SudoDepartment of Surgery, Kure Medical Center and Chugoku Cancer Center, Kure, Hiroshima, Japan.
Midori IshidaDepartment of Nutrition, Kure Medical Center and Chugoku Cancer Center, Kure, Hiroshima, Japan.
Yuki HotehamaDepartment of Nutrition, Kure Medical Center and Chugoku Cancer Center, Kure, Hiroshima, Japan.
Hidemi KaneDepartment of Nutrition, Kure Medical Center and Chugoku Cancer Center, Kure, Hiroshima, Japan.
Hisashi TagashiraDepartment of Pharmacy, Kure Medical Center and Chugoku Cancer Center, Kure, Hiroshima, Japan.
Sayo YoshiyamaDepartment of Diabetology, Endocrinology and Metabolism, Kure Medical Center and Chugoku Cancer Center, Kure, Hiroshima, Japan.
Mitsunobu KubotaDepartment of Diabetology, Endocrinology and Metabolism, Kure Medical Center and Chugoku Cancer Center, Kure, Hiroshima, Japan.
Shigeto YoshidaDepartment of Endoscopy, Kure Medical Center and Chugoku Cancer Center, Kure, Hiroshima, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Anamorelin, a ghrelin receptor agonist, has recently been used to treat cachexia in patients with pancreatic cancer (PC). Although it was accepted in Japan for advanced PC for the first time in the world in 2020, its efficacy and safety were not fully tested. Thus, we sought to determine the safety and efficacy of anamorelin in patients with inoperable and relapsed PC. Methods: We prospectively enrolled patients with inoperable and relapsed PC who had started anamorelin, lost their appetite, and met the criteria for cachexia. Appetite, body weight (BW), and muscle weight were measured at 0, 1, 2, 3, and 4 months. Characteristics and survival rates were compared between those who demonstrated anamorelin efficacy and those who did not. Results: Out of the 45 patients studied, 31 continued anamorelin for 1 month and 20 for 4 months. After 1 month, appetite improved significantly (+1, range 0-4, P<0.001). BW (+1.8 kg, IQR 0.13-3.08, P<0.05) and muscle weight (+0.9 kg, IQR -0.05-2.6, P<0.05) showed significant increases. At 4 months, the increase in appetite, BW, and muscle weight remained stable. Patients who showed anamorelin effectiveness lived significantly longer than those who did not (366 Conclusions: In inoperable and relapsed PC, anamorelin may be more effective in patients with a better overall condition and is associated with longer survival. To improve patient outcomes, appetite and BW must be monitored regularly and anamorelin treatment should begin early.

Indexed as

Anamorelinappetitecachexianutritionpancreatic cancer (PC)

Identifiers

PMID40672072
PMCPMC12260941

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.