Evidence map›Paper›PMID 41167673›Full record

Observational studyIn vivo (Athens, Greece)

Anamorelin in Cancer Cachexia: Gut Microbiota Effects and CONUT Score as a Predictor of Response.

Shogen Boku, Tomoyo Yasuda, Tatsuki Ikoma, Eri Matsumori, Sawako Yoshiuchi, Yoshiyuki Matsuo, Koichiro Higasa, Takayasu Kurata

Abstract readObservational Study
In one paragraph

Observational study in In vivo (Athens, Greece). 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

8 authors.

Shogen BokuCancer Treatment Center, Kansai Medical University Hospital, Hirakata, Japan.
Tomoyo YasudaCancer Treatment Center, Kansai Medical University Hospital, Hirakata, Japan.
Tatsuki IkomaCancer Treatment Center, Kansai Medical University Hospital, Hirakata, Japan.
Eri MatsumoriDepartment of Nursing, Kansai Medical University Hospital, Hirakata, Japan.
Sawako YoshiuchiDepartment of Nutrition, Kansai Medical University Hospital, Hirakata, Japan.
Yoshiyuki MatsuoCentral Research Center, Institute of Biomedical Science, Kansai Medical University, Hirakata, Japan.
Koichiro HigasaDepartment of Genome Analysis, Institute of Biomedical Science, Kansai Medical University, Hirakata, Japan.
Takayasu KurataDepartment of Thoracic Oncology, Kansai Medical University, Hirakata, Japan; kurata.tak@kmu.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimAnamorelin, a ghrelin receptor agonist, increases body weight and lean body mass (LBM); however, its effects on the gut microbiota remain unclear. Furthermore, the predictive value of nutritional scores, such as the Controlling Nutritional Status (CONUT) score, for anamorelin response is not established. This study aimed to evaluate the effects of anamorelin on body weight, quality of life (QOL), and gut microbiota in patients with advanced cancer and cachexia, and to clarify the predictive role of nutritional indicators. PATIENTS AND

methodsThis single-center prospective observational study enrolled cachectic patients (non-small cell lung, pancreatic, gastric, or colorectal cancer) receiving anamorelin 100 mg/day with dietary counseling. Outcomes included change in body weight (baseline, 3, 6, 12 weeks), QOL (EORTC QLQ-C15-PAL), and gut microbiota diversity. The association between the baseline CONUT score and weight gain (>0 kg at 6 weeks) was analyzed.

resultsSixteen patients were analyzed. Body weight significantly increased from baseline at weeks 3, 6, and 12 (mean change at 12 weeks: +2.61±0.72 kg,

conclusionIn this pilot study, anamorelin significantly increased body weight and suggested an improvement in appetite in patients with cancer and cachexia. No significant changes in overall QOL or gut microbiota diversity were detected at 6 weeks. The finding that a high baseline CONUT score may predict a lack of short-term weight gain warrants further investigation.

Indexed as

CachexiaGastrointestinal MicrobiomeNeoplasmsOligopeptidesAdultAgedBody WeightFemaleHumansHydrazinesMaleMiddle AgedNutritional StatusProspective StudiesQuality of LifeTreatment OutcomeanamorelinHydrazinesOligopeptidesAnamorelincancer cachexiaCONUT scoregut microbiotaquality of life

Identifiers

PMID41167673
PMCPMC12588205

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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.