Evidence map›Paper›PMID 41378216›Full record

Trial reportFrontiers in pharmacology2025

Clinical efficacy and metabolomics profiling of dachaihu decoction for patients with septic liver injury: a randomized controlled trial.

Zhen Yang, Xingyu Kao, Tianwei Zhu, Junna Lei, Na Huang, Jingli Chen, Mingfeng He, Qi Tang, Zhangrong Liang

Abstract readClinical Trial
In one paragraph

Trial report in Frontiers in pharmacology, 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. 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

9 authors.

Zhen YangThe Eighth Clinical Medical College of Guangzhou University of Chinese Medicine, Foshan, China.
Xingyu KaoThe Eighth Clinical Medical College of Guangzhou University of Chinese Medicine, Foshan, China.
Tianwei ZhuThe Eighth Clinical Medical College of Guangzhou University of Chinese Medicine, Foshan, China.
Junna LeiThe Eighth Clinical Medical College of Guangzhou University of Chinese Medicine, Foshan, China.
Na HuangThe Eighth Clinical Medical College of Guangzhou University of Chinese Medicine, Foshan, China.
Jingli ChenThe Eighth Clinical Medical College of Guangzhou University of Chinese Medicine, Foshan, China.
Mingfeng HeThe Eighth Clinical Medical College of Guangzhou University of Chinese Medicine, Foshan, China.
Qi TangThe Eighth Clinical Medical College of Guangzhou University of Chinese Medicine, Foshan, China.
Zhangrong LiangThe Eighth Clinical Medical College of Guangzhou University of Chinese Medicine, Foshan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Septic liver injury (SLI) is a life-threatening complication of sepsis with limited therapeutic options. The clinical efficacy and safety of Dachaihu Decoction (DCHD) in SLI remain to be elucidated. Methods and Design: A prospective, single-center, single-blind, randomized, and placebo-controlled clinical trial was conducted. Patients in the DCHD group received DCHD twice a day for five consecutive days on the basis of sepsis bundle, while patients in the placebo group were administered a placebo at the same dosage. Primary outcomes included: (1) liver function indices: alanine transaminase (ALT), aspartate transaminase (AST) and total bilirubin (TBil); (2) Sequential Organ Failure Assessment (SOFA) and Acute Physiology and Chronic Health Evaluation II (APACHE II) scores; (3) 28-day all-cause mortality. Secondary outcomes included the evaluation of several clinical parameters: (1) infection indicators; (2) coagulation indicators; (3) gastrointestinal function indicator; (4) metabolic and respiratory function indicators. Subsequently, we employed Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) to characterize the serum metabolomics profiling of two groups of patients. Results: DCHD significantly reduced TBil (-22.50 (interquartile range, IQR, -37.20, -8.10) Conclusion: As an adjunctive therapy, DCHD demonstrates safety and efficacy in the treatment of SLI, particularly cholestatic hepatic dysfunction, which may be intimately linked to its modulation of bile acid metabolism. Clinical Trial Registration: http://itmctr.ccebtcm.org.cn, identifier ITMCTR2025000095.

Indexed as

bile acid metabolismdachaihu decoctionmetabolomicsrandomized controlled trialseptic liver injurytraditional Chinese medicine

Identifiers

PMID41378216
PMCPMC12685928

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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.