Evidence map›Paper›PMID 41489779›Full record

Trial reportChinese journal of integrative medicine2026

Andrographolide Sulfonate Injection for Adjunctive Treatment of Non-severe Community-Acquired Pneumonia in Adults: A Multicenter, Double-Blind, Randomized Controlled Trial.

Lian-Han Shang, Guo-Hui Fan, Li-Ping Chen, Jian-Hua Liu, Xiao-Ge Wang, Bo Liu, Gui-Zhen Tian, Xi-Sheng Chen, Jia-Xing Yu, Guo-Ru Yang and 15 more

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Chinese journal of integrative medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02913118 (Adjunctive Therapy of Andrographolid Sulfonatein Community Acquired Pneumonia), which is not on this 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.

NCT02913118 phase4unknown statusnot on this map

Adjunctive Therapy of Andrographolid Sulfonatein Community Acquired Pneumonia: A Multicenter Randomized Controlled Clinical Trial

TypeinterventionalSponsorQingfeng Pharmaceutical GroupRan2016 to 2019Enrolled462ConditionsCommunity Acquired PneumoniaArmsAndrographolid Sulfonate Injection (AS Injection), Cephalosporin, Azithromycin, Minocycline or Doxycycline, Amoxicillin-clavulantic acid, Fluoroquinolones
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

25 authors.

Lian-Han ShangDepartment of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, National Clinical Research Center for Respiratory Diseases, National Center for Respiratory Medicine, China-Japan Friendship Hospital, Beijing, 100029, China.
Guo-Hui FanDepartment of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, National Clinical Research Center for Respiratory Diseases, National Center for Respiratory Medicine, China-Japan Friendship Hospital, Beijing, 100029, China.
Li-Ping ChenDepartment of Pulmonary and Critical Care Medicine, The Second Hospital Affiliated to Shenyang Medical College, Shenyang, 110002, China.
Jian-Hua LiuDepartment of Pulmonary and Critical Care Medicine, Beijing Huairou Hospital, Beijing, 101400, China.
Xiao-Ge WangDepartment of Pulmonary and Critical Care Medicine, The Fourth Affiliated Hospital of China Medical University, Shenyang, 110032, China.
Bo LiuDepartment of Pulmonary and Critical Care Medicine, Zibo Linzi District People's Hospital, Zibo, Shandong Province, 255400, China.
Gui-Zhen TianDepartment of Respiratory Medicine, Beijing Dawanglu Emergency Hospital, Beijing, 100026, China.
Xi-Sheng ChenDepartment of Respiratory Medicine, Beijing Shunyi Hospital, Beijing, 101300, China.
Jia-Xing YuDepartment of Pulmonary and Critical Care Medicine, Hegang People's Hospital, Hegang, Heilongjiang Province, 154100, China.
Guo-Ru YangDepartment of Pulmonary and Critical Care Medicine, Weifang No. 2 People's Hospital, Weifang, Shandong Province, 261041, China.
Xin SuDepartment of Pulmonary and Critical Care Medicine, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing, 210031, China.
Xue-Dong LiuDepartment of Pulmonary and Critical Care Medicine, Qingdao Municipal Hospital, Qingdao, Shandong Province, 266011, China.
Yu-Ping LiDepartment of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, 325000, China.
Shu-Feng XuDepartment of Pulmonary and Critical Care Medicine, The First Hospital of Qinhuangdao, Qinhuangdao, Hebei Province, 066000, China.
Yu-Hong LinDepartment of Respiratory Medicine, Northeast International Hospital, Shenyang, 110623, China.
Jie CaoDepartment of Pulmonary and Critical Care Medicine, Tianjin Medical University General Hospital, Tianjin, 300052, China.
Wei ZhangDepartment of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Nanchang University, Nanchang, 330006, China.
Wen-Shuai FengDepartment of Pulmonary and Critical Care Medicine, Gongyi City People's Hospital, Zhengzhou, 451200, China.
Zhi-Gang CaiDepartment of Pulmonary and Critical Care Medicine, The Second Hospital of Hebei Medical University, Shijiazhuang, 050000, China.
Qi-Hu WangDepartment of Respiratory Medicine, Muping Hospital of Traditional Chinese Medicine, Yantai, Shandong Province, 264100, China.
Jin-Xiang WangDepartment of Pulmonary and Critical Care Medicine, Beijing Luhe Hospital, Capital Medical University, Beijing, 101100, China.
Yu-Guang WangDepartment of Respiratory Medicine, Beijing Hospital of Traditional Chinese Medicine, Beijing, 100010, China.
Jin ChenDepartment of Pulmonary and Critical Care Medicine, Beijing Fuxing Hospital, Beijing, 100038, China.
Yong-Xiang ZhangDepartment of Pulmonary and Critical Care Medicine, Beijing Daxing District People's Hospital, Beijing, 102600, China.
Xiao-Jing CuiDepartment of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, National Clinical Research Center for Respiratory Diseases, National Center for Respiratory Medicine, China-Japan Friendship Hospital, Beijing, 100029, China. cuixiaojing86@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the effect and safety of Andrographolide Sulfonate (AS) Injection for adjunctive treatment of non-severe community-acquired pneumonia (CAP) in adults.

methodsThis is a multicenter, randomized, double-blind, and placebo-controlled trial. Adult patients with non-severe CAP were randomly assigned in a 1:1 ratio to the AS or control group using a stratified block randomization method. Patients received either intravenous AS Injection (500 mg once per day) or placebo for 5 d. Both groups were treated with guideline-based standard therapy simultaneously. The primary outcome was time to clinical stability. Secondary outcomes were initial treatment failure rate, time to fever recovery, length of hospital stay, duration of intravenous antibiotic treatment, and cost of hospitalization. Safety outcomes included adverse events (AEs) and serious AEs.

resultsFrom September 2016 to April 2019, 482 patients were randomized into AS or control group (241 cases per group), and all were included in the intention-to-treat (ITT) analysis. The median time to clinical stability was 1 h shorter in the AS group than that in the control group [hazard ratio (HR) 1.440; 95% confidence interval (CI) 1.194, 1.736; log rank P<0.01]. AS group had 5 h shorter median time to fever recovery than the control group (HR 1.461; 95% CI 1.150, 1.857; log rank P<0.01). The initial treatment failure rate was significantly lower in the AS group than that in the control group (6.3% vs. 16.0%, P<0.01). There was no statistically significant difference in the length of hospital stay, duration of intravenous antibiotics treatment, and cost of hospitalization between groups (P>0.05). The proportion of patients with at least 1 AE was 41.5% in the AS group and 40.6% in the control group.

conclusionsAdjunctive AS Injection probably accelerates the clinical stability and lowers the initial treatment failure rate in adult hospitalized patients with non-severe CAP, but the absolute clinical benefits are marginal. Its use should take into account efficacy, safety, cost, and Chinese medicine syndrome classification. (Trial registration No. NCT02913118).

Indexed as

Community-Acquired InfectionsCommunity-Acquired PneumoniaDiterpenesAdultAgedAnti-Bacterial AgentsDouble-Blind MethodFemaleHumansInjectionsLength of StayMaleMiddle AgedTreatment Outcomeandrographolideandrographolide sulfonateAnti-Bacterial AgentsDiterpenesAndrographolide Sulfonate InjectionChinese medicinecommunity acquired pneumoniaplaceborandomized controlled trial

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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.