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Review of Clinical Studies for Herbal Medicine Treatment on Acute Leukemia - Focusing on Studies from the China Academic Journal (CAJ) -

중의학 데이터베이스 (CAJ)를 이용한 급성백혈병의 한약치료에 대한 임상 연구 동향

  • Kim, Jeong Eun (School of Korean Medicine, Pusan National University) ;
  • Jang, Jin Woo (School of Korean Medicine, Pusan National University) ;
  • Park, Beom Chan (School of Korean Medicine, Pusan National University) ;
  • Kim, Ki Bong (School of Korean Medicine, Pusan National University) ;
  • Cheon, Jin Hong (School of Korean Medicine, Pusan National University)
  • 김정은 (부산대학교 한의학전문대학원) ;
  • 장진우 (부산대학교 한의학전문대학원) ;
  • 박범찬 (부산대학교 한의학전문대학원) ;
  • 김기봉 (부산대학교 한의학전문대학원) ;
  • 천진홍 (부산대학교 한의학전문대학원)
  • Received : 2020.12.30
  • Accepted : 2021.02.22
  • Published : 2021.02.28

Abstract

Objectives The purpose of this study is to obtain knowledge from clinical studies conducted in China to examine the effectiveness of herb medicine in childhood acute leukemia. Methods We searched the randomized controlled trials (RCTs) with herbal medicine treatment on childhood acute leukemia from the 'CAJ', Chinese Academic Journal from China National Knowledge Infrastructure (CNKI). And then, demographic data, duration of illness, intervention, treatment period, outcome, adverse events, and composition of herbal medicine were analyzed for this study. Result 10 RCT studies were selected and analyzed. The control group were given western medicine therapy, the treatment group was given herbal medicine on the basis of the control group. The most commonly used herbal medicine were 淸熱解毒藥, 補氣藥, 補陰藥, 活血祛瘀藥 in 'boosting vital force and driving out evil spirit (扶正祛邪)' way to 'relieve heat (熱毒)' and 'assist the vital force (正氣)'. In the treatment group, complete remission was significantly higher than control group and the decrease in TCM syndrome scores also showed significant effects. Adverse events were significantly lower in the treatment group. Conclusions Herbal medicine treatment on childhood acute leukemia can be suggested as a new treatment for children who have less response to the conventional therapy, and can supplement the limitations of the western medicine by increasing complete remission and reducing adverse events.

Keywords

References

  1. Linet MS, Ries LA, Smith MA, Tarone RE, Devesa SS. Cancer surveillance series: recent trends in childhood cancer incidence and mortality in the United States. J Natl Cancer Inst. 1999;91(12):1051-8. https://doi.org/10.1093/jnci/91.12.1051
  2. Pui CH, Relling MV, Downing JR. Acute lymphoblastic leukemia. N Engl J Med. 2004;350(15):1535-48. https://doi.org/10.1056/NEJMra023001
  3. Korea Central Cancer Registry, National Cancer Center. Annual report of cancer statistics in Korea in 2017. Ministry of Health and Welfare; 2019.
  4. American Cancer Society. Cancer Facts & Figures 2020. Atlanta: American Cancer Society; 2020. Report No.: 500820-Rev 6/20.
  5. Howlader N, Noone AM, Krapcho M, Miller D, Brest A, Yu M, Ruhl J, Tatalovich Z, Mariotto A, Lewis DR, Chen HS, Feuer EJ, Cronin KA (eds). SEER Cancer Statistics Review, 1975-2017, National Cancer Institute. Bethesda, MD, https://seer.cancer.gov/csr/1975_2017/, based on November 2019 SEER data submission, posted to the SEER web site, April 2020.
  6. National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database: NPCR and SEER Incidence - U.S. Cancer Statistics 2001-2017 Public Use Research Database, 2019 submission (2001-2017), United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Released June 2020. Available at www.cdc.gov/cancer/uscs/public-use.
  7. Sherman R, Firth R, De P, Green D, Hofferkamp J, Johnson C, Kohler B, Charlton M, Hofer B, Hsieh M, Nash S, Qiao B (eds). Cancer In North America, 2012-2016. Volume Three: Registry-specific Cancer Mortality in the United States and Canada. Springfield, IL: North American Association of Central Cancer Registries, Inc. May 2019.
  8. Pui CH, Evans WE. Acute lymphoblastic leukemia. N Engl J Med. 1998;339(9):605-15. https://doi.org/10.1056/NEJM199808273390907
  9. Youngblood M, Williams PD, Eyles H, Waring J, Runyon S. A comparison of two methods of assessing cancer therapy-related symptoms. Cancer Nurs. 1994;17(1):37-44.
  10. Meyerowitz BE, Watkins IK, Sparks FC. Quality of life for breast cancer patients receiving adjuvant chemotherapy. Am J Nurs.1983;83(2):232-5. https://doi.org/10.2307/3470294
  11. Blesch KS, Paice JA, Wickham R, Harte N, Schnoor DK, Purl S, Rehwalt M, Kopp PL, Manson S, Coveny SB, et al. Correlates of fatigue in people with breast or lung cancer. Oncol Nurs Forum. 1991;18(1):81-7.
  12. Martin M. Myths and realities of antiemetic treatment. Br J Cancer Suppl. 1992;19:S46-50.
  13. Haddy TB, Mosher RB, Reaman GH. Late effects in long-term survivors after treatment for childhood acute leukemia. Clin Pediatr (Phila). 2009;48(6):601-8. https://doi.org/10.1177/0009922809332680
  14. Lof CM, Winiarski J, Giesecke A, Ljungman P, Forinder U. Health-related quality of life in adult survivors after paediatric allo-SCT. Bone Marrow Transplant. 2009;43(6):461-8. https://doi.org/10.1038/bmt.2008.338
  15. Clarke SA, Skinner R, Guest J, Darbyshire P, Cooper J, Vora A, Urquhart T, Jenney M, Powell J, Eiser C. Clinical outcomes and health-related quality of life (HRQOL) following haemopoietic stem cell transplantation (HSCT) for paediatric leukaemia. Child Care Health Dev. 2011;37(4):571-80. https://doi.org/10.1111/j.1365-2214.2010.01182.x
  16. Jeong AR, Lee JY, Chang GT, Lee SH, Lee JH, Baek JH, Lee HL, Koo EJ, Kim JH, Min SY, Kim BNR, Yu SA, Kweon JH, Kim KB, Cheon JH, Jung HS, Sung HK, Jeong MJ, Park EJ. Hanbangsoacheongsonyeonuihak(3rd edt). Seoul; Eui Sung Dang Publishing Co. 2020:843-49.
  17. Kim TY, Cha JH, Shin WJ, Park YJ, Shin SM, Kim GT, Go H. A case of Cerebral infarction with Chronic lymphocytic leukemia. J Int Korean Med. 2010;278-84.
  18. Baek TH, Ryu KW. One Case of Chronic Myelogenous Leukemia Treatment -By Gamisiryungtang hab bopaewontang and Gamibopaewontang. J Korean Med. 1989;10(2):86-9.
  19. Park JW, Kim KS, Jung HS, Choi WC, Yoon SW. The Study on the Safety and Case Series of the Acute Lymphocytic Leukemia using Rhus Verniciflua Stokes Extract (Nexia). J of Kor Oriental Oncology. 2006;11(1):1-21.
  20. Hu Min, Li Ling. Application effect of TCM syndrome differentiation and treatment of acute leukemia. Inner Mongolia Traditional Chinese Medicine. 2017;36(20):154.
  21. Shen Xiangli, Zhang Huiqi, Lin Xia, Huang Jing. Clinical Study on Reversal of Multidrug Resistance of Refractory Acute Leukemia by Integrative Chinese and Western Medicine. Chinese Archives of Traditional Chinese Medicine. 2017;35(11):2966-8.
  22. Liang Qiaoli. Treatment of 29 cases of acute promyelocytic leukemia with integrated traditional Chinese and Western medicine. Zhejiang Journal of Traditional Chinese Medicine. 2017;2(08):599.
  23. DING Xiao-qing, WANG Ya-jun, SUN Hai-yan, GUO Ming, LANG Hai-yan, ZHANG Yan-ming, LIU Jun-xia, SU Wei. Analysis of Healing Effect of TCM Together with Western Medicine to Treat Acute Myeloid Leukemia in Remission Induction. Liaoning Journal of Traditional Chinese Medicine. 2011;38(02):317-9.
  24. Shi Zhexin, Yang Wenhua, Gao Hong, Liu Baoshan, Xiangdong, Franny Yao, Zhang Lei, Wangxing Li. Clinical Observation on Treatment of Refractory Leukemia with Combination of Traditional Chinese Medicine and Western Medicine. New Chinese medicine. 2011;43(01):95-6.
  25. Yang Shulian, Yan Haixia, Du Wei, Wang Maosheng, Wang Huipeng, Hou Wei, Qiao Zijian, Wang Jiliang, Zhang Guangzhen. Shenqi Qingre Granule Combined with Compound Danshen Injection and Shengmai Injection Treat Acute Leukemia(AL). Journal of Zhejiang Chinese Medical University. 2012;36(10):1079-81.
  26. Zheng Dabin, Luo Dongmei. Clinical Value Analysis of Integrated Traditional Chinese and Western Medicine in Treating Acute Leukemia. China Medical Guide. 2013;11(30):516-7.
  27. Chenjiang Ming, Cai Ning, Chen Jinling. Clinical Observation on Treatment of Acute Promyelocytic Leukemia with Combination of Traditional Chinese Medicine and Western Medicine. Practical Journal of Traditional Chinese Medicine. 2014;30(06):524-5.
  28. Lu Wei, Liu Mingzhu, Zhang Xueying. Efficacy of Integrated Traditional Chinese and Western Medicine in Treating Senile Acute Myeloid Leukemia. Chinese Journal of Gerontology. 2018;38(17):4150-1.
  29. Wang Wenjie. Effectiveness of Integrated Traditional Chinese and Western Medicine in Treating Acute Myeloid Leukemia. Psychological Monthly. 2019;14(20):162-3.
  30. Hunger SP, Lu X, Devidas M, Camitta BM, Gaynon PS, Winick NJ, Reaman GH, Carroll WL. Improved survival for children and adolescents with acute lymphoblastic leukemia between 1990 and 2005: a report from the children's oncology group. J Clin Oncol. 2012;30(14):1663-9. https://doi.org/10.1200/JCO.2011.37.8018
  31. Woodhouse JR, Ferry DR. The genetic basis of resistance to cancer chemotherapy. Ann Med. 1995;27(2):157-67. https://doi.org/10.3109/07853899509031953
  32. Golub TR, Arceci RJ. Acute myelogenous leukemia. In : Pizzo PA, Poplack DG, editors. Principles and practice of pediatric oncology. 4th ed. Philadelphia : Lippincott Willians & Wilkins. 2002;545-89.
  33. Yoon HS, Kim KS, Choi SH, Choi SE, Kim KA, Kim KE. Physical, Psychological and Social Symptoms, Activity and Education of Children and Adolescents with Acute Lymphoblastic Leukemia Receiving Maintenance Chemotherapy. Asian Oncol Nurs. 2016;16(4):169-75. https://doi.org/10.5388/aon.2016.16.4.169
  34. National Oriental Medicine College Collaborative Textbook Compilation Committee. Herbalogy. Seoul: Young Lim Publishing Co. 2017:186, 205, 208, 216, 231, 233, 236, 238, 242, 243, 246, 248, 256, 261, 266, 273, 345, 349, 389, 425, 447, 452, 458, 459, 462, 463, 467, 485, 501, 546, 573, 576, 577, 579, 584, 586, 595, 600, 607, 618, 622, 630, 633, 635, 636, 642, 645, 647, 652, 655, 658, 659, 688, 707, 725p.
  35. Park KH, Kim SY, Chae HJ. Selection of Oriental Medicinal Plants for Screening of Anticancer Agents. KSBB Journal. 2007;22(3):139-45.
  36. Kim Sung-Hoon, Song Gyu-Yong, Ryu Shi-Yong. Antitumor and antimetastatic activities of ursolic acid and asperu loside. J Physiol & Pathol Korean Med. 1999;13(1):65-75.
  37. Zhang Y, Liang Y, He C. Anticancer activities and mechanisms of heat-clearing and detoxicating traditional Chinese herbal medicine. Chin Med. 2017;12:20. https://doi.org/10.1186/s13020-017-0140-2
  38. Lee Sun-Hee. Guidelines for clinical trials in children. National Institute of Food and Drug Safety Evaluation; 2018.
  39. Baggott CR, Dodd M, Kennedy C, Marina N, Matthay KK, Cooper B, Miaskowski C. An evaluation of the factors that affect the health-related quality of life of children following myelosuppressive chemotherapy. Support Care Cancer. 2011;19(3):353-61. https://doi.org/10.1007/s00520-010-0824-y
  40. Cantrell MA. Health-Related Quality of Life in Childhood Cancer: State of the Science. Oncol Nurs Forum 2007;34(1):103-11. https://doi.org/10.1188/07.ONF.103-111