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한약을 사용한 암환자 대상 임상시험에서의 항암 효능 평가변수 고찰

A Review of Anticancer Efficacy Outcome Measures in Clinical Trials of Herbal Medicine for Cancer Patients

  • 전천후 (경희대학교 한의과대학 예방의학교실 ) ;
  • 강민준 (경희대학교 대학원 한의학과 ) ;
  • 신원빈 (경희대학교 대학원 한의학과) ;
  • 송진영 (경희대학교 대학원 한의학과) ;
  • 박현석 (경희대학교 대학원 한의학과) ;
  • 양운호 (경희대학교 대학원 한의학과) ;
  • 여운석 (경희대학교 대학원 한의학과)
  • Chunhoo Cheon (Department of Preventive Medicine, College of Korean medicine, Kyung Hee University) ;
  • Min Jun Kang (Department of Korean Medicine, Graduate School, Kyung Hee University) ;
  • Wonbin Shin (Department of Korean Medicine, Graduate School, Kyung Hee University) ;
  • ;
  • Hyunsuk Park (Department of Korean Medicine, Graduate School, Kyung Hee University) ;
  • Unho Yang (Department of Korean Medicine, Graduate School, Kyung Hee University) ;
  • Unseog Yeo (Department of Korean Medicine, Graduate School, Kyung Hee University)
  • 투고 : 2024.03.22
  • 심사 : 2024.04.14
  • 발행 : 2024.04.30

초록

Objectives : The objective of this review is to examine the variety of evaluation parameters utilized in clinical trials that assess the anticancer efficacy of herbal medicine, focusing on the importance of including both symptomatic management and direct anticancer effectiveness. Methods : A detailed literature review was conducted across PubMed, Embase, and the Cochrane Library to identify clinical trials investigating the antitumor efficacy of herbal medicine. The search was performed on February 22, 2024. This review specifically examined the employed outcome measures, which were then categorized and analyzed to understand their relevance and application in evaluating the anticancer properties of herbal medicine. Results : From an initial search of 900 records, 15 clinical trials were selected for in-depth analysis after deduplication and screening. These studies evaluated the efficacy of herbal medicine across various cancers, including hepatocellular carcinoma, colorectal cancer, and breast cancer, using outcome measures such as survival rates, disease control rates, and quality of life improvements. The research spanned multiple countries, primarily in East Asia and the United States, reflecting a global interest in herbal medicine as a complementary approach to cancer treatment. The present study demonstrated that herbal medicine, especially when used alongside standard treatments, potentially improved clinical outcomes and patient well-being. Conclusions : The findings of this review highlight the need for a broader focus on the full range of therapeutic capabilities of herbal medicine, including its direct anticancer effects, in the management of cancer patients. Future oncology research involving herbal medicine should integrate a wide spectrum of clinical endpoints to fully ascertain its impact on cancer treatment and patient health.

키워드

과제정보

이 성과는 정부(과학기술정보통신부)의 재원으로 한국연구재단의 지원을 받아 수행된 연구임(No. 2020R1A5A2019413).

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