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Compound Zhebei granules combined with chemotherapy for the treatment of refractory acute leukemia: a randomized clinical trial

Abstract

OBJECTIVE
To observe the effect of compound Zhebei granules (CZBG) with chemotherapy in the treatment of refractory acute leukemia.

METHODS
In this multicenter, double-blind, placebo-controlled clinical trial, we used a central (online) randomization system to assign 235 patients to two treatment groups. A total of 118 patients received chemotherapy combined with CZBG (4 g, twice daily) and 117 patients received chemotherapy plus placebo. The clinical efficacy was evaluated at the end of one chemotherapeutic cycle.

RESULTS
In the full analysis set, in which deaths due to disease progression were regarded as inefficacy, the rates of complete remission (CR) and partial remission (CR+PR) were 32.35% and 50.00%, respectively, for the chemotherapy combined with CZBG group, and 23.08% and 35.58%, respectively, for the chemotherapy plus placebo group. There was a statistically significant difference between the two groups according to a χ2 test (P< 0.05). In the per protocol analysis set (PPS), the CR (33.67%), CR+PR (52.04%) response rates for the chemotherapy plus CZBG group were significantly different from the response rates of the control group (CR: 24.24% and CR+PR: 37.37%), respectively (P< 0.05).

CONCLUSION
CZBG plus chemotherapy can improve the clinical remission rate of refractory acute leukemia after one just one therapeutic cycle.

Autoren: HouLiaYangShulianbYangWenhuacZhouYuhongdLiuFengeYangHongyongfSunWeizhenggLiDongyunaXuYameiaChenXinyia

Publiziert in: Journal of Traditional Chinese Medicine

Volume 36, Issue 5, 15 October 2016, Pages 606-612

Quelle: www.sciencedirect.com

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