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Article

A phase II double-blinded study to evaluate the efficacy of EW02 in reducing chemotherapy-induced neutropenia in breast cancer

  • Authors:
    • Yi‑Ying Wu
    • Hsin‑Yi Liu
    • Tzu‑Chuan Huang
    • Jia‑Hong Chen
    • Ping‑Ying Chang
    • Ching‑Liang Ho
    • Tsu‑Yi Chao
  • View Affiliations / Copyright

    Affiliations: Division of Hematology and Oncology, Department of Medicine, Tri‑Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C., Graduate Institute of Life Sciences, National Defense Medical Center, Taipei, Taiwan, R.O.C.
  • Pages: 1793-1798
    |
    Published online on: July 14, 2015
       https://doi.org/10.3892/ol.2015.3492
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Abstract

EW02, a polysaccharide-enriched crude extract from black soybean, has been shown to assist hematopoiesis in chemotherapy‑treated animals. The present study aimed to clarify the safety, quality of life (QOL) and efficacy for myelopoiesis of EW02 administration in early breast cancer (EBC) patients receiving adjuvant chemotherapy. A total of 60 eligible EBC patients were enrolled in a randomized, double‑blinded trial, 40 of whom were prescribed 700 mg oral EW02 three times daily for 15 days in chemotherapy cycle (C)2. The remainder were prescribed a placebo. All subjects took EW02 in C3 for 15 days. Blood samples were collected at different time‑points for determining the blood cell count, and the serum level of granulocyte colony‑stimulating factor (G‑CSF) and interleukin (IL)‑6. All patients tolerated EW02 well without severe side‑effects. QOL evaluation showed that only the score of one questionnaire section (QLQ‑C30) was significantly increased at C1 day (D)8 to C2D8 when the EW02 and placebo groups were compared (P=0.045). No significant myelopoiesis recovery, and no incremental change in IL‑6 and G‑CSF levels were found in C2. Subgroup analysis showed a slightly lower decrease in absolute neutrophil count (ANC) in the EW02 patients who underwent Adriamycin + cyclophosphamide treatment compared with the placebo group. Although EW02 failed to show efficacy for myelopoiesis in the present study, EW02 was still well tolerated in EBC patients who underwent adjuvant chemotherapy.
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Copy and paste a formatted citation
Spandidos Publications style
Wu YY, Liu HY, Huang TC, Chen JH, Chang PY, Ho CL and Chao TY: A phase II double-blinded study to evaluate the efficacy of EW02 in reducing chemotherapy-induced neutropenia in breast cancer. Oncol Lett 10: 1793-1798, 2015.
APA
Wu, Y., Liu, H., Huang, T., Chen, J., Chang, P., Ho, C., & Chao, T. (2015). A phase II double-blinded study to evaluate the efficacy of EW02 in reducing chemotherapy-induced neutropenia in breast cancer. Oncology Letters, 10, 1793-1798. https://doi.org/10.3892/ol.2015.3492
MLA
Wu, Y., Liu, H., Huang, T., Chen, J., Chang, P., Ho, C., Chao, T."A phase II double-blinded study to evaluate the efficacy of EW02 in reducing chemotherapy-induced neutropenia in breast cancer". Oncology Letters 10.3 (2015): 1793-1798.
Chicago
Wu, Y., Liu, H., Huang, T., Chen, J., Chang, P., Ho, C., Chao, T."A phase II double-blinded study to evaluate the efficacy of EW02 in reducing chemotherapy-induced neutropenia in breast cancer". Oncology Letters 10, no. 3 (2015): 1793-1798. https://doi.org/10.3892/ol.2015.3492
Copy and paste a formatted citation
x
Spandidos Publications style
Wu YY, Liu HY, Huang TC, Chen JH, Chang PY, Ho CL and Chao TY: A phase II double-blinded study to evaluate the efficacy of EW02 in reducing chemotherapy-induced neutropenia in breast cancer. Oncol Lett 10: 1793-1798, 2015.
APA
Wu, Y., Liu, H., Huang, T., Chen, J., Chang, P., Ho, C., & Chao, T. (2015). A phase II double-blinded study to evaluate the efficacy of EW02 in reducing chemotherapy-induced neutropenia in breast cancer. Oncology Letters, 10, 1793-1798. https://doi.org/10.3892/ol.2015.3492
MLA
Wu, Y., Liu, H., Huang, T., Chen, J., Chang, P., Ho, C., Chao, T."A phase II double-blinded study to evaluate the efficacy of EW02 in reducing chemotherapy-induced neutropenia in breast cancer". Oncology Letters 10.3 (2015): 1793-1798.
Chicago
Wu, Y., Liu, H., Huang, T., Chen, J., Chang, P., Ho, C., Chao, T."A phase II double-blinded study to evaluate the efficacy of EW02 in reducing chemotherapy-induced neutropenia in breast cancer". Oncology Letters 10, no. 3 (2015): 1793-1798. https://doi.org/10.3892/ol.2015.3492
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