Efficacy and safety of bupleurum-containing formulas combined with chemotherapy for triple-negative breast cancer: a systematic review and meta-analysis - Report - MDSpire
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Efficacy and safety of bupleurum-containing formulas combined with chemotherapy for triple-negative breast cancer: a systematic review and meta-analysis
Clinical Report: Assessment of Bupleurum-Infused Formulas in TNBC
Overview
This systematic review and meta-analysis evaluates the safety and effectiveness of Bupleurum-containing formulas combined with chemotherapy for patients with triple-negative breast cancer (TNBC).
Background
Triple-negative breast cancer (TNBC) is a challenging subtype of breast cancer characterized by a lack of hormone receptors and HER2 expression, leading to poorer outcomes. Conventional chemotherapy regimens are often associated with significant toxicities, necessitating the exploration of adjunctive therapies that can enhance treatment efficacy and minimize adverse effects. Traditional Chinese medicine (TCM), particularly Bupleurum-containing formulas, is frequently used in China as a complementary approach to chemotherapy.
Data Highlights
Outcome
Result
Statistical Significance
Objective Response Rate (ORR)
RR = 1.32
p < 0.00001
Disease Control Rate (DCR)
RR = 1.15
p < 0.00001
Quality of Life (QOL)
MD = 6.48
p < 0.00001
Gastrointestinal Adverse Events
Reduced incidence of grade III-IV
N/A
Key Findings
Bupleurum-containing formulas combined with chemotherapy significantly improved ORR and DCR in TNBC patients.
Subgroup analysis indicated that treatment duration of 6 weeks was associated with greater improvements in ORR.
Changes in peripheral blood T lymphocyte counts were observed with the combined treatment.
Clinical Implications
The findings suggest that Bupleurum-containing formulas may serve as a beneficial adjunct to chemotherapy in TNBC, potentially improving treatment outcomes and reducing toxicity. However, clinicians should consider the need for further high-quality studies to validate these results.
Conclusion
Combining Bupleurum-containing TCM formulas with chemotherapy may enhance treatment efficacy and safety for patients with TNBC, warranting further investigation in larger trials.