Efficacy of Jishi Shuanghua Granules in preventing radiation-induced esophagitis in non-small cell lung cancer patients undergoing concurrent chemoradiotherapy: protocol for a multicenter, randomized, double-blind, placebo-controlled trial - Scorecard - MDSpire

Efficacy of Jishi Shuanghua Granules in preventing radiation-induced esophagitis in non-small cell lung cancer patients undergoing concurrent chemoradiotherapy: protocol for a multicenter, randomized, double-blind, placebo-controlled trial

  • By

  • Huakang Li

  • Yuanzhen Mi

  • Ke Xu

  • Ming Fan

  • Jun Yin

  • Qiang Li

  • Ziliang Wu

  • Cuicui Gong

  • Yunjing Jia

  • Pengxuan Gu

  • Shanshan Wei

  • Zhonglin Zhang

  • Shuo Zhang

  • Yuanyuan Zheng

  • Bing Lin

  • Jinyi Lang

  • Biao Zhao

  • Meihua Chen

  • June 23, 2026

  • 0 min

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Clinical Scorecard: Assessment of Jishi Shuanghua Granules for the Prevention of Radiation-Induced Esophagitis in Non-Small Cell Lung Cancer Patients Receiving Concurrent Chemoradiotherapy: A Protocol for a Multicenter, Randomized, Double-Blind, Placebo-Controlled Study

At a Glance

CategoryDetail
ConditionAcute radiation-induced esophagitis (ARIE)
Key MechanismsImmunosuppression, inflammation, oxidative stress, disruption of mucosal integrity
Target PopulationPatients with stage III non-small cell lung cancer (NSCLC) receiving concurrent chemoradiotherapy (CCRT)
Care SettingMulticenter clinical trial

Key Highlights

  • 95% of NSCLC patients receiving CCRT experience ARIE to varying extents.
  • Severe ARIE (SARIE, grade ≥ 3) occurs in 18%–32% of cases.
  • Jishi Shuanghua Granules (JSG) is a TCM formulation used to treat ARIE.
  • The study aims to assess the efficacy of JSG in preventing ARIE.
  • Multi-omics analyses will be used to investigate the mechanisms of JSG.

Guideline-Based Recommendations

Diagnosis

  • Incidence rates of ARIE and SARIE defined by RTOG criteria.

Management

  • Utilization of JSG for the prevention and management of ARIE.

Monitoring & Follow-up

  • Assessment of ARIE-related pain and dysphagia using the Numerical Rating Scale.

Risks

  • Potential need for nutritional interventions in cases of severe ARIE.

Patient & Prescribing Data

240 patients with stage III NSCLC

JSG has been used clinically for over ten years but lacks robust evidence from well-structured studies.

Clinical Best Practices

  • Incorporate multi-omics analyses to clarify mechanisms of treatment.
  • Monitor quality of life using the Functional Assessment of Cancer Therapy-Lung questionnaire.

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