Review Article

Lessons Learnt from Evidence-Based Approach of Using Chinese Herbal Medicines in Liver Cancer

Table 2

Clinical studies of CHM in liver cancer.

NameCompositionBiological actionClinical study

Huachansu injection [25]Bufo bufo gargarizansCantor Anticancer
Anti-HBV
11 patients with stage III or IV
6 had response of prolonged SD
SD time is 5.5 to 11.1 months
1 had a 20% regression of tumor
Patents with SD had improved quality of life
No dose-limiting toxicities found
No drug-related toxicity greater than grade II

Kanglaite capsule [26]Semen Coicis Anticancer
Immune modulation
65 patients with stage II or III
Tumor RR for combination and TACE alone were 40% and 25%
AFP RR for combination and TACE alone were 73.1% and 0.7%
TTP for combination and TACE alone were 7.0 and 5.5 months
Improved immune function evaluated by CD3+, CD4+, and CD4+/CD8+  
Improved QoL
Reduced TACE-induced adverse reaction of liver damage

PHY906 [27, 28]Scutellaria baicalensis Georgi,  Glycyrrhiza uralensis Fisch,  Paeonia lactiflora Pall,  Ziziphus jujube Mill Anticancer,
Anti-inflammatory
Immune modulation
18 advanced liver cancer patients were enrolled in phase I study to determine a safe and tolerable dose
39 advanced liver cancer patients were enrolled in phase II study to observe tumor response, OS, TTP, and QoL
No patient experienced drug-related grade 4 or 5 toxicities
Disease control rate was 65.2% : 8.7% MR and 56.5% SD
OS was 9.2 months
TTP was 3.4 months
The 12-month survival rate was 44.5%
OS for HBV/HCV and non-HBV/HCV subgroups were 13.8 and 7.6 months
OS for Child-Pugh A and Child-Pugh B patients were 10.9 and 6.5 months
OS for Asian and non-Asian subgroups were 16.5 and 6.2 months
Patients’ QoL did not deteriorate significantly and changes in score did not exceed 25%

Jinlong capsule [29]Gekko japonicas Dumeril et Bibron,  Bungarus Parvus,  Agkistrodon,  etc. Anticancer
98 liver cancer patients
RR (CR + PR) was 60.38% when combined with TACE, while TACE alone was 40.00%
KPS scores were higher than TACE alone
No adverse reaction Jinlong capsule found
Level of serum OPN was lower than that of TACE alone

TACE: transcatheter arterial chemoembolization; OS: overall survival; TTP: time to disease progression; QoL: quality of life; SD: stable disease; CR: complete response; PR: partial response; RR = CR + PR: total response rate.