Review Article

Chinese Medicines as an Adjuvant Therapy for Unresectable Hepatocellular Carcinoma during Transarterial Chemoembolization: A Meta-Analysis of Randomized Controlled Trials

Table 1

Characteristics of the included studies.

StudySample size Design (sequence generation)Baseline characteristicsInterventionDurationOutcome measures
(T/C)TACE                  Experimental CMs

Ayi and Liu 2011 [8]108 (54/54)Single centre, parallel group, unblinded RCT (unreported)Mean age (range): 56 (28–77)
Disease stage: NA
Child-Pugh score: C
KPS: >60
5-FU, HCPT, LPAi Di injection
(60 L/d)
56 ds(1) TR (short-term effectiveness)
(2) Survival at 6/12/24 mons
(3) KPS (QoL increase)
(4) AE

Bao 2007 [9]54 (28/26)Single centre, parallel group, unblinded RCT (unreported)Mean age (range): 51 (25–68)
Disease stage: II, III
Child-Pugh score: A, B
KPS: NA
5-FU, DDP, MMC, HCPT, EPI, LP, GSPKang Ai injection
(40–60 mL/d)
1 mon(1) TR (short-term effectiveness)
(2) AE

Cao et al. 2005 [10]100 (50/50)Single centre, parallel group, unblinded RCT (unreported)Mean age (range): NA
Disease stage: NA
Child-Pugh score: A
KPS: NA
5-FU, MMC, LPGan Fu Kang capsule
(1 capsule, t.i.d.)
60–80 ds(1) Survival at 6/12/24/36 mons

Chen and Ding 2007 [11]60 (32/28)Single centre, parallel group, unblinded RCT (random number table)Age range: 36–70
Disease stage: NA
Child-Pugh score: NA
KPS: >60
5-FU, MMC, OX, LP, GSPAi Di injection
(60 mL/d)
42 ds(1) TR (short-term effectiveness)
(2) KPS (QoL increase)
(3) AE

Dan et al. 2007 [12]70 (35/35)Single centre, parallel group, unblinded RCT (sequence of admission)Age range: 29–70
Disease stage: II, III, IV
Child-Pugh score: NA
KPS: NA
5-FU, DDP, THP, LPFu Zheng Ping Gan Xiao Liu Tang
(1 dose/d)
1–6 mons(1) TR (short-term effectiveness)
(2) Survival at 6/12/18 mons
(3) KPS (QoL increase)

Deng et al. 2009 [13]40 (20/20)Single centre, parallel group, unblinded RCT (unreported)Mean age (range): 52 (26–66)
Disease stage: III, IV
Child-Pugh score: NA
KPS: ≥70
THP, LPFu Fang Ku Shen injection (20 mL/d)2 mons(1) TR (short-term effectiveness)
(2) KPS (QoL increase)
(3) AE

Dong et al. 2007 [14]65 (33/32)Single centre, parallel group, unblinded RCT (unreported)Mean age: 56.5
Disease stage: II, III, IV
Child-Pugh score: NA
KPS: ≥60
5-FU, DDP, THP, LPAi Di injection
(80–100 mL/d)
56 ds(1) TR (short-term effectiveness)
(2) KPS (QoL increase)
(3) AE

Dong et al. 2008 [15]133 (67/66)Single centre, parallel group, unblinded RCT (unreported)Mean age (range): 56 (28–77)
Disease stage: NA
Child-Pugh score: NA
KPS: >60
5-FU, THP, LPJing Long capsule
(1 g, t.i.d.)
56 ds(1) TR (short-term effectiveness)
(2) Survival at 6/12/24 mons
(3) KPS (QoL increase)
(4) AE

Han 2009 [16]48 (30/18)Single centre, parallel group, unblinded RCT (unreported)Mean age (range): 49.9 (32–70)
Disease stage: II, III
Child-Pugh score: NA
KPS: NA
ADM, MMC, CBDCA, LP, GSPBlood-activating and stasis-resolving herbs
(NA)
NA(1) TR (short-term effectiveness)
(2) KPS (QoL increase)

Hou and Lu 2009 [17]72 (36/36)Single centre, parallel group, unblinded RCT (drawing of lots)Age range: 34–72
Disease stage: NA
Child-Pugh score: NA
KPS: >70
DDP, BLM-A5, GC, LP, GSPCMs given according to CM syndrome differentiation
(1 dose/d)
4 wks(1) TR (short-term effectiveness)
(2) KPS (QoL increase)
(3) AE

Huang et al. 2002 [18]57 (30/27)Multicentre, parallel group, unblinded RCT (unreported)Mean age (range): 59.5
(35–70)
Disease stage: II, III
Child-Pugh score: NA
KPS: NA
5-FU, MMC, HCPT, LPKang Lai Te injection (200 mL/d) plus Bai Hua She She Cao injection (30 mL/d)2–4 mons(1) TR (short-term effectiveness)
(2) Survival at 12 mons
(3) AE

Huang 2008
[19]
50 (30/20)Single centre, parallel group, unblinded RCT (unreported)Mean age (range): NA
Disease stage: II, III
Child-Pugh score: NA
KPS: NA
5-FU, DDP, MMC, HCPT, LPCi Dan capsule
(5 capsules, t.i.d.)
4 mons(1) TR (short-term effectiveness)
(2) Survival at 12 mons
(3) AE

Jia et al. 2003 [20]66 (34/32)Single centre, parallel group, unblinded RCT (unreported)Mean age (range): NA
Disease stage: T3-4N0M0
Child-Pugh score: NA
KPS: >60
5-FU, DDP, ADM, MMC, LP, GSPBrucea javanica oil Injection (30 mL/d)2–4 mons(1) TR (short-term effectiveness)
(2) AE

Li et al. 2009
[21]
64 (32/32)Single centre, parallel group, unblinded RCT (unreported)Mean age (range): NA
Disease stage: II, III
Child-Pugh score: NA
KPS: ≥60
5-FU, DDP, ADM, LPKang Lai Te capsule
(6 capsules, q.i.d.)
42–63 ds(1) TR (short-term effectiveness)
(2) AE

Li 2007 [22]36 (20/16)Single centre, parallel group, unblinded RCT (unreported)Mean age (range): 50.9 (32–70)
Disease stage: II, III
Child-Pugh score: NA
KPS: NA
MMC, THP, CBDCA, LP, GSPCMs for fortifying the spleen and activating the blood (1 dose/d)NA(1) TR (short-term effectiveness)
(2) KPS (QoL increase)

Li and Fan 2008 [23]128 (64/64)Single centre, parallel group, unblinded RCT (unreported)Mean age (range): NA
Disease stage: NA
Child-Pugh score: NA
KPS: >70
5-FU, EPI, MMC, LPFu Zheng Kang Ai Tang
(1 dose/d)
3 mons(1) TR (short-term effectiveness)
(2) Survival at 6/12/24 mons
(3) AE

Liang et al. 2005 [24]68 (35/33)Single centre, parallel group, unblinded RCT (unreported)Age range: 29–70
Disease stage: II, III
Child-Pugh score: NA
KPS: NA
DDP, MMC, EPI, LPMatrine injection
(150 mL/d)
28 ds(1) TR (short-term effectiveness)
(2) AE

Liang et al. 2008 [25]121 (64/57)Single centre, parallel group, unblinded RCT (unreported)Mean age (range): 44.8 (30–70)
Disease stage: II, III
Child-Pugh score: NA
KPS: ≥60
5-FU, ADM, MMC, CBDCA, LPCi Dan capsule (5 capsules, q.i.d.)2 mons(1) TR (short-term effectiveness)
(2) Survival at 6/12 mons
(3) KPS (QoL increase)

Liang et al. 2005 [26]146 (75/71)Single centre, parallel group, unblinded RCT (random number table)Mean age (range): 50.7 (20–74)
Disease stage: III, IV
Child-Pugh score: A, B, C
KPS: NA
MMC, EPI, CBDCA, LPBu Zhong Yi Qi Tang
(1st–3rd month: 1 dose/d; 4th–6th month: 2 doses/w)
6 mons(1) TR (short-term effectiveness)
(2) Survival at 6/12/24/36 mons

Ling 2010 [27]128 (64/64)Single centre, parallel group, unblinded RCT (unreported)Age range: 39–62
Disease stage: II, III, IV
Child-Pugh score: NA
KPS: NA
5-FU, DDP, EPI, LPXiao Liu Tang
(1 dose/d)
2-3 mons(1) TR (short-term effectiveness)
(2) KPS (QoL increase)

Liu et al. 2007 [28]70 (34/36)Single centre, parallel group, unblinded RCT (shuffling envelops)Mean age (range): 50.7 (28–67)
Disease stage: II, III
Child-Pugh score: NA
KPS: NA
5-FU, DDP, ADM, MMC, HCPT, LP, GSPKang Ai injection
(40 mL/d)
20 ds(1) TR (short-term effectiveness)
(2) KPS (QoL increase)
(3) AE

Lu and He 2009 [29]48 (24/24)Single centre, parallel group, unblinded RCT (unreported)Age range: 28–68
Disease stage: II, III
Child-Pugh score: NA
KPS: NA
DDP, MMC, EPI, LPExperience CMs formula
(NA)
3–12 mons(1) TR (short-term effectiveness)
(2) KPS (QoL increase)

Lu et al. 2010
[30]
60 (30/30)Single centre, parallel group, unblinded RCT (stratified randomization)Mean age: 49.4
Disease stage: II, III, IV
Child-Pugh score: NA
KPS: NA
DDP, ADM, MMC, LPYang Gan Kang Ai Wan
(9 g, t.i.d.)
135–270 ds(1) Survival at 6/12/18 mons

Lu et al. 2007 [31]63 (33/30)Single centre, parallel group, unblinded RCT (unreported)Age range: 18–71
Disease stage: II, III
Child-Pugh score: A, B, C
KPS: 50–90
DDP, GC, LPKang Ai injection
(40 mL/d)
40 ds(1) TR (short-term effectiveness)
(2) KPS (QoL increase)
(3) AE

Meng 2008 [32]148 (75/73)Single centre, parallel group, unblinded RCT (unreported)Mean age: 56
Disease stage: II, III
5-FU, THP, LPAi Di injection
(50 mL/d)
28 ds(1) TR (short-term effectiveness)
(2) Survival at 6/12/24 mons
(3) KPS (QoL increase)
(4) AE

Shi and Sun 2005 [33]50 (30/20)Single centre, parallel group, unblinded RCT (unreported)Mean age (range): 52.3 (37–65)
Disease stage: NA
Child-Pugh score: NA
KPS: NA
5-FU, MMC, LP, GSPTan Re Qing injection
(40 mL/d)
≥14 ds(1) KPS (QoL increase)

Qiao 2010 [34]40 (20/20)Single centre, parallel group, unblinded RCT (unreported)Age range: 18–65
Disease stage: II, III
Child-Pugh score: NA
KPS: >50
5-FU, DDP, ADM, LPAi Tong Xiao granule
(1 pack/d)
56 ds(1) KPS (QoL increase)
(2) AE

Sun et al. 2002 [35]236 (118/118)Single centre, parallel group, unblinded RCT (unreported)Mean age (range): 51.4 (26–74)
Disease stage: NA
Child-Pugh score: NA
KPS: NA
MMC, EPI, CBDCA, LPHua Chan Su injection
(20 mL/d)
1–24 Ks(1) Survival at 12/24/36 mons
(2) AE

Tang et al. 2010 [36]50 (30/20)Multicentre, parallel group, unblinded RCT (unreported)Mean age: 54.1
Disease stage: II, III
Child-Pugh score: NA
KPS: >60
ADM, MMC, LP, GSPFu Gan injection (20 mL/d)2 mons(1) TR (short-term effectiveness)
(2) Survival at 6/12/24 mons
(3) KPS (QoL increase)

Tian et al. 2001 [37]43 (23/20)Single centre, parallel group, unblinded RCT (unreported)Mean age (range): 52.2 (23–73)
Disease stage: II, III
Child-Pugh score: NA
KPS: 60–80
5-FU, DDP, ADM, LPFu Zheng Jie Du Tang
(1 dose/d)
18–88 ds(1) TR (short-term effectiveness)
(2) KPS (QoL increase)

Tian 2006 [38]72 (36/36)Single centre, parallel group, unblinded RCT (unreported)Mean age (range): 53 (33–75)
Disease stage: NA
Child-Pugh score: NA
KPS: ≥70
5-FU, DDP, ADM, MMC, LPAi Yi Shu injection
(0.5 mg/d)
NA(1) TR (short-term effectiveness)
(2) Survival at 6/12/18/24 mons
(3) KPS (QoL increase)
(4) AE

Wang et al. 2002 [39]95 (47/48)Multicentre, parallel group, unblinded RCT (unreported)Mean age (range): 50.5 (28–73)
Disease stage: NA
Child-Pugh score: NA
KPS: ≥60
5-FU, ADM, MMC, THP, HCPT, CBDCA, LP, GSP960 mixture
(NA)
42–210 ds(1) TR (short-term effectiveness)
(2) KPS (QoL increase)
(3) AE

Wang and Cheng 2009
[40]
57 (27/30)Single centre, parallel group, unblinded RCT (unreported)Mean age (range): 48 (30–65)
Disease stage: II, III
Child-Pugh score: NA
KPS: ≥70
5-FU, DDP, ADM, LP, GSPFu Fang Ku Shen injection
(20 mL/d)
≥20 ds(1) TR (short-term effectiveness)
(2) Survival at 12/24/36 mons
(3) KPS (QoL increase)

Wang and Yang 2002 [41]60 (30/30)Single centre, parallel group, unblinded RCT (unreported)Mean age: 55.7
Disease stage: II, III
Child-Pugh score: NA
KPS: >60
ADM, DDP, MMC, LPGan Ji granule
(1 pack, b.i.d.)
3-4 mons(1) TR (short-term effectiveness)
(2) Survival at 6/12 mons

Wang et al. 2008 [42]86 (43/43)Single centre, parallel group, unblinded RCT (unreported)Mean age: 55.56
Disease stage: II, III
Child-Pugh score: NA
KPS: >60
DDP, ADM, MMC, LPJian Pi Qing Gan He Ji
(200 mL, b.i.d.)
2 mons(1) TR (short-term effectiveness)

Wang et al. 2007 [43]43 (22/21)Single centre, parallel group, unblinded RCT (random number table)Mean age (range): 64 (35–78)
Disease stage: II, III
Child-Pugh score: NA
KPS: NA
ADM, MMC, CBDCAQi Shu Fang
(1 dose/d)
56 ds(1) TR (short-term effectiveness)
(2) KPS (QoL increase)
(3) AE

Wang 2008 [44]59 (30/29)Single centre, parallel group, unblinded RCT (unreported)Mean age (range): 61 (38–78)
Disease stage: NA
Child-Pugh score: NA
KPS: NA
5-FU, ADM/EPI, MMC, LP, GSPExperience CMs formula
(1 dose/d)
>2 mons(1) TR (short-term effectiveness)
(2) KPS (QoL increase)

Weng et al. 2008 [45]96 (55/41)Single centre, parallel group, unblinded RCT (unreported)Age range: 28–76
Disease stage: NA
Child-Pugh score: A, B
KPS: NA
5-FU, DDP, ADM, MMC, LP, GSPExperience CMs formula plus CM patch
(NA)
NA(1) TR (short-term effectiveness)
(2) Survival at 6/12/24/36/48/
60 mons
(3) KPS (QoL increase)
(4) AE

Wu et al. 2000 [46]80 (36/44)Single centre, parallel group, unblinded RCT (unreported)Mean age: 51.4
Disease stage: II, III
Child-Pugh score: NA
KPS: NA
5-FU, DDP, MMC, LP, GSPHua Chan Su injection
(20 mL/d)
20 ds(1) TR (short-term effectiveness)
(2) Survival at 6/12 mons
(3) AE

Wu 1999 [47]25 (13/12)Single centre, parallel group, unblinded RCT (unreported)Mean age (range): 55.4 (38–69)
Disease stage: II
Child-Pugh score: NA
KPS: NA
5-FU, DDP, MMC, LPYi Guan Jian Jia Wei
(NA)
24 wks(1) Survival at 36 mons

Wu et al. 2003 [48]60 (30/30)Single centre, parallel group, unblinded RCT (unreported)Mean age (range): 51.9 (28–72)
Disease stage: II, III
5-FU, ADM (or DDP), MMC, LP, GSPHu Gan Ruan Jian Fang
(NA)
NA(1) TR (short-term effectiveness)
(2) Survival at 6/12 mons

Xu et al. 2006 [49]57 (30/27)Single centre, parallel group, unblinded RCT (sequence of admission)Mean age (range): 52.3 (39–72)
Disease stage: NA
Child-Pugh score: NA
KPS: NA
5-FU, MMC, HCPT, LPFu Zheng Jie Du Tang
(1 dose/d)
2–4 mons(1) TR (short-term effectiveness)
(2) Survival at 12 mons

Xu et al. 2007 [50]52 (32/20)Single centre, parallel group, unblinded RCT (unreported)Age range: 38–75
Disease stage: II, III
Child-Pugh score: NA
KPS: NA
5-FU, DDP, THP, LPAi Di Injection
(50 mL/d)
4 wks(1) TR (short-term effectiveness)
(2) KPS (QoL increase)
(3) AE

Xu et al. 2007 [51]60 (40/20)Single centre, parallel group, unblinded RCT (unreported)Age range: 35–72
Disease stage: II, III
Child-Pugh score: NA
KPS: NA
5-FU, DDP/OX, HCPT, LPCMs for fortifying the spleen and resolving dampness and activating the blood and detoxifying
(1 dose/d)
2 mons(1) TR (short-term effectiveness)
(2) AE

Xue et al. 2002 [52]70 (34/36)Single centre, parallel group, unblinded RCT (unreported)Mean age (range): 51.3 (26–72)
Disease stage: III, IV
Child-Pugh score: NA
KPS: NA
5-FU, DDP, ADM, MMC, LPSi Jun Zi Tang
(1 dose/d)
NA(1) TR (short-term effectiveness)
(2) Survival at 12/24/36 mons
(3) AE

Yang 2010 [53] 50 (25/25)Single centre, parallel group, unblinded RCT (unreported)Mean age (range): 54 (31–74)
Disease stage: NA
Child-Pugh score: A, B
KPS: NA
5-FU, DDP, ADM, EPI, LPLian Hua Qing Gan Yin
(1 dose/d)
NA(1) Survival at 12/24 mons

Yang 2006 [54]62 (31/31)Single centre, parallel group, unblinded RCT (unreported)Age range: 27–68
Disease stage: NA
Child-Pugh score: NA
KPS: NA
5-FU, DDP, EPI, LP, GSPAi Di injection
(50 mL/d)
>1 mon(1) TR (short-term effectiveness)
(2) KPS (QoL increase)
(3) AE

Yang 2006 [55]50 (28/22)Single centre, parallel group, unblinded RCT (unreported)Mean age (range): 50.6 (26–75)
Disease stage: II, III, IV
Child-Pugh score: NA
KPS: >60
5-FU, DDP, MMC, THP, LPAi Di injection
(50 mL/d)
32 ds(1) TR (short-term effectiveness)
(2) AE

Yi et al. 2008
[56]
67 (36/31)Single centre, parallel group, unblinded RCT (shuffling envelops)Mean age (range): 53.9 (25–69)
Disease stage: II, III
Child-Pugh score: NA
KPS: >60
5-FU, ADM, HCPT, LP, GSPKang Ai injection
(40 mL/d)
12 wks(1) TR (short-term effectiveness)
(2) KPS (QoL increase)
(3) AE

Yu and Kang 2010 [57] 96 (48/48)Multicentre, parallel group, unblinded RCT (unreported)Mean age (range): 53.1 (30–69)
Disease stage: II, III
Child-Pugh score: NA
KPS: NA
5-FU, ADM, HCPT, LP, GSPFu Fang Ku Shen injection
(20 mL/d)
45 ds(1) TR (short-term effectiveness)
(2) KPS (QoL increase)
(3) AE

Yuan et al. 2010 [58] 62 (31/31)Multicentre, parallel group, unblinded RCT (unreported)Mean age (range): NA
Disease stage: NA
Child-Pugh score: NA
KPS: NA
5-FU, DDP, MMC, THP, LP, GSPCMs for soothing the liver, fortifying the spleen, and tonifying the kidney
(NA)
3 mons(1) TR (short-term effectiveness)
(2) KPS (QoL increase)

Yuan and Yu 2005 [59] 73 (35/38)Single centre, parallel group, unblinded RCT (unreported)Age range: 34–69
Disease stage: NA
Child-Pugh score: NA
KPS: >50
5-FU, DDP, MMC, HCPTAi Di injection
(50 L/d)
>20 ds(1) TR (short-term effectiveness)

R. Q. Zhai and H. Y. Zhai 2010 [60] 62 (32/30)Single centre, parallel group, unblinded RCT (random number table)Mean age (range): 55.3 (28–72)
Disease stage: III, IV
Child-Pugh score: NA
KPS: ≥50
MMC, EPI, CBDCA, LPHu Gan Xiao Zheng Tang (1st–3rd month: 1 dose/d; 4th month: 1 dose/2 d) plus San Jie Xiao Tong Gao (plaster therapy; 1 dose/2 ds)4 mons(1) TR (short-term effectiveness)
(2) Survival at 6/12/24/36 mons
(3) KPS (QoL increase)
(4) AE

Zhang et al. 2005 [61]224 (116/108)Single centre, parallel group, unblinded RCT (unreported)Mean age (range): 51.3 (29–76)
Disease stage: NA
Child-Pugh score: NA
KPS: NA
MMC, EPI, CBDCA, LPJing Long capsule
(4 capsules, t.i.d.)
≥3 yrs(1) TR (short-term effectiveness)
(2) Survival at 6/12/24/36 mons

Zhang et al. 2007 [62] 60 (30/30)Single centre, parallel group, unblinded RCT (unreported)Mean age (range): 50 (24–75)
Disease stage: II, III
Child-Pugh score: NA
KPS: ≥60
5-FU, DDP, ADM, MMC, LP, GSPChai Shao Liu Jun Zi Tang
(1 dose/d)
>1 mon(1) TR (short-term effectiveness)
(2) KPS (QoL increase)
(3) AE

Zhang et al. 2008 [63]61 (31/30)Single centre, parallel group, unblinded RCT (stratified randomization)Mean age (range): 50.2 (24–67)
Disease stage: II, III
Child-Pugh score: A, B, C
KPS: NA
5-FU, MMC, THP, LPCMs given according to CM syndrome differentiation
(1 dose/d)
≥2 mons(1) TR (short-term effectiveness)
(2) Survival at 6/12/18/24 mons
(3) KPS (QoL increase)

Zhang et al. 2008 [64] 64 (31/33)Single centre, parallel group, unblinded RCT (sequence of admission)Age range: 39–73
Disease stage: II, III, IV
Child-Pugh score: NA
KPS: >60
5-FU, DDP, HCPT, OX, LPJian Pi Fu Gan Tang
(1 dose/d)
>2 mons(1) TR (short-term effectiveness)
(2) Survival at 6/12/18 mons
(3) KPS (QoL increase)

Zhang et al. 2007 [65] 112 (58/54)Single centre, parallel group, unblinded RCT (random number table)Mean age (range): 57.2 (18–70)
Disease stage: II
Child-Pugh score: NA
KPS: ≥50
5-FU, DDP, EPI, VDSGu Ben Yi Liu II
(NA)
≥2 mons(1) TR (short-term effectiveness)
(2) Survival at 6/12/24 mons
(3) KPS (QoL increase)
(4) AE

Zhang 2011 [66] 49 (25/24)Single centre, parallel group, unblinded RCT (unreported) Mean age (range): 49.9 (33–71)
Disease stage: II, III
Child-Pugh score: NA
KPS: >60
NABlood-activating and stasis-resolving herbs
(NA)
2-3 mons(1) TR (short-term effectiveness)
(2) KPS (QoL increase)

Zhang et al. 2000 [67] 95 (50/45)Multicentre, parallel group, unblinded RCT (unreported)Age range: 29–60
Disease stage: II, III
Child-Pugh score: NA
KPS: NA
5-FU, DDP/ADM, MMC, LPCMs for soothing the liver and regulating Qi, fortifying the spleen and harmonizing the stomach, tonifying the liver and kidney, and softening hardness and dissipating binds (1 dose/d)≥2-3 mons(1) TR (short-term effectiveness)
(2) Survival at 6/12/24 mons

Zhao and Huang 2005
[68]
60 (30/30)Single centre, parallel group, unblinded RCT (unreported)Age range: 38–72
Disease stage: II
Child-Pugh score: NA
KPS: NA
5-FU, EPI, HCPT, LPCan Qi capsule
(NA)
NA(1) TR (short-term effectiveness)
(2) AE

Zhao et al. 2006 [69] 94 (48/46)Single centre, parallel group, unblinded RCT (sequence of admission)Mean age (range): 52.8 (40–64)
Disease stage: II, III
Child-Pugh score: NA
KPS: >70
5-FU, DDP, ADM, HCPT, LP, GSPLiu Jun Zi Tang
(1 dose/d)
126–168 ds(1) TR (short-term effectiveness)
(2) Survival at 12/24/36 mons

Zhou et al. 2002 [70]228 (118/110)Single centre, parallel group, unblinded RCT (sequence of admission)Age range: 28–72
Disease stage: II, III
Child-Pugh score: NA
KPS: NA
5-FU, DDP, ADM, MMC, LP, GSPLiu Jun Zi Tang
(1 dose/d)
NA(1) Survival at 6/12/24/36 mons

Zhou et al. 2010 [71]64 (32/32)Single centre, parallel group, unblinded RCT (unreported)Mean age (range): 49.7 (22–70)
Disease stage: NA
Child-Pugh score: A, B
KPS: ≥60
MMC, BLM-A5, LP, GSPKang Ai Fang
(1 dose/d)
3 mons(1) TR (short-term effectiveness)
(2) Survival at 12 mons
(3) KPS (QoL increase)

Zou 2004 [72]50 (25/25)Single centre, parallel group, unblinded RCT (unreported) Mean age: 41
Disease stage: II, III
Child-Pugh score: NA
KPS: NA
5-FU, MMC, HCPT, LPFu Fang Ku Shen injection
(16 mL/d)
40 ds(1) TR (short-term effectiveness)
(2) AE

5-Fu: fluorouracil; AE: TACE toxicity; b.i.d.: two times a day; BLM-A5: bleomycin A5; C: control group; CBDCA: carboplatin; CM: Chinese medicine; d: day; DDP: cisplatin; EPI: epirubicin; GC: gemcitabine; HCPT: hydroxycamptothecin; KPS: Karnofsky performance scale; MMC: mitomycin; mon: month; NA: not available; OX: oxaliplatin; q.i.d.: four times a day; QoL: quality of life; T: treatment group; TACE: transarterial chemoembolization; THP: pirarubicin; t.i.d.: three times a day; TR: tumor response; VDS: vindesine; wk: week; yr: year.