Review Article

Chinese Herbal Medicines as an Adjunctive Therapy for Unresectable Pancreatic Cancer: A Systematic Review and Meta-Analysis

Table 1

Characteristics of studies in the pooled analysis ().

StudyNumber of participants (T/C )Sex
(females/total)
TNM stageCHM or CHM formulaIntervention in control group Outcome assessmentOS (months) or 1-year SR (%)Duration (week)Jadad score

Lu et al. 2014 [23]54 (27/27)23/57III-IVShenqi Fuzhen
injection
Gemcitabine injection,
Tegafur Gimeracil potassium capsule
OS, AEs, and symptoms10.762

Zhang et al. 2010 [24]32 (16/16)13/32II–IVXihuang pillGemcitabine injectionORR, DCR, QOL, AEs, and symptomsNR62

You and Yao 2009 [25]40 (20/20)17/40III-IVFuzhen Hewei
decoction
Gemcitabine and oxaliplatin injectionORR, DCR, QOL, symptoms,
and laboratory values
NR82

Dong 2014 [26]68 (34/34)33/68II–IVQingyi decoctionDocetaxel and cisplatin
injection
ORR, DCR, 1- and 3-year SR,
symptoms, APACHE II score, and AEs
52.94%62

Li 2014 [27]28 (17/11)12/28III-IVChanchu injectionGemcitabine injection,
radiotherapy
ORR, DCR, and AEsNR16–242

Wei et al. 2006 [28]42 (21/21)13/42III-IVEjiao paste Gemcitabine, leucovorin, calcium, and fluorouracil
injection
ORR, DCR, 1-year SR, CBR, and AEs4.8%122

Li et al. 2009 [29]86 (51/35)noneIII-IVFuzhenkangai
decoction
Leucovorin, calcium, VP-16
cisplatin, and fluorouracil
injection
ORR, DCR, QOL, and AEs991

Chen 2012 [30]66 (36/30)31/66ASCompound Kushen injectionRadiotherapyORR, DCR, QOL, and AEsNR61

Dai 2014 [31]50 (25/25)23/50III-IVJiedu Huayu
Tongfu granules
Gemcitabine injectionORR, DCR, AEs, symptoms,
and laboratory values
NR122

Zhang 2009 [32]63 (32/31)25/63III-IVCompound Kushen injectionGamma knife radiosurgeryORR, DCR, AEs, QOL, CBR, and
laboratory values
NR32

Liu et al. 2014 [33]106 (58/48)36/106II–IVYiqi Huoxue
decoction
Radiotherapy, gemcitabine
injection
1 and 2-year SR, ORR, DCR, AEs, and QOL75.3%6-71

Zhu et al. 2013 [34]55 (28/27)24/55ASKanglaite injectionγ-SBRTORR, AEs, and QOLNR61

Shan et al. 2007 [35]65 (31/34)ASKanglaite injectionFluorouracil and cisplatin
injection
ORR, QOL, and AEsNR121

Zhu et al.  
2013 [21]
70 (35/35)25/70III-IVQinre Huaji
decoction
HAI/TACE1/2- and 1-year SR, ORR, QOL, and AEs31.43%163

Ni et al. 2013 [36]40 (19/21)17/40II–IVWD-3 decoctionGemcitabine, leucovorin,
calcium, and fluorouracil
injection
ORR, DCR, CBR, QOL, AEs,
symptoms, and laboratory values
NR82

Ma et al. 2012 [37]64 (32/32)13/64ASKanglaite injectionGemcitabine injectionORR, DCR, and AEsNR241

Han et al. 2012 [38]65 (31/34)NRIII-IVModified Sinisan
decoction
TAI
ORR, AEs, QOL, and symptomsNR83

Tian et al. 2012 [22]60 (30/30)32/60III-IVQingre Jiedu and
Huoxue Huayu
decoction
Gemcitabine injectionORR, DCR, CBR, AEs, and laboratory valuesNR82

Shen et al. 2010 [39]80 (41/39)30/80III-IVQingyi Huaji
formula
TAC + 3DCRTORR, 1/2-, 1-, 2-, and 3-year SR, OS, CBR, QOL, AEs, and symptoms9.8%82

Zhang et al. 2010 [40]136 (68/68)55/136ASQingyi Huaji
decoction
TAC + 3DCRT1/2- and 1-year SR, QOL, and AEs16.2%NR1

Wang et al. 2013 [41]46 (23/23)21/46ASKangai injectionSBRTORR, QOL, AEs, and symptomsNR32

S. M. Suo and X. H. Suo 2009 [42]39 (21/8)8/39ASYiqi Huoxue
decoction
Radiotherapy, TAIORR, 1- and 2-year SR, AEs, and
symptoms
82.1%NR1

Yang et al. 2014 [43]50 (30/20)22/50NRCompound Kushen injectionGemcitabine and oxaliplatin injectionDCR, QOL, and CBRNR6–181

Yin et al. 2004 [44]76 (38/38)28/76NRJinlong capsuleGamma knife radiosurgeryORR, CBR, QOL, and AEsNR132

Wang et al. 2000 [45]
58 (30/28)15/58II-IIIYiqi Huoxue
decoction
Radiotherapy, TAC1- and 2-year rate, ORR, symptoms, and AEs80%NR2

Gansauge et al. 2002 [19]60 (30/30)19/60III-IVNSC-631570Gemcitabine injectionORR, DCR, 1/2-, 2/3-, and 1-year SR, AEs, and QOL 32%122

Meng et al. 2012 [20]76 (39/37)30/76NRHuachansu injectionGemcitabine injectionORR, OS, TTP, symptoms, AEs, and 1/2-year SR5.383

Chen et al. 2005 [46]
81 (41/40)36/81III-IVCompound Danshen dripping pillsGemcitabine and cisplatin
injection
ORR, DCR, QOL, AEs, and laboratory valuesNR81

Dou 2010 [47]52 (26/26)27/52III-IVKangai injectionGemcitabine and cisplatin
injection
ORR, CBR, and AEsNR81

AS: advanced stage; SBRT: stereotactic body radiotherapy; TAI: transcatheter arterial infusion; NR: not reported; HAI: hepatic artery infusion chemotherapy; TAC: transcatheter arterial chemoembolization; 3DCRT: 3-dimensional conformal radiation therapy.