Review Article

Ginsenoside Rg3 (Shenyi Capsule) Combined with Chemotherapy for Digestive System Cancer in China: A Meta-Analysis and Systematic Review

Table 1

Characteristics of the included studies.

ReferenceYearDiseaseSample size (E/C)Sex (M/F)Age(years) (E/C)InterventionsFollow-up timeOutcome measuresCriteria for efficacy
ECEC

Dang et al. [15]2014GC (advanced)100(50/50)Unknown61.06 ± 4.21/60.21 ± 4.62Rg3 +CDDP + placebo8 months①②④⑤WHO
Liu et al. [16]2017GC (IIIA: 15, IIIB: 52, IIIC: 22)89(52/37)29/2320/1745.1 ± 8.5/44.8 ± 9.3Rg3 +CFOLFOX46 months①②⑤RECIST
Wei et al. [17]2015GC (III-IV)200(100/100)68/3270/3018–75(48.5 ± 6.7)/19–74(46.5 ± 5.7)Rg3 +CTegafur + DDP5 years①②⑤RECIST
Zhou et al. [18]2013GC (advanced)80(40/40)Unknown44–73(61)/43–72 (60)(median age)Rg3 +CPTX4 years①③⑤WHO
Bian et al. [19]2014CRC (advanced)61(30/31)18/1217/1454.6 ± 9.6/57.1 ± 7.4Rg3 +CXELOX2 yearsRECIST
Gai et al. [20]2010CRC (advanced)49(25/24)28/2135–75Rg3 +CXELOX9 weeks①②④⑤WHO
Liu et al. [21]2015CRC III (77%), IV (23%)113(63/50)53/6018–80 (median age 55)Rg3 +CFluorouracil + placebo14 months①②④⑤WHO
Lou [22]2010CRC (II-III)94(47/47)Unknown41–75Rg3 +CFOLFOX62 monthsRECIST
Zeng et al. [23]2009CRC (IV)67(35/32)25/1022/1151–69Rg3 +CFOLFOX42 months①②④⑤WHO
Huang et al. [24]2009EC (IV)60(30/30)17/1318/1245–75(54)/42–74 (52)(median age)Rg3 +CGP(GEM + DDP)1 year①②③④⑤WHO
Wang [25]2010EC (advanced)70(35/35)46/2432–78 (median age 56)Rg3 +CNP(NVB + DDP)6 weeks①②④⑤WHO
Zhou [26]2015EC (T3-T4a)207(99/108)65/3470/3848–76(61.6 ± 7.6)/50–79(63.5 ± 8.4) (average age)Rg3 +CTP(PTX + DDP)3 years①②③⑤WHO
Liu et al. [27]2015LC (advanced)64(32/32)18/1417/1552.13 ± 10.25/53.27 ± 11.59Rg3 +CTACE + lipiodol + pirarubicin3 months①②⑤GPCRNCM
Ouyang et al. [28]2009LC (II: 9, III: 39, IV: 13)61(30/31)25/523/821–72 (median age 50)Rg3 +CTACE + lipiodol2 years①②③④⑤GPCRNCM
Zhao et al. [29]2009LC (advanced)40(20/20)14/616/459.5 ± 11.6/62.3 ± 10.8Rg3 +CTACE + GP + ML2 years①②③④⑤GPCRNCM
Chen et al. [30]2012LC (advanced)60(30/30)UnknownUnknownRg3 +CTACE + Fluorouracil + DDP + ML3 years②③④⑤WHO
Wang et al. [31]2014LC (advanced)48(24/24)29/1952.13 ± 3.65Rg3 +CTACE + mitomycin + adriamycin+6 months①②⑤Unknown
Li [32]2018PC (III: 59, IV: 9)68(34/34)21/1320/1452.2 ± 3.8/52.3 ± 3.9Rg3 +CGEM4 monthsUnknown

Note. E: experimental group; C: control group; Rg3: Rg3 20 mg po.Bid; PTX: paclitaxel; DDP: cisplatin; XELOX: oxaliplatin + capecitabine; FOLFOX4/FOLFOX6: oxaliplatin + calcium folinate + fluorouracil; GP (GEM + DDP): gemcitabine + cisplatin; TP (PTX + DDP): paclitaxel + cisplatin; NP (NVB + DDP): vinorelbine + cisplatin; TACE: transcatheter arterial chemoembolization; ML: mitomycin + lipiodol; WHO: World Health Organization; RECIST: the response evaluation criteria in solid tumors; GPCRNCM: Guiding Principles for Clinical Research of New Chinese Medicines; ① ORR; ② DCR; ③ SR; ④ KPS; ⑤ side effects.