Skip to main content
Erschienen in: Journal of Cancer Research and Clinical Oncology 3/2019

23.01.2019 | Review – Clinical Oncology

Mistletoe in oncological treatment: a systematic review

Part 1: survival and safety

verfasst von: M. Freuding, C. Keinki, O. Micke, J. Buentzel, Jutta Huebner

Erschienen in: Journal of Cancer Research and Clinical Oncology | Ausgabe 3/2019

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Mistletoe treatment of cancer patients is discussed highly controversial in the scientific literature. Aim of this systematic review is to give an extensive overview about current state of research concerning mistletoe therapy of oncologic patients regarding survival, quality of life and safety.

Methods

In September and October 2017 Medline, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), PsycINFO, CINAHL and “Science Citation Index Expanded” (Web of Science) were systematically searched.

Results

The search strategy identified 3647 hits and 28 publications with 2639 patients were finally included in this review. Mistletoe was used in bladder cancer, breast cancer, other gynecological cancers (cervical cancer, corpus uteri cancer, and ovarian cancer), colorectal cancer, other gastrointestinal cancer (gastric cancer and pancreatic cancer), glioma, head and neck cancer, lung cancer, melanoma and osteosarcoma. In nearly all studies, mistletoe was added to a conventional therapy. Patient relevant endpoints were overall survival (14 studies, n = 1054), progression- or disease-free survival or tumor response (10 studies, n = 1091). Most studies did not show any effect of mistletoe on survival. Especially high quality studies do not show any benefit.

Conclusions

With respect to survival, a thorough review of the literature does not provide any indication to prescribe mistletoe to patients with cancer.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
Zurück zum Zitat Bar-Sela G, Wollner M, Hammer L, Agbarya A, Dudnik E, Haim N (2013) Mistletoe as complementary treatment in patients with advanced non-small-cell lung cancer treated with carboplatin-based combinations: a randomised phase II study. Eur J Cancer 49:1058–1064CrossRefPubMed Bar-Sela G, Wollner M, Hammer L, Agbarya A, Dudnik E, Haim N (2013) Mistletoe as complementary treatment in patients with advanced non-small-cell lung cancer treated with carboplatin-based combinations: a randomised phase II study. Eur J Cancer 49:1058–1064CrossRefPubMed
Zurück zum Zitat Cazacu M et al (2003) The influence of isorel on the advanced colorectal cancer. Cancer Biother Radiopharm 18:27–34CrossRefPubMed Cazacu M et al (2003) The influence of isorel on the advanced colorectal cancer. Cancer Biother Radiopharm 18:27–34CrossRefPubMed
Zurück zum Zitat El-Kolaly RM, Abo-Elnasr M, El-Guindy D (2016) Outcome of pleurodesis using different agents in management of malignant pleural effusion Egyptian. J Chest Dis Tuberc 65:435–440CrossRef El-Kolaly RM, Abo-Elnasr M, El-Guindy D (2016) Outcome of pleurodesis using different agents in management of malignant pleural effusion Egyptian. J Chest Dis Tuberc 65:435–440CrossRef
Zurück zum Zitat Ernst E, Schmidt K, Steuer-Vogt MK (2003) Mistletoe for cancer? A systematic review of randomised clinical trials. Int J Cancer 107:262–267CrossRefPubMed Ernst E, Schmidt K, Steuer-Vogt MK (2003) Mistletoe for cancer? A systematic review of randomised clinical trials. Int J Cancer 107:262–267CrossRefPubMed
Zurück zum Zitat Goebell PJ, Otto T, Suhr J, Rubben H (2002) Evaluation of an unconventional treatment modality with mistletoe lectin to prevent recurrence of superficial bladder cancer: a randomized phase II trial. J Urol 168:72–75CrossRefPubMed Goebell PJ, Otto T, Suhr J, Rubben H (2002) Evaluation of an unconventional treatment modality with mistletoe lectin to prevent recurrence of superficial bladder cancer: a randomized phase II trial. J Urol 168:72–75CrossRefPubMed
Zurück zum Zitat Grossarth-Maticek R, Ziegler R (2006a) Prospective controlled cohort studies on long-term therapy of breast cancer patients with a mistletoe preparation (Iscador). Forschende Komplementarmedizin (2006) 13:285–292 Grossarth-Maticek R, Ziegler R (2006a) Prospective controlled cohort studies on long-term therapy of breast cancer patients with a mistletoe preparation (Iscador). Forschende Komplementarmedizin (2006) 13:285–292
Zurück zum Zitat Grossarth-Maticek R, Ziegler R (2006b) Randomised and non-randomised prospective controlled cohort studies in matched-pair design for the long-term therapy of breast cancer patients with a mistletoe preparation (Iscador): a re-analysis. Eur J Med Res 11:485–495PubMed Grossarth-Maticek R, Ziegler R (2006b) Randomised and non-randomised prospective controlled cohort studies in matched-pair design for the long-term therapy of breast cancer patients with a mistletoe preparation (Iscador): a re-analysis. Eur J Med Res 11:485–495PubMed
Zurück zum Zitat Grossarth-Maticek R, Ziegler R (2007a) Efficacy and safety of the long-term treatment of melanoma with a mistletoe preparation (Iscador). Schweizerische Zeitschrift fur GanzheitsMedizin [German] 19:325–332CrossRef Grossarth-Maticek R, Ziegler R (2007a) Efficacy and safety of the long-term treatment of melanoma with a mistletoe preparation (Iscador). Schweizerische Zeitschrift fur GanzheitsMedizin [German] 19:325–332CrossRef
Zurück zum Zitat Grossarth-Maticek R, Ziegler R (2007b) Prospective controlled cohort studies on long-term therapy of cervical cancer patients with a mistletoe preparation (Iscador) Forschende Komplementarmedizin (2006) 14:140–147 Grossarth-Maticek R, Ziegler R (2007b) Prospective controlled cohort studies on long-term therapy of cervical cancer patients with a mistletoe preparation (Iscador) Forschende Komplementarmedizin (2006) 14:140–147
Zurück zum Zitat Grossarth-Maticek R, Ziegler R (2007c) Prospective controlled cohort studies on long-term therapy of ovairian cancer patients with mistletoe (Viscum album L.) extracts iscador. Arzneimittelforschung 57:665–678PubMed Grossarth-Maticek R, Ziegler R (2007c) Prospective controlled cohort studies on long-term therapy of ovairian cancer patients with mistletoe (Viscum album L.) extracts iscador. Arzneimittelforschung 57:665–678PubMed
Zurück zum Zitat Grossarth-Maticek R, Ziegler R (2008) Randomized and non-randomized prospective controlled cohort studies in matched pair design for the long-term therapy of corpus uteri cancer patients with a mistletoe preparation (Iscador). Eur J Med Res 13:107–120PubMed Grossarth-Maticek R, Ziegler R (2008) Randomized and non-randomized prospective controlled cohort studies in matched pair design for the long-term therapy of corpus uteri cancer patients with a mistletoe preparation (Iscador). Eur J Med Res 13:107–120PubMed
Zurück zum Zitat Grossarth-Maticek R, Kiene H, Baumgartner SM, Ziegler R (2001) Use of Iscador, an extract of European mistletoe (Viscum album), in cancer treatment: prospective nonrandomized and randomized matched-pair studies nested within a cohort study. Altern Ther Health Med 7:57–66 (68–72, 74–56 passim)PubMed Grossarth-Maticek R, Kiene H, Baumgartner SM, Ziegler R (2001) Use of Iscador, an extract of European mistletoe (Viscum album), in cancer treatment: prospective nonrandomized and randomized matched-pair studies nested within a cohort study. Altern Ther Health Med 7:57–66 (68–72, 74–56 passim)PubMed
Zurück zum Zitat Heiny BM, Albrecht V (1997) Complementary modes of therapy with mistletoe lectin-1. Medizinische Welt [German] 48:419–423 Heiny BM, Albrecht V (1997) Complementary modes of therapy with mistletoe lectin-1. Medizinische Welt [German] 48:419–423
Zurück zum Zitat Heiny BM, Albrecht V, Beuth J (1998) Correlation of immune cell activities and beta-endorphin release in breast carcinoma patients treated with galactose-specific lectin standardized mistletoe extract. Anticancer Res 18:583–586PubMed Heiny BM, Albrecht V, Beuth J (1998) Correlation of immune cell activities and beta-endorphin release in breast carcinoma patients treated with galactose-specific lectin standardized mistletoe extract. Anticancer Res 18:583–586PubMed
Zurück zum Zitat Henf A, Wesselmann S, Huthmann D, Muenstedt K, Huebner J, On behalf of the Working Group P, Intergrative Oncology of the German Cancer Society J (2014) Complementary and alternative medicine in German Cancer Centers. Oncol Res Treat 37:390–394. https://doi.org/10.1159/000364897 CrossRef Henf A, Wesselmann S, Huthmann D, Muenstedt K, Huebner J, On behalf of the Working Group P, Intergrative Oncology of the German Cancer Society J (2014) Complementary and alternative medicine in German Cancer Centers. Oncol Res Treat 37:390–394. https://​doi.​org/​10.​1159/​000364897 CrossRef
Zurück zum Zitat Higgins JPT, Altman DG, Sterne JAC (2017) Chapter 8: Assessing risk of bias in included studies. In: Higgins JPT, Churchill R, Chandler J, Cumpston MS (eds) Cochrane Handbook for Systematic Reviews of Interventions version 5.2.0 (updated June 2017). Cochrane Higgins JPT, Altman DG, Sterne JAC (2017) Chapter 8: Assessing risk of bias in included studies. In: Higgins JPT, Churchill R, Chandler J, Cumpston MS (eds) Cochrane Handbook for Systematic Reviews of Interventions version 5.2.0 (updated June 2017). Cochrane
Zurück zum Zitat Horneber MA, Bueschel G, Huber R, Linde K, Rostock M (2008) Mistletoe therapy in oncology Cochrane Database of Syst Revi 107:CD003297 Horneber MA, Bueschel G, Huber R, Linde K, Rostock M (2008) Mistletoe therapy in oncology Cochrane Database of Syst Revi 107:CD003297
Zurück zum Zitat Hubner J, Phieler F (2009) Hypersensitivity reaction to oxaliplatinum recurrence during mistletoe therapy? Tumor Diagnostik Therapie [German] 30:36–39 Hubner J, Phieler F (2009) Hypersensitivity reaction to oxaliplatinum recurrence during mistletoe therapy? Tumor Diagnostik Therapie [German] 30:36–39
Zurück zum Zitat Huebner J (2008) Komplementäre Onkologie - Supportive Maßnahmen und evidenzbasierte Empfehlungen. Schattauer, Stuttgart Huebner J (2008) Komplementäre Onkologie - Supportive Maßnahmen und evidenzbasierte Empfehlungen. Schattauer, Stuttgart
Zurück zum Zitat Hutt N, Kopferschmitt-Kubler M, Cabalion J, Purohit A, Alt M, Pauli G (2001) Anaphylactic reactions after therapeutic injection of mistletoe (Viscum album L.). Allergologia et immunopathologia 29:201–203CrossRefPubMed Hutt N, Kopferschmitt-Kubler M, Cabalion J, Purohit A, Alt M, Pauli G (2001) Anaphylactic reactions after therapeutic injection of mistletoe (Viscum album L.). Allergologia et immunopathologia 29:201–203CrossRefPubMed
Zurück zum Zitat Kienle GS, Kiene H (2007) Complementary cancer therapy: a systematic review of prospective clinical trials on anthroposophic mistletoe extracts. Eur J Med Res 12:103–119PubMed Kienle GS, Kiene H (2007) Complementary cancer therapy: a systematic review of prospective clinical trials on anthroposophic mistletoe extracts. Eur J Med Res 12:103–119PubMed
Zurück zum Zitat Kienle GS, Kiene H (2010) Review article: Influence of Viscum album L (European mistletoe) extracts on quality of life in cancer patients: a systematic review of controlled clinical studies. Integr Cancer Ther 9:142–157CrossRefPubMed Kienle GS, Kiene H (2010) Review article: Influence of Viscum album L (European mistletoe) extracts on quality of life in cancer patients: a systematic review of controlled clinical studies. Integr Cancer Ther 9:142–157CrossRefPubMed
Zurück zum Zitat Kienle GS, Glockmann A, Schink M, Kiene H (2009) Viscum album L. extracts in breast and gynaecological cancers: a systematic review of clinical and preclinical research. J Exp Clin Cancer Res 28:79CrossRefPubMedPubMedCentral Kienle GS, Glockmann A, Schink M, Kiene H (2009) Viscum album L. extracts in breast and gynaecological cancers: a systematic review of clinical and preclinical research. J Exp Clin Cancer Res 28:79CrossRefPubMedPubMedCentral
Zurück zum Zitat Kim KC, Yook JH, Eisenbraun J, Kim BS, Huber R (2012) Quality of life, immunomodulation and safety of adjuvant mistletoe treatment in patients with gastric carcinoma—a randomized, controlled pilot study. BMC Complement Altern Med 12:172CrossRefPubMedPubMedCentral Kim KC, Yook JH, Eisenbraun J, Kim BS, Huber R (2012) Quality of life, immunomodulation and safety of adjuvant mistletoe treatment in patients with gastric carcinoma—a randomized, controlled pilot study. BMC Complement Altern Med 12:172CrossRefPubMedPubMedCentral
Zurück zum Zitat Kleeberg UR et al (2004) Final results of the EORTC 18871/DKG 80-1 randomised phase III trial. rIFN-alpha2b versus rIFN-gamma versus ISCADOR M versus observation after surgery in melanoma patients with either high-risk primary (thickness> 3 mm) or regional lymph node metastasis. Eur J Cancer 40:390–402CrossRef Kleeberg UR et al (2004) Final results of the EORTC 18871/DKG 80-1 randomised phase III trial. rIFN-alpha2b versus rIFN-gamma versus ISCADOR M versus observation after surgery in melanoma patients with either high-risk primary (thickness> 3 mm) or regional lymph node metastasis. Eur J Cancer 40:390–402CrossRef
Zurück zum Zitat Lange-Lindberg A-M, Velasco Garrido M, Busse R (2006) Mistletoe treatments for minimising side effects of anticancer chemotherapy. GMS Health Technol Assess 2:Doc18PubMedPubMedCentral Lange-Lindberg A-M, Velasco Garrido M, Busse R (2006) Mistletoe treatments for minimising side effects of anticancer chemotherapy. GMS Health Technol Assess 2:Doc18PubMedPubMedCentral
Zurück zum Zitat Lenartz D, Stoffel B, Menzel J, Beuth J (1996) Immunoprotective activity of the galactoside-specific lectin from mistletoe after tumor destructive therapy in glioma patients. Anticancer Res 16:3799–3802PubMed Lenartz D, Stoffel B, Menzel J, Beuth J (1996) Immunoprotective activity of the galactoside-specific lectin from mistletoe after tumor destructive therapy in glioma patients. Anticancer Res 16:3799–3802PubMed
Zurück zum Zitat Lenartz D, Dott U, Menzel J, Schierholz JM, Beuth J (2000) Survival of glioma patients after complementary treatment with galactoside-specific lectin from mistletoe. Anticancer Res 20:2073–2076PubMed Lenartz D, Dott U, Menzel J, Schierholz JM, Beuth J (2000) Survival of glioma patients after complementary treatment with galactoside-specific lectin from mistletoe. Anticancer Res 20:2073–2076PubMed
Zurück zum Zitat Melzer J, Iten F, Hostanska K, Saller R (2009) Efficacy and safety of mistletoe preparations (Viscum album) for patients with cancer diseases. A systematic review. Forschende Komplementarmedizin (2006) 16:217–226 Melzer J, Iten F, Hostanska K, Saller R (2009) Efficacy and safety of mistletoe preparations (Viscum album) for patients with cancer diseases. A systematic review. Forschende Komplementarmedizin (2006) 16:217–226
Zurück zum Zitat Ostermann T, Bussing A (2012) Retrolective studies on the survival of cancer patients treated with mistletoe extracts: a meta-analysis. Explore J Sci Heal 8:277–281 Ostermann T, Bussing A (2012) Retrolective studies on the survival of cancer patients treated with mistletoe extracts: a meta-analysis. Explore J Sci Heal 8:277–281
Zurück zum Zitat Ostermann T, Raak C, Bussing A (2009) Survival of cancer patients treated with mistletoe extract (Iscador): a systematic literature review. BMC Cancer 9:451CrossRefPubMedPubMedCentral Ostermann T, Raak C, Bussing A (2009) Survival of cancer patients treated with mistletoe extract (Iscador): a systematic literature review. BMC Cancer 9:451CrossRefPubMedPubMedCentral
Zurück zum Zitat Ott IM et al (2015) Attitude of oncology/hematology nurses from German speaking countries towards complementary and alternative medicine. Trace Elem Electrolytes 32:74–80CrossRef Ott IM et al (2015) Attitude of oncology/hematology nurses from German speaking countries towards complementary and alternative medicine. Trace Elem Electrolytes 32:74–80CrossRef
Zurück zum Zitat Piao BK, Wang YX, Xie GR, Mansmann U, Matthes H, Beuth J, Lin HS (2004) Impact of complementary mistletoe extract treatment on quality of life in breast, ovarian and non-small cell lung cancer patients. A prospective randomized controlled clinical trial. Anticancer Res 24:303–309PubMed Piao BK, Wang YX, Xie GR, Mansmann U, Matthes H, Beuth J, Lin HS (2004) Impact of complementary mistletoe extract treatment on quality of life in breast, ovarian and non-small cell lung cancer patients. A prospective randomized controlled clinical trial. Anticancer Res 24:303–309PubMed
Zurück zum Zitat Schierholz JM et al (2003) Complementary cancer therapy with standardized mistletoe extracts. Results of a controlled prospective multicentric randomized clinical trial. [German] Deutsche Zeitschrift fur Onkologie 35:186–194CrossRef Schierholz JM et al (2003) Complementary cancer therapy with standardized mistletoe extracts. Results of a controlled prospective multicentric randomized clinical trial. [German] Deutsche Zeitschrift fur Onkologie 35:186–194CrossRef
Zurück zum Zitat Schink M et al (2007) Mistletoe extract reduces the surgical suppression of natural killer cell activity in cancer patients. a randomized phase III trial. Forschende Komplementarmedizin (2006) 14:9–17 Schink M et al (2007) Mistletoe extract reduces the surgical suppression of natural killer cell activity in cancer patients. a randomized phase III trial. Forschende Komplementarmedizin (2006) 14:9–17
Zurück zum Zitat Semiglasov VF, Stepula VV, Dudov A, Lehmacher W, Mengs U (2004) The standardised mistletoe extract PS76A2 improves QoL in patients with breast cancer receiving adjuvant CMF chemotherapy: a randomised, placebo-controlled, double-blind multicentre clinical trial. Anticancer Res 24:1293–1302PubMed Semiglasov VF, Stepula VV, Dudov A, Lehmacher W, Mengs U (2004) The standardised mistletoe extract PS76A2 improves QoL in patients with breast cancer receiving adjuvant CMF chemotherapy: a randomised, placebo-controlled, double-blind multicentre clinical trial. Anticancer Res 24:1293–1302PubMed
Zurück zum Zitat Semiglasov VF, Stepula VV, Dudov A, Schnitker J, Mengs U (2006) Quality of life is improved in breast cancer patients by Standardised Mistletoe Extract PS76A2 during chemotherapy and follow-up: a randomised, placebo-controlled, double-blind multicentre clinical trial. Anticancer Res 26:1519–1529 Semiglasov VF, Stepula VV, Dudov A, Schnitker J, Mengs U (2006) Quality of life is improved in breast cancer patients by Standardised Mistletoe Extract PS76A2 during chemotherapy and follow-up: a randomised, placebo-controlled, double-blind multicentre clinical trial. Anticancer Res 26:1519–1529
Zurück zum Zitat Steuer-Vogt MK et al (2001) The effect of an adjuvant mistletoe treatment programme in resected head and neck cancer patients: a randomised controlled clinical trial European. J Cancer 37:23–31 Steuer-Vogt MK et al (2001) The effect of an adjuvant mistletoe treatment programme in resected head and neck cancer patients: a randomised controlled clinical trial European. J Cancer 37:23–31
Zurück zum Zitat Steuer-Vogt MK, Bonkowsky V, Scholz M, Fauser C, Licht K, Ambrosch P (2006) Influence of ML-1 standardized mistletoe extract on the quality of life in head and neck cancer patients. Hno 54:277–286CrossRefPubMed Steuer-Vogt MK, Bonkowsky V, Scholz M, Fauser C, Licht K, Ambrosch P (2006) Influence of ML-1 standardized mistletoe extract on the quality of life in head and neck cancer patients. Hno 54:277–286CrossRefPubMed
Zurück zum Zitat Thronicke A, Steele M, Grah C, Matthes B, Schad F (2017) Clinical safety of combinational therapy of immune checkpoint inhibitors and Viscum album L. in patients with advanced or metastasized cancer. Journal of Thorac Oncol 12(1 Supplement 1):S1295–S1296CrossRef Thronicke A, Steele M, Grah C, Matthes B, Schad F (2017) Clinical safety of combinational therapy of immune checkpoint inhibitors and Viscum album L. in patients with advanced or metastasized cancer. Journal of Thorac Oncol 12(1 Supplement 1):S1295–S1296CrossRef
Zurück zum Zitat Troger W (2011) Connection between quality of life and neutropenia in breast cancer patients who were solely treated with chemotherapy or additionally with mistletoe therapy: results of a randomized study. Deutsche Zeitschrift fur Onkologie [German] 43:58–67CrossRef Troger W (2011) Connection between quality of life and neutropenia in breast cancer patients who were solely treated with chemotherapy or additionally with mistletoe therapy: results of a randomized study. Deutsche Zeitschrift fur Onkologie [German] 43:58–67CrossRef
Zurück zum Zitat Troger W, Jezdic S, Zdrale Z, Tisma N, Hamre HJ, Matijasevic M (2009) Quality of life and neutropenia in patients with early stage breast cancer: a randomized pilot study comparing additional treatment with mistletoe extract to chemotherapy alone. Breast Cancer Basic Clin Res 3:35–45CrossRef Troger W, Jezdic S, Zdrale Z, Tisma N, Hamre HJ, Matijasevic M (2009) Quality of life and neutropenia in patients with early stage breast cancer: a randomized pilot study comparing additional treatment with mistletoe extract to chemotherapy alone. Breast Cancer Basic Clin Res 3:35–45CrossRef
Zurück zum Zitat Troger W, Zdrale Z, Stankovic N, Matijasevic M (2012) Five-year follow-up of patients with early stage breast cancer after a randomized study comparing additional treatment with Viscum album (L.) extract to chemotherapy alone. Breast Cancer Basic Clin Res 6:173–180. https://doi.org/10.4137/BCBCR.S10558 CrossRef Troger W, Zdrale Z, Stankovic N, Matijasevic M (2012) Five-year follow-up of patients with early stage breast cancer after a randomized study comparing additional treatment with Viscum album (L.) extract to chemotherapy alone. Breast Cancer Basic Clin Res 6:173–180. https://​doi.​org/​10.​4137/​BCBCR.​S10558 CrossRef
Zurück zum Zitat Troger W, Galun D, Reif M, Schumann A, Stankovic N, Milicevic M (2013) Viscum album [L.] extract therapy in patients with locally advanced or metastatic pancreatic cancer: a randomised clinical trial on overall survival European. J Cancer 49:3788–3797 Troger W, Galun D, Reif M, Schumann A, Stankovic N, Milicevic M (2013) Viscum album [L.] extract therapy in patients with locally advanced or metastatic pancreatic cancer: a randomised clinical trial on overall survival European. J Cancer 49:3788–3797
Zurück zum Zitat Troger W, Galun D, Reif M, Schumann A, Stankovic N, Milicevic M (2014a) Quality of life of patients with advanced pancreatic cancer during treatment with mistletoe: a randomized controlled trial. Deutsch Arzteblatt Int 111:493–502 Troger W, Galun D, Reif M, Schumann A, Stankovic N, Milicevic M (2014a) Quality of life of patients with advanced pancreatic cancer during treatment with mistletoe: a randomized controlled trial. Deutsch Arzteblatt Int 111:493–502
Zurück zum Zitat Troger W, Zdrale Z, Tisma N, Matijasevic M (2014b) Additional therapy with a mistletoe product during adjuvant chemotherapy of breast cancer patients improves quality of life: an open randomized clinical pilot trial. Evid Based Complement Altern Med eCAM 2014. https://doi.org/10.1155/2014/430518 CrossRef Troger W, Zdrale Z, Tisma N, Matijasevic M (2014b) Additional therapy with a mistletoe product during adjuvant chemotherapy of breast cancer patients improves quality of life: an open randomized clinical pilot trial. Evid Based Complement Altern Med eCAM 2014. https://​doi.​org/​10.​1155/​2014/​430518 CrossRef
Zurück zum Zitat Troger W, Zdrale Z, Stankovic N (2016) Five-Year follow-up of patients with early stage breast cancer after a randomized study with Viscum album (L.) extract. [German]. Deutsche Zeitschrift fur Onkologie 48:105–110CrossRef Troger W, Zdrale Z, Stankovic N (2016) Five-Year follow-up of patients with early stage breast cancer after a randomized study with Viscum album (L.) extract. [German]. Deutsche Zeitschrift fur Onkologie 48:105–110CrossRef
Metadaten
Titel
Mistletoe in oncological treatment: a systematic review
Part 1: survival and safety
verfasst von
M. Freuding
C. Keinki
O. Micke
J. Buentzel
Jutta Huebner
Publikationsdatum
23.01.2019
Verlag
Springer Berlin Heidelberg
Erschienen in
Journal of Cancer Research and Clinical Oncology / Ausgabe 3/2019
Print ISSN: 0171-5216
Elektronische ISSN: 1432-1335
DOI
https://doi.org/10.1007/s00432-018-02837-4

Weitere Artikel der Ausgabe 3/2019

Journal of Cancer Research and Clinical Oncology 3/2019 Zur Ausgabe

Adjuvante Immuntherapie verlängert Leben bei RCC

25.04.2024 Nierenkarzinom Nachrichten

Nun gibt es auch Resultate zum Gesamtüberleben: Eine adjuvante Pembrolizumab-Therapie konnte in einer Phase-3-Studie das Leben von Menschen mit Nierenzellkarzinom deutlich verlängern. Die Sterberate war im Vergleich zu Placebo um 38% geringer.

Alectinib verbessert krankheitsfreies Überleben bei ALK-positivem NSCLC

25.04.2024 NSCLC Nachrichten

Das Risiko für Rezidiv oder Tod von Patienten und Patientinnen mit reseziertem ALK-positivem NSCLC ist unter einer adjuvanten Therapie mit dem Tyrosinkinase-Inhibitor Alectinib signifikant geringer als unter platinbasierter Chemotherapie.

Bei Senioren mit Prostatakarzinom auf Anämie achten!

24.04.2024 DGIM 2024 Nachrichten

Patienten, die zur Behandlung ihres Prostatakarzinoms eine Androgendeprivationstherapie erhalten, entwickeln nicht selten eine Anämie. Wer ältere Patienten internistisch mitbetreut, sollte auf diese Nebenwirkung achten.

ICI-Therapie in der Schwangerschaft wird gut toleriert

Müssen sich Schwangere einer Krebstherapie unterziehen, rufen Immuncheckpointinhibitoren offenbar nicht mehr unerwünschte Wirkungen hervor als andere Mittel gegen Krebs.

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.