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Table 3 Controlled Clinical Studies on VAE Treatment in Breast and Gynaecological Cancer: Survival

From: Viscum album L. extracts in breast and gynaecological cancers: a systematic review of clinical and preclinical research

Site

Stage

Intervention (evaluable patients)

Survival Outcomes

Author, year, reference

   

Years (median)

Hazard ratio

5-year survival and others

P-value

95% CI

 

Randomized controlled trials

Breast

T1a-3, N0, M0

Iscador (38)

14.8

0.65

 

0.2

0.34–1.25

Grossarth 2006a [52, 53, 135]

  

None (38)

13.8

     
 

IIIA–IIIB

Iscador (17)

6.3

0.46

 

0.13

0.16–1.31

Grossarth 2001a [59, 135, 166]

  

None (17)

2.3

     
 

T1-3, N0-3, M0, local recurrence

Surgery, radiationI, Helixor (192)

Not applicableII

 

69.1% 5-year survival

0.048

 

Gutsch 1988 [62]

  

Surgery, radiationI, CMF (177)

  

67.7% 5-year survival

0.025

  
  

Surgery, radiationI (274)

  

59.7% 5-year survival

   

Breast, others

All stages

Iscador (39)

3.5 (mean)

  

0.04

 

Grossarth 2001b [59]

  

None (39)

2.5 (mean)

     

Cervix

IVA-B

Iscador (19)

1.83

0.46

 

0.12

0.18–1.21

Grossarth 2007c [51]

  

None (19)

1.92

     

Uterus

IA-C

Iscador (30)

6.29

0.36

 

0.014

0.16–0.82

Grossarth 2008a [49]

  

None (30)

5.17

     
 

IVA-B

Iscador (26)

1.5

1

 

0.99

0.46–2.16

Grossarth 2008b [49]

  

None (26)

2.0

     

Ovary

IA–IC

Iscador (21)

6.75

0.40

 

0.058

0.15–1.03

Grossarth 2007a [50]

  

None (21)

5.58

     
 

IV

Iscador (20)

2.75

0.33

 

0.033

0.12–0.92

Grossarth 2007b [50]

  

None (20)

1.58

     

Non-randomized controlled studies

Breast

T1-3, N0, M0

Iscador (84)III

11.75

0.42

 

0.0002

0.27–0.68

Grossarth 2006b [52, 53, 135]

  

None (84)

10.13

     
 

Local recurrence, N0, M0

Iscador (29)IV

5.17

  

0.0025

 

Grossarth 2001b [59, 135]

  

None (29)

4.33

     
 

T1-4, N>1, M0

Iscador (38)IV

4.04

  

0.0516

 

Ø same study

  

None (38)

3.17

     
 

TX, NX, M1

Iscador (53)IV

3.08

  

0.0056

 

Ø same study

  

None (53)

2.17

     
 

I–III

Iscador, (76)

  

29% alive 1985, after 11–14 years

not shown

 

Salzer 1987 [66]

  

Radiation, hormone (79)

  

24% alive 1985, after 11–14 years

   

Cervix

IB-IVA

Iscador (102)III

7.17

0.41

 

<0.0001

0.27–0.63

Grossarth 2007f [51]

  

None (102)

5.92

     
 

IV

Iscador (66)III

2.33

0.54

 

0.015

0.32–0.89

Grossarth 2007g [51]

  

None (66)

1.83

     
 

I–III

Radiation, Iscador (81)

  

83% 5-year survival

0.05

 

Fellmer 1966 [67]

  

Radiation (709)

  

69% 5-year survival

   

Uterus

IIIA–IVB

Iscador (95)III

2.75

0.61

 

0.023

0.39–0.93

Grossarth 2008c [49]

  

None (95)

1.67

     
 

IA-C

Iscador (103)III

8.75

0.41

 

<0.0001

0.26–0.63

Grossarth 2008d [49]

  

None (103)

6.67

     

Ovary

IA–IC

Iscador (75)III

6.83

0.47

 

0.0002

0.31–0.69

Grossarth 2007d [50]

  

None (75)

5.83

     
 

IV

Iscador (62)III

1.79

0.62

 

0.077

0.37–1.05

Grossarth 2007e [50]

  

None (62)

1.17

     

Genital

All stages

SurgeryI, radiationI, Iscador (155)

  

Disease-specific survival partly improved

not shown

 

Majewski 1963 [68]

  

SurgeryI, radiationI,(not shown)

      

Retrolective pharmaco-epidemiological cohort studies

Breast

I–III

Conventional therapy, Iscador (710)

 

0.46

 

0.038

0.22–0.96

Bock 2004 [70]

  

Conventional therapy (732)

      
 

I–IV

Conventional therapy, Eurixor (219)

  

No difference observedV

  

Schumacher 2003 [71, 72]

  

Conventional therapy (470)

      
  1. I Co-intervention (i.e. radiation) applied to part of the group
  2. II Not applicable since more than 50% alive at study termination
  3. III Data from complete set of patient pairs reported
  4. IV Data only from patient pairs with strict matching reported
  5. V No difference could be found due to limited observation time (median < 10 months)
  6. CMF: Cyclophosphamide, methotrexate, 5-fluorouracil
  7. P-value, 95% CI (confidence interval): Statistical significance of difference between mistletoe (or other verum) and control group.