title: Cyproheptadine use in hepatocellular carcinoma.
abstract: This study was conducted to compare the effectiveness of Cyproheptadine (CY) use in patients with different stages of HCC who received different therapeutic modalities; such a comparison has not been conducted by previous large, prospective, randomized studies. We conducted a cohort study using the Taiwan Cancer Registry Database for analysis. We included patients diagnosed as having HCC from January 1, 2002, to December 31, 2011. The patient cohort comprised those who received different treatments, and we compared patients who received CY with those who did not. In total, 70,885 patients were included, and the mean follow-up duration was 1.95 years. The adjusted hazard ratio (aHR) of all-cause deaths significantly decreased in all stages in the patients who received palliative treatments with CY use compared with those who received palliative treatments without CY use (allP< 0.0001 and aHR = 0.76, 0.80, 0.66, and 0.66 for stages I, II, III, and IV, respectively). Among the patients who received no treatment, CY use alone reduced the risk of all-cause deaths in stages I-IV (allP< 0.0001 and aHR = 0.61, 0.57, 0.54, and 0.52 for stages I, II, III, and IV, respectively). Among the patients with clinical stage I-II HCC (as determined by the American Joint Committee on Cancer) who received curative treatments, CY use did not reduce all-cause deaths. CY use might improve survival in patients with HCC receiving palliative treatments or no treatment regardless of clinical stages.
authors.affiliation: Department of General Surgery, Wan Fang Hospital, Taipei Medical University Taipei, Taiwan.
authors.forename: Mao-Chih
authors.initials: MC
authors.lastname: Hsieh
authors.affiliation: Division of Pathology, Shuang-Ho Hospital, Taipei Medical University New Taipei City, Taiwan.
authors.forename: Wei-Hua
authors.initials: WH
authors.lastname: Lee
authors.affiliation: The Ph.D. Program for Translational Medicine, Taipei Medical University Taipei, Taiwan.
authors.forename: Alexander Th
authors.initials: AT
authors.lastname: Wu
authors.affiliation: Department of Hemato-Oncology, Wan Fang Hospital, Taipei Medical University Taipei, Taiwan.
authors.forename: Jyh-Ming
authors.initials: JM
authors.lastname: Chow
authors.affiliation: Department of Hemato-Oncology, Wan Fang Hospital, Taipei Medical University Taipei, Taiwan.
authors.forename: Chia-Lun
authors.initials: CL
authors.lastname: Chang
authors.affiliation: Department of Otorhinolaryngology, Wan Fang Hospital, Taipei Medical University Taipei, Taiwan.
authors.forename: Kevin Sheng-Po
authors.initials: KS
authors.lastname: Yuan
authors.affiliation: Department of Radiation Oncology, Wan Fang Hospital, Taipei Medical UniversityTaipei, Taiwan; Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical UniversityTaipei, Taiwan.
authors.forename: Szu-Yuan
authors.initials: SY
authors.lastname: Wu
keywords: Cyproheptadine; HCC; curative treatments; palliative treatments; stages