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April 24, 2026Supportive Care in Cancer0 citationsOpen Access

Predictive biomarkers of placebo response in patients with cancer: an exploratory analysis of the ABCD randomized clinical trial

DHDavid HuiKJKristofer JenningsAOAmy Ontai

Key Points

  • To explore how baseline cytokine levels influence the placebo response in cancer patients.
  • Exploratory analysis of data from the ABCD randomized clinical trial
  • Analysis of baseline cytokine levels and reported symptoms
  • Focus on the relationship between inflammation and placebo response.
  • Patients with high baseline cytokine levels reported lower placebo responses for multiple symptoms.
  • Findings suggest potential changes in clinical trial design regarding patient selection and interventional controls.
  • Further research is warranted to investigate the mechanistic links between inflammation and placebo effects.

Abstract

Our preliminary findings suggest patients with high baseline cytokine levels may be less likely to report placebo response for multiple symptoms. Upon further confirmation, these findings may have implications for future clinical trial design. In this exploratory analysis, we observed that patients with cancer were less likely to report placebo response for multiple symptoms if they had higher levels of baseline cytokines. These preliminary findings have important potential implications for placebo-controlled clinical trials, including patient selection, design of interventional controls, and trial interpretation. Additionally, they invite further research on possible mechanistic links between inflammation and placebo effect.

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Cite This Study

Hui et al. (2026) studied this question.

synapsesocial.com/papers/69eb0cb2553a5433e34b5a86https://doi.org/10.1007/s00520-026-10689-9
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