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Protective effect of hydrogen-rich water on liver function of colorectal cancer patients treated with mFOLFOX6 chemotherapy

Yang Q, Ji G, Pan R, Zhao Y, Yan P. · Molecular and Clinical Oncology. 2017;7(5):891–896.

HumanH₂-rich waterPublished 2017Source checked
Study record, not medical adviceThis record reports what the source states. It is not medical advice and does not establish that molecular hydrogen is effective, safe or appropriate for any person.
Quick summary

Study at a glance

Evidence type

Human

Population or model

Adults with colorectal cancer receiving mFOLFOX6 chemotherapy.

Intervention and dose

1,000 mL/day hydrogen-rich water in four 250 mL portions, beginning the day before chemotherapy and continuing for four days in each treatment cycle. · The article reports a drinking-water dissolved-H₂ range of 0.27–0.4 ppm after preparation with 99.999% H₂.

Duration

Four days around each chemotherapy treatment; liver tests were evaluated on day 10.

Reported result

ALT, AST and indirect bilirubin increased from baseline in the placebo group but not significantly in the hydrogen-water group. Between-group change comparisons favored hydrogen-rich water for ALT (p=0.04), AST (p=0.032) and indirect bilirubin (p=0.046); alkaline phosphatase and direct bilirubin did not show a significant protective difference. Tumor response, quality of life, progression-free survival and overall survival were not assessed.

Main limitation

Eight randomized participants were excluded from the final analysis. Allocation-sequence and concealment details were not reported, blinding was single rather than double, and no trial registration was printed. Outcomes were short-term laboratory markers, not cancer-control or survival outcomes. The accessible article did not print a funding or competing-interest statement; Hydrogenology does not infer absence of funding or conflicts.

Evidence and classification

What kind of evidence is this?

Evidence type

Human

Reported design

Controlled randomized single-blind clinical trial

Research topic

Cancer research

Administration form

H₂-rich water

Information not yet classified

Some editorial classification fields are still pending. The source-reported outcomes and result are shown below; Hydrogenology does not infer a positive or negative signal from prose automatically.

Reported in the source

Methods

Population or model

Adults with colorectal cancer receiving mFOLFOX6 chemotherapy.

Sample

152 recruited, 146 eligible and 144 randomized: 80 to hydrogen-rich water and 64 to placebo water. The final analysis included 136 participants (76 and 60, respectively).

Duration

Four days around each chemotherapy treatment; liver tests were evaluated on day 10.

Intervention

1,000 mL/day hydrogen-rich water in four 250 mL portions, beginning the day before chemotherapy and continuing for four days in each treatment cycle.

Hydrogen form

H₂ dissolved in drinking water — H₂ only, not Brown's gas.

Dose or H₂ specification

The article reports a drinking-water dissolved-H₂ range of 0.27–0.4 ppm after preparation with 99.999% H₂.

Comparator

Distilled placebo water plus the same mFOLFOX6 chemotherapy.

Reported, not endorsed

Outcomes and reported result

Outcomes measured

Alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase, direct bilirubin and indirect bilirubin.

Reported result

ALT, AST and indirect bilirubin increased from baseline in the placebo group but not significantly in the hydrogen-water group. Between-group change comparisons favored hydrogen-rich water for ALT (p=0.04), AST (p=0.032) and indirect bilirubin (p=0.046); alkaline phosphatase and direct bilirubin did not show a significant protective difference. Tumor response, quality of life, progression-free survival and overall survival were not assessed.

Extraction completeness

The complete PubMed Central article, participant flow, preparation method, figures and both significant and non-significant liver tests were checked.

A reported association, difference or mechanism is not automatically a clinical benefit.

Interpretation limits

Limitations and applicability

Main methodological cautions

Eight randomized participants were excluded from the final analysis. Allocation-sequence and concealment details were not reported, blinding was single rather than double, and no trial registration was printed. Outcomes were short-term laboratory markers, not cancer-control or survival outcomes. The accessible article did not print a funding or competing-interest statement; Hydrogenology does not infer absence of funding or conflicts.

Applies directly to

Short-term liver-test changes during mFOLFOX6 in the studied colorectal-cancer population; not evidence that H₂ treats colorectal cancer.

No single-study GRADE certainty rating is assigned. Read how records and evidence assessments are prepared.

Sources and status

Sources and record status

Identifiers

PMID: 29142752 · DOI: 10.3892/mco.2017.1409

Publisher access

Free full article on PubMed Central.

Extraction basis

PubMed metadata and complete PubMed Central article; full-text extraction checked 8 August 2026.

Last reviewed

10 August 2026

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