❌

Normal view

Effect of the Maxing Huoqiao granule on nonsevere community-acquired pneumonia: A multicenter, double-blind, placebo-controlled randomized trial

Pharmacol Res. 2026 Apr 9:108186. doi: 10.1016/j.phrs.2026.108186. Online ahead of print.

ABSTRACT

Community-acquired pneumonia (CAP) remains a major global public health challenge with substantial morbidity and mortality. Although preclinical studies suggest that Maxing Huoqiao (MXHQ) granule may have therapeutic potential for pneumonia, high-quality clinical evidence is still limited. We conducted a multicenter, double-blind, randomized, placebo-controlled trial at two tertiary hospitals in China to evaluate the clinical efficacy of MXHQ as adjunctive therapy and to explore its potential mechanisms in adults with nonsevere CAP receiving standard moxifloxacin treatment. A total of 96 patients were enrolled and randomized (1:1:1) to receive standard-dose MXHQ, low-dose MXHQ, or placebo in addition to moxifloxacin for 7 days, with a 14-day follow-up. The primary endpoint was clinical cure, defined as composite recovery of major respiratory symptoms, lung rales, and fever; secondary endpoints included symptom relief, radiographic improvement, and safety. Compared with placebo, standard-dose MXHQ was associated with a higher day-14 clinical cure rate (30.78% vs. 68.97%; RR = 0.45, 95% CI = 0.24-0.83; P < 0.01). Furthermore, the standard-dose intervention was correlated with a shorter time to relief and recovery of cough and sputum (P < 0.05), as well as improvements in symptom scores (P < 0.05) and promoting lesion absorption on chest CT (P < 0.05). Low-dose MXHQ showed no significant clinical benefit, whereas safety profiles were comparable across all groups. Transcriptomic analyses of peripheral blood mononuclear cells, complemented by a Streptococcus pneumonia animal model, indicated that the clinical benefits of MXHQ are linked to the modulation of inflammation and innate immunity. These omics and in vivo observations suggest a potential mechanism underlying the protective effects of MXHQ against inflammatory injury and promotion of tissue repair, involving the regulation of anti-inflammatory mediators and tissue repair-related factors. (Chictr.org.cn, ID Number: ChiCTR2400082095).

PMID:41966499 | DOI:10.1016/j.phrs.2026.108186

AuTAgent: A Reinforcement Learning Framework for Tool-Augmented Audio Reasoning

arXiv:2602.13685v1 Announce Type: cross Abstract: Large Audio Language Models (LALMs) excel at perception but struggle with complex reasoning requiring precise acoustic measurements. While external tools can extract fine-grained features like exact tempo or pitch, effective integration remains challenging: naively using all tools causes information overload, while prompt-based selection fails to assess context-dependent utility. To address this, we propose AuTAgent (Audio Tool Agent), a reinforcement learning framework that learns when and which tools to invoke. By employing a sparse-feedback training strategy with a novel Differential Reward mechanism, the agent learns to filter out irrelevant tools and invokes external assistance only when it yields a net performance gain over the base model. Experimental results confirm that AuTAgent complements the representation bottleneck of LALMs by providing verifiable acoustic evidence. It improves accuracy by 4.20% / 6.20% and 9.80% / 8.00% for open-source and closed-source backbones on the MMAU Test-mini and the MMAR benchmarks, respectively. In addition, further experiments demonstrate exceptional transferability. We highlight the complementary role of external tools in augmenting audio model reasoning.
❌