Study of Berberine Hydrochloride in Prevention of Colorectal Adenomas Recurrence

NCT ID: NCT02226185

Last Updated: 2019-03-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

1108 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-11-30

Study Completion Date

2018-12-29

Brief Summary

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Berberine hydrochloride is a conventional component in Chinese medicine. In recent years, anticancer activity of berberine hydrochloride have been explored. The aim of this study is to investigate the effect of berberine hydrochloride on the recurrence of colorectal adenomas.

Detailed Description

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Colorectal adenomas are well-known to be precancerous lesions that develop into colorectal cancers on the basis of the adenoma-carcinoma sequence. The effects of screening for colorectal adenomas and removing precancerous lesions on the prevention of colorectal cancer have been established. Because of the high recurrence rates of colorectal adenomas in patients who have undergone polypectomy, the potential chemopreventive agents that may reduce the risk of colorectal adenoma recurrence need to be investigated.

Berberine hydrochloride is a conventional component in Chinese medicine. In recent years, anticancer activity of berberine hydrochloride have been explored. The aim of this study is to investigate the effect of berberine hydrochloride on the recurrence of colorectal adenomas by conducting a randomized, placebo-controlled, prospective clinical.

Conditions

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Colorectal Adenoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Berberine hydrochloride

supplement of Berberine hydrochloride 0.3g two times per day for 2-3 years

Group Type EXPERIMENTAL

Berberine hydrochloride

Intervention Type DRUG

supplement of Berberine hydrochloride 0.3g two times per day for 2-3 years

placebo

identical-appearing placebo supplements for 2-3 years

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

supplement of placebo two times per day for 2-3 years

Interventions

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Berberine hydrochloride

supplement of Berberine hydrochloride 0.3g two times per day for 2-3 years

Intervention Type DRUG

placebo

supplement of placebo two times per day for 2-3 years

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Individuals aged 18-75 years
* Individuals who had at least one and no more than 6 histologically confirmed CRAs removed within 6 months before recruitment
* Individuals who are able to swallow pills

Exclusion Criteria

* Individuals whose adenoma was not completely removed during previous colonoscopy
* Individuals with a history of familial adenomatous polyposis (FAP) or hereditary non-polyposis colorectal cancer (HNPCC, Lynch syndrome)
* Individuals who are taking regularly aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), cyclo-oxygenase 2 (COX2) inhibitors, calcium or vitamin D
* Individuals with a history of subtotal/total gastrectomy or partial bowel resection
* Individuals who are intolerant to another colonoscopy examination
* Individuals who are hypersensitive or intolerant to the drugs
* Individuals with severe heart, liver or kidney disease, or any cancer history
* Individuals presenting severe constipation
* Pregnant women, women during breast-feeding period, or women with expect pregnancy
* Individuals with mental diseases who are not able to cooperate
* Individuals who are involved in designing, planning or performing this trial
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Jiao Tong University School of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Jing-yuan Fang, MD, Ph. D

Director of Department of Gastroenterology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jing-Yuan Fang, M.D., Ph.D

Role: PRINCIPAL_INVESTIGATOR

Shanghai Jiao Tong University School of Medicine

Locations

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Department of Gastroenterology, the Seventh Medical Center of PLA General Hospital

Beijing, Beijing Municipality, China

Site Status

Department of Gastroenterology, Zhongshan Hospital, Xiamen University

Xiamen, Fujian, China

Site Status

Department of Gastroenterology, Nanfang Hospital, Southern Medical Univerisity

Guangdong, Guangzhou, China

Site Status

Division of Gastroenterology and Hepatology, The Affiliated DrumTower of Nanjing University Medical School

Nanjing, Jiangsu, China

Site Status

Division of Gastroenterology and Hepatology, Ren-Ji Hospital, Shanghai Jiao-Tong University School of Medicine, Shanghai Institute of Digestive Disease; Key Laboratory of Gastroenterology & Hepatology, Ministry of Health

Shanghai, Shanghai Municipality, China

Site Status

Department of Gastroenterology, the Shanghai Tenth People's Hospital, Tongji University

Shanghai, Shanghai Municipality, China

Site Status

Department of Gastroenterology and Hepatology, General Hospital, Tianjin Medical University

Tianjin, Tianjin Municipality, China

Site Status

Countries

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China

References

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Qian Y, Kang Z, Zhao L, Chen H, Zhou C, Gao Q, Wang Z, Liu Q, Cui Y, Li X, Chen Y, Zou T, Fang J. Berberine might block colorectal carcinogenesis by inhibiting the regulation of B-cell function by Veillonella parvula. Chin Med J (Engl). 2023 Nov 20;136(22):2722-2731. doi: 10.1097/CM9.0000000000002752. Epub 2023 Aug 9.

Reference Type DERIVED
PMID: 37553874 (View on PubMed)

Chen YX, Gao QY, Zou TH, Wang BM, Liu SD, Sheng JQ, Ren JL, Zou XP, Liu ZJ, Song YY, Xiao B, Sun XM, Dou XT, Cao HL, Yang XN, Li N, Kang Q, Zhu W, Xu HZ, Chen HM, Cao XC, Fang JY. Berberine versus placebo for the prevention of recurrence of colorectal adenoma: a multicentre, double-blinded, randomised controlled study. Lancet Gastroenterol Hepatol. 2020 Mar;5(3):267-275. doi: 10.1016/S2468-1253(19)30409-1. Epub 2020 Jan 8.

Reference Type DERIVED
PMID: 31926918 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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RJ2014BH

Identifier Type: -

Identifier Source: org_study_id

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