Clinical Trial on Palliative Cancer Patients With Constipation

NCT ID: NCT02795390

Last Updated: 2018-08-08

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

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-11-30

Study Completion Date

2018-08-31

Brief Summary

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It is a double-blinded, randomized, placebo-controlled trial for advanced cancer patients with constipation. 60 patients will be randomly assigned to have individualized herbal intervention (treatment group) or placebo (control group) in 1:1 ratio. For the treatment group, MaZiRenWan 10g plus HuangQi 20g are chosen as the core prescription. Furthermore, six herbal granules can be added according to the syndrome differentiated for individual participant. Placebo is made from dextrin (76.03%), tea essence (23.61%), gardenin (0.02%), and caramel (0.34%) to achieve color, smell, taste, and texture comparable to the herbal granules. Patients are instructed to dissolve the granules in 150ml of hot water, twice daily for two weeks. The primary end point is the global symptom improvement. Secondary outcome measures include stool frequency, stool form, use of rescue herbal granules, constipation visual analogue scale (CVAS) (0=none to 7=most severe) and individual assessment of constipation related symptoms. For the safety profiles of herbal intervention, the important adverse events reported and clinical laboratory evaluations of liver and renal function are determined.

Detailed Description

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Conditions

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Constipation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Chinese herbal medicine

MaZiRenWan 10g plus HuangQi 20g are chosen as the core prescription. Furthermore, six herbal granules can be added according to the syndrome differentiated for individual participant. They are ShuDiHuang 15g and Danggui 10g for deficiency of blood, Maidong 15g and ShengDiHuang 10g for deficiency of Yin, and RouCongRong 15g and Niuxi 10g for deficiency of Yang.

Group Type EXPERIMENTAL

Chinese herbal medicine

Intervention Type DRUG

Placebo

Placebo is made from dextrin (76.03%), tea essence (23.61%), gardenin (0.02%), and caramel (0.34%) to achieve color, smell, taste, and texture comparable to the herbal granules.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Interventions

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Chinese herbal medicine

Intervention Type DRUG

Placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Severity of constipation \> 3 points (an 8-point scale from 0 to 7)
* Palliative Performance Scale ≥60%
* Relatively stable liver and renal function within 3 months
* Patients who can read and speak Chinese

Exclusion Criteria

* Inability to communicate
* Presence of a colostomy, or gastrointestinal obstruction
* Presence of loose or watery stool (Bristol stool scale 6-7) or bowel movement \> 3/day under routine laxative treatment
* History of Chinese herbal medicine allergies
* Estimated life expectancy less than 1 month
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Caritas Medical Centre, Hong Kong

OTHER

Sponsor Role collaborator

Yan Chai Hospital

OTHER

Sponsor Role collaborator

Our Lady of Maryknoll Hospital

OTHER

Sponsor Role collaborator

Hong Kong Buddhist Hospital

OTHER

Sponsor Role collaborator

Hospital Authority, Hong Kong

OTHER_GOV

Sponsor Role collaborator

Hong Kong Baptist University

OTHER

Sponsor Role lead

Responsible Party

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ZhaoXiang Bian

Chair Professor, Director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Zhao-xiang Bian, PhD

Role: PRINCIPAL_INVESTIGATOR

Hong Kong Baptist University

Locations

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Caritas Medical Centre

Hong Kong, , Hong Kong

Site Status

Hong Kong Buddhist Hospital

Hong Kong, , Hong Kong

Site Status

Our Lady of Maryknoll Hospital

Hong Kong, , Hong Kong

Site Status

Countries

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Hong Kong

References

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Cheng CW, Mok HF, Yau CWS, Chan JTM, Kang YC, Lam PY, Zhong LLD, Zhao C, Ng BFL, Kwok AOL, Tse DMW, Bian ZX. A pilot randomized placebo-controlled study on modified MaZiRenWan: a formulated Chinese medicine to relieve constipation for palliative cancer patients. Chin Med. 2022 Mar 2;17(1):31. doi: 10.1186/s13020-022-00580-0.

Reference Type DERIVED
PMID: 35236375 (View on PubMed)

Other Identifiers

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HKBU/KWC/PC2014

Identifier Type: -

Identifier Source: org_study_id

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