Herbal Treatment to Improve Chemotherapy Delivery

NCT ID: NCT03716518

Last Updated: 2021-01-12

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-12-12

Study Completion Date

2021-05-31

Brief Summary

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This study is designed to:(1) determine the efficacy of Traditional Chinese Medicine (TCM) 'Tonifying Spleen and Kidney Sequential Regimen' (TSKSR) in improving the completion rate of 8-cycle CapeOX chemotherapy in patients with stage II (high-risk)\& III colon cancer;(2) evaluate the efficacy of the TCM-TSKSR on adverse events of CapeOX chemotherapy and it's impact on patients' quality of life (QoL).A randomized,double-blinded,placebo-controlled clinical trial including seven centers will be conducted in Mainland China.The study will enroll patients with stage II (high-risk)\& III colon cancer who have completed radical surgery and are going to receive CapeOX chemotherapy.All participants will receive chemotherapy as prescribed by their treating physicians and be randomly assigned to either concurrent use of TCM-TSKSR or placebo.

Detailed Description

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CapeOX chemotherapy is a combination therapy of Oxaliplatin 130mg/m\^2 IV on 1st day and Capecitabine 1000mg/m\^2 PO twice daily from 1th day to 14th day,21 days for each course of treatment.Adverse effects of chemotherapy,such as myelosuppression and gastrointestinal reactions,may lead to dose reductions,treatment delays or even discontinuation among cancer patients. According to IDEA study,the completion rate of 8-cycle CapeOX chemotherapy in colorectal cancer patients is 64%,which means that nearly 4 in 10 patients could not complete adjuvant chemotherapy as planned,which may negatively impact patients' survival outcomes.Some prior studies have shown that TCM can improve patients' symptom control and QoL during adjuvant chemotherapy,which may further improve the completion of adjuvant chemotherapy. However,there is a lack of definitive evidence to evaluate the effects of TCM in stage II(high-risk)\& III colon cancer patients who receive adjuvant chemotherapy after radical surgery.The study will be conducted between 2018 and 2021.Four hundred participants will be enrolled and randomly assigned to either the experimental group or the control group.

Conditions

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Colon Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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TCM group

Tonifying Spleen and Kidney Sequential Regimen(TSKSR) will be prescribed to the participants in each course of chemotherapy.

Group Type EXPERIMENTAL

Tonifying Spleen and Kidney Sequential Regimen

Intervention Type DRUG

TSKSR will be given to the participants as follows:Liu-jun-an-wei Granule,1 pack each time,twice a day,PO,from 0 to 6th day of chemotherapy and Qi-tu-er-zhi Granule,1 pack each time,twice a day,PO,from 7th to 20th day of chemotherapy.

Placebo group

Placebo of Tonifying Spleen and Kidney Sequential Regimen(TSKSR)similar in color,smell and texture with TSKSR will be prescribed to participants in each course of chemotherapy.

Group Type PLACEBO_COMPARATOR

Placebo of 'Tonifying Spleen and Kidney Sequential Regimen

Intervention Type DRUG

Placebo of TCM-TSKSR will be given to the participants as follows:placebo of Liu-jun-an-wei Granule,1 pack each time,twice a day,PO,from 0 to 6th day of chemotherapy and placebo of Qi-tu-er-zhi Granule,1 pack each time,twice a day,from 7th to 20th day of chemotherapy.

Interventions

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Tonifying Spleen and Kidney Sequential Regimen

TSKSR will be given to the participants as follows:Liu-jun-an-wei Granule,1 pack each time,twice a day,PO,from 0 to 6th day of chemotherapy and Qi-tu-er-zhi Granule,1 pack each time,twice a day,PO,from 7th to 20th day of chemotherapy.

Intervention Type DRUG

Placebo of 'Tonifying Spleen and Kidney Sequential Regimen

Placebo of TCM-TSKSR will be given to the participants as follows:placebo of Liu-jun-an-wei Granule,1 pack each time,twice a day,PO,from 0 to 6th day of chemotherapy and placebo of Qi-tu-er-zhi Granule,1 pack each time,twice a day,from 7th to 20th day of chemotherapy.

Intervention Type DRUG

Other Intervention Names

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TSKSR Placebo of TSKSR

Eligibility Criteria

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Inclusion Criteria

* Patient with pathological diagnosis of colon cancer; no residual tumor at the resection margin.
* tumor-node-metastasis(TNM)Stage II (high-risk)or III colon cancer according to 8th edition of American Joint Committee on Cancer(AJCC)Staging Manual. High-risk stage II disease is characterized by at least one of the following:

1. T4 tumor,
2. inadequately sampled nodes (\<12 lymph nodes),
3. clinical presentation with bowel obstruction or perforation,
4. poorly differentiated histology ,exclusive of those cancers that are High degree of microsatellite instability(MSI-H),
5. lymphovascular invasion,perineural invasion(PNI).
* Underwent radical surgery no more than six weeks ago and plan to start chemotherapy.
* Have not been enrolled in other therapeutic clinical trials within the near 30 days.
* Age between 18 to 75 years; All genders; Eastern Cooperative Oncology Group - performance status(ECOG-PS)from 0 to 2; Women who are pregnant, lactating or of reproductive age are not eligible, while those of reproductive age using secure contraceptives are eligible.
* No history of previous malignancy other than adequately treated in situ carcinoma of the uterine cervix or basal or squamous cell carcinoma of the skin, unless there has been a disease-free interval of at least 5 years.
* Laboratory testing: blood routine examination: WBC≥3.5×109/L,NEUT≥1.5×109/L,PLT≥100×109/L,HGB≥90g/L;biochemical tests:TBIL≤1.5×ULN,AST(SGOT),ALT(SGPT)≤2.5×ULN,Scr≤1.5×ULN;CEA after surgery was normal.
* Consented.
* Agree not to be enrolled in other interventional studies during the research.

Exclusion Criteria

* Patients not suitable for chemotherapy of CapeOX ,which will be determined by the investigator or the attending physician.
* Clinically relevant cardiovascular and/or cerebrovascular disease,active hepatitis,severe abnormalities in liver/ renal function tests.
* Known allergy to any of the components of study drug.
* Those who cannot take the study drug orally because of bowel obstruction and/or require for peripheral vein nutrition.
* Malabsorption or diseases that affect the absorption.
* Unstable situations or situations that may endanger the safety of patients and their compliance, such as severe mental illness,schizophrenia.
* Colostomy
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Beijing University of Chinese Medicine

OTHER

Sponsor Role collaborator

Peking University Third Hospital

OTHER

Sponsor Role collaborator

Beijing Chao Yang Hospital

OTHER

Sponsor Role collaborator

Jiangsu Province Hospital of Traditional Chinese Medicine

OTHER

Sponsor Role collaborator

Shanghai Zhongshan Hospital

OTHER

Sponsor Role collaborator

Guangdong Provincial Hospital of Traditional Chinese Medicine

OTHER

Sponsor Role collaborator

Tianjin Union Medical Center

OTHER

Sponsor Role collaborator

Henan Provincial People's Hospital

OTHER

Sponsor Role collaborator

Zhengzhou Hospital of Traditional Chinese Medicine

OTHER

Sponsor Role collaborator

Peking University Cancer Hospital & Institute

OTHER

Sponsor Role collaborator

Chongqing University Cancer Hospital

OTHER

Sponsor Role collaborator

Civil Aviation General Hospital

OTHER

Sponsor Role collaborator

Xiyuan Hospital of China Academy of Chinese Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Yufei Yang, M.D.

Role: PRINCIPAL_INVESTIGATOR

Xi-Yuan Hospital, China Academy of Chinese Medical Sciences

Locations

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Beijing Chao Yang Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Civil Aviation General Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Oncology Department of Xiyuan Hospital of China Academy of Chinese Medical Sciences

Beijing, Beijing Municipality, China

Site Status RECRUITING

Beijing Cancer Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Chongqing University Cancer Hospital

Chongqing, Chongqing Municipality, China

Site Status RECRUITING

Guangdong Provincial Hospital of Traditional Chinese Medicine

Guangdong, Guangzhou, China

Site Status RECRUITING

The Third People's Hospital of Zhengzhou

Zhengzhou, Henan, China

Site Status RECRUITING

Henan Provincial People's Hospital

Zhengzhou, Henan, China

Site Status RECRUITING

Zhengzhou Hospital of Traditional Chinese Medicine

Zhengzhou, Henan, China

Site Status RECRUITING

Jiangsu Province Hospital of Traditional Chinese Medicine

Nanjing, Jiangsu, China

Site Status RECRUITING

Shanghai Zhongshan Hospital

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Tianjin Union Medical Center

Tianjin, Tianjin Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Yufei Yang, M.D.

Role: CONTACT

8613701366913

Yun Xu, M.D.

Role: CONTACT

8615210775378

Facility Contacts

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Minzhe Li, M.D.

Role: primary

Jianping Cheng

Role: primary

Yun Xu, M.D.

Role: primary

86 10 62835355

Yufei Yang, M.D.

Role: backup

86 10 62835355

Aiwen Wu, M.D.

Role: primary

13911577190

Wei Wang

Role: primary

Jin Wan, M.D.

Role: primary

Yang Cao

Role: primary

Shundong Cang, M.D.

Role: primary

13592675836

Baozhu Zeng

Role: primary

13838520891

Peng Shu, M.D.

Role: primary

Tianshu Liu, M.D.

Role: primary

Huaqing Wang, M.D.

Role: primary

References

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Zhang T, Fei YT, Xu Y, Sun LY, He B, Yan SH, Tang M, Yan YZ, Mao J, Yang YF. Effect of Jianpi Bushen Sequential Formula on Adjuvant Chemotherapy of Colon Cancer: Study Protocol for a Randomized Controlled Trial. Chin J Integr Med. 2021 Dec;27(12):891-895. doi: 10.1007/s11655-021-3448-9. Epub 2021 Aug 25.

Reference Type DERIVED
PMID: 34432206 (View on PubMed)

Other Identifiers

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2017YFC1700604

Identifier Type: -

Identifier Source: org_study_id

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