A Study of Chinese Herbal Compound Dendrobium Huoshanense Granules in NCRT for Patients With Locally Advanced Rectal Cancer

NCT ID: NCT04394598

Last Updated: 2020-05-19

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

PHASE2

Total Enrollment

210 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-03-01

Study Completion Date

2022-12-01

Brief Summary

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The study evaluates the addition of Chinese Herbal Compound Dendrobium Huoshanense Granules to capecitabine and irinotecan in neoadjuvant chemoradiation(CRT) in locally advanced rectal cancer. Half of participants will receive CRT with Dendrobium Huoshanense Granules, while the others will receive CRT with placebo. We will evaluate whether Dendrobium Huoshanense Granules can enhance the immune function and alleviate symptoms caused by the tumor and CRT .

Detailed Description

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Conditions

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Locally Advanced Rectal Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants

Study Groups

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CRT with Dendrobium Huoshanense

Dendrobium Huoshanense Granules: 3g tid per day for 5weeks

Concurrent Chemoradiotherapy:

Radiation: 50Gy/25Fx; Capecitabine: 625mg/m2 bid Monday-Friday per week; Irinotecan: 80mg/m2 (UGT1A1\*28 6/6) or 65mg/m2 (UGT1A1\*28 6/7)

Chemotherapy in Interval Between CRT and Surgery:

Capecitabine: 1000mg/m2 bid d1-14; Irinotecan: 200mg/m2 d1

Surgery:

Scheduled 6-8 weeks after the completion of CRT Adjuvant Chemotherapy: depends on patients pathological review.

Group Type EXPERIMENTAL

Dendrobium Huoshanense Granules

Intervention Type DRUG

3g tid per day for 5weeks

Pelvic Radiation

Intervention Type RADIATION

50Gy/25Fx

Capecitabine

Intervention Type DRUG

625mg/m2 bid Monday-Friday per week

Irinotecan

Intervention Type DRUG

80mg/m2 (UGT1A1\*28 6/6) or 65mg/m2 (UGT1A1\*28 6/7)

CRT with Placebo

Placebo: 3g tid per day for 5weeks

Concurrent Chemoradiotherapy:

Radiation: 50Gy/25Fx; Capecitabine: 625mg/m2 bid Monday-Friday per week; Irinotecan: 80mg/m2 (UGT1A1\*28 6/6) or 65mg/m2 (UGT1A1\*28 6/7)

Chemotherapy in Interval Between CRT and Surgery:

Capecitabine: 1000mg/m2 bid d1-14; Irinotecan: 200mg/m2 d1

Surgery:

Scheduled 6-8 weeks after the completion of CRT Adjuvant Chemotherapy: depends on patients pathological review.

Group Type PLACEBO_COMPARATOR

Pelvic Radiation

Intervention Type RADIATION

50Gy/25Fx

Capecitabine

Intervention Type DRUG

625mg/m2 bid Monday-Friday per week

Irinotecan

Intervention Type DRUG

80mg/m2 (UGT1A1\*28 6/6) or 65mg/m2 (UGT1A1\*28 6/7)

Placebo

Intervention Type OTHER

3g tid per day for 5weeks

Interventions

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Dendrobium Huoshanense Granules

3g tid per day for 5weeks

Intervention Type DRUG

Pelvic Radiation

50Gy/25Fx

Intervention Type RADIATION

Capecitabine

625mg/m2 bid Monday-Friday per week

Intervention Type DRUG

Irinotecan

80mg/m2 (UGT1A1\*28 6/6) or 65mg/m2 (UGT1A1\*28 6/7)

Intervention Type DRUG

Placebo

3g tid per day for 5weeks

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* pathological confirmed rectum adenocarcinoma
* clinical stage T3-4 and/or N+
* the distance from anal verge less than 10 cm
* without distance metastases
* performance status score: 0\~1
* UGT1A1\*28 6/6 or 6/7
* without previous anti-cancer therapy
* able to follow the protocol during the study period
* sign the inform consent

Exclusion Criteria

* Pregnant or breastfeeding women
* Those with other history of malignant disease in the past 5 years, except for cured skin cancer and cervical carcinoma in situ
* If there is an uncontrolled history of epilepsy, central nervous system disease or mental disorder, the investigator may determine that the clinical severity may hinder the signing of informed consent or affect the patient's oral medication compliance.
* Clinically severe (ie, active) heart disease, such as symptomatic coronary heart disease, New York Heart Association (NYHA) class II or more severe congestive heart failure or severe arrhythmia requiring medication intervention (see appendix 12), or a history of myocardial infarction in the last 12 months
* Organ transplantation requires immunosuppressive therapy
* Severe uncontrolled recurrent infections, or other serious uncontrolled concomitant diseases
* Subject blood routine and biochemical indicators do not meet the following criteria: hemoglobin ≥ 90g / L; absolute neutrophil count (ANC) ≥ 1.5 × 109 / L; Alanine transaminase (ALT), aspartate aminotransferase (AST) ≤ 2.5 times the upper limit of normal; alkaline phosphatase (ALP) ≤2.5 times the normal upper limit; serum total bilirubin \<1.5 times the normal upper limit; serum creatinine \<1 times the normal upper limit; serum albumin ≥ 30g / L
* Anyone who is allergic to any research medication
* DPD deficiency
* UGT1A1\*28 7/7
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fudan University

OTHER

Sponsor Role lead

Responsible Party

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Zhu Ji

Clinical Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Zhen Zhang, MD

Role: PRINCIPAL_INVESTIGATOR

Fudan University

Locations

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Fudan University Shanghai Cancer Center

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Ji Zhu, MD

Role: CONTACT

+86-2164175590 ext. 81607

Zhen Zhang, MD

Role: CONTACT

Facility Contacts

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Zhu Ji, MD

Role: primary

Zhen Zhang, MD

Role: backup

Other Identifiers

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FDRT-R20

Identifier Type: -

Identifier Source: org_study_id

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