Effect of Huaier Granule on Adjuvant Treatment for High-risk Early-stage Triple-negative Breast Cancer

NCT ID: NCT04790305

Last Updated: 2024-06-27

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

RECRUITING

Clinical Phase

PHASE4

Total Enrollment

1072 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-06-18

Study Completion Date

2028-07-28

Brief Summary

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This is a prospective, multicenter, randomized, parallel controlled, open-label study. The primary purpose of this study is to evaluate the efficacy of Huaier Granule on postoperative adjuvant therapy of high-risk early-stage triple-negative invasive ductal carcinoma. The Secondary purposes are to evaluate the safety of long-term use of Huaier granules as postoperative adjuvant treatment of high-risk early-stage triple-negative invasive ductal carcinoma, and the changes of quality of life score after treatment with Huaier granule.

Detailed Description

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Triple-negative breast cancer(TNBC) accounts for 10% to 20% of breast cancer. TNBC is more likely to show lymph node involvement at diagnosis, and biologically more aggressive. Women with TNBC have a higher rate of distant recurrence at early-stage and a worse 5-year prognosis than women of other molecular types. Although PARP inhibitors and immune checkpoint inhibitors are showing promise to patients with advanced TNBC, however, these targeted therapies and immunotherapy for TNBC can not increase the clinical benefits of early-stage patients.

As adjuvant therapy for hepatocellular carcinoma after curative liver resection, a multicentre study demonstrated a significant prolongation of RFS and reduced extrahepatic recurrence in Huaier group. Retrospective studies have shown that Huaier granules can improve the rates of disease-free survival(DFS) and overall survival(OS), and reduce the incidence of adverse events among operable patients with TNBC.

In this study, 1072 high-risk early-stage triple-negative invasive ductal carcinoma participants (536 cases in the observation group and 536 cases in the control group) from 30 research centers will be included. The block randomization was adopted, participants will be randomly divided into the experimental group (Huaier granule plus conventional treatment/visit) and control group (conventional treatment/visit only). All participants will be followed up for 5 years, including 2-year treatment follow-up and 3-year survival follow-up. During the treatment period, the participants will be followed up every 3 months, and the survival follow-up period will be followed up every 6 months.

Conditions

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Carcinoma Breast Triple-negative Breast Cancer Invasive Ductal Carcinoma, Breast

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Huaier Granule + Conventional Treatment/visit

Huaier Granule: oral administration, 20g each time, 3 times a day. The starting time of Huaier granule: from the beginning of adjuvant therapy to the end of adjuvant therapy, and within 60 days after the end of adjuvant therapy is also acceptable.

Conventional Treatment/visit:The postoperative adjuvant therapy and visit of TNBC are based on clinical routine.

Group Type EXPERIMENTAL

Huaier Granule

Intervention Type DRUG

The subjects in the experimental group will be treated with Huaier Granule continuously for 2 years or until the disease progressed, intolerable toxicity, withdrawal of informed consent form or died for any reason.

Conventional Treatment/visit

Conventional Treatment/visit:The postoperative adjuvant therapy and visit of TNBC are based on clinical routine.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Huaier Granule

The subjects in the experimental group will be treated with Huaier Granule continuously for 2 years or until the disease progressed, intolerable toxicity, withdrawal of informed consent form or died for any reason.

Intervention Type DRUG

Other Intervention Names

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Z20000109(NMPA Approval Number)

Eligibility Criteria

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Inclusion Criteria

1. Aged from 18 to 70.
2. Histologically confirmed as breast invasive ductal carcinoma.
3. Molecular typing of breast lesions is triple-negative breast cancer, when the patient had multicentric lesions at the same time, all invasive lesions were confirmed as triple-negative.
4. Regional lymph node metastasis confirmed by postoperative pathology \[except isolated tumor cells ( ITC )\], or tumor response did not achieve pathological complete response (pCR) after neoadjuvant therapy \[neoadjuvant chemotherapy completed at least four cycles, the breast has residual invasive cancer or axillary lymph node metastasis ( except isolated tumor cells ) .\]
5. There was no local recurrence and distant metastasis of the tumor.
6. The time of randomization is during the postoperative adjuvant therapy or within 60 days after the end of the last postoperative adjuvant therapy.
7. Eastern Cooperative Oncology Group performance status (ECOG PS) ≤ 1.
8. Hepatic function and renal function: serum creatinine level ≤ 1.5 × upper limit of normal (ULN), aspartate aminotransferase (AST) concentration / alanine aminotransferase (ALT) concentration≤ 2.5 × ULN,total serum bilirubin concentration≤ 1.5 × ULN.
9. Blood routine: neutrophil count ≥ 1.5\*109 / L, platelet count ≥ 100\*109 / L, hemoglobin concentration ≥ 90 g / L (without transfusion).
10. The participants volunteered to join the study with good compliance and signed an informed consent form.

Exclusion Criteria

1. Bilateral breast cancer.
2. Complicated with severe cardiopathy, hepatopathy, nephropathy, endocrine system diseases. According to the researchers' judgement, the comorbidities can cause unacceptable safety risks and affect participants' compliance with research programs.
3. Suffering from malignant tumors other than breast cancer (except cured basal cell carcinoma of the skin and carcinoma in situ of the cervix) in the past 5 years.
4. Allergic to Huaier granule.
5. Pregnant or lactating women, and those who planning a pregnancy during the study period.
6. Participating in other clinical trials or participated in other clinical studies within 3 months.
7. Patients with a poor compliance, or they are not appropriate for this study because of other reasons considered by the researchers.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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LinkDoc Technology (Beijing) Co. Ltd.

INDUSTRY

Sponsor Role collaborator

Huazhong University of Science and Technology

OTHER

Sponsor Role collaborator

Fudan University

OTHER

Sponsor Role lead

Responsible Party

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Zhimin Shao

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Zhimin Shao, PhD

Role: PRINCIPAL_INVESTIGATOR

Fudan University

Locations

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The First Affiliated Hospital of Anhui Medical University

Hefei, Anhui, China

Site Status RECRUITING

The First Affiliated Hospital of USTC, Anhui Provincial Hospital

Hefei, Anhui, China

Site Status RECRUITING

Cancer Hospital Chinese Academy of Medical Science

Beijing, Beijing Municipality, China

Site Status RECRUITING

The Second Affiliated Hospital of Chongqing Medical University

Chongqing, Chongqing Municipality, China

Site Status RECRUITING

Fujian Cancer Hospital

Fuzhou, Fujian, China

Site Status RECRUITING

Guangdong Provincial Hospital of Traditional Chinese Medicine

Guangzhou, Guangdong, China

Site Status RECRUITING

Guangdong Provincial People's Hospital

Guangzhou, Guangdong, China

Site Status RECRUITING

The Fourth Hospital of Hebei Medical University, Hebei Tumor Hospital

Shijiazhuang, Hebei, China

Site Status RECRUITING

The First Affiliates Hospital of Ha'erbin University

Harbin, Heilongjiang, China

Site Status RECRUITING

Henan Provincial People's Hospital

Zhengzhou, Henan, China

Site Status RECRUITING

Hubei Cancer Hospital

Wuhan, Hubei, China

Site Status RECRUITING

Renmin Hospital of Wuhan University

Wuhan, Hubei, China

Site Status RECRUITING

Tongji Medical College of HUST

Wuhan, Hubei, China

Site Status RECRUITING

Union Hospital Tongji Medical College Huazhong Univeristy of Science and Technology

Wuhan, Hubei, China

Site Status RECRUITING

Zhongnan Hospital of Wuhan University

Wuhan, Hubei, China

Site Status RECRUITING

Hunan Cancer Hospital

Changsha, Hunan, China

Site Status RECRUITING

The Second Xiangya Hospital of Central South University

Changsha, Hunan, China

Site Status RECRUITING

Jiangsu Province Hospital of Chinese Medicine

Nanjing, Jiangsu, China

Site Status RECRUITING

Jiangsu Provincial Hospital

Nanjing, Jiangsu, China

Site Status RECRUITING

Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School

Nanjing, Jiangsu, China

Site Status RECRUITING

The First Affiliated Hospital of Soochow University

Suzhou, Jiangsu, China

Site Status RECRUITING

Northern Jiangsu People's Hospital

Yangzhou, Jiangsu, China

Site Status RECRUITING

The Second Hospital of Jilin University

Changchun, Jilin, China

Site Status RECRUITING

Liaoning Cancer Hospital & Institute

Shenyang, Liaoning, China

Site Status RECRUITING

Qilu Hospital of Shandong University

Jinan, Shandong, China

Site Status RECRUITING

The Affiliated Hospital of Qingdao University

Qingdao, Shandong, China

Site Status RECRUITING

LongHua Hospital Shanghai University of Traditional Chinese Medicine

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

The Second Affiliated Hospital of Xi'an Jiaotong University (Xibei Hospital)

Xi’an, Shanxi, China

Site Status RECRUITING

The First Affiliatied Hospital Zhejiang University School of Medicine

Hangzhou, Zhejiang, China

Site Status RECRUITING

The Second Affiliated Hospital Zhejiang Univerisity of Medicine

Hangzhou, Zhejiang, China

Site Status RECRUITING

Huamei Hospital, University of Chinese Academy of Sciences

Ningbo, Zhejiang, China

Site Status RECRUITING

Ningbo Medical Center Lihuili Hospital

Ningbo, Zhejiang, China

Site Status RECRUITING

The First School of Medicine, School of Information and Engineering,the First Affiliated Hospital of WMU

Wenzhou, Zhejiang, China

Site Status RECRUITING

Fudan University Shanghai Cancer Center

Shanghai, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Zhimin Shao, PhD

Role: CONTACT

+86-18017312288

Liang Huang, PhD

Role: CONTACT

+86-18121299334

Facility Contacts

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Jingjie Zhang

Role: primary

Xiaopeng Ma

Role: primary

Xiang Wang

Role: primary

Guobing Yin

Role: primary

Xia Chen

Role: primary

Qianjun Chen

Role: primary

Kun Wang

Role: primary

Cuizhi Geng

Role: primary

Yi Zhou

Role: primary

Hui Liu

Role: primary

Yaojun Feng

Role: primary

Yi Tu

Role: primary

Xingrui Li

Role: primary

Tao Huang

Role: primary

Gaosong Wu

Role: primary

Dongfang Li

Role: primary

Enxiang Zhou

Role: primary

Chang Yao

Role: primary

Shui Wang

Role: primary

Yongzhong Yao

Role: primary

Jianxia Liu

Role: primary

Deyuan Fu

Role: primary

Yan Zhang

Role: primary

Daqing Jiang

Role: primary

Qifeng Yang

Role: primary

Haibo Wang

Role: primary

Sheng Liu

Role: primary

Shuqun Zhang

Role: primary

Peifen Fu

Role: primary

Yiding Chen

Role: primary

Xujun Li

Role: primary

Weizhu Wu

Role: primary

Ouchen Wang

Role: primary

Zhimin Shao, PhD

Role: primary

Other Identifiers

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HE-202012

Identifier Type: -

Identifier Source: org_study_id

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