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Colon CancerPhase 3HATCHEDNCT03716518

Herbal Treatment to Improve Chemotherapy Delivery

A Phase 3 study testing Tonifying Spleen and Kidney Sequential Regimen in people with Colon Cancer, run by Xiyuan Hospital of China Academy of Chinese Medical Sciences at 12 sites in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

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… Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Colon Cancer
What is being tested?
Tonifying Spleen and Kidney Sequential Regimen
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
400 participants
Where
12 sitesChina
Study dates
12 Dec 2018to 31 May 2021
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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:
  • T4 tumor,
  • inadequately sampled nodes (<12 lymph nodes),
  • clinical presentation with bowel obstruction or perforation,
  • poorly differentiated histology ,exclusive of those cancers that are High degree of microsatellite instability(MSI-H),
Show all 14Show fewer
  • 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.

Who cannot join

  • 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

Trial locations and contacts

12 sites in 1 country.

Yufei Yang, M.D. contact

8613701366913

yyfwdbwyy@126.com

Yun Xu, M.D. contact

8615210775378

xyxiao78@163.com

12 sites in 1 country

China12 sites, 12 recruiting
  • Beijing Chao Yang Hospital

    Beijing, Beijing Municipality, 100020

    Minzhe Li, M.D.

    Recruiting
  • Civil Aviation General Hospital

    Beijing, Beijing Municipality, 100025

    Jianping Cheng

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

    Beijing, Beijing Municipality, 100091

    Yun Xu, M.D., 86 10 62835355, xyxiao78@163.com

    Yufei Yang, M.D., 86 10 62835355, yyfwdbwyy@126.com

    Recruiting
  • Beijing Cancer Hospital

    Beijing, Beijing Municipality, 100142

    Aiwen Wu, M.D., 13911577190

    Recruiting
  • Chongqing University Cancer Hospital

    Chongqing, Chongqing Municipality, 400030

    Wei Wang

    Recruiting
  • Guangdong Provincial Hospital of Traditional Chinese Medicine

    Guangdong, Guangzhou, 510120

    Jin Wan, M.D.

    Recruiting
  • Jiangsu Province Hospital of Traditional Chinese Medicine

    Nanjing, Jiangsu, 210029

    Peng Shu, M.D.

    Recruiting
  • Shanghai Zhongshan Hospital

    Shanghai, Shanghai Municipality, 200032

    Tianshu Liu, M.D.

    Recruiting
  • Tianjin Union Medical Center

    Tianjin, Tianjin Municipality, 300121

    Huaqing Wang, M.D.

    Recruiting
  • The Third People's Hospital of Zhengzhou

    Zhengzhou, Henan, 450000

    Yang Cao

    Recruiting
  • Henan Provincial People's Hospital

    Zhengzhou, Henan, 450003

    Shundong Cang, M.D., 13592675836

    Recruiting
  • Zhengzhou Hospital of Traditional Chinese Medicine

    Zhengzhou, Henan, 450007

    Baozhu Zeng, 13838520891

    Recruiting

Other trials in China

About this study

Official title: Effect of TCM-TSKSR on Completion Rates of Chemotherapy in Patients With Stage II & III Colon Cancer: A Randomized Placebo-Controlled Clinical Trial

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.

Read the detailed description

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
Colon Cancer
Being tested
Tonifying Spleen and Kidney Sequential Regimen, Placebo of 'Tonifying Spleen and Kidney Sequential Regimen
Keywords
Colon Cancer, Traditional Chinese Medicine, Adverse Effect of Chemotherapy, Chemotherapy
Medical subject headings
Colonic Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Tonifying Spleen and Kidney Sequential RegimenDrug

    Also called TSKSR

    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 of 'Tonifying Spleen and Kidney Sequential RegimenDrug

    Also called Placebo of TSKSR

    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.

Study groups in NCT03716518
Study groupRoleWhat they receive
TCM groupExperimentalTonifying Spleen and Kidney Sequential Regimen(TSKSR) will be prescribed to the participants in each course of chemotherapy.
Receives: Drug: Tonifying Spleen and Kidney Sequential Regimen
Placebo groupPlacebo comparatorPlacebo 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.
Receives: Drug: Placebo of 'Tonifying Spleen and Kidney Sequential Regimen

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Completion Rate of 8-cycle Adjuvant Chemotherapy

    Completion Rate of 8-cycle Adjuvant Chemotherapy=number of participants completing 8-cycle adjuvant chemotherapy/number of participants randomized to each group*100%

    Measured: 6months

Secondary outcomes (17)
  1. Completion Rate of Adjuvant Chemotherapy of Each Participant

    Completion Rate of Adjuvant Chemotherapy of Each Participant=number of the last courses of chemotherapy/8*100%

    Measured: 6months

  2. Completion Rate of 4-cycle Adjuvant Chemotherapy

    Completion Rate of 4-cycle Adjuvant Chemotherapy=number of participants completing 4-cycle adjuvant chemotherapy/number of participants randomized to each group*100%

    Measured: 3months

  3. Time to Treatment Failure,TTF

    TTF is the period from randomization to the earliest day of an event such as withdrawal from protocol treatment for any reasons, patients refusal and loss to follow-up.

    Measured: 6months

  4. Relative Dose Intensity (RDI) of Adjuvant Chemotherapy

    Relative dose intensity (RDI) (%) = (actual dose/ initial dose of adjuvant chemotherapy) × 100%

    Measured: 6months

  5. Proportion of Modifications of Time

    Proportion of Modifications of Time=number of participants delaying chemotherapy /number of participants randomized to each group*100%.Delay is defined as ≥7days because of adverse event,such as weakness, myelosuppression, gastrointestinal reactions and other toxicity,except for administrative issues related to hospitalization.

    Measured: 6months

  6. Time of Dose Reductions of Adjuvant Chemotherapy for the First Time

    It is the period from randomization to when a chemo-induced grade 3-4 granulocytopenia and/or a chemo-induced grade 2 thrombocytopenia is observed in participants for the first time,in which case,the dose of both Oxaliplatin and Capecitabine will be reduced by 25% of planned dosage.

    Measured: 6months

  7. Time of Dose Reductions of Adjuvant Chemotherapy for the Second Time

    It is the period from randomization to when a chemo-induced grade 3-4 granulocytopenia and/or a chemo-induced grade 2 thrombocytopenia is observed in participants for the second time,in which case,the dose of both Oxaliplatin and Capecitabine will be reduced by 50% of planned dosage.

    Measured: 6months

  8. Proportion of Salvage Treatment

    Proportion of Salvage Treatment=Number of participants receiving salvage treatment/Number of participants randomized to each group*100%.

    Measured: 6months

  9. Incidence of a Chemo-induced Grade 3-4 Nausea/Vomiting

    Measured: 6 months

  10. Incidence of a Chemo-induced Grade 2 Diarrhea

    Measured: 6 months

  11. Changes of Participants' ESAS Score

    Edmonton Symptom Assessment Scale(ESAS) score will be used to evaluate the change of participants' QoL during adjuvant chemotherapy.ESAS has 9 items designed to assess the severity of commonly reported symptoms experienced by cancer patients,including pain, fatigue, drowsiness, nausea, dyspnea, depression, anxiety, well-being, and loss of appetite.Each items ranges from 0 to 10.

    Measured: 6 months

  12. Changes of Participants' FACT-C Score

    Functional Assessment of Cancer Therapy-Colorectal (FACT-C) score will be used to evaluate the change of participants' QoL during adjuvant chemotherapy.The FACT-C consists of 36 items,in four domains of well-being (physical,emotional,social,and functional),on a scale of 0 to 4.

    Measured: 6months

  13. Changes of TCM Symptoms Score

    Based on a prior expert consensus,11 TCM symptoms were considered to be the most common symptoms during CapeOX chemotherapy,including vomiting, numbness, diarrhea, constipation, sensation of chill, nocturia, forgetfulness, spontaneous sweating, night sweats, dry mouth and canker sores, each of which ranges from 0 to 10.

    Measured: 6months

  14. Changes of Spleen Deficiency Scale Score

    Based on prior researches,the investigator designed Spleen Deficiency Scale,which includes 8 items involving appetite,abdominal distension and so on.Each question ranges from 1 to 5.

    Measured: 6months

  15. Changes of Kidney Deficiency Scale Score

    Based on prior researches,the investigator designed Kidney Deficiency Scale, which includes 8 items involving soreness of waist, tinnitus, and so on. Each question ranged from 1 to 5.

    Measured: 6months

  16. Incidence of AEs

    Adverse effects(AEs) includes abnormal results of blood/urine/stool routine examination, liver/renal function test and electrocardiograms.

    Measured: 6months

  17. Incidence of SAEs

    Serious Adverse effects(SAEs) includes abnormal results of blood/urine/stool routine examination, liver/renal function test and electrocardiograms.

    Measured: 6months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Oct 2018
  2. Study start12 Dec 2018
  3. Primary completion31 May 2021 (estimated)
  4. Study completion31 May 2021 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
400 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03716518
Sponsor's protocol ID
2017YFC1700604
Acronym
HATCHED
Status last verified
Nov 2020
First submitted
14 Oct 2018
Last updated
12 Jan 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • 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.

    PubMed 34432206

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Tonifying Spleen and Kidney Sequential Regimen in people with Colon Cancer, run by Xiyuan Hospital of China Academy of Chinese Medical Sciences at 12 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 14 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 12 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Yufei Yang, M.D. (8613701366913, yyfwdbwyy@126.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Completion Rate of 8-cycle Adjuvant Chemotherapy (time frame: 6months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03716518, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Jan 2021.

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