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Advanced Colorectal CancerHYD-Cape-CRCNCT07913516

Feasibility Study of Huangqi Yangyuan Formula for Capecitabine-Induced Adverse Reactions in Advanced Colorectal Cancer

A study testing Capecitabine and Huangqi Yangyuan Formula (Chinese Herbal Decoction) in people with Advanced Colorectal Cancer and Capecitabine-Related Adverse Reaction, run by Huanfang Fan at 1 site in China.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This is a single-center, prospective, open-label, single-arm feasibility study. Thirty-five patients with stage IIIB-IV colorectal adenocarcinoma undergoing capecitabine monotherapy will be enrolled. Read more about this study

Who is it for?
Ages 18 to 80 years
What is being tested?
Capecitabine and Huangqi Yangyuan Formula (Chinese Herbal Decoction)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
35 participants
Where
1 siteChina
Study dates
1 Jan 2027to 31 Dec 2029
Phase
Interventional
Are there results?
Not yet: the study is under way

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 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 1. Aged 18-80 years.
  • 2. Histologically confirmed stage IIIB-IV colorectal adenocarcinoma.
  • 3. Eligible for planned or ongoing capecitabine monotherapy.
  • 4. Expected survival ≥ 6 months.
  • 5. ECOG performance status 0-2.
  • 6. Baseline bone marrow, hepatic, and renal function adequate for chemotherapy.
  • 7. Able to comply with oral medication, scheduled visits, and quality-of-life assessments.
  • 8. Willing to provide written informed consent.

Who cannot join

  • 1. Pregnant or breastfeeding women;
  • 2. History of other systemic malignancies or gastrointestinal in situ cancer within the past 5 years;
  • 3. Presence of severe underlying organic diseases affecting the heart, liver, kidneys, respiratory system, or hematopoietic system;
  • 4. Persistent severe diarrhea, hand-foot ulcers, or severe malnutrition at baseline that precludes tolerance of chemotherapy;
  • 5. Consciousness disorders or psychiatric conditions preventing independent completion of scale assessments and follow-up;
  • 6. Known allergy to any ingredient in Huangqi Yangyuan Formula or capecitabine;
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  • 7. Regular use of anti-tumor Chinese patent medicines, traditional Chinese herbal decoctions, long-term acupuncture/moxibustion for cancer treatment, or anti-cancer dietary supplements within the 2 weeks prior to enrollment, making washout period unfeasible;
  • 8. Receipt of radiation therapy, other chemotherapy drugs, targeted therapy, or immunotherapy within the month prior to enrollment;
  • 9. Patients currently undergoing double-agent chemotherapy or immunotherapy;
  • 10. Refusal to discontinue other anti-cancer traditional Chinese medicine interventions or inability to truthfully report concomitant medications.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Huanfang Fan MD contact

+8615533959031

fhf701024@163.com

Mingrui Zhang MM contact

+8613011994403

13011994403@163.com

China1 site
  • Hebei Provincial Hospital of Traditional Chinese Medicine

    Shijiazhuang, Hebei Provincial, 050011

    Huanfang Fan MD, +8615533959031, fhf701024@163.com

Other trials in China

About this study

Official title: A Prospective Single-Arm Feasibility Clinical Study of Huangqi Yangyuan Formula for Capecitabine-Induced Adverse Reactions in Patients With Advanced Colorectal Cancer

This is a single-center, prospective, open-label, single-arm feasibility study. Thirty-five patients with stage IIIB-IV colorectal adenocarcinoma undergoing capecitabine monotherapy will be enrolled. All participants will receive oral capecitabine (1250 mg/m2, twice daily, 14 days on/7 days off, 21-day cycle, up to 8 cycles) combined with Huangqi Yangyuan Formula (a Chinese herbal decoction, 150 mL twice daily). The primary objective is to evaluate the completion rate of standardized capecitabine chemotherapy at 4 and 8 cycles. Secondary outcomes include chemotherapy-related adverse events (CTCAE v5.0), quality of life (EORTC QLQ-C30), traditional Chinese medicine constitution scores (BCQ), disease-free survival at 3-month follow-up, peripheral blood T-lymphocyte subsets, and safety laboratory indicators.

Read the detailed description

Advanced colorectal cancer (CRC) is commonly treated with capecitabine monotherapy. However, capecitabine frequently causes hand-foot syndrome, diarrhea, fatigue, myelosuppression, and gastrointestinal adverse events, which may lead to dose reduction, treatment interruption, or discontinuation. Traditional Chinese medicine (TCM) holds that patients undergoing chemotherapy present a pattern of spleen-kidney deficiency with toxic heat accumulation. Huangqi Yangyuan Formula is a nine-herb Chinese medicinal decoction designed to invigorate spleen and kidney, supplement qi, clear cancer toxins, and resolve stasis. Preliminary pharmacological evidence suggests its components may exert anti-tumor, immunomodulatory, and chemo-protective effects. This study aims to assess the feasibility and preliminary safety of combining Huangqi Yangyuan Formula with capecitabine chemotherapy in 35 patients with advanced CRC. Participants will be followed for 8 chemotherapy cycles (approximately 6 months) plus a 3-month post-treatment follow-up. The study will provide feasibility data to inform the design of a future large-scale randomized controlled trial.

Being tested
Capecitabine, Huangqi Yangyuan Formula (Chinese Herbal Decoction)
Keywords
colorectal cancer, capecitabine, Chinese herbal medicine, Huangqi Yangyuan Formul, chemotherapy toxicity, feasibility study
Medical subject headings
Colorectal Neoplasms

What participants receive

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

  • CapecitabineDrug

    Oral capecitabine at 1250 mg/m2 twice daily, taken within 30 minutes after meals, days 1-14 followed by 7 days rest per 21-day cycle, for up to 8 cycles. Dose adjustments are permitted per clinical guidelines based on toxicity.

  • Huangqi Yangyuan Formula (Chinese Herbal Decoction)Other

    A nine-herb Chinese medicinal decoction prepared in-house, including Radix Astragali (Huang Qi), Radix Rehmanniae Preparata (Shu Di Huang), and seven additional herbs. Each dose is 150 mL, administered orally twice daily, taken 30 minutes apart from capecitabine. Treatment starts at cycle 1 and continues through 8 cycles, with a 1-week interruption at the end of cycle 4.

Study groups in NCT07913516
Study groupRoleWhat they receive
Experimental: Capecitabine plus Huangqi Yangyuan FormulaExperimentalParticipants receive capecitabine monotherapy (1250 mg/m2, orally, twice daily, days 1-14 of each 21-day cycle, up to 8 cycles) combined with Huangqi Yangyuan Formula (Chinese herbal decoction, 150 mL per dose, twice daily, taken 30 minutes apart from capecitabine, starting from cycle 1; discontinued for 1 week at the end of cycle 4).
Receives: Drug: Capecitabine; Other: Huangqi Yangyuan Formula (Chinese Herbal Decoction)

What is being measured

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

  1. Completion Rate of Standardized Capecitabine Chemotherapy

    Proportion of participants completing 4 cycles and 8 cycles of capecitabine chemotherapy without treatment discontinuation or major dose reduction.

    Measured: At the end of the fourth and eighth cycles of chemotherapy (each cycle is 28 days).

Secondary outcomes (9)
  1. Incidence and Grade of Chemotherapy-Related Adverse Events

    Adverse events graded according to CTCAE version 5.0, including diarrhea, hand-foot reaction, myelosuppression, fatigue, gastrointestinal symptoms, and hepatic/renal toxicity.

    Measured: At the baseline, at the end of every 2 chemotherapy cycles (each cycle lasting 28 days), and at the end of the third month after the treatment was completed.

  2. Quality of Life Score (EORTC QLQ-C30)

    European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) total score and subscale scores. Score range: 0-100. Higher scores represent better quality of life for the global health status/QoL scale and functional scales; higher scores represent worse symptoms for symptom subscales.

    Measured: At baseline, the end of the fourth and eighth cycles of chemotherapy (each cycle is 28 days).

  3. Traditional Chinese Medicine Constitution Score

    BCQ (Body Constitution Questionnaire) scores for qi deficiency, blood deficiency, and yang deficiency.

    Measured: At baseline, the end of the fourth and eighth cycles of chemotherapy (each cycle is 28 days).

  4. Disease-Free Survival Rate

    Proportion of participants alive and progression-free at 3 months after completion of chemotherapy

    Measured: At the end of the third month after the completion of chemotherapy.

  5. Peripheral Blood T-Lymphocyte Subsets

    Absolute counts and ratios of CD3+, CD4+, and CD8+ T cells measured by flow cytometry.

    Measured: At baseline, the end of the fourth and eighth cycles of chemotherapy (each cycle is 28 days).

  6. Complete Blood Count

    Check blood routine indicators such as white blood cells, neutrophils, hemoglobin, and platelets.

    Measured: At baseline, the end of the fourth and eighth cycles of chemotherapy (each cycle is 28 days).

  7. Liver Function

    Liver function tests such as Alanine aminotransferase and Aspartate aminotransferase.

    Measured: At baseline, the end of the fourth and eighth cycles of chemotherapy (each cycle is 28 days).

  8. Renal Function

    Testing renal function such as serum creatinine, glomerular filtration rate, and blood urea nitrogen.

    Measured: At baseline, the end of the fourth and eighth cycles of chemotherapy (each cycle is 28 days).

  9. Serum Electrolytes

    Testing blood electrolyte levels.

    Measured: At baseline, the end of the fourth and eighth cycles of chemotherapy (each cycle is 28 days).

Timeline

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

  1. First posted3 Nov 2026
  2. Study start1 Jan 2027 (estimated)
  3. Primary completion30 Sep 2028 (estimated)
  4. Study completion31 Dec 2029 (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 N/A
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Model description
This is an open-label single-arm study. All enrolled participants receive the same intervention: capecitabine chemotherapy combined with Huangqi Yangyuan Formula. No concurrent control group is set. Published historical data of capecitabine monotherapy will be used as external reference for comparison.
Masking
None (open label)
Enrolment
35 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07913516
Sponsor's protocol ID
HBZY2026-KYLL-029-01
Acronym
HYD-Cape-CRC
Status last verified
Nov 2026
First submitted
21 Sep 2026
Last updated
3 Nov 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Lee JJ, Kim TM, Yu SJ, Kim DW, Joh YH, Oh DY, Kwon JH, Kim TY, Heo DS, Bang YJ, Kim NK. Single-agent capecitabine in patients with metastatic colorectal cancer refractory to 5-fluorouracil/leucovorin chemotherapy. Jpn J Clin Oncol. 2004 Jul;34(7):400-4. doi: 10.1093/jjco/hyh068.

    PubMed 15342667
  • Twelves C, Wong A, Nowacki MP, Abt M, Burris H 3rd, Carrato A, Cassidy J, Cervantes A, Fagerberg J, Georgoulias V, Husseini F, Jodrell D, Koralewski P, Kroning H, Maroun J, Marschner N, McKendrick J, Pawlicki M, Rosso R, Schuller J, Seitz JF, Stabuc B, Tujakowski J, Van Hazel G, Zaluski J, Scheithauer W. Capecitabine as adjuvant treatment for stage III colon cancer. N Engl J Med. 2005 Jun 30;352(26):2696-704. doi: 10.1056/NEJMoa043116.

    PubMed 15987918
  • Zheng XY. Guiding Principles for Clinical Research of New Chinese Medicines (Trial). China Medical Science and Technology Press; 2002.

  • Zhong X, Chen J, Zhang Y, Hu H, Weng S, Zhang S, Yuan Y. Updates of CSCO guidelines for colorectal cancer version 2026. Chin J Cancer Res. 2026 Jun 30;38(3):329-335. doi: 10.21147/j.issn.1000-9604.2026.03.10. No abstract available.

    PubMed 42421899
  • Chinese Society of Clinical Oncology. CSCO Clinical Guidelines for Colorectal Cancer (2026 edition). People's Medical Publishing House; 2026.

  • Wang F, Chen G, Zhang Z, Yuan Y, Wang Y, Gao YH, Sheng W, Wang Z, Li X, Yuan X, Cai S, Ren L, Liu Y, Xu J, Zhang Y, Liang H, Wang X, Zhou A, Ying J, Li G, Cai M, Ji G, Li T, Wang J, Hu H, Nan K, Wang L, Zhang S, Li J, Xu RH. The Chinese Society of Clinical Oncology (CSCO): Clinical guidelines for the diagnosis and treatment of colorectal cancer, 2024 update. Cancer Commun (Lond). 2025 Mar;45(3):332-379. doi: 10.1002/cac2.12639. Epub 2024 Dec 31.

    PubMed 39739441

Questions about this trial

What is this clinical trial studying?

A study testing Capecitabine and Huangqi Yangyuan Formula (Chinese Herbal Decoction) in people with Advanced Colorectal Cancer and Capecitabine-Related Adverse Reaction, run by Huanfang Fan at 1 site 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 8 inclusion and 10 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: opening soon, as of the sponsor's last update on 3 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Huanfang Fan MD (+8615533959031, fhf701024@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Completion Rate of Standardized Capecitabine Chemotherapy (time frame: At the end of the fourth and eighth cycles of chemotherapy (each cycle is 28 days).). 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 NCT07913516, which also lists 6 linked publications.

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 3 Nov 2026.

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