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Trial Title: Prevention of Recurrence and Metastasis of Colorectal Cancer by Comparing Huaier With Capecitabine Monotherapy

NCT ID: NCT06090994

Condition: Colorectal Cancer

Conditions: Official terms:
Colorectal Neoplasms
Neoplasm Metastasis
Recurrence
Capecitabine

Conditions: Keywords:
Huaier granule
colorectal cancer
capecitabine
recurrence and metastasis

Study type: Interventional

Study phase: Phase 4

Overall status: Not yet recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Huaier granule
Description: Oral administration, 10g once, 3 times a day, starting within 14 days-2 months after surgery. Please refer to the medication manual for specific usage.
Arm group label: Huaier Granule

Other name: Z20000109(NMPA Approval Number)

Intervention type: Drug
Intervention name: Capecitabine
Description: Oral administration, 1250mg/m^2, twice a day (2500mg/m^2/d),day 1-14,with one course of treatment every 3 weeks, for a total of 4-6 courses.
Arm group label: Capecitabine

Summary: This is a prospective, multicenter, randomized, parallel controlled study to evaluate the effectiveness of Huaier Granule in preventing recurrence and metastasis after radical resection of colorectal cancer

Detailed description: It is expected to include 756 patients with colorectal cancer (CRC) who were diagnosed as stage II and underwent radical resection (R0) according to the CSCO colorectal cancer guidelines 2022 and met the criteria for cabetabine monotherapy in the study center from July 2024 to June 2026. The experimental group was treated with Huaier Granule monotherapy, and 378 patients were expected to be included; The control group was treated with capecitabine monotherapy, and 378 cases were expected to be included. Patients in the experimental group began using Huaier granules within 14 days-2 months after surgery. Patients in control group received capecitabine treatment, with one course of treatment every 3 weeks, for a total of 4-6 courses. Patients will be visited every 12 weeks (± 14 days) for the first two years after enrollment, and every 24 weeks (± 14 days) for the third year, until the end of the study, withdrawal from the study for any reason, or death, whichever occurs first.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Age ≥ 18 years old, regardless of gender. - It is diagnosed as colorectal cancer by histopathology, TNM stage Ⅱ. - Received radical resection of colorectal cancer (R0) within 12 weeks prior to enrollment. - Not receiving neoadjuvant therapy before surgery, and not receiving any adjuvant therapy after surgery. - ECOG score 0-2 points. - According to the CSCO Colorectal Cancer Guidelines 2022, it meets the criteria for receiving monotherapy adjuvant therapy with capecitabine. - Clear consciousness, language expression or reading ability, able to communicate normally, and cooperate in completing questionnaire assessments. - Voluntarily join this study and sign an informed consent form. Exclusion Criteria: - Low rectal cancer (occurring within 12 centimeters from the anal margin) - Combining medical history of other malignant tumors. - Known to be allergic to the components of Huaier granules or avoid or use Huaier granules with caution (only in the experimental group). - Inability to take orally medication (experimental group, control group with oral medication included in standard treatment plan). - Pregnant or lactating women or planned pregnancy preparation. - In the past one month, the subjects have received Huaier granules or traditional Chinese patent medicines and simple preparations with similar efficacy or indications to Huaier granules (such as compound cantharides capsules, cinobufacin capsules, Kangai injection, Pingxiao tablets, please refer to the instruction manual for details). - Refusal to cooperate with follow-up. - Other reasons leading to the researcher's belief that it is not suitable to participate in this study.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Harbin Medical University Cancer Hospital

Address:
City: Harbin
Zip: 150081
Country: China

Contact:
Last name: Binbin Cui, PhD

Phone: +8613351112888

Facility:
Name: The First People's Hospital of Changzhou

Address:
City: Changzhou
Zip: 213000
Country: China

Contact:
Last name: Qicheng Lu, PhD

Phone: +8613915087018

Facility:
Name: Jiangsu People's Hospital

Address:
City: Nanjing
Zip: 210029
Country: China

Contact:
Last name: Yueming Sun, PhD

Phone: +8613505188397

Facility:
Name: Northern Jiangsu People's Hospital

Address:
City: Yangzhou
Zip: 225001
Country: China

Contact:
Last name: Daorong Wang, PhD

Phone: +8618051062590

Facility:
Name: Ruijin Hospital, Shanghai Jiaotong University School of Medicine

Address:
City: Shanghai
Zip: 200025
Country: China

Contact:
Last name: Ren H Zhao, PhD

Phone: +8613918805942

Facility:
Name: Sanjun Cai

Address:
City: Shanghai
Zip: 200032
Country: China

Contact:
Last name: Sanjun Cai

Phone: +8618121299134

Facility:
Name: Renji Hospital,Shanghai Jiao Tong University School of Medicine

Address:
City: Shanghai
Zip: 200127
Country: China

Contact:
Last name: Zhe Cui, PhD

Phone: +8613512177595

Facility:
Name: Zhejiang Cancer Hospita

Address:
City: Hangzhou
Zip: 310005
Country: China

Contact:
Last name: Haixing Jv, PhD

Phone: +8613858184823

Contact backup:
Last name: Qian Zhang, PhD

Phone: +8613588296045

Facility:
Name: Ningbo Medical Center Lihuili Hospital

Address:
City: Ningbo
Zip: 315046
Country: China

Contact:
Last name: Wei Cui, PhD

Phone: +8613506842539

Start date: August 2024

Completion date: November 2029

Lead sponsor:
Agency: Fudan University
Agency class: Other

Collaborator:
Agency: Huazhong University of Science and Technology
Agency class: Other

Source: Fudan University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06090994

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