the Efficacy and Safety of Ginsenoside Rg3 Capsule in Prevention of Postoperative Recurrence of Hepatocellular Carcinoma
Rg3
A Randomized, Double-blind, Placebo-controlled, Parallel-group Clinical Study to Evaluate the Efficacy and Safety of Ginsenoside Rg3 Capsule in Prevention of Postoperative Recurrence of Hepatocellular Carcinoma
1 other identifier
interventional
480
1 country
5
Brief Summary
Using the subject with hepatocellular carcinoma in the conventional therapy to evaluate the efficacy and safety of ginsenoside Rg3 (20mg BID) and placebo in prevention and treatment of postoperative recurrence of liver cancer,respectively
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Apr 2012
Typical duration for not_applicable
5 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2012
CompletedFirst Submitted
Initial submission to the registry
October 26, 2012
CompletedFirst Posted
Study publicly available on registry
October 30, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2015
CompletedMarch 31, 2016
March 1, 2016
2.7 years
October 26, 2012
March 30, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
time to recurrence
the interval between the initial hepatectomy and date of diagnosis of recurrent HCC
1,2,3 years
Secondary Outcomes (1)
overall survival
1,2,3 years
Other Outcomes (1)
side effect
eighteen months
Study Arms (2)
the ginsenoside Rg3
EXPERIMENTAL320 HCCs,the ginsenoside Rg3 capsule,4-8 weeks after surgery, will be taken, 2 capsules, BID, 8 weeks as one cycle, continue taking it until the tumor recurs or until the end date of the study for patients without recurrence
the placebo
PLACEBO COMPARATOR160 HCCs as control group with patients who don't receive any adjuvant therapy after liver resection, to compare with the treatment group
Interventions
Eligibility Criteria
You may qualify if:
- years old,male and female
- Mainly based on the criteria for liver cancer TNM stage I and II (edition 7) and BCLC stage A, the following needs to be satisfied:
- individual tumor larger than or equal to 2 cm and smaller than or equal to 10 cm in the maximum diameter
- multiple tumors with no more than three tumors
- No macroscopic tumor embolus
- ECOG performance state is 0-1
- Child-Pugh grade is A
- The clinical review confirms the absence of recurrence within 8 weeks before the enrollment
- Sign the informed consent
You may not qualify if:
- Pregnant and breast-feeding women
- Patients with severe diseases in the brain, heart,lungs, kidneys and hematological system
- Patients who have received other anti-tumor therapies before the surgery (including liver transplantation, TACE, local tumor ablation, chemotherapy, radiotherapy, molecular targeted therapy and other anti-tumor therapy)
- DDS chemotherapy pump placed in the portal vein during the surgery
- Patients who are participating in other drug trials
- Patients known or suspected to be allergic to ginsenoside, with a history of allergy to biological preparations, allergic constitution or currently in an allergic state;
- With active severe clinical infection
- Epilepsy episode which needs drug therapy
- With a history of allotransplantation;
- With a previous history of tumor in other systems, but except for:
- Carcinoma in situ of cervix
- Basal cell carcinoma after treatment,Superficial bladder cancer (Ta, Tis and T1
- Any cancer after curative treatment no less than three years ago
- Patients with signs or a history of bleeding diathesis
- Patients currently receiving kidney dialysis
- +4 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- ShenFenglead
- Huazhong University of Science and Technologycollaborator
- Shanghai Zhongshan Hospitalcollaborator
- Sun Yat-sen Universitycollaborator
- First Affiliated Hospital of Harbin Medical Universitycollaborator
- First Affiliated Hospital of Fujian Medical Universitycollaborator
Study Sites (5)
The First Affiliated Hospital of Fujian Medical University
Fuzhou, Fujian, 350005, China
Tumor Hospital,Sun Yat-san University
Guangzhou, Guangdong, 510060, China
The First Affiliated Hospital of Harbin Medical University
Harbin, Heilongjiang, 150001, China
Tongji Hospital,Huazhong University of Science & Technology
Wuhan, Hubei, 430032, China
Zhongshan hospital,Fudan University
Shanghai, 200032, China
Related Publications (8)
Yue PY, Wong DY, Wu PK, Leung PY, Mak NK, Yeung HW, Liu L, Cai Z, Jiang ZH, Fan TP, Wong RN. The angiosuppressive effects of 20(R)- ginsenoside Rg3. Biochem Pharmacol. 2006 Aug 14;72(4):437-45. doi: 10.1016/j.bcp.2006.04.034. Epub 2006 May 12.
PMID: 16793023BACKGROUNDLiu TG, Huang Y, Cui DD, Huang XB, Mao SH, Ji LL, Song HB, Yi C. Inhibitory effect of ginsenoside Rg3 combined with gemcitabine on angiogenesis and growth of lung cancer in mice. BMC Cancer. 2009 Jul 23;9:250. doi: 10.1186/1471-2407-9-250.
PMID: 19624862BACKGROUNDZhang Q, Kang X, Yang B, Wang J, Yang F. Antiangiogenic effect of capecitabine combined with ginsenoside Rg3 on breast cancer in mice. Cancer Biother Radiopharm. 2008 Oct;23(5):647-53. doi: 10.1089/cbr.2008.0532.
PMID: 18999937BACKGROUNDXu TM, Cui MH, Xin Y, Gu LP, Jiang X, Su MM, Wang DD, Wang WJ. Inhibitory effect of ginsenoside Rg3 on ovarian cancer metastasis. Chin Med J (Engl). 2008 Aug 5;121(15):1394-7.
PMID: 18959116BACKGROUNDIishi H, Tatsuta M, Baba M, Uehara H, Nakaizumi A, Shinkai K, Akedo H, Funai H, Ishiguro S, Kitagawa I. Inhibition by ginsenoside Rg3 of bombesin-enhanced peritoneal metastasis of intestinal adenocarcinomas induced by azoxymethane in Wistar rats. Clin Exp Metastasis. 1997 Nov;15(6):603-11. doi: 10.1023/a:1018491314066.
PMID: 9344044BACKGROUNDLee JY, Jung KH, Morgan MJ, Kang YR, Lee HS, Koo GB, Hong SS, Kwon SW, Kim YS. Sensitization of TRAIL-induced cell death by 20(S)-ginsenoside Rg3 via CHOP-mediated DR5 upregulation in human hepatocellular carcinoma cells. Mol Cancer Ther. 2013 Mar;12(3):274-85. doi: 10.1158/1535-7163.MCT-12-0054. Epub 2012 Oct 10.
PMID: 23053497BACKGROUNDZhang C, Liu L, Yu Y, Chen B, Tang C, Li X. Antitumor effects of ginsenoside Rg3 on human hepatocellular carcinoma cells. Mol Med Rep. 2012 May;5(5):1295-8. doi: 10.3892/mmr.2012.808. Epub 2012 Feb 23.
PMID: 22366885BACKGROUNDPark HM, Kim SJ, Kim JS, Kang HS. Reactive oxygen species mediated ginsenoside Rg3- and Rh2-induced apoptosis in hepatoma cells through mitochondrial signaling pathways. Food Chem Toxicol. 2012 Aug;50(8):2736-41. doi: 10.1016/j.fct.2012.05.027. Epub 2012 May 22.
PMID: 22634290BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Feng Shen, MD,PhD
Eastern Hepatobiliary Surgery Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- vice president of the Eastern Hepatobiliary Surgery Hospital
Study Record Dates
First Submitted
October 26, 2012
First Posted
October 30, 2012
Study Start
April 1, 2012
Primary Completion
December 1, 2014
Study Completion
May 1, 2015
Last Updated
March 31, 2016
Record last verified: 2016-03