NCT05590650

Brief Summary

The goal of this clinical trial is to learn about the clinical efficacy of San-Zhong-Kui-Jian-Tang (SZKJT), a formula of Chinese medicine in head and neck cancer patients receiving concurrent chemoradiotherapy (CCRT) treatments. The main questions it aims to answer are:

  • Can SZKJT improve the completion rate of CCRT?
  • Can SZKJT reduce the adverse effects of CCRT?
  • How SZKJT affect the quality of life in the patients receiving CCRT
  • How about the safety of using SZKJT in the patients receiving CCRT Participants will be asked to:
  • take SZKJT for 9 weeks during the whole CCRT course
  • take questionnaires of quality of life

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
21

participants targeted

Target at P25-P50 for phase_1

Timeline
Completed

Started Jul 2018

Typical duration for phase_1

Geographic Reach
1 country

1 active site

Status
completed

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

July 7, 2018

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 14, 2020

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 25, 2020

Completed
1.8 years until next milestone

First Submitted

Initial submission to the registry

October 16, 2022

Completed
5 days until next milestone

First Posted

Study publicly available on registry

October 21, 2022

Completed
Last Updated

October 26, 2022

Status Verified

October 1, 2022

Enrollment Period

1.9 years

First QC Date

October 16, 2022

Last Update Submit

October 24, 2022

Conditions

Keywords

Head and Neck Neoplasms;ChemoradiotherapyComplementary TherapiesMedicine, Chinese Traditional

Outcome Measures

Primary Outcomes (1)

  • The completion rate

    We counted the percentage rate of those who achieved and did not reach the CCRT course.

    We will do an assessment at the seventh week of CCRT. Patients who had completed a seven-week course of treatment and had a cumulative dose of cisplatin greater than 200 mg per m2 will be considered the completion group.

Secondary Outcomes (5)

  • The adverse effects

    The assessment is performed at the eighth week.

  • The change in Quality of Life

    The questionnaire is assessed at the baseline and the eighth week.

  • The Change of Constitutions of traditional Chinese medicine

    The questionnaire is assessed at the baseline and the eighth week.

  • The change of liver function

    The lab data of biochemistry analysis is collected at the baseline and the eighth week.

  • The change of renal function

    The lab data of biochemistry analysis is collected at the baseline and the eighth week.

Study Arms (1)

SZKJT group

EXPERIMENTAL

Patients who meet the inclusion criteria and agree to receive concomitant treatment with SZKJT.

Drug: SZKJT(San-Zhong-Kui-Jian-Tang)

Interventions

The SZKJT samples were made and packed by Kaiser Pharmaceutical Co. Ltd. with lot number of 2019023247.

Also known as: Product from Kaiser Pharmaceutical Co. Ltd.
SZKJT group

Eligibility Criteria

Age20 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • aged from 20- to 65-year-old;
  • firstly diagnosed as head and neck cancer with stage II, III or IV;
  • adjuvant therapy with chemotherapy of Cisplatin or combined with radiotherapy after surgery;
  • or chemotherapy of Cisplatin for those without surgery;
  • wiliness to sign inform consent.

You may not qualify if:

  • pregnancy;
  • non-Squamous-cell carcinoma;
  • secondary cancer or Carcinoma in situ in 5 years;
  • any evidence of metastasis;
  • abnormality of liver, kidney or bone marrow functions before treatments;
  • unstable vital signs;
  • episode of acute infection;
  • unclear consciousness for inform consent;
  • receiving other herbal, complementary or acupuncture therapy.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

China Medical University Hospital

Taichung, 404327, Taiwan

Location

Related Publications (15)

  • Bernier J, Domenge C, Ozsahin M, Matuszewska K, Lefebvre JL, Greiner RH, Giralt J, Maingon P, Rolland F, Bolla M, Cognetti F, Bourhis J, Kirkpatrick A, van Glabbeke M; European Organization for Research and Treatment of Cancer Trial 22931. Postoperative irradiation with or without concomitant chemotherapy for locally advanced head and neck cancer. N Engl J Med. 2004 May 6;350(19):1945-52. doi: 10.1056/NEJMoa032641.

    PMID: 15128894BACKGROUND
  • Cooper JS, Pajak TF, Forastiere AA, Jacobs J, Campbell BH, Saxman SB, Kish JA, Kim HE, Cmelak AJ, Rotman M, Machtay M, Ensley JF, Chao KS, Schultz CJ, Lee N, Fu KK; Radiation Therapy Oncology Group 9501/Intergroup. Postoperative concurrent radiotherapy and chemotherapy for high-risk squamous-cell carcinoma of the head and neck. N Engl J Med. 2004 May 6;350(19):1937-44. doi: 10.1056/NEJMoa032646.

    PMID: 15128893BACKGROUND
  • Bernier J, Cooper JS, Pajak TF, van Glabbeke M, Bourhis J, Forastiere A, Ozsahin EM, Jacobs JR, Jassem J, Ang KK, Lefebvre JL. Defining risk levels in locally advanced head and neck cancers: a comparative analysis of concurrent postoperative radiation plus chemotherapy trials of the EORTC (#22931) and RTOG (# 9501). Head Neck. 2005 Oct;27(10):843-50. doi: 10.1002/hed.20279.

    PMID: 16161069BACKGROUND
  • Cooper JS, Zhang Q, Pajak TF, Forastiere AA, Jacobs J, Saxman SB, Kish JA, Kim HE, Cmelak AJ, Rotman M, Lustig R, Ensley JF, Thorstad W, Schultz CJ, Yom SS, Ang KK. Long-term follow-up of the RTOG 9501/intergroup phase III trial: postoperative concurrent radiation therapy and chemotherapy in high-risk squamous cell carcinoma of the head and neck. Int J Radiat Oncol Biol Phys. 2012 Dec 1;84(5):1198-205. doi: 10.1016/j.ijrobp.2012.05.008. Epub 2012 Jun 30.

    PMID: 22749632BACKGROUND
  • Forastiere AA, Goepfert H, Maor M, Pajak TF, Weber R, Morrison W, Glisson B, Trotti A, Ridge JA, Chao C, Peters G, Lee DJ, Leaf A, Ensley J, Cooper J. Concurrent chemotherapy and radiotherapy for organ preservation in advanced laryngeal cancer. N Engl J Med. 2003 Nov 27;349(22):2091-8. doi: 10.1056/NEJMoa031317.

    PMID: 14645636BACKGROUND
  • Adelstein DJ, Li Y, Adams GL, Wagner H Jr, Kish JA, Ensley JF, Schuller DE, Forastiere AA. An intergroup phase III comparison of standard radiation therapy and two schedules of concurrent chemoradiotherapy in patients with unresectable squamous cell head and neck cancer. J Clin Oncol. 2003 Jan 1;21(1):92-8. doi: 10.1200/JCO.2003.01.008.

    PMID: 12506176BACKGROUND
  • Trotti A, Bellm LA, Epstein JB, Frame D, Fuchs HJ, Gwede CK, Komaroff E, Nalysnyk L, Zilberberg MD. Mucositis incidence, severity and associated outcomes in patients with head and neck cancer receiving radiotherapy with or without chemotherapy: a systematic literature review. Radiother Oncol. 2003 Mar;66(3):253-62. doi: 10.1016/s0167-8140(02)00404-8.

    PMID: 12742264BACKGROUND
  • Russo G, Haddad R, Posner M, Machtay M. Radiation treatment breaks and ulcerative mucositis in head and neck cancer. Oncologist. 2008 Aug;13(8):886-98. doi: 10.1634/theoncologist.2008-0024. Epub 2008 Aug 13.

    PMID: 18701763BACKGROUND
  • Robertson AG, Robertson C, Perone C, Clarke K, Dewar J, Elia MH, Hurman D, MacDougall RH, Yosef HM. Effect of gap length and position on results of treatment of cancer of the larynx in Scotland by radiotherapy: a linear quadratic analysis. Radiother Oncol. 1998 Aug;48(2):165-73. doi: 10.1016/s0167-8140(98)00038-3.

    PMID: 9783888BACKGROUND
  • Robertson C, Robertson AG, Hendry JH, Roberts SA, Slevin NJ, Duncan WB, MacDougall RH, Kerr GR, O'Sullivan B, Keane TJ. Similar decreases in local tumor control are calculated for treatment protraction and for interruptions in the radiotherapy of carcinoma of the larynx in four centers. Int J Radiat Oncol Biol Phys. 1998 Jan 15;40(2):319-29. doi: 10.1016/s0360-3016(97)00716-5.

    PMID: 9457816BACKGROUND
  • Groome PA, O'Sullivan B, Mackillop WJ, Jackson LD, Schulze K, Irish JC, Warde PR, Schneider KM, Mackenzie RG, Hodson DI, Hammond JA, Gulavita SP, Eapen LJ, Dixon PF, Bissett RJ. Compromised local control due to treatment interruptions and late treatment breaks in early glottic cancer: Population-based outcomes study supporting need for intensified treatment schedules. Int J Radiat Oncol Biol Phys. 2006 Mar 15;64(4):1002-12. doi: 10.1016/j.ijrobp.2005.10.010. Epub 2006 Jan 18.

    PMID: 16414205BACKGROUND
  • Herrmann T, Jakubek A, Trott KR. The importance of the timing of a gap in radiotherapy of squamous cell carcinomas of the head and neck. Strahlenther Onkol. 1994 Sep;170(9):545-9.

    PMID: 7940126BACKGROUND
  • Thomas K, Martin T, Gao A, Ahn C, Wilhelm H, Schwartz DL. Interruptions of Head and Neck Radiotherapy Across Insured and Indigent Patient Populations. J Oncol Pract. 2017 Apr;13(4):e319-e328. doi: 10.1200/JOP.2016.017863. Epub 2017 Mar 7.

    PMID: 28267393BACKGROUND
  • Suwinski R, Sowa A, Rutkowski T, Wydmanski J, Tarnawski R, Maciejewski B. Time factor in postoperative radiotherapy: a multivariate locoregional control analysis in 868 patients. Int J Radiat Oncol Biol Phys. 2003 Jun 1;56(2):399-412. doi: 10.1016/s0360-3016(02)04469-3.

    PMID: 12738315BACKGROUND
  • Tang HT, Ou SC, Chu CL, Lee AL, Lin HJ, Lin YC, Wang YC, Yang SN, Lien MY. Chinese Herbal Medicine for Concurrent Chemoradiation-Induced Adverse Events in Head and Neck Cancer Patients: A Prospective Feasibility Study. Integr Cancer Ther. 2025 Jan-Dec;24:15347354251326946. doi: 10.1177/15347354251326946. Epub 2025 Mar 24.

MeSH Terms

Conditions

Head and Neck Neoplasms

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasms

Study Officials

  • Ming-Yu Lien, Ph.D

    China Medical University Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NA
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 16, 2022

First Posted

October 21, 2022

Study Start

July 7, 2018

Primary Completion

June 14, 2020

Study Completion

December 25, 2020

Last Updated

October 26, 2022

Record last verified: 2022-10

Data Sharing

IPD Sharing
Will not share

Locations