Xian-Lian-Jie-Du Optimization Decoction As an Adjuvant Treatment for Prevention of Recurrence of Colon Cancer
Efficacy of Xian-Lian-Jie-Du Optimization Decoction As an Adjuvant Treatment for Prevention of Recurrence of Stage IIIB/IIIC Colon Cancer:a Study Protocol for a Randomized Controlled Trial
1 other identifier
interventional
730
1 country
1
Brief Summary
This study is designed as a multi-center, randomized, double-blind, placebo-controlled trial. Subjects in the intervention group will be treated with XLJDOD compound granule. Subjects in the control group will be treated with placebo (XLJDOD mimetic agent).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Dec 2022
Longer than P75 for phase_3
1 active site
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
December 1, 2022
CompletedFirst Submitted
Initial submission to the registry
January 17, 2023
CompletedFirst Posted
Study publicly available on registry
February 2, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
April 1, 2028
December 30, 2024
December 1, 2024
4.3 years
January 17, 2023
December 27, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Two-year disease-free survival (DFS)
2-year DFS is defined as the percentage of patients alive without disease recurrence at 2 years measured from the randomization date.
Assess once 24 months after randomization
Secondary Outcomes (6)
Three-year disease-free survival (DFS)
Assess once 36 months after randomization
One, two, three-year relapse rate (RR)
Assess at month 12, 24, 36 after randomization
Three-year survival rate
Assess once 36 months after randomization
Overall survival (OS)
Observation to the end of the study,assessed up to 24 months
Changes in total score on the EORTCQLQ-C30 Scale
Measurement will be performed at baseline and month 6, 12 ,18 ,24, 36.
- +1 more secondary outcomes
Study Arms (2)
intervention group
ACTIVE COMPARATORSubjects in the intervention group will be treated with XLJDOD compound granule.
control group
PLACEBO COMPARATORSubjects in the control group will be treated with placebo (XLJDOD mimetic agent).
Interventions
Treatment will begin within 3 months after standard adjuvant chemotherapy and compliance will be continuously monitored. XLJDOD will be taken twice a day, infused with warm water, 1 hour after lunch and dinner. One course of treatment will take 28 days in 1 month, and 2- to 3-day rest. Treatment will continue for 6 courses.
The course of placebo in control group will be in accordance with that of XLJDOD in intervention group.
Eligibility Criteria
You may qualify if:
- Colon carcinoma confirmed by pathology.\*
- \*Preoperative endoscopy showed that the distal end of the tumor was ≥12cm from the anal margin. If the patient did not undergo endoscopic examination before surgery, the distance of the tumor from the anal margin was ≥12cm according to the results of intraoperative examination or preoperative imaging examination.
- Completion of surgical resection of tumors with negative margins (R0 resection) and at least 3 months of adjuvant chemotherapy based on 5-fluorouracil (5-FU). \*
- \*4 cycles of CAPOX (capecitabine and oxaliplatin), 6 cycles of FOLFOX (fluorouracil, leucovorin, and oxaliplatin) or 4 cycles of single agent-5-FU, etc.
- Within 3 months after the completion of adjuvant chemotherapy.
- Patients with Stage IIIB or IIIC disease.\*
- \*IIIB: T3-T4aN1/N1cM0, T2-T3N2aM0 and T1-T2N2bM0, IIIC: T4aN2aM0, T3-T4aN2bM0 and T4bN1-N2M0, as defined by the American Joint Committee on Cancer (AJCC) 8th edition).
- Aged 20-80 years, men or women.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-2.
- With no radiographic evidence of tumor recurrence.
- Sign the informed consent form.
You may not qualify if:
- Presence of other malignancies in the past 5 years except curatively treated basal cell carcinoma or cervical carcinoma in situ.
- Besides adjuvant chemotherapy, other adjuvant therapy such as radiotherapy, targeted therapy and immunotherapy has been used to treat colon cancer.
- Antitumor Chinese patent medicine and decoction have been used for more than 3 months after surgery or within 1 month before enrollment.
- Patients with severe comorbidities such as cardiovascular, cerebrovascular, renal, hepatic, hematopoietic system and other severe primary diseases.
- Allergic to the ingredients of XLJDOD.
- Any condition that is unstable or can jeopardize the safety of the patients and their compliance to the study, including pregnancy, plan to be pregnant, lactation and psychiatric disorders (schizophrenia, depression, and obsessive-compulsive disorder, etc.).
- Suspected or confirmed history of alcohol and drug abuse.
- Patients with other conditions considered by the investigator should not participate in the study.
- Patients who have recently participated in or are currently participating in other clinical trials of drugs.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Jiangsu Province Hospital of Traditional Chinese Medicine
Nanjing, China
Related Publications (1)
Geng X, Wang Z, Feng L, Gu Y, Wang R, Yao Q, Xu Y, Wu J, Jiang Z, Chen K, Hu W, Tang D, Huo J, Li L, Bu Q, Zhao S, Zhang B, Cheng H. Efficacy and safety of Xian-Lian-Jie-Du optimization decoction as an adjuvant treatment for prevention of recurrence in patients with stage IIIB/IIIC colon cancer: study protocol for a multicentre, randomized controlled trial. BMC Complement Med Ther. 2023 Jul 17;23(1):239. doi: 10.1186/s12906-023-04052-2.
PMID: 37461034DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 17, 2023
First Posted
February 2, 2023
Study Start
December 1, 2022
Primary Completion (Estimated)
April 1, 2027
Study Completion (Estimated)
April 1, 2028
Last Updated
December 30, 2024
Record last verified: 2024-12