NCT07355361

Brief Summary

The goal of this clinical trial is to learn if adding Huaier Granule to standard care can treat proteinuria (excess protein in the urine) in adult female breast cancer patients (aged 18-75) who developed this condition as a side effect of their immunotherapy or anti-angiogenic cancer treatment. The main question it aims to answer is: \* Does the addition of Huaier Granule to standard care improve the effectiveness of proteinuria treatment after 8 weeks? Researchers will compare the group receiving standard care plus Huaier Granule to the group receiving standard care alone to see if the combination is more effective at reducing protein levels in the urine. Participants will:

  • Be randomly assigned to one of the two study groups.
  • Continue their prescribed anti-cancer therapy (immunotherapy or anti-angiogenic therapy).
  • Receive standard medical care for proteinuria from a kidney specialist.
  • If in the experimental group, take Huaier Granule orally, three times a day.
  • Attend clinic visits every 4 weeks for up to 24 weeks for check-ups and tests, including urine and blood tests.

Trial Health

63
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Trial Health Score

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

Enrollment
120

participants targeted

Target at P50-P75 for phase_2

Timeline
25mo left

Started Jan 2026

Geographic Reach
1 country

1 active site

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress13%
Jan 2026Jun 2028

First Submitted

Initial submission to the registry

January 13, 2026

Completed
2 days until next milestone

Study Start

First participant enrolled

January 15, 2026

Completed
6 days until next milestone

First Posted

Study publicly available on registry

January 21, 2026

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 15, 2027

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

June 15, 2028

Last Updated

January 21, 2026

Status Verified

January 1, 2026

Enrollment Period

1.4 years

First QC Date

January 13, 2026

Last Update Submit

January 13, 2026

Conditions

Keywords

proteinuriaImmunotherapyAnti-angiogenic therapyBreast cancer patients

Outcome Measures

Primary Outcomes (1)

  • Response rate of proteinuria treatment at Week 8

    The proportion of subjects (across both groups) achieving a best overall response of Complete Response, Partial Response, or Stable Disease in proteinuria at 8 weeks.

    From enrollment to the end of treatment at 8 weeks.

Secondary Outcomes (4)

  • Response rate of proteinuria treatment at Week 16

    From enrollment to the end of treatment at 16 weeks

  • Change from baseline in 24-hour urinary protein quantification at Weeks 8 and 16

    From enrollment to the end of treatment at 16 weeks

  • Mean percent reduction in 24-hour urinary protein quantification at Weeks 8 and 16

    From enrollment to the end of treatment at 16 weeks

  • Other Renal Adverse Events at Weeks 8 and 16

    From enrollment to the end of treatment at 16 weeks

Study Arms (2)

A Group

ACTIVE COMPARATOR

Antitumor therapy + Proteinuria management + Huaier Granule treatment

Drug: Huaier GranuleDrug: Antitumor therapyDrug: Proteinuria Management

B Group

ACTIVE COMPARATOR

Proteinuria management + Huaier Granule treatment

Drug: Antitumor therapyDrug: Proteinuria Management

Interventions

Huaier Granule Group: Participants will take Huaier Granule (Z20000109) on top of their standard treatment. The dosing is 10g, orally, three times a day. Treatment continues until the study ends, or an event such as disease progression, unacceptable side effects, withdrawal, or death occurs, whichever comes first. The investigator can also stop treatment if it's no longer deemed beneficial. Refer to the drug label for details. The investigator will decide on continued use if the background cancer therapy is changed due to progression.

A Group

The pre-existing regimen started before enrollment, subject to adjustment based on clinical routine.

A GroupB Group

Specialist-managed care (including follow-up or drug therapy \[excluding Huaier Granule\]) initiated post-proteinuria diagnosis.

A GroupB Group

Eligibility Criteria

Age18 Years - 75 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Female patients aged 18-75 years.
  • Histopathologically confirmed diagnosis of breast cancer.
  • Currently receiving or having a prior history of immunotherapy and/or anti-angiogenic therapy.
  • First-time detection of proteinuria on urinalysis, graded as +, ++, or +++.
  • hour urinary protein quantification between 0.15g and 3.5g (exclusive).
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Karnofsky Performance Status (KPS) score ≥70.
  • No prior treatment with Huaier Granule within one month before enrollment.
  • Life expectancy of at least 6 months.
  • Willingness to voluntarily participate in the study and provision of signed informed consent.

You may not qualify if:

  • Known history of chronic kidney disease (eGFR \<60 ml/min/1.73m²) or diabetic nephropathy.
  • Proteinuria attributed to other diseases, including but not limited to primary renal disease, hypertension, urinary tract infection, systemic lupus erythematosus, or multiple myeloma.
  • Current use of ACEI/ARB medications (unless the dosage has been stable for ≥4 weeks prior to enrollment).
  • Known allergy, contraindication, or specific precaution to any component of Huaier Granule.
  • Women who are pregnant, breastfeeding, or planning to conceive.
  • Concurrent participation in any other clinical trial investigating medications for proteinuria.
  • Any other condition that, in the judgment of the investigator, would make the patient unsuitable for participation in this study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Fudan University Shanghai Cancer Center

Shanghai, Shanghai Municipality, 200032, China

Location

MeSH Terms

Conditions

Proteinuria

Condition Hierarchy (Ancestors)

Urination DisordersUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital DiseasesUrological ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Zhi-Ming Shao

    Fudan University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Zhi-Ming Shao, MD, PhD

CONTACT

Peng Ji, Dr.

CONTACT

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Director of Breast Surgery Department

Study Record Dates

First Submitted

January 13, 2026

First Posted

January 21, 2026

Study Start

January 15, 2026

Primary Completion (Estimated)

June 15, 2027

Study Completion (Estimated)

June 15, 2028

Last Updated

January 21, 2026

Record last verified: 2026-01

Locations