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Effect of Jianpi Huatan Decoction on Advanced Colorectal Cancer

Efficacy Evaluation of Jianpi Huatan Decoction in the Treatment of Advanced Colorectal Cancer and Analysis of Dominant Population Characteristics and Methylation Characteristics

This study will take progression-free survival and overall survival as the main evaluation indexes, to evaluate the Efficacy of Jianpi Huatan Decoction in the Treatment of Advanced Colorectal Cancer. Decision Trees and Discriminant Analysis will be used to analyze the characteristics of dominant population combined with clinical data of patients. DNA methylation of the subjects will be detected to study the methylation characteristics of the preponderant population of Jianpi Huatan Decoction.

Studieöversikt

Studietyp

Interventionell

Inskrivning (Förväntat)

200

Fas

  • Fas 3

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

Studera Kontakt Backup

Studieorter

    • Beijing
      • Beijing, Beijing, Kina, 100053
        • Rekrytering
        • Xiyuan Hospital of China Academy of Chinese Medical Sciences
        • Kontakt:
        • Kontakt:

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år och äldre (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Beskrivning

Inclusion Criteria:

  1. Patients with colorectal cancer with clear pathological diagnosis and Western medicine diagnostic criteria.
  2. TNM classification of stage IV disease according to National Comprehensive Cancer Network (NCCN) Guidelines.
  3. Expected survival time is over 3 months.
  4. The age of 18 years old or more.
  5. According to the efficacy evaluation criteria for solid tumors (RECIST 1.1), there are measurable lesions.
  6. Chemotherapy and/or targeted therapy are planned.
  7. Signed informed consent.

Exclusion Criteria:

  1. History of previous or combined malignancies except non-melanoma skin cancer, cervical cancer in situ, or bladder cancer (Tis and T1) received adequate treatment in the five years prior to screening.
  2. Combined with severe heart, liver, lung and kidney disease.
  3. Patients have intestinal obstruction can't take decoction and need intravenous high-energy nutrition. Patients have malabsorption syndrome or other disease affecting gastrointestinal absorption or have active peptic ulcer disease.
  4. Any unstable condition or condition that may endanger patient safety and compliance with research, such as pregnancy, depression, manic-depressive disorder, obsessive-compulsive disorder, or schizophrenia.
  5. The expected survival time is less than 3 months.
  6. The researchers determine that they were not suitable for the study.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Trippel

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: Experimental Group
The experimental group will take Jianpi Huatan dispensing granule while receiving chemotherapy and/or targeted therapy, once a day in the morning and evening, 30 days as a course of treatment, a total of 3 courses.
once a day in the morning and evening, 30 days as a course of treatment, a total of 3 courses.
Placebo-jämförare: Control Group
The experimental group will take Placebo granule (containing 1/10 of the formula dose of Jianpi Huatan Granule) while receiving chemotherapy and/or targeted therapy, once a day in the morning and evening, 30 days as a course of treatment, a total of 3 courses.
once a day in the morning and evening, 30 days as a course of treatment, a total of 3 courses.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Progression-free survival
Tidsram: From date of randomization until the date of disease progression or date of death from any cause, whichever came first, assessed up to 100 months
From enrollment until disease progression or death
From date of randomization until the date of disease progression or date of death from any cause, whichever came first, assessed up to 100 months
Overall survival
Tidsram: From date of randomization until the date of death from any cause, assessed up to 100 months
From enrollment until death or end of the follow-up
From date of randomization until the date of death from any cause, assessed up to 100 months

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Survival rate
Tidsram: 3 years
The 1-year, 2-year and 3-year survival rates of patients in the treatment group and the control group were analyzed
3 years
Disease control rate
Tidsram: 3 months
Efficacy was assessed according to RECIST 1.1 at the end of 3 months of treatment.
3 months
Cancer fatigue score
Tidsram: 3 months
Piper Fatigue Scale will be used.The fatigue of patients will be evaluated from 22 items of behavioral dimension, emotional dimension, sensory dimension and cognitive dimension. The higher the score of each dimension, the more serious the fatigue degree.
3 months
Traditional Chinese Medicine(TCM )symptom grading table
Tidsram: 3 months

Effective: after treatment, TCM symptom score decreased by more than 50% compared with that before treatment.

Effective: decrease < 50% and equal to 30%; Invalid: decrease < 30%. Note: the formula is: (before treatment - integral after treatment) / before treatment by 100%.

3 months
The European Organization for Cancer Research and Treatment Core Quality of Life Questionnaire (EORTC QLQ-C30) score scale
Tidsram: 3 months
The raw scores for the scales and single items were linearly transformed to values between 0 and 100 as described in the EORTC QLQ scoring manual. The mean and standard deviation of each scale/single item were calculated. A higher score for a functioning scale represented a healthier level of functioning, a higher score for the global health status scale represented a higher QOL, and a higher score for a symptom scale/item represented a worse level of symptomatology.
3 months
the United States Eastern Oncology Collaboration Group (ECOG) score scale
Tidsram: 3 months
ECOG scoring standard is an indicator of patients' general health status and tolerance to treatment based on their physical strength. ECOG physical condition rating standard score 0-5 points. A minimum score of 0 indicates normal activity, a higher score indicates less physical activity, and a score of 5 indicates death.
3 months

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Utredare

  • Studiestol: Yu Wu, Master, Xiyuan Hospital of China Academy of Chinese Medical Sciences

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

15 november 2021

Primärt slutförande (Förväntat)

1 juli 2024

Avslutad studie (Förväntat)

1 juli 2024

Studieregistreringsdatum

Först inskickad

20 december 2021

Först inskickad som uppfyllde QC-kriterierna

8 januari 2022

Första postat (Faktisk)

11 januari 2022

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

11 januari 2022

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

8 januari 2022

Senast verifierad

1 november 2021

Mer information

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