Colorectal CancerPhase 4NCT06090994
Prevention of Recurrence and Metastasis of Colorectal Cancer by Comparing Huaier With Capecitabine Monotherapy
A Phase 4 study testing Huaier granule and Capecitabine in people with Colorectal Cancer, run by Fudan University at 9 sites in China.
Trial summary
This is a prospective, multicenter, randomized, parallel controlled study to evaluate the effectiveness of Huaier Granule in preventing recurrence and metastasis after radical resection of colorectal cancer Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Colorectal Cancer
- What is being tested?
- Huaier granule and Capecitabine
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 756 participants
- Where
- 9 sitesChina
- Study dates
- 18 Oct 2024to Nov 2029
- Phase
- Phase 4
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age ≥ 18 years old, regardless of gender.
- It is diagnosed as colorectal cancer by histopathology, TNM stage Ⅱ.
- Received radical resection of colorectal cancer (R0) within 12 weeks prior to enrollment.
- Not receiving neoadjuvant therapy before surgery, and not receiving any adjuvant therapy after surgery.
- ECOG score 0-2 points.
- According to the CSCO Colorectal Cancer Guidelines 2022, it meets the criteria for receiving monotherapy adjuvant therapy with capecitabine.
- Clear consciousness, language expression or reading ability, able to communicate normally, and cooperate in completing questionnaire assessments.
- Voluntarily join this study and sign an informed consent form.
Who cannot join
- Low rectal cancer (occurring within 12 centimeters from the anal margin)
- Combining medical history of other malignant tumors.
- Known to be allergic to the components of Huaier granules or avoid or use Huaier granules with caution (only in the experimental group).
- Inability to take orally medication (experimental group, control group with oral medication included in standard treatment plan).
- Pregnant or lactating women or planned pregnancy preparation.
- In the past one month, the subjects have received Huaier granules or traditional Chinese patent medicines and simple preparations with similar efficacy or indications to Huaier granules (such as compound cantharides capsules, cinobufacin capsules, Kangai injection, Pingxiao tablets, please refer to the instruction manual for details).
- Refusal to cooperate with follow-up.
- Other reasons leading to the researcher's belief that it is not suitable to participate in this study.
Trial locations and contacts
9 sites in 1 country. Contact the study team or a site near you to ask about taking part.
Sanjun Cai, PhD contact
Fangqi Liu, PhD contact
9 sites in 1 country
China9 sites, 9 recruiting
- Not yet recruiting
The First People's Hospital of Changzhou
Changzhou, Jiangsu, 213000
Qicheng Lu, PhD, +8613915087018
- Not yet recruiting
Zhejiang Cancer Hospita
Hangzhou, Zhejiang, 310005
Haixing Jv, PhD, +8613858184823
Qian Zhang, PhD, +8613588296045
- Not yet recruiting
Harbin Medical University Cancer Hospital
Harbin, Heilongjiang, 150081
Binbin Cui, PhD, +8613351112888
- Recruiting
Jiangsu People's Hospital
Nanjing, Jiangsu, 210029
Yueming Sun, PhD, +8613505188397
- Not yet recruiting
Ningbo Medical Center Lihuili Hospital
Ningbo, Zhejiang, 315046
Wei Cui, PhD, +8613506842539
- Recruiting
Ruijin Hospital, Shanghai Jiaotong University School of Medicine
Shanghai, Shanghai Municipality, 200025
Ren H Zhao, PhD, +8613918805942
- Recruiting
Sanjun Cai
Shanghai, Shanghai Municipality, 200032
Sanjun Cai, +8618121299134
- Not yet recruiting
Renji Hospital,Shanghai Jiao Tong University School of Medicine
Shanghai, Shanghai Municipality, 200127
Zhe Cui, PhD, +8613512177595
- Recruiting
Northern Jiangsu People's Hospital
Yangzhou, Jiangsu, 225001
Daorong Wang, PhD, +8618051062590
About this study
Official title: A Prospective, Multicenter, Randomized, Parallel Controlled Study Comparing Huaier Granules With Capecitabine Monotherapy for the Prevention of Recurrence and Metastasis After Radical Resection of Stage II Colorectal Cancer
This is a prospective, multicenter, randomized, parallel controlled study to evaluate the effectiveness of Huaier Granule in preventing recurrence and metastasis after radical resection of colorectal cancer
Read the detailed description
It is expected to include 756 patients with colorectal cancer (CRC) who were diagnosed as stage II and underwent radical resection (R0) according to the CSCO colorectal cancer guidelines 2022 and met the criteria for cabetabine monotherapy in the study center from July 2024 to June 2026. The experimental group was treated with Huaier Granule monotherapy, and 378 patients were expected to be included; The control group was treated with capecitabine monotherapy, and 378 cases were expected to be included. Patients in the experimental group began using Huaier granules within 14 days-2 months after surgery. Patients in control group received capecitabine treatment, with one course of treatment every 3 weeks, for a total of 4-6 courses. Patients will be visited every 12 weeks (± 14 days) for the first two years after enrollment, and every 24 weeks (± 14 days) for the third year, until the end of the study, withdrawal from the study for any reason, or death, whichever occurs first.
- Conditions
- Colorectal Cancer
- Being tested
- Huaier granule, Capecitabine
- Keywords
- Huaier granule, colorectal cancer, capecitabine, recurrence and metastasis
- Medical subject headings
- Colorectal Neoplasms, Recurrence, Neoplasm Metastasis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Huaier granuleDrug
Also called Z20000109(NMPA Approval Number)
Oral administration, 10g once, 3 times a day, starting within 14 days-2 months after surgery. Please refer to the medication manual for specific usage.
CapecitabineDrug
Oral administration, 1250mg/m^2, twice a day (2500mg/m^2/d),day 1-14,with one course of treatment every 3 weeks, for a total of 4-6 courses.
| Study group | Role | What they receive |
|---|---|---|
| Huaier Granule | Experimental | Oral administration of Huai'er granules, 10g once, 3 times a day, continued until the end of the study, intolerable toxicity, withdrawal from the study for any reason, disease progression or death, whichever occurs first; Or the researcher determines that the subject no longer benefits. It is recommended that Huai'er Granules be used for the first time within 14 days-2 months after surgery. Please refer to the drug instructions for specific usage. Receives: Drug: Huaier granule |
| Capecitabine | Active comparator | Oral administration, 1250mg/m^2, twice a day (2500mg/m^2/d),day 1-14,with one course of treatment every 3 weeks,please refer to the drug instructions for specific usage. Receives: Drug: Capecitabine |
What is being measured
The primary outcome is the main question the study is designed to answer.
3-year disease-free survival rate (DFS)
The proportion of surviving patients who did not experience disease recurrence or metastasis within 3 years after R0 surgery.
Measured: start of treatment until 3-year follow-up
Secondary outcomes (6)
1-year disease-free survival rate (DFS)
The proportion of surviving patients who did not experience disease recurrence or metastasis within 1 years after R0 surgery.
Measured: start of treatment until 1-year follow-up
2-year disease-free survival rate (DFS)
The proportion of surviving patients who did not experience disease recurrence or metastasis within 2 years after R0 surgery.
Measured: start of treatment until 2-year follow-up
Overall survival (OS)
The time from randomization and enrollment on the day of the patient to death for any reason.
Measured: start of treatment until 3-year follow-up
Quality of Life Score
Evaluation using the EORTC QLQ-C30 (Chinese version) core quality of life scale developed by the European Organization for Cancer Research and Treatment.
Measured: baseline period and start of treatment until 3-year follow-up
The incidence and severity of adverse events (AE) and severe adverse events (SAE)
The definition and severity grading of AE and SAE refer to the corresponding descriptions in the definition and evaluation section of adverse events, and the incidence rate is defined as the proportion of patients with AE and SAE to the corresponding total population.
Measured: start of treatment until 3-year follow-up
The incidence and severity of adverse reactions (ADR), severe adverse reactions (SADR), suspicious and unexpected severe adverse reactions (SUSAR)
The definition and severity grading of ADR, severe ADR, and SUSAR refer to the corresponding descriptions in the definition and evaluation section of adverse events. The incidence rate is defined as the proportion of patients with ADR, severe ADR, and SUSAR to the corresponding total population.
Measured: start of treatment until 3-year follow-up
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Oct 2023
- Study start18 Oct 2024
- Primary completionJul 2027 (estimated)
- Study completionNov 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Colorectal CancerStudies of the same condition, open and under way.
- More trials run by Fudan UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 756 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Fudan University
- Sponsor type
- University, hospital or other
- Collaborators
- Huazhong University of Science and Technology
- Responsible party
- Principal investigator, Sanjun Cai, Fudan University
- Investigators
- Sanjun Cai, PhD, Principal investigator, Fudan University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06090994
- Sponsor's protocol ID
- HE-202401
- Status last verified
- May 2025
- First submitted
- 15 Oct 2023
- Last updated
- 7 May 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 7 May 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Prospective, Multicenter, Randomized, Parallel Controlled Study Comparing Huaier Granules With Capecitabine Monotherapy for the Prevention of Recurrence and Metastasis After Radical Resection of Stage II Colorectal Cancer
- ClinicalTrials.gov ID
- NCT06090994
- Acronym / sponsor ID
- HE-202401
- Conditions
- Colorectal Cancer
- Keywords
- Huaier granule, colorectal cancer, capecitabine, recurrence and metastasis
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 756 participants (estimated)
- Lead sponsor
- Fudan UniversityUniversity, hospital or other
- Collaborators
- Huazhong University of Science and Technology
- Study start
- 18 Oct 2024 (actual)
- Primary completion
- Jul 2027 (estimated)
- Study completion
- Nov 2029 (estimated)
- First posted
- 19 Oct 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a prospective, multicenter, randomized, parallel controlled study to evaluate the effectiveness of Huaier Granule in preventing recurrence and metastasis after radical resection of colorectal cancer
Detailed description
It is expected to include 756 patients with colorectal cancer (CRC) who were diagnosed as stage II and underwent radical resection (R0) according to the CSCO colorectal cancer guidelines 2022 and met the criteria for cabetabine monotherapy in the study center from July 2024 to June 2026. The experimental group was treated with Huaier Granule monotherapy, and 378 patients were expected to be included; The control group was treated with capecitabine monotherapy, and 378 cases were expected to be included. Patients in the experimental group began using Huaier granules within 14 days-2 months after surgery. Patients in control group received capecitabine treatment, with one course of treatment every 3 weeks, for a total of 4-6 courses. Patients will be visited every 12 weeks (± 14 days) for the first two years after enrollment, and every 24 weeks (± 14 days) for the third year, until the end of the study, withdrawal from the study for any reason, or death, whichever occurs first.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Huaier Granule | Experimental | Drug: Huaier granuleOral administration of Huai'er granules, 10g once, 3 times a day, continued until the end of the study, intolerable toxicity, withdrawal from the study for any reason, disease progression or death, whichever occurs first; Or the researcher determines that the subject no longer benefits. It is recommended that Huai'er Granules be used for the first time within 14 days-2 months after surgery. Please refer to the drug instructions for specific usage. |
| Capecitabine | Active comparator | Drug: CapecitabineOral administration, 1250mg/m^2, twice a day (2500mg/m^2/d),day 1-14,with one course of treatment every 3 weeks,please refer to the drug instructions for specific usage. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Age ≥ 18 years old, regardless of gender.
- It is diagnosed as colorectal cancer by histopathology, TNM stage Ⅱ.
- Received radical resection of colorectal cancer (R0) within 12 weeks prior to enrollment.
- Not receiving neoadjuvant therapy before surgery, and not receiving any adjuvant therapy after surgery.
- ECOG score 0-2 points.
Key exclusion criteria (8 listed)
- Low rectal cancer (occurring within 12 centimeters from the anal margin)
- Combining medical history of other malignant tumors.
- Known to be allergic to the components of Huaier granules or avoid or use Huaier granules with caution (only in the experimental group).
- Inability to take orally medication (experimental group, control group with oral medication included in standard treatment plan).
- Pregnant or lactating women or planned pregnancy preparation.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Huaier granuleAlso: Z20000109(NMPA Approval Number)Oral administration, 10g once, 3 times a day, starting within 14 days-2 months after surgery. Please refer to the medication manual for specific usage. | Drug | Huaier Granule |
| CapecitabineOral administration, 1250mg/m^2, twice a day (2500mg/m^2/d),day 1-14,with one course of treatment every 3 weeks, for a total of 4-6 courses. | Drug | Capecitabine |
Primary outcome
3-year disease-free survival rate (DFS)
Time frame: start of treatment until 3-year follow-up
The proportion of surviving patients who did not experience disease recurrence or metastasis within 3 years after R0 surgery.
6 secondary outcomes
1-year disease-free survival rate (DFS)
Time frame: start of treatment until 1-year follow-up
2-year disease-free survival rate (DFS)
Time frame: start of treatment until 2-year follow-up
Overall survival (OS)
Time frame: start of treatment until 3-year follow-up
Quality of Life Score
Time frame: baseline period and start of treatment until 3-year follow-up
The incidence and severity of adverse events (AE) and severe adverse events (SAE)
Time frame: start of treatment until 3-year follow-up
The incidence and severity of adverse reactions (ADR), severe adverse reactions (SADR), suspicious and unexpected severe adverse reactions (SUSAR)
Time frame: start of treatment until 3-year follow-up
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 May 2025.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Sanjun Cai, PhD contact
Fangqi Liu, PhD contact
Sanjun Cai, PhD principal investigator
Fudan University
9 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Huaier granule and Capecitabine in people with Colorectal Cancer, run by Fudan University at 9 sites in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 7 May 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 9 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Sanjun Cai, PhD (+8618121299134), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
3-year disease-free survival rate (DFS) (time frame: start of treatment until 3-year follow-up). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 May 2025.