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Dendrobium Huoshanense Suppository in Rectal Cancer

Phase 3
Recruiting
Conditions
Locally Advanced Rectal Cancer
Interventions
Drug: Dendrobium Huoshanense Suppository
Registration Number
NCT05079438
Lead Sponsor
Zhejiang Cancer Hospital
Brief Summary

To evaluates the role of Dendrobium Huoshanense Suppository for radiation proctitis in locally advanced rectal cancer treated by capecitabine and irinotecan based neoadjuvant chemoradiation.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
168
Inclusion Criteria
  1. pathological confirmed rectum adenocarcinoma
  2. clinical stage T3-4 and/or N+
  3. the distance from anal verge less than 10 cm
  4. without distance metastases
  5. performance status score: 0~1
  6. without previous anti-cancer therapy
  7. able to follow the protocol during the study period
  8. sign the inform consen
Exclusion Criteria
  1. Pregnant or breastfeeding women
  2. Those with other history of malignant disease in the past 5 years, except for cured skin cancer and cervical carcinoma in situ
  3. If there is an uncontrolled history of epilepsy, central nervous system disease or mental disorder, the investigator may determine that the clinical severity may hinder the signing of informed consent or affect the patient's oral medication compliance.
  4. Clinically severe (ie, active) heart disease, such as symptomatic coronary heart disease, New York Heart Association (NYHA) class II or more severe congestive heart failure or severe arrhythmia requiring medication intervention (see appendix 12), or a history of myocardial infarction in the last 12 months
  5. Organ transplantation requires immunosuppressive therapy Severe uncontrolled recurrent infections, or other serious uncontrolled concomitant diseases
  6. Subject blood routine and biochemical indicators do not meet the following criteria: hemoglobin ≥ 90g / L; absolute neutrophil count (ANC) ≥ 1.5 × 109 / L; Alanine transaminase (ALT), aspartate aminotransferase (AST) ≤ 2.5 times the upper limit of normal; alkaline phosphatase (ALP) ≤2.5 times the normal upper limit; serum total bilirubin <1.5 times the normal upper limit; serum creatinine <1 times the normal upper limit; serum albumin ≥ 30g / L
  7. Anyone who is allergic to any research medication
  8. DPD deficiency

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
CRT with Dendrobium huoshanense SuppositoryDendrobium Huoshanense SuppositoryDendrobium huoshanense Suppository: 1.7g rectal administration per day for 5 weeks Concurrent Chemoradiotherapy: Radiation: 50Gy/25Fx; Capecitabine: 625mg/m2 bid Monday-Friday per week; Irinotecan: 80mg/m2 (UGT1A1\*28 and \*6: 6/6+GG) or 65mg/m2 (UGT1A1\*28 and \*6 :6/7+GG or 6/6+GA) or 50mg/m2 (UGT1A1\*28 and \*6 :7/7+GG or 6/6+AA or 6/7+GA).
Primary Outcome Measures
NameTimeMethod
≥Grade 2 proctitisDuring chemoradiotherapy
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Ji Zhu

🇨🇳

Hangzhou, Zhejiang, China

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