Shenbai Granules for Preventing Malignant Transformation of High-risk Colorectal Adenomas

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age40-75
SponsorJiangsu Famous Medical Technology Co., Ltd.

About this trial

This multicenter, randomized, double-blind, placebo-controlled trial will enroll 450 patients with completely resected high-risk colorectal adenoma (HR-CRA), randomly assigned (1:1) to 6 months of Shenbai Granules (SBG) or placebo, followed for 3 years post-polypectomy. Primary endpoint: 3-year cumulative incidence of metachronous HR-CRA. Secondary endpoints: incidence, number, size, distribution, histology of low-risk adenomas and serrated lesions, and colorectal cancer occurrence.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Aged 40-75 years, regardless of gender;

High-quality colonoscopy performed within 14 days before randomisation, with initial endoscopic resection of all polyps and histological confirmation of at least one HR-CRA criteria;

Complete endoscopic resection of every detected lesion;

TCM syndrome differentiation of "spleen deficiency with dampness-heat";

Disqualifiers

Concomitant malignancy or history of malignancy in the digestive system;

Personal or family history of familial adenomatous polyposis or hereditary non-polyposis colorectal cancer (Lynch syndrome);

History of inflammatory bowel disease;

Malignancy in any other organ system within 5 years before screening, except for adequately treated thyroid carcinoma, cervical carcinoma in situ, basal or squamous cell skin carcinoma, or ductal carcinoma in situ of the breast cured by radical surgery;

Trial design

Design model

Parallel

Treatments tested in this trial

  • Shenbai Granules

    Drug

    10 g/bag, two bags each time, twice a day, monthly for 30 days for 6 months.

  • Placebo

    Drug

    10 g/bag, two bags each time, twice a day, monthly for 30 days for 6 months.

Treatment groups

450 Participants
are divided into 2 treatment groups
Group A: Shenbai GranulesExperimental treatment 1 intervention
Group B: PlaceboPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Cumulative detection rate of metachronous high-risk colorectal adenomas within 3 years after the first dose.

The proportion of patients found to have metachronous high-risk colorectal adenomas during surveillance colonoscopy within 3 years after baseline adenoma resection. Colonoscopy will be performed in the first and third years.

Time frame
1, 3 years

Secondary outcomes

1

Cumulative detection rate of metachronous low-risk colorectal adenomas within 3 years after the first dose.

The proportion of patients found to have metachronous low-risk colorectal adenomas during surveillance colonoscopy within 3 years after baseline adenoma resection. Colonoscopy will be performed in the first and third years.

Time frame
1, 3 years
2

Cumulative counts of metachronous colorectal adenomas detected within 3 years after the first dose.

The cumulative counts of metachronous colorectal adenomas detected during colonoscopic surveillance within 3 years after baseline adenoma resection. Colonoscopy will be performed in the first and third years.

Time frame
1, 3 years
3

The average number of metachronous colorectal adenomas detected within 3 years after the first dose.

The average number of metachronous colorectal adenomas detected during colonoscopic surveillance within 3 years after baseline adenoma resection. Colonoscopy will be performed in the first and third years.

Time frame
1, 3 years
4

Size of metachronous colorectal adenomas detected within 3 years after the first dose.

The average size of metachronous colorectal adenomas detected during colonoscopic surveillance within 3 years after baseline adenoma resection. Colonoscopy will be performed in the first and third years.

Time frame
1, 3 years

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Jiangsu Famous Medical Technology Co., Ltd.

Lead sponsor

The First Affiliated Hospital with Nanjing Medical University

Collaborator

First Affiliated Hospital of Harbin Medical University

Collaborator

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Collaborator

The Second Affiliated Hospital of Chongqing Medical University

Collaborator

Chongqing Traditional Chinese Medicine Hospital

Collaborator

The Second Hospital of Shandong University

Collaborator

Shengjing Hospital

Collaborator

Shenzhen Hospital of Southern Medical University

Collaborator

Sixth Affiliated Hospital, Sun Yat-sen University

Collaborator

Sichuan Provincial People's Hospital

Collaborator

Shanxi Provincial People's Hospital

Collaborator

Affiliated Hospital of Nanjing University of Chinese Medicine

Collaborator

RenJi Hospital

Collaborator

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