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This is a randomized, double-blind, placebo-controlled multi-center phaseⅢstudy to evaluate efficacy and safety of oxaliplatin-based chemotherapy plus MB-6(320 mg/capsule, 6 capsules tid) in patients with stage 3 colorectal cancer who underwent surgical excision of their primary tumor.
The investigational new drug, MB-6, in the proposed clinical trial is to be used as an adjuvant therapy for metastatic colorectal cancer patients. All of six extracts have been used in human with a long history, and many literatures reported the medicinal use either individually or as ingredients of formulations. MB-6 may provide its therapeutic benefits via inhibition of tumor induction or enhancing the efficacy of chemotherapy in colorectal cancer.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MB-6+FOLFOX chemotherapy | MB-6, 6 capsules tid be taken with meals plus FOLFOX chemotherapy, will be given for 18 weeks |
| |
| Placebo+FOLFOX chemotherapy | Placebo, 6 capsules tid be taken with meals plus FOLFOX chemotherapy, will be given for 18 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MB-6 | Drug | 6# TID with meal |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| The primary endpoint is the incidence of grade 4 neutropenia during the chemotherapy period, defined as an absolute neutrophil count (ANC) <500/mm3. | The primary endpoint is the incidence of grade 4 neutropenia during the chemotherapy, defined as an absolute neutrophil count (ANC)<500/mm3 | 18 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Time to first Grade 4 Neutropenia | To determine the time interval from randomization to the first episode of grade 4 Neutropenia. The analyses for incidence of study event will be conducted using logistic regression model method to adjust for gender and the regimen of chemotherapy (e.g., FOLFOX4 or FOLFOX6). | 18 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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A total of 184 patients with stage III colorectal cancer underwent surgery will be recruited into the study for receiving adjuvant therapy over 18 weeks.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| William Chen, M.D. | Contact | 886-4-22052121 | 1638 | wtchen@mail.cmuh.org.tw |
| Name | Affiliation | Role |
|---|---|---|
| William Chen, M.D. | China Medical University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Microbio Co., Ltd. | Recruiting | Taipei | Taiwan |
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| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| D009503 | Neutropenia |
| ID | Term |
|---|---|
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
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| ID | Term |
|---|---|
| D002955 | Leucovorin |
| D005472 | Fluorouracil |
| D000077150 | Oxaliplatin |
| ID | Term |
|---|---|
| D005575 | Formyltetrahydrofolates |
| D013763 | Tetrahydrofolates |
| D005492 | Folic Acid |
| D011622 | Pterins |
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| Placebo | Drug | 6# TID with meal |
|
|
| Incidence of Febrile Neutropenia |
The febrile neutropenia is defined as an ANC <1000/mm3 and a single temperature ≥38.3 degree of C or a sustained temperature of ≥38.0 degree C for more than one hour. |
| 18 weeks |
| Incidence of Grade 3 or 4 Neutropenia | The grade 3 or 4 neutropenia during the chemotherapy period is defined as an absolute neutrophil count (ANC) <1000/mm3. | 18 weeks |
| Change in Serum Creatinine level | Any change in Serum Creatinine level during the chemotherapy period | 18 weeks |
| Health-Related Quality of Life (HRQoL) - QLQ-C30 | Health-Related Quality of Life (HRQoL) - QLQ-C30 should be completed at baseline, day 71 and end of study. | 18 weeks |
| Quality of Life -VAS on Fatigue, Constipation, Appetite | Quality of Life -VAS on Fatigue, Constipation, Appetite will be assessed by patients every two weeks until end of study. | 18 weeks |
| Compliance with Chemotherapy | The compliance with chemotherapy will be summarized by descriptive statistic and listed by each cycle and overall period. | 18 weeks |
| Increase in Body Weight | Any increased body weight during the chemotherapy period. | 18 weeks |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
| D000380 | Agranulocytosis |
| D007970 | Leukopenia |
| D000095542 | Cytopenia |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007960 | Leukocyte Disorders |
| D011621 |
| Pteridines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D003067 | Coenzymes |
| D045762 | Enzymes and Coenzymes |
| D014498 | Uracil |
| D011744 | Pyrimidinones |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D056831 | Coordination Complexes |
| D009930 | Organic Chemicals |