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CompletedNCT02226185Updated Mar 26, 2019

Study of Berberine Hydrochloride in Prevention of Colorectal Adenomas Recurrence

A Phase 2/3 interventional study of Berberine hydrochloride and placebo in Colorectal Adenoma, sponsored by Shanghai Jiao Tong University School of Medicine. Completed at 7 sites in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2019-03-26.

Sponsored by Shanghai Jiao Tong University School of Medicine · Phase 2/3, Interventional, and Prevention

Phase
Phase 2/3
Study type
Interventional
Enrollment
1,108
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
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Study summary

Berberine hydrochloride is a conventional component in Chinese medicine. In recent years, anticancer activity of berberine hydrochloride have been explored. The aim of this study is to investigate the effect of berberine hydrochloride on the recurrence of colorectal adenomas.

Read the detailed description

Colorectal adenomas are well-known to be precancerous lesions that develop into colorectal cancers on the basis of the adenoma-carcinoma sequence. The effects of screening for colorectal adenomas and removing precancerous lesions on the prevention of colorectal cancer have been established. Because of the high recurrence rates of colorectal adenomas in patients who have undergone polypectomy, the potential chemopreventive agents that may reduce the risk of colorectal adenoma recurrence need to be investigated.

Berberine hydrochloride is a conventional component in Chinese medicine. In recent years, anticancer activity of berberine hydrochloride have been explored. The aim of this study is to investigate the effect of berberine hydrochloride on the recurrence of colorectal adenomas by conducting a randomized, placebo-controlled, prospective clinical.

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Conditions studied

  • Colorectal Adenoma
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In context

Adenoma

657 studies on the registry are indexed under Adenoma; 98 are open to participants now.

This study's enrollment of 1,108 is above the median of 250 across 412 interventional studies indexed under Adenoma.

Browse Adenoma studies →

Lead sponsor

Shanghai Jiao Tong University School of Medicine is the lead sponsor of 358 studies on the registry; 104 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion criteria

  • Individuals aged 18-75 years
  • Individuals who had at least one and no more than 6 histologically confirmed CRAs removed within 6 months before recruitment
  • Individuals who are able to swallow pills
  • Individuals who voluntarily sign the consent form after being fully informed and understanding the purpose and procedure of this study, characters of the disease, effect of medication, methods of related examinations, and potential risk/benefits of the study 4.2 Exclusion criteria
  • Individuals whose adenoma was not completely removed during previous colonoscopy
  • Individuals with a history of familial adenomatous polyposis (FAP) or hereditary non-polyposis colorectal cancer (HNPCC, Lynch syndrome)
  • Individuals who are taking regularly aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), cyclo-oxygenase 2 (COX2) inhibitors, calcium or vitamin D
  • Individuals with a history of subtotal/total gastrectomy or partial bowel resection
  • Individuals who are intolerant to another colonoscopy examination
  • Individuals who are hypersensitive or intolerant to the drugs
  • Individuals with severe heart, liver or kidney disease, or any cancer history
  • Individuals presenting severe constipation
  • Pregnant women, women during breast-feeding period, or women with expect pregnancy
  • Individuals with mental diseases who are not able to cooperate
  • Individuals who are involved in designing, planning or performing this trial
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Study design

Phase
Phase 2 / Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
1,108 participants (actual)

Study arms

  • Experimental
    Berberine hydrochloride

    supplement of Berberine hydrochloride 0.3g two times per day for 2-3 years

    Drug: Berberine hydrochloride

  • Placebo comparator
    placebo

    identical-appearing placebo supplements for 2-3 years

    Drug: placebo

Interventions

  • DrugBerberine hydrochloride

    supplement of Berberine hydrochloride 0.3g two times per day for 2-3 years

  • Drugplacebo

    supplement of placebo two times per day for 2-3 years

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What researchers measure

Primary outcomes

  1. Recurrence rates of CRA

    The primary objective of this study is to investigate recurrence rates of colorectal adenoma (CRA) after Berberine hydrochloride or placebo intervention.

    Time frame: until the last patient reached the 2 years follow-up

Secondary outcomes

  1. The incidence of all polypoid lesions or advanced colorectal adenoma or colorectal cancer

    The incidence of all polypoid lesions or advanced colorectal adenoma or colorectal cancer after Berberine hydrochloride or placebo intervention

    Time frame: until the last patient reached the 2 years follow-up

Other outcomes

  1. Changes in fecal microflora

    Fecal microflora tests

    Time frame: baseline, the 1st year and the 2nd year

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Study locations

7 sites
  • Department of Gastroenterology, the Seventh Medical Center of PLA General Hospital
    Beijing, Beijing, China
  • Department of Gastroenterology, Zhongshan Hospital, Xiamen University
    Xiamen, Fujian, China
  • Department of Gastroenterology, Nanfang Hospital, Southern Medical Univerisity
    Guangdong, Guangzhou, China
  • Division of Gastroenterology and Hepatology, The Affiliated DrumTower of Nanjing University Medical School
    Nanjing, Jiangsu, China
  • Division of Gastroenterology and Hepatology, Ren-Ji Hospital, Shanghai Jiao-Tong University School of Medicine, Shanghai Institute of Digestive Disease; Key Laboratory of Gastroenterology & Hepatology, Ministry of Health
    Shanghai, Shanghai 200001, China
  • Department of Gastroenterology, the Shanghai Tenth People's Hospital, Tongji University
    Shanghai, Shanghai, China
  • Department of Gastroenterology and Hepatology, General Hospital, Tianjin Medical University
    Tianjin, Tianjin, China
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References and documents

Publications

  • Chen YX, Gao QY, Zou TH, Wang BM, Liu SD, Sheng JQ, Ren JL, Zou XP, Liu ZJ, Song YY, Xiao B, Sun XM, Dou XT, Cao HL, Yang XN, Li N, Kang Q, Zhu W, Xu HZ, Chen HM, Cao XC, Fang JY. Berberine versus placebo for the prevention of recurrence of colorectal adenoma: a multicentre, double-blinded, randomised controlled study. Lancet Gastroenterol Hepatol. 2020 Mar;5(3):267-275. doi: 10.1016/S2468-1253(19)30409-1. Epub 2020 Jan 8. PubMed 31926918 ↗

Study documents

  • Protocol and statistical analysis plan · Dec 22, 2018

Documents are hosted by the registry — open the source record to download them.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 26, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02226185
Lead sponsor
Shanghai Jiao Tong University School of Medicine
Responsible party
Jing-yuan Fang, MD, Ph. D (Director of Department of Gastroenterology, Shanghai Jiao Tong University School of Medicine) — Principal investigator
First posted
Aug 27, 2014
Start date
Nov 2014
Primary completion
Dec 29, 2018
Completion
Dec 29, 2018
Last update
Mar 26, 2019

Study contacts

Jing-Yuan Fang, M.D., Ph.D
principal investigator · Shanghai Jiao Tong University School of Medicine

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2019. You cannot join it, but the record below documents what was studied.

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