ClinicalTrials.gg
CompletedNCT02707484Updated Jun 23, 2023

the Efficiency of Thalidomide for Recurrent Small Intestinal Bleeding Due to Gastrointestinal Vascular Malformation

A Phase 3 interventional study of Thalidomide (100mg) and Thalidomide (50mg) in Gastrointestinal Vascular Malformation, sponsored by Shanghai Jiao Tong University School of Medicine. Completed at 10 sites in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2023-06-23.

Sponsored by Shanghai Jiao Tong University School of Medicine · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 10 studies in Vascular Malformations with a site in China — 2 open to participants now, 3 under way, none of them phase 3. Vascular Malformations · China.

Enrollment
3rd of 10
150 · median 78
Started
2016
with 1 other
Phase 3
2 of 10
none open now
Registered
2nd of 10
by date
Lead sponsor
3 of 10
Shanghai Jiao Tong University School of Medicine

Among the 10 studies in Vascular Malformations with a site in China, this one is the 3rd largest by enrollment, is one of 2 that started in 2016, is one of 2 in phase 3, and was the 2nd registered.

By phase

10 studies; the count open now beside each. This study's row is marked.

Phase 23 · 1 open
No phase2 · 0 open
Phase 1/22 · 1 open
Phase 3this study2 · 0 open
Phase 2/31 · 0 open

By the year they started

First in 2010; this study’s year is marked. 2 started in 2016.

Size and results

Median enrollment 78 across the 10 interventional studies. Of the 3 that completed or were terminated, 0 (0%) have results posted.

Was this useful?
Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 10 studies in Vascular Malformations with a site in China, or all of them as a file.
02

Study summary

Gastrointestinal vascular malformation (GIVM), which is an important cause of acute or chronic gastrointestinal bleeding, currently lacks of effective treatment. The investigators' previous study first confirmed thalidomide treatment of GIVM bleeding was safe and effective. This prospective multi-center randomized controlled clinical trial intends to investigate the efficacy of thalidomide to the recurrent small intestinal hemorrhage due to GIVM.

Read the detailed description

This multi-institutional clinical trial investigates the efficacy of thalidomide to the recurrent small intestinal hemorrhage due to GIVM. Patients with annual average bleeding 4 times or more and lesions located in the small intestine which are not suitable for endoscopic therapy will be randomly assigned to receive A(25mg,Thalidomide,qid), B(25mg, Thalidomide, bid\& placebo bid ) or placebo(deferred treatment group) for 4 months. The primary endpoints were the effective response of patients with ≥50% reduction of numbers of bleeding episodes, followed by rate of cases with cessation of bleedin, the difference in blood transfusion, hospitalization, transfusion volume of red cell, average bleeding duration, average hemoglobin level, yearly hospitalization times, average hospital stay and yearly bleeding episodes. This study will be done at 10 centers in China.

03

Conditions studied

  • Gastrointestinal Vascular Malformation

Browse trials for

Keywords

  • Gastrointestinal vascular malformation
  • thalidomide
  • Small intestinal bleeding
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Subjects voluntarily signed the after the nature and the specific procedures of the trial has been verbally explained; they have the opportunity to ask questions.
  2. Chinese nationality;
  3. Female or male subjects aged 18-75 years. Female subjects must be menopausal or have undergone sterilization such as tubal ligation and hysterectomy, or have no plan to give birth recently and agree to take measures such as contraceptive drugs, intrauterine physical birth control rings or contraception condoms; or men must have undergone sterilization or do not plan to have a child recently and agree to take contraceptive measures such as contraceptive drugs, or contraception condoms. These criteria are set to eliminate the risk of subjects of child bearing potential.
  4. The subjects must have been diagnosed, by capsule endoscopy and / or balloon-assisted enteroscopy, with small intestinal vascular malformation lesions which are unsuitable or inaccessible to endoscopic therapy or surgical antrectomy. Subjects with persistent, recurrent bleeding, ≥ 4 episodes of overt or occult bleeding over last year.

Exclusion criteria

Exclusion Criteria:

  1. Subjects with esophageal varices from cirrhosis of the liver; those with uncontrolled hypertension or hyperglycemia (or diabetics who are being treated with insulin), or those with severe heart (e.g., uncontrolled angina pectoris and / or myocardial infarction, congestive heart failure, etc.), respiratory failure, or renal failure with creatinine (Cr) or blood urea nitrogen (BUN) > 2 times the (ULN), pancreatic or hepatic disease with abnormal hepatic function with (ALT), aspartate aminotransferase (AST) or total (TBil) > 2 times ULN 3 months before the enrollment, or those with any other diseases that are not suitable for the study as judged by the Investigator;
  2. Subjects with a history of severe peripheral neuropathy or seizures, or a history of thromboembolic disease;
  3. Subjects who need to continuously use non-steroidal anti-inflammatory drugs, anticoagulants, antiplatelets, acetylsalicylic acid preparations, or Chinese herbal medicines containing ginkgo and echinacea; or those who need to receive other anti-angiogenic drugs for a long time;
  4. Subjects with white blood cell counts persistently \<3.5 * 10\^9 / L;
  5. Subjects with a history of small bowel resection;
  6. Subjects known or suspected to be allergic to any component of thalidomide;
  7. Subjects with severe gastrointestinal bleeding that is life-threatening and requires immediate surgical treatment;
  8. Subjects who have previously received thalidomide for gastrointestinal bleeding 30 days before the enrollment;
  9. Alcohol and / or substance abusers with addiction or dependence, or those with poor compliance as judged by a doctor;
  10. Subjects who participated in other clinical trial 6 months before enrollment;
  11. Subjects without legal capacity or self-awareness.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
150 participants (actual)

Study arms

  • Experimental
    Thalidomide Group(100mg)

    Generic name:Thalidomide Dosage form:tablet, 25mg Dosage:100mg/day Frequency: 25mg, QID, Oral Duration:120 days

    Drug: Thalidomide (100mg)

  • Experimental
    Thalidomide Group(50mg)

    Generic name:Thalidomide Dosage form:tablet, 25mg\&Placebo Dosage:50mg/day Frequency: 25mg BID \&Placebo, BID, Oral Duration:120 days

    Drug: Thalidomide (50mg)

  • Placebo comparator
    placebo -controlled Group

    Generic name:Thalidomide Placebo Dosage form:tablet, Placebo Dosage:Placebo Frequency: Placebo, QID, Oral Duration:120 days

    Drug: placebo

Interventions

  • Patients were randomly assigned to receive a 120-days course of 100 mg of thalidomide (Pharmaceutical Co., Ltd. of ChangZhou, China).

    Also known as: Group 1

  • Patients were randomly assigned to receive a 120-days course of 50 mg of thalidomide (Pharmaceutical Co., Ltd. of ChangZhou, China).

    Also known as: Group 2

  • Drugplacebo

    Patients were randomly assigned to receive a 120-days course of placebo (Pharmaceutical Co., Ltd. of ChangZhou, China).

    Also known as: Group 3

06

What researchers measure

Primary outcomes

  1. effective response rate

    the proportion of patients with "effective treatment, patients with ≥50% reduction of numbers of bleeding episodes after treatment during the First 1-year follow-up versus the 1-year Observation Period.

    Time frame: First 1-year follow-up versus the 1-year Observation Period.

Secondary outcomes

  1. overall rate of cases with cessation of bleeding

    The overall rate of cases with cessation of bleeding without rebleeding during the First 1-year Follow-up Period.

    Time frame: First 1-year follow-up versus the 1-year Observation Period.

  2. rate of cases requiring blood transfusion

    The rate of cases requiring blood transfusion during the First 1-year follow-up.

    Time frame: First 1-year follow-up versus the 1-year Observation Period.

  3. rate of cases requiring hospitalizations due to bleeding

    The rate of cases requiring hospitalizations due to bleeding during the 1st 1-year follow-up

    Time frame: First 1-year follow-up versus the 1-year Observation Period.

  4. change in the transfusion volume of red cell

    The change in the transfusion volume of red cell during the First 1-year Follow-up Period versus the Observation Period.

    Time frame: First 1-year follow-up versus the 1-year Observation Period.

  5. change in average bleeding duration

    The change in average bleeding duration (days) during the First 1-year Follow-up Period versus the Observation Period.

    Time frame: First 1-year follow-up versus the 1-year Observation Period.

  6. change in average hemoglobin level

    The change in average hemoglobin level (g/L) during the First 1-year Follow-up Period versus the Observation Period.

    Time frame: First 1-year follow-up versus the 1-year Observation Period.

  7. change in yearly hospitalization times

    The change in yearly hospitalization times due to bleeding during the First 1-year Follow-up Period versus the Observation Period.

    Time frame: First 1-year follow-up versus the 1-year Observation Period.

  8. change in average hospital stay

    The change in average hospital stay (days)due to bleeding during the First 1-year Follow-up Period versus the Observation Period.

    Time frame: First 1-year follow-up versus the 1-year Observation Period.

  9. change in yearly bleeding episodes

    The change in yearly bleeding episodes during the First 1-year Follow-up Period versus the Observation Period.

    Time frame: First 1-year follow-up versus the 1-year Observation Period.

07

Study locations

10 sites
  • Peking Union Medical College Hospital
    Beijing, Beijing 100032, China
  • Xinqiao Hospital of Chongqing
    Chongqing, Chongqing 400037, China
  • Nanfang Hospital of Southern Medical University
    Guangzhou, Guangdong 510515, China
  • Ruijin Hospital
    Shanghai, Shanghai 200025, China
  • Shanghai Zhongshan Hospital
    Shanghai, Shanghai 200032, China
  • Huashan Hospital
    Shanghai, Shanghai 200040, China
  • Xinhua Hospital, Shanghai Jiao Tong University School of Medicine
    Shanghai, Shanghai 200092, China
  • Department of Gastroenterology, Renji Hospital, Shanghai Institute of Digestive Diseases, Shanghai Jiao Tong University School of Medicine
    Shanghai, Shanghai 200127, China
  • Changhai Hospital
    Shanghai, Shanghai 200433, China
  • Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine
    Shanghai, Shanghai 201620, China
08

References and documents

Publications

  • Ge ZZ, Chen HM, Gao YJ, Liu WZ, Xu CH, Tan HH, Chen HY, Wei W, Fang JY, Xiao SD. Efficacy of thalidomide for refractory gastrointestinal bleeding from vascular malformation. Gastroenterology. 2011 Nov;141(5):1629-37.e1-4. doi: 10.1053/j.gastro.2011.07.018. Epub 2011 Jul 22. PubMed 21784047 ↗
  • Ge ZZ, Chen HY, Gao YJ, Hu YB, Xiao SD. Best candidates for capsule endoscopy for obscure gastrointestinal bleeding. J Gastroenterol Hepatol. 2007 Dec;22(12):2076-80. doi: 10.1111/j.1440-1746.2006.04724.x. PubMed 18031363 ↗
  • Tan H, Chen H, Xu C, Ge Z, Gao Y, Fang J, Liu W, Xiao S. Role of vascular endothelial growth factor in angiodysplasia: an interventional study with thalidomide. J Gastroenterol Hepatol. 2012 Jun;27(6):1094-101. doi: 10.1111/j.1440-1746.2011.06967.x. PubMed 22098296 ↗
  • Li XB, Ge ZZ, Dai J, Gao YJ, Liu WZ, Hu YB, Xiao SD. The role of capsule endoscopy combined with double-balloon enteroscopy in diagnosis of small bowel diseases. Chin Med J (Engl). 2007 Jan 5;120(1):30-5. PubMed 17254484 ↗
  • Tan HH, Ge ZZ, Gao YJ, Chen HM, Fang JY, Chen HY, Liu WZ, Xiao SD. The role of HIF-1, angiopoietin-2, Dll4 and Notch1 in bleeding gastrointestinal vascular malformations and thalidomide-associated actions: a pilot in vivo study. J Dig Dis. 2011 Oct;12(5):349-56. doi: 10.1111/j.1751-2980.2011.00506.x. PubMed 21955427 ↗
  • Feng Q, Tan HH, Ge ZZ, Gao YJ, Chen HM, Xiao SD. Thalidomide-induced angiopoietin 2, Notch1 and Dll4 downregulation under hypoxic condition in tissues with gastrointestinal vascular malformation and human umbilical vein endothelial cells. J Dig Dis. 2014 Feb;15(2):85-95. doi: 10.1111/1751-2980.12114. PubMed 24219762 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Apr 2016 to primary completion in Dec 2020, 56 months.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 17, 2015
First posted
Mar 14, 2016
StartActual
Apr 2016
Primary completionActual
Dec 2020
CompletionActual
Apr 2021
Last update
Jun 23, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 23, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02707484
Responsible party
Zhizheng Ge (Director of digestive endoscopy center of Renji hospital, Shanghai Jiao Tong University School of Medicine) — Principal investigator
First posted
Mar 14, 2016
Start date
Apr 2016
Primary completion
Dec 2020
Completion
Apr 2021
Last update
Jun 23, 2023

Oversight

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

Not currently enrolling

This study is completed, as verified in Jun 2023. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Thalidomide

Start the discussion