RecruitingNCT06381960Updated May 3, 2024

Clinical Study on the Prevention and Treatment of Postoperative Metastasis of Lung Cancer by Fuzheng Quxie Recipe

A Phase 2 interventional study of Fuzheng Quxie Recipe and Fuzhengquye Fang Recipe simulant in Lung Cancer, sponsored by Jianhui Tian. Recruiting at 5 sites in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2024-05-03.

Sponsored by Jianhui Tian · Phase 2, Interventional, and Treatment

From the registry’s dates

Primary completion was expected by Dec 2025, 9 months ago, but the record still lists the study as recruiting.
Registered 1 year after the study started (first participant enrolled Mar 2023, registered Mar 2024).
Started Mar 2023; still recruiting 3 years 7 months later.

Phase: Phase 2
Study type: Interventional
Enrollment: 356
Allocation: Randomized
Ages: 18 Years to 75 Years
Sex: All

Study summary

To address the clinical challenge of postoperative metastasis in stage IIA-IIIA non-small cell lung cancer with negative driver gene expression, there is a lack of effective diagnostic and therapeutic measures. Based on this, investigators propose to carry out a clinical study on the prevention and treatment of postoperative metastasis of IIA-IIIA stage lung cancer with negative driver gene expression with the formula of supporting the positive and dispelling the evil.

Read the detailed description

In this study, investigators actively explored the establishment of a combined Chinese and Western medicine prevention and treatment programme in response to the urgent clinical need for the lack of effective diagnostic and therapeutic options for postoperative patients with stage IIA-IIIA non-small cell lung cancer who are clinically negative for the expression of driver genes.

To objectively evaluate the efficacy of "Fuzheng Quxie Recipe" in preventing and treating postoperative metastasis in stage IIA-IIIA non-small cell lung cancer with negative expression of driver genes, including its effects on disease-free survival, quality of life, and regulation of immune function of the patients, by means of a clinical study in accordance with international standards;
To test the immunohistology, circulating tumour cells and tiny residual lesions of the patients, and to screen out the population with the advantages of Chinese medicine treatment. Based on this, investigators will establish an efficacy prediction model including the evaluation of peripheral immune function status and the expression level of circulating tumour cells, in order to improve the level of precision treatment after radical lung cancer surgery.
Through conducting high-level clinical research in line with international standards, obtaining high-level evidence-based medical evidence, screening the advantageous populations of Chinese medicine in treating lung cancer metastasis, and forming a standardised diagnostic and treatment plan/guidelines on Chinese medicine or international guidelines on combining traditional Chinese and Western medicines for the prevention and treatment of post-surgical metastasis of lung cancer that can be promoted and applied, so as to provide a solid scientific basis for the transformation of clinical results and the development of new medicines, and to promote the improvement of the efficiency of the prevention and control of lung cancer as a whole.

Conditions studied

Lung Cancer

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Lung Neoplasms 7,243

In context

Lung Neoplasms

7,243 studies on the registry are indexed under Lung Neoplasms; 1,557 are open to participants now.

This study's planned enrollment of 356 is above the median of 60 across 5,295 interventional studies indexed under Lung Neoplasms.

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Lead sponsor

This is the only study on the registry with Jianhui Tian as lead sponsor.

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

Who can participate

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

Inclusion criteria

Patients with clinical stage IIA-IIIA lung adenocarcinoma after radical surgery (patients within 6 weeks after surgery);
Negative driver gene expression (no EGFR, ALK, ROS1 mutations) and PD-1/L1 expression \<1%;
Meets the diagnostic criteria for Qi-Yin Deficiency Syndrome. The primary symptoms include cough, low sputum, shortness of breath, hoarseness, weakness, and thirst without wanting to drink. Secondary symptoms include spontaneous, night sweat, dysphoria in chestpalms-soles, red tongue or tooth-marked tongue, and a weak pulse. At least two primary symptoms and one of the secondary symptoms are present;
Patients aged between 18-75 years;
Patients with basically normal blood and biochemical indices, etc., without serious viral or bacterial infections; patients without organ failure and serious heart disease (blood bilirubin \<68 μmol/L, aspartate aminotransferase \<90 IU/L, creatinine \<350 μmol/L, white blood cell count >3.5 × 109/L and less than 12 × 109/L, platelet count >80 × 109/L, and (erythrocyte pressure area >0.20);
Tumour PS score ≤2 and no other serious comorbidities;
The subjects themselves were well informed and agreed to participate in the study by signing an informed consent form and had good compliance;
Non-pregnant and lactating patients;
Passing the chemotherapy-related indexes;
No allergic reaction to the ingredients in the formula.

Exclusion criteria

Exclusion Criteria:

Patients who are incompletely resected or whose cancer has undergone recurrence or metastasis;
Patients who are being treated with other drugs or therapies (including other Chinese herbal medicines, immunological drugs, radiotherapy, etc.);
Patients who are themselves mentally ill and have a lack of autonomous behaviour;
Women who are pregnant, preparing for pregnancy or breastfeeding;
Combined heart, lung, brain, liver, kidney and haematopoietic system and other serious diseases, psychiatric patients;
Allergic or known hypersensitivity to the components of the drug;
Patients who are participating in other clinical trials or have participated in other clinical trials within 3 months;
Alcohol and/or psychoactive substances abuse, drug abusers and dependent persons;
Other pathologies or conditions that, in the judgement of the investigator, have the effect of reducing the likelihood of enrolment or complicating enrolment, e.g., frequent changes in the work environment, unstable living conditions, and other conditions that predispose to loss of visits.

Study design

Phase: Phase 2
Primary purpose: Treatment
Allocation: Randomized
Intervention model: Parallel assignment
Masking: Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment: 356 participants (estimated)

Study arms

Placebo comparator
Daily Chinese medicine placebo granules + regular chemotherapy;
Control group
Drug: Fuzhengquye Fang Recipe simulant
Experimental
Daily Fuzheng Quxie Recipe granules + regular chemotherapy
Treatment Group
Drug: Fuzheng Quxie Recipe

Interventions

DrugFuzheng Quxie Recipe
Treatment group: Fuzheng Quxie Recipe (Yifei Sanjie Recipe) ingredients: Sheng Huang Qi 15g, Jiao Bai Zhu 15g, Bai Fu Ling 15g, Bei Sha Shen 15g, Zhe Mai Dong 15g, Dang Shen 15g, Shu Yang Quan 15g, Xia Ku Cao 15g, Sheng Mu Li 15g, Shi Jian Chuan 15g, Shi Shang Bai 15g, and Hai Zao 15g. Combined with basic chemotherapy after lung cancer.
Also known as: Fuzheng Quxie Formula；Yifei Sanjie Recipe；Yifei Sanjie Formula；
DrugFuzhengquye Fang Recipe simulant
Control group: Fuzhengquye Fang Recipe simulant, which was prepared into control group placebo drug according to 5% of the drug content in the treatment group. Combined with basic chemotherapy after lung cancer.
Also known as: no other names

What researchers measure

Primary outcomes

Disease-free survival, DFS
Refers to the time between the start of randomisation and disease relapse or (for any reason) death. Imaging examination: chest CT examination before the beginning of treatment and every 6 months after the operation. Patients found to have recurrent metastases were discharged from the group for standardised treatment when the pathological diagnosis was clear. Observation and follow-up were carried out until 5 years after the operation, and the calculation of disease-free survival rate, disease-free survival period and median survival period were carried out.
Time frame: Checks were performed before the start of treatment and every 6 months after the procedure. Observational follow-up until 5 years postoperatively.

Secondary outcomes

Overall survival,OS
Endpoint indicator, defined as the time from the start of randomisation to death due to any cause.
Time frame: The follow-up was observed until 5 years postoperatively, and overall and median survival calculations were performed.
Minimal residual disease, MRD
Second-generation sequencing NGS method was used to detect MRD in peripheral blood of the study subjects to obtain a superior population screening model for TCM treatment.
Time frame: One test was performed before and 6 months after the intervention.
Circulating Tumour Cell Assay
Specimen collection method: 10ml of venous blood was taken from the patient's middle elbow vein with EDTA blood collection tube, and the blood collection tube was repeatedly reversed for mixing, and then centrifuged at 2000g for 10min, the supernatant was retained, and in order to further remove excess cellular components, it should be centrifuged again at 8000g for 10min.The separated plasma was frozen and stored at -80℃, or was extracted immediately according to the extraction kit instructions. The remaining blood cells were added to saline to replenish 10 ml and immediately isolated from circulating tumour cells.
Time frame: One test was performed before and 6 months after the intervention.
Chinese Medicine Symptom Score
According to the "Shanghai Municipal Chinese Medicine Disease Diagnosis and Treatment Routine", 10 Chinese medicine symptoms of cough, sputum, chest pain, chest tightness, shortness of breath, fatigue, loss of appetite, insomnia, dry mouth and throat and spontaneous sweating were observed, with severity scored according to 0-3, and were recorded once before the intervention and once 6 months after the intervention. Significant effect: the reduction of TCM symptom scores was greater than or equal to 70% after the intervention; Effective: the reduction of TCM symptom scores was greater than or equal to 30% and less than 70% after the intervention; Ineffective: the reduction of TCM symptom scores was less than 30% after the intervention or higher than before.
Time frame: Recorded once before and once 6 months after the intervention, continuing for 18 months.
Quality of life assessment
The Quality of Survival Scale for Lung Cancer Patients EORTC QLQ-LC43 was used, which consists of EORTC QLQ-C30 (core scale) and EORTC QLQ-LC13 Th (characteristic subscale of lung cancer). It mainly scores lung cancer patients on 5 domains related to functioning, general clinical symptoms, characteristic sub-symptoms, general health status and financial difficulties, and is recorded once before and 6 months after the intervention. The score ranges for each of these five areas lie on a scale of 0-100. Higher scores on the function-related domains indicate poorer functioning of the organism; higher scores on the general clinical symptoms and characteristic sub-symptoms indicate more severe symptoms; higher scores on the general health status indicate better status; and higher scores on the economic hardship status indicate more financial hardship.
Time frame: Recorded once before and once 6 months after the intervention, continuing for 18 months.
Cellular immunity (CD3）
Immunological indicators
Time frame: The test was performed once before the intervention and once 6 months after the intervention,continuing for 18 months.
Cellular immunity (CD4)
Immunological indicators
Time frame: The test was performed once before the intervention and once 6 months after the intervention,continuing for 18 months.
Cellular immunity (CD8)
Immunological indicators
Time frame: The test was performed once before the intervention and once 6 months after the intervention,continuing for 18 months.
Cellular immunity (CD16)
Immunological indicators
Time frame: The test was performed once before the intervention and once 6 months after the intervention,continuing for 18 months.
Cellular immunity (CD56）
Immunological indicators
Time frame: The test was performed once before the intervention and once 6 months after the intervention,continuing for 18 months.
regulatory T cells
Immunological indicators
Time frame: The test was performed once before the intervention and once 6 months after the intervention,continuing for 18 months.
myeloid-derived suppressor cells （MDSCs）
Immunological indicators
Time frame: The test was performed once before the intervention and once 6 months after the intervention,continuing for 18 months.
natural killer （NK）cells
Immunological indicators
Time frame: The test was performed once before the intervention and once 6 months after the intervention,continuing for 18 months.
IL-1
Immunological indicators
Time frame: The test was performed once before the intervention and once 6 months after the intervention,continuing for 18 months.
IL-2
Immunological indicators
Time frame: The test was performed once before the intervention and once 6 months after the intervention,continuing for 18 months.
IL-6
Immunological indicators
Time frame: The test was performed once before the intervention and once 6 months after the intervention,continuing for 18 months.
IL-8
Immunological indicators
Time frame: The test was performed once before the intervention and once 6 months after the intervention,continuing for 18 months.
IL-10
Immunological indicators
Time frame: The test was performed once before the intervention and once 6 months after the intervention,continuing for 18 months.
CEA
Tumour marker
Time frame: The test was performed once before the intervention and once 6 months after the intervention,continuing for 18 months.
CA125
Tumour marker
Time frame: The test was performed once before the intervention and once 6 months after the intervention,continuing for 18 months.
CA153
Tumour marker
Time frame: The test was performed once before the intervention and once 6 months after the intervention,continuing for 18 months.
Cyfra21-1
Tumour marker
Time frame: The test was performed once before the intervention and once 6 months after the intervention,continuing for 18 months.
SCC
Tumour marker
Time frame: The test was performed once before the intervention and once 6 months after the intervention,continuing for 18 months.
Peripheral blood systemic immunoinflammatory index
SII=peripheral blood platelet count (x10/L) x peripheral blood neutrophil count (x10/L)/peripheral blood lymphocyte count (x10%/L). PNI:serum albumin(g/L)+lymphocyte count(10/L)x5. The critical value was calculated according to the ROC curve, and according to the critical value, the above indexes were classified into high level group and low level group.
Time frame: The test was performed once before the intervention and once 6 months after the intervention, continuing for 18 months.

Study locations

5 of 5 sites recruiting

Shanghai Chest Hospital
Changning, Shanghai, China
- Wentao Fang, professor · Contact
- Fan Xu · Contact · 1183596839@qq.com · +8618762866303
Recruiting
Shanghai General Hospital
Hongkou, Shanghai, China
- Qian Huang, professor · Contact
- Fan Xu, Dr · Contact · 1183596839@qq.com · 18762866303
Recruiting
Shanghai Traditional Chinese Medicine-Integrated Hospital
Hongkou, Shanghai, China
- Yi Zhong, professor · Contact
- Fan Xu, Dr · Contact · 1183596839@qq.com · +8618762866303
Recruiting
Shanghai Municipal Hospital of Traditional Chinese Medicine
Jing'an, Shanghai 200071, China
- Jianhui Tian, Professor · Contact · tjhhawk@shutcm.edu.cn · +8613816562972
- Fan Xu, Dr · Contact · 1183596839@qq.com · 18762866303
Recruiting
Shanghai Pulmonary Hospital
Yangpu, Shanghai, China
- Lei Jiang, professor · Contact
- Fan Xu, Dr · Contact · 1183596839@qq.com · +8618762866303
Recruiting

References and documents

Study documents

Study protocol · Dec 21, 2022
Informed consent form · Dec 21, 2022

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

Individual participant data

Plan to share: No

Updates

Tracking since Sep 25, 2026

No changes since tracking began. The registry record was last updated on May 3, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗

Registry details

Key details

Study ID: NCT06381960
Lead sponsor: Jianhui Tian
Responsible party: Jianhui Tian (professor, Shanghai Municipal Hospital of Traditional Chinese Medicine) — Sponsor-investigator
First posted: Apr 24, 2024
Start date: Mar 1, 2023
Primary completion: Dec 31, 2025 (estimated)
Completion: Dec 31, 2025 (estimated)
Last update: May 3, 2024

Study contacts

Jianhui Tian, professor

Contact

tjhhawk@shutcm.edu.cn

+8613816562972

Jianhui Tian, professor

study director · Shanghai University of Traditional Chinese Medicine

Oversight

Data monitoring committee: Yes
FDA-regulated drug: No
FDA-regulated device: No

View the source record on ClinicalTrials.gov ↗

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