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CompletedNCT06551675Updated May 27, 2026

Effect of Silkworm Pupa Tablets in Gastrointestinal Malignancies at Nutritional Risk Following Radical Surgery

An interventional study of Silkworm pupa tablets and Control product in Nutritional Deficiency, Gastrointestinal Cancer and Frailty Syndrome, sponsored by Xiaosun Liu, MD. Completed at 4 sites in China. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-05-27.

Sponsored by Xiaosun Liu, MD · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

This is a randomized, double-blind, very low dose parallel-controlled, prospective, multi-center trial evaluating the improvement of nutritional status and frailty with silkworm pupa tablets after radical resection of gastrointestinal malignancies for 3 months intervention. The primary endpoints are body weight and frailty prevalence, The secondary endpoints are body mass index (BMI), skeletal muscle index (SMI) at the third lumbar vertebra (L3-SMI), sarcopenia prevalence and quality of life.

Read the detailed description

Previous study has indicated that silkworms pupae extracts may increase muscle mass and strength, here we conduct a randomized, double-blind, very low dose parallel-controlled, prospective, multi-center trial.

  1. Study population: malignant gastrointestinal tumors, including gastric cancer, colorectal cancer, esophageal cancer, and pancreatic cancer, and has undergone radical surgical resection. If necessary, perioperative systemic treatment has been completed by the time of screening, and has a nutritional risk score of ≥3 (based on the NRS 2002 nutritional risk screening tool).
  2. Sample size: totally 120 cases, including 60 cases in the experimental group and 60 cases in the control group.
  3. Research content: In this study, participants will begin taking the trial product or control immediately upon enrollment, with a treatment duration of 3 months.Experimental Group: Wanshililongbao silkworm pupa tablets. Control Group: contains 0.5% of the active ingredient of the trial product, indistinguishable in appearance.
02

Conditions studied

  • Nutritional Deficiency
  • Gastrointestinal Cancer
  • Frailty Syndrome

Keywords

  • silkworm pupa tablets
  • gastrointestinal malignancies
  • nutritional risk
  • frailty
03

In context

Malnutrition

1,587 studies on the registry are indexed under Malnutrition; 237 are open to participants now.

This study's enrollment of 120 is above the median of 90 across 1,134 interventional studies indexed under Malnutrition.

Browse Malnutrition studies →

Lead sponsor

This is the only study on the registry with Xiaosun Liu, MD as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Voluntarily participate in the clinical study, fully understand the study and sign the informed consent form (ICF); willing and able to follow and complete all trial procedures.
  • Gender unrestricted, age at the time of signing ICF: ≥18 years, ≤80 years.
  • Diagnosed with a malignant gastrointestinal tumor, including gastric cancer, colorectal cancer, esophageal cancer, and pancreatic cancer, and has undergone radical surgical resection. If necessary, perioperative systemic treatment has been completed by the time of screening.
  • At the time of screening, a nutritional risk score of ≥3 (based on the NRS 2002 nutritional risk screening tool) .
  • In good general condition, with an ECOG performance status score of ≤2.
  • Agree to provide peripheral blood, stool, and urine samples for biomarker analysis during the study period.

Exclusion criteria

Exclusion Criteria:

  • At the time of screening, presence of tumor recurrence or metastasis.
  • At the time of screening, presence of another active malignancy requiring concurrent treatment.
  • Expected survival of ≤3 months.
  • Unable to take oral nutrition, requiring enteral feeding tubes, or having malabsorption syndrome or any condition affecting gastrointestinal absorption; e.g., chronic diarrhea (watery stools; defecation frequency ≥5 times a day).
  • Patients who are planning a pregnancy, are pregnant, or are breastfeeding.
  • Allergic to any known components of the trial materials.
  • Presence of serious primary diseases of the heart, brain, lungs, liver, kidneys, endocrine, hematological, neurological, or other systems, or other acute or chronic diseases that could significantly affect treatment and prognosis.
  • Presence of other severe physical or mental illnesses or laboratory abnormalities that may increase the risk associated with participation in the study, or patients deemed unsuitable for participation by the researchers.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
120 participants (actual)

Study arms

  • Experimental
    Silkworm pupa tablets group

    Wanshililongbao silkworm pupa tablets.

    Dietary Supplement: Silkworm pupa tablets

  • Sham comparator
    Control group

    Contains 0.5% of the active ingredient of the study product, indistinguishable in appearance.

    Dietary Supplement: Control product

Interventions

  • Dietary supplementSilkworm pupa tablets

    Participants will begin taking the silkworm pupa tablets immediately upon enrollment, 1200mg/tablet, two tablets a time, twice a day (BID), with a treatment duration of three months.

  • Dietary supplementControl product

    The sham comparator contains 0.5% of the active ingredient of the study product, indistinguishable in appearance. Participants will begin taking the control immediately upon enrollment, 1200mg/tablet, two tablets a time, twice a day (BID), with a treatment duration of three months.

06

What researchers measure

Primary outcomes

  1. Body weight

    Measured at baseline and 1 month, 2 months, 3 months after enrollment

    Time frame: 3 months

  2. Frailty prevalence

    The incidence of frailty, using Fried frailty phenotype to assess physical frailty, measured at baseline and 1 month, 2 months, 3 months after enrollment

    Time frame: 3 months

Secondary outcomes

  1. Body mass index (BMI)

    Calculated as weight (kg)/height (m2), measured at baseline and 1 month, 2 months, 3 months after enrollment

    Time frame: 3 months

  2. L3-SMI

    Derived as the ratio of skeletal muscle area (SMA) to height \[SMA (cm2)/height (m2)\], at the third lumbar vertebra, measured at baseline and after 3 months

    Time frame: 3 months

  3. Sarcopenia prevalence

    The incidence of sarcopenia, using the diagnostic criteria for sarcopenia published by the Asian Sarcopenia Working Group (AWGS) in 2019 or L3-SMI criteria, measured at baseline and 1 month, 2 months, 3 months after enrollment

    Time frame: 3 months

  4. Quality of life

    Using the questionnaire of EORTC QLQ-C30 measured at baseline and 1 month, 2 months, 3 months after enrollment

    Time frame: 3 months

  5. Quality of life

    Using the questionnaire of EORTC QLQ-STO22, measured at baseline and 1 month, 2 months, 3 months after enrollment

    Time frame: 3 months

07

Study locations

4 sites
  • Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University
    Hangzhou, Zhejiang 310000, China
  • The First Affiliated Hospital, College of Medicine, Zhejiang University
    Hangzhou, Zhejiang 310003, China
  • The Second Affiliated Hospital, College of Medicine, Zhejiang University
    Hangzhou, Zhejiang 310009, China
  • Hangzhou Institute of Medicine Chinese Academy of Sciences
    Hangzhou, China
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06551675
Lead sponsor
Xiaosun Liu, MD
Responsible party
Xiaosun Liu, MD (Deputy director of gastrointestinal surgery department, First Affiliated Hospital of Zhejiang University) — Sponsor-investigator
First posted
Aug 13, 2024
Start date
Aug 14, 2024
Primary completion
Oct 26, 2025
Completion
Oct 26, 2025
Last update
May 27, 2026

Study contacts

Xiaosun Liu
principal investigator · First Affiliated Hospital of Zhejiang University

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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