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RecruitingNCT06617182Updated Mar 27, 2026

Efficacy and Safety of Thalidomide Combined With Glutamine in the Treatment of Radiation Intestinal Injury.

A Phase 2 interventional study of Thalidomide and Glutamine in Radiation Enteritis, sponsored by Yongquan Shi. Recruiting at 1 site in China. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-03-27.

Sponsored by Yongquan Shi · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2024; still recruiting 2 years 1 month later.
Phase
Phase 2
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

At present, there is still a lack of standard and effective treatment strategies and procedures for radiation intestinal injury. Studies have shown that thalidomide can effectively treat refractory gastrointestinal bleeding caused by vascular malformation. Therefore, The investigators designed a single-center, open-label, randomized controlled study to evaluate the efficacy and safety of thalidomide combined with glutamine in the treatment of radiation intestinal injury.

Read the detailed description

Screening: This phase will not last longer than one week, and the subject will be assessed for eligibility after signing the informed consent form.

Treatment: Subjects were randomly assigned to three different treatment groups for 8 weeks.

Follow-up: The subjects' defecation status was recorded every day during treatment, telephone follow-up was conducted every two weeks, and laboratory indicators (including blood routine, stool routine, etc.) were tested every four weeks. The test was terminated one week after treatment and the improvement of subjects' stool blood was assessed.

02

Conditions studied

  • Radiation Enteritis

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03

In context

Enteritis

34 studies on the registry are indexed under Enteritis; 7 are open to participants now.

This study's planned enrollment of 150 is above the median of 53 across 26 interventional studies indexed under Enteritis.

Browse Enteritis studies →

Lead sponsor

Yongquan Shi is the lead sponsor of 9 studies on the registry; 8 are open to participants now.

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

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

  • Age 18-80 years old, gender is not limited;
  • Patients with hematochezia symptoms of chronic radiation intestinal injury: Due to the lack of diagnostic gold standard for radiation intestinal injury, a comprehensive analysis of clinical, endoscopic, imaging and histopathological findings was mainly performed to make the diagnosis of radiation intestinal injury on the basis of excluding infectious and other non-infectious intestinal injuries. Exposure to radioactive sources is a necessary factor in the diagnosis of radiation intestinal injury, and tumor activity or recurrence should be excluded.
  • The proportion of dominant defecation bleeding in total defecation times in the week before treatment is not less than 20%;
  • score: 0-2.

Exclusion criteria

Exclusion Criteria:

  • Patients with hemodynamic instability;
  • Patients with obvious liver and kidney function injury: , aminotransferase (, AST) exceeded the by 2 times; \<60ml/min or dialysis patients;
  • Patients allergic to thalidomide or glutamine;
  • Patients whose primary disease was gastrointestinal ;
  • Patients currently suffering from serious or uncontrolled underlying diseases of the blood, digestive tract, metabolism, endocrine, lung, heart, nervous system, mental system, etc.;
  • Female patients during pregnancy and breastfeeding (including patients with reproductive needs);
  • Patients infected with ;
  • Patients who cannot cooperate with regular follow-up and review of laboratory indicators;
  • any other circumstances which, in the opinion of the investigator, would render the subject unfit for study inclusion.
Terms in these criteria, in plain language(7)

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.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

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.

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.

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
150 participants (estimated)

Study arms

  • Experimental
    The thalidomide group

    Patients in the thalidomide group will receive oral thalidomide at a dosage of 100 mg one time daily for 8 weeks.

    Drug: Thalidomide

  • Experimental
    The glutamine group

    Patients in the glutamine group were given two enteric-soluble capsules of compound glutamine three times a day for 8 weeks.

    Drug: Glutamine

  • Experimental
    The thalidomide combined with glutamine group

    Patients in the thalidomide combined with glutamine group will receive oral thalidomide at a dosage of 100 mg one time daily and two enteric-soluble capsules of compound glutamine three times a day for 8 weeks.

    Drug: Thalidomide+Glutamine

Interventions

  • Patients in thalidomide group took thalidomide orally at a dose of 100mg once a day for 8 weeks.

  • In the glutamine group, two capsules of glutamine were taken orally 3 times a day for 8 weeks.

    Also known as: Compound glutamine enteric-coated capsules

  • DrugThalidomide+Glutamine

    Drug pages: Thalidomide · Glutamine

    Patients in thalidomide combined with glutamine group took thalidomide orally at a dose of 100mg once a day and two capsules of glutamine were taken orally 3 times a day for 8 weeks.

06

What researchers measure

Primary outcomes

  1. Treatment response rate.

    The proportion of overt defecation bleeding in total defecation within 1 week after treatment was reduced by ≥50% compared with 1 week before treatment.

    Time frame: From enrollment to the end of treatment at 8 weeks.

Secondary outcomes

  1. No further bleeding occurred within 1 week after treatment

    Stool occult blood negative 2 times in a row on different dates

    Time frame: From enrollment to the end of treatment at 8 weeks.

  2. Number of blood transfusions during the treatment period

    times

    Time frame: From enrollment to the end of treatment at 8 weeks.

  3. Red blood cell input

    Input red blood cells according to the situation

    Time frame: From enrollment to the end of treatment at 8 weeks.

  4. Hemoglobin level

    Record each test result

    Time frame: From enrollment to the end of treatment at 8 weeks.

  5. Number of hospitalizations due to bleeding

    times

    Time frame: From enrollment to the end of treatment at 8 weeks.

  6. Number of days in hospital due to bleeding

    days

    Time frame: From enrollment to the end of treatment at 8 weeks.

  7. Require surgery

    yes or no

    Time frame: From enrollment to the end of treatment at 8 weeks.

07

Study locations

1 of 1 sites recruiting
  • State Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers, National Clinical Research Center for Digestive Diseases, Department of Gastroenterology & Hepatology, Xijing Hospital, The Fourth Military Medical University, Xi'an, Ch
    Xi'an, Shaanxi 710005, China
    Recruiting
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 Mar 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
NCT06617182
Lead sponsor
Yongquan Shi
Responsible party
Yongquan Shi (Professor, Xijing Hospital of Digestive Diseases) — Sponsor-investigator
First posted
Sep 27, 2024
Start date
Sep 30, 2024
Primary completion
Oct 1, 2028 (estimated)
Completion
Nov 1, 2028 (estimated)
Last update
Mar 27, 2026

Study contacts

Yongquan Shi
Contact
shiyquan@fmmu.edu.cn
0086 + 02984771515

Oversight

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

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Studies of the drugs tested here: Thalidomide · Glutamine

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