ClinicalTrials.gg
Not yet recruitingNCT07913516HYD-Cape-CRCUpdated Nov 3, 2026

Feasibility Study of Huangqi Yangyuan Formula for Capecitabine-Induced Adverse Reactions in Advanced Colorectal Cancer

An interventional study of Capecitabine and Huangqi Yangyuan Formula (Chinese Herbal Decoction) in Advanced Colorectal Cancer and Capecitabine-Related Adverse Reaction, sponsored by Huanfang Fan. Not yet recruiting at 1 site in China. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-11-03.

Sponsored by Huanfang Fan · Not applicable, Interventional, and Supportive care

Updated Nov 3, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
35
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Where this study stands

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

Among 179 studies testing capecitabine in Colorectal Neoplasms — 24 open to participants now, 32 under way, 7 of them phase 3. Capecitabine · Colorectal Neoplasms.

Planned enrollment
123rd of 173
35 · median 55
Started
2027
the only one that year
No phase
4 of 179
2 open now
Primary completion
2028-09
later than 26 of 31 live
Registered
178th of 179
by date

Among the 179 studies testing capecitabine in Colorectal Neoplasms, this one is the 123rd largest by planned enrollment of the 173 interventional ones that give a count, is the only one that started in 2027, is one of 4 with no phase, reaches primary completion later than 26 of the 31 other live ones, and was the 178th registered.

Colorectal Neoplasms

6,541 studies on the registry are indexed under Colorectal Neoplasms; 1,667 are open to participants now.

Browse Colorectal Neoplasms studies →

Open to participants now

24 of the 179 studies testing capecitabine in Colorectal Neoplasms are open now, in 9 countries. Recruiting first, the newest first:

18 more — sign in →

By country, each count listing its studies:

All 24 open studies →

About capecitabine

Capecitabine: first FDA approval 1998 (XELODA), first EMA approval 2001. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 1,185 Colorectal Neoplasms studies recruiting now, 769 (65%) set no upper age limit and 265 (22%) stop at 75 or younger; 48 take children under 18; 123 take healthy volunteers.

This study: 18 Years to 80 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 179 studies testing capecitabine in Colorectal Neoplasms, or all of them as a file.
02

Study summary

This is a single-center, prospective, open-label, single-arm feasibility study. Thirty-five patients with stage IIIB-IV colorectal adenocarcinoma undergoing capecitabine monotherapy will be enrolled. All participants will receive oral capecitabine (1250 mg/m2, twice daily, 14 days on/7 days off, 21-day cycle, up to 8 cycles) combined with Huangqi Yangyuan Formula (a Chinese herbal decoction, 150 mL twice daily). The primary objective is to evaluate the completion rate of standardized capecitabine chemotherapy at 4 and 8 cycles. Secondary outcomes include chemotherapy-related adverse events (CTCAE v5.0), quality of life (EORTC QLQ-C30), traditional Chinese medicine constitution scores (BCQ), disease-free survival at 3-month follow-up, peripheral blood T-lymphocyte subsets, and safety laboratory indicators.

Read the detailed description

Advanced colorectal cancer (CRC) is commonly treated with capecitabine monotherapy. However, capecitabine frequently causes hand-foot syndrome, diarrhea, fatigue, myelosuppression, and gastrointestinal adverse events, which may lead to dose reduction, treatment interruption, or discontinuation. Traditional Chinese medicine (TCM) holds that patients undergoing chemotherapy present a pattern of spleen-kidney deficiency with toxic heat accumulation. Huangqi Yangyuan Formula is a nine-herb Chinese medicinal decoction designed to invigorate spleen and kidney, supplement qi, clear cancer toxins, and resolve stasis. Preliminary pharmacological evidence suggests its components may exert anti-tumor, immunomodulatory, and chemo-protective effects. This study aims to assess the feasibility and preliminary safety of combining Huangqi Yangyuan Formula with capecitabine chemotherapy in 35 patients with advanced CRC. Participants will be followed for 8 chemotherapy cycles (approximately 6 months) plus a 3-month post-treatment follow-up. The study will provide feasibility data to inform the design of a future large-scale randomized controlled trial.

03

Conditions studied

  • Advanced Colorectal Cancer
  • Capecitabine-Related Adverse Reaction

Keywords

  • colorectal cancer
  • capecitabine
  • Chinese herbal medicine
  • Huangqi Yangyuan Formul
  • chemotherapy toxicity
  • feasibility study
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

  • 1. Aged 18-80 years.
  • 2. confirmed stage IIIB-IV colorectal adenocarcinoma.
  • 3. Eligible for planned or ongoing capecitabine monotherapy.
  • 4. Expected survival ≥ 6 months.
  • 5. performance status 0-2.
  • 6. Baseline bone marrow, hepatic, and renal function adequate for chemotherapy.
  • 7. Able to comply with oral medication, scheduled visits, and quality-of-life assessments.
  • 8. Willing to provide written .

Exclusion criteria

Exclusion Criteria:

  • 1. Pregnant or breastfeeding women;
  • 2. History of other systemic or gastrointestinal in situ cancer within the past 5 years;
  • 3. Presence of severe underlying organic diseases affecting the heart, liver, kidneys, respiratory system, or hematopoietic system;
  • 4. Persistent severe diarrhea, hand-foot ulcers, or severe malnutrition at baseline that precludes tolerance of chemotherapy;
  • 5. Consciousness disorders or psychiatric conditions preventing independent completion of scale assessments and follow-up;
  • 6. Known allergy to any ingredient in Huangqi Yangyuan Formula or capecitabine;
  • 7. Regular use of anti-tumor Chinese patent medicines, traditional Chinese herbal decoctions, long-term acupuncture/moxibustion for cancer treatment, or anti-cancer dietary supplements within the 2 weeks prior to enrollment, making unfeasible;
  • 8. Receipt of radiation therapy, other chemotherapy drugs, targeted therapy, or immunotherapy within the month prior to enrollment;
  • 9. Patients currently undergoing double-agent chemotherapy or immunotherapy;
  • 10. Refusal to discontinue other anti-cancer traditional Chinese medicine interventions or inability to truthfully report concomitant medications.
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.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

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.

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.

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.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
35 participants (estimated)

Study arms

  • Experimental
    Experimental: Capecitabine plus Huangqi Yangyuan Formula

    Participants receive capecitabine monotherapy (1250 mg/m2, orally, twice daily, days 1-14 of each 21-day cycle, up to 8 cycles) combined with Huangqi Yangyuan Formula (Chinese herbal decoction, 150 mL per dose, twice daily, taken 30 minutes apart from capecitabine, starting from cycle 1; discontinued for 1 week at the end of cycle 4).

    Drug: Capecitabine · Other: Huangqi Yangyuan Formula (Chinese Herbal Decoction)

Interventions

  • Oral capecitabine at 1250 mg/m2 twice daily, taken within 30 minutes after meals, days 1-14 followed by 7 days rest per 21-day cycle, for up to 8 cycles. Dose adjustments are permitted per clinical guidelines based on toxicity.

  • OtherHuangqi Yangyuan Formula (Chinese Herbal Decoction)

    A nine-herb Chinese medicinal decoction prepared in-house, including Radix Astragali (Huang Qi), Radix Rehmanniae Preparata (Shu Di Huang), and seven additional herbs. Each dose is 150 mL, administered orally twice daily, taken 30 minutes apart from capecitabine. Treatment starts at cycle 1 and continues through 8 cycles, with a 1-week interruption at the end of cycle 4.

06

What researchers measure

Primary outcomes

  1. Completion Rate of Standardized Capecitabine Chemotherapy

    Proportion of participants completing 4 cycles and 8 cycles of capecitabine chemotherapy without treatment discontinuation or major dose reduction.

    Time frame: At the end of the fourth and eighth cycles of chemotherapy (each cycle is 28 days).

Secondary outcomes

  1. Incidence and Grade of Chemotherapy-Related Adverse Events

    Adverse events graded according to CTCAE version 5.0, including diarrhea, hand-foot reaction, myelosuppression, fatigue, gastrointestinal symptoms, and hepatic/renal toxicity.

    Time frame: At the baseline, at the end of every 2 chemotherapy cycles (each cycle lasting 28 days), and at the end of the third month after the treatment was completed.

  2. Quality of Life Score (EORTC QLQ-C30)

    European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) total score and subscale scores. Score range: 0-100. Higher scores represent better quality of life for the global health status/QoL scale and functional scales; higher scores represent worse symptoms for symptom subscales.

    Time frame: At baseline, the end of the fourth and eighth cycles of chemotherapy (each cycle is 28 days).

  3. Traditional Chinese Medicine Constitution Score

    BCQ (Body Constitution Questionnaire) scores for qi deficiency, blood deficiency, and yang deficiency.

    Time frame: At baseline, the end of the fourth and eighth cycles of chemotherapy (each cycle is 28 days).

  4. Disease-Free Survival Rate

    Proportion of participants alive and progression-free at 3 months after completion of chemotherapy

    Time frame: At the end of the third month after the completion of chemotherapy.

  5. Peripheral Blood T-Lymphocyte Subsets

    Absolute counts and ratios of CD3+, CD4+, and CD8+ T cells measured by flow cytometry.

    Time frame: At baseline, the end of the fourth and eighth cycles of chemotherapy (each cycle is 28 days).

  6. Complete Blood Count

    Check blood routine indicators such as white blood cells, neutrophils, hemoglobin, and platelets.

    Time frame: At baseline, the end of the fourth and eighth cycles of chemotherapy (each cycle is 28 days).

  7. Liver Function

    Liver function tests such as Alanine aminotransferase and Aspartate aminotransferase.

    Time frame: At baseline, the end of the fourth and eighth cycles of chemotherapy (each cycle is 28 days).

  8. Renal Function

    Testing renal function such as serum creatinine, glomerular filtration rate, and blood urea nitrogen.

    Time frame: At baseline, the end of the fourth and eighth cycles of chemotherapy (each cycle is 28 days).

  9. Serum Electrolytes

    Testing blood electrolyte levels.

    Time frame: At baseline, the end of the fourth and eighth cycles of chemotherapy (each cycle is 28 days).

07

Study locations

1 site
08

References and documents

Publications

  • Lee JJ, Kim TM, Yu SJ, Kim DW, Joh YH, Oh DY, Kwon JH, Kim TY, Heo DS, Bang YJ, Kim NK. Single-agent capecitabine in patients with metastatic colorectal cancer refractory to 5-fluorouracil/leucovorin chemotherapy. Jpn J Clin Oncol. 2004 Jul;34(7):400-4. doi: 10.1093/jjco/hyh068. PubMed 15342667 ↗
  • Twelves C, Wong A, Nowacki MP, Abt M, Burris H 3rd, Carrato A, Cassidy J, Cervantes A, Fagerberg J, Georgoulias V, Husseini F, Jodrell D, Koralewski P, Kroning H, Maroun J, Marschner N, McKendrick J, Pawlicki M, Rosso R, Schuller J, Seitz JF, Stabuc B, Tujakowski J, Van Hazel G, Zaluski J, Scheithauer W. Capecitabine as adjuvant treatment for stage III colon cancer. N Engl J Med. 2005 Jun 30;352(26):2696-704. doi: 10.1056/NEJMoa043116. PubMed 15987918 ↗
  • Zheng XY. Guiding Principles for Clinical Research of New Chinese Medicines (Trial). China Medical Science and Technology Press; 2002.
  • Zhong X, Chen J, Zhang Y, Hu H, Weng S, Zhang S, Yuan Y. Updates of CSCO guidelines for colorectal cancer version 2026. Chin J Cancer Res. 2026 Jun 30;38(3):329-335. doi: 10.21147/j.issn.1000-9604.2026.03.10. No abstract available. PubMed 42421899 ↗
  • Chinese Society of Clinical Oncology. CSCO Clinical Guidelines for Colorectal Cancer (2026 edition). People's Medical Publishing House; 2026.
  • Wang F, Chen G, Zhang Z, Yuan Y, Wang Y, Gao YH, Sheng W, Wang Z, Li X, Yuan X, Cai S, Ren L, Liu Y, Xu J, Zhang Y, Liang H, Wang X, Zhou A, Ying J, Li G, Cai M, Ji G, Li T, Wang J, Hu H, Nan K, Wang L, Zhang S, Li J, Xu RH. The Chinese Society of Clinical Oncology (CSCO): Clinical guidelines for the diagnosis and treatment of colorectal cancer, 2024 update. Cancer Commun (Lond). 2025 Mar;45(3):332-379. doi: 10.1002/cac2.12639. Epub 2024 Dec 31. PubMed 39739441 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Jan 2027; primary completion for Sep 2028, 20 months later.

Of 898 non-industry interventional studies with no phase under Colorectal Neoplasms, half reached primary completion within 32 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 62. This study's planned 20 months is below that.

Counting every sponsor, half of 955 studies reached it within 32 months; a quarter within 14 and three quarters within 60.

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

Registered
Sep 21, 2026
First posted
Nov 3, 2026
StartEst.
Jan 1, 2027
Primary completionEst.
Sep 30, 2028
CompletionEst.
Dec 31, 2029
Last update
Nov 3, 2026
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.
Registered
First appeared on the registry. No changes since
Nov 3, 2026
Show all 1 update
  1. Nov 3, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07913516
Lead sponsor
Huanfang Fan
Responsible party
Huanfang Fan (Director, Department of Oncology-2, Hebei Provincial Hospital of Traditional Chinese Medicine, Hebei Provincial Hospital of Traditional Chinese Medicine) — Sponsor-investigator
First posted
Nov 3, 2026
Start date
Jan 1, 2027 (estimated)
Primary completion
Sep 30, 2028 (estimated)
Completion
Dec 31, 2029 (estimated)
Last update
Nov 3, 2026

Study contacts

Huanfang Fan MD
Contact
fhf701024@163.com
+8615533959031
Mingrui Zhang MM
Contact
13011994403@163.com
+8613011994403

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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Studies of the drug tested here: Capecitabine

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