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The Role of Chemotherapy-Induced Intestinal Microbiota Dysbiosis in Liver Premetastatic Niche Formation in Colorectal Cancer: Mechanism and Intervention with TiaoPi AnChang Decoction

The Role of Chemotherapy-Induced Intestinal Microbiota Dysbiosis in Liver Premetastatic Niche Formation in Colorectal Cancer: Mechanism and Intervention with TiaoPi AnChang Decoction

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ITMCTR
Registry ID
ITMCTR2026001266
Enrollment
Unknown
Registered
2026-05-18
Start date
2026-06-01
Completion date
Unknown
Last updated
2026-06-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Colorectal Cancer

Interventions

Chemotherapy-only group:Conventional chemotherapy regimens (CAPOX/mFOLFOX6)
Combined Chinese medicine group:Conventional chemotherapy regimen (CAPOX/mFOLFOX6) plus TiaoPi AnChang Decoction, one dose per day

Sponsors

China-Japan Friendship Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 75 Years

Inclusion criteria

Inclusion criteria: 1.Histopathologically confirmed colorectal cancer with TNM stage high-risk stage II or stage III; 2.Scheduled to receive adjuvant chemotherapy with CAPOX or mFOLFOX6 regimen after curative resection for colorectal cancer; 3.Traditional Chinese Medicine (TCM) syndrome differentiation: Spleen-Kidney Deficiency Syndrome; 4.Age between 18 and 75 years old, with Eastern Cooperative Oncology Group (ECOG) performance status score 0-2; 5.Able to cooperate with stool and blood sample collection, and have signed the informed consent form.

Exclusion criteria

Exclusion criteria: 1.Concurrent malignancy (other than colorectal cancer); 2.History of diarrhea or infectious diseases within 4 weeks prior to stool collection; use of antibiotics, proton pump inhibitors (PPIs), gut microbiota-modulating agents, or related medications within 4 weeks prior to enrollment; 3.Any medical history that may impair cognitive function or the ability to provide informed consent; 4.Uncontrolled severe internal diseases, such as heart failure, renal failure, unstable angina pectoris, idiopathic thrombocytopenia, etc.; 5.Current participation in or participation in other clinical trials within 4 weeks prior to enrollment; 6.Pregnant or lactating women, or women planning pregnancy during the study period; 7.Previous neoadjuvant chemoradiotherapy, or planned radiotherapy during chemotherapy; 8.Patients with colostomy or ileostomy after colorectal diversion surgery.

Design outcomes

Primary

MeasureTime frame
Differences in intestinal flora structure;Differences in metabolite profiles;

Secondary

MeasureTime frame
Gut microbiota-metabolite association;Incidence and severity of chemotherapy-related adverse reactions;Survival status of study participants;

Countries

China

Contacts

Public ContactCheng Zhiqiang

China-Japan Friendship Hospital

zhiqiangcheng1968@163.com13910801998

Outcome results

None listed

Source: ITMCTR (via WHO ICTRP) · Data processed: Jun 11, 2026