Evidence map›Paper›PMID 40795846›Full record

Trial reportCell reports. Medicine2025

Berberine for preventing colorectal adenoma recurrence and neoplasm occurrence: 6-Year follow-up of a randomized clinical trial.

Yong-Jie Tan, Tian-Hui Zou, Ke Yu, Jian-Qiu Sheng, Peng Jin, Ming-Jie Zhang, Xiao-Ping Zou, Xiao-Tan Dou, Si-De Liu, Shao-Hui Huang and 12 more

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Cell reports. Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02226185 (A Randomized, Placebo-controlled, Multicenter, Prospective Clinical Study of Berberine Hydrochloride in Preventing Recurrence and Carcinogenesis After Endoscopic Removal of Colorectal Adenomas), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02226185 phase2 / phase3completednot on this map

A Randomized, Placebo-controlled, Multicenter, Prospective Clinical Study of Berberine Hydrochloride in Preventing Recurrence and Carcinogenesis After Endoscopic Removal of Colorectal Adenomas

TypeinterventionalSponsorShanghai Jiao Tong University School of MedicineRan2014 to 2018Enrolled1,108ConditionsColorectal AdenomaArmsBerberine hydrochloride, placebo
3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Yong-Jie TanDivision of Gastroenterology and Hepatology, Shanghai Institute of Digestive Disease, NHC Key Laboratory of Digestive Diseases, State Key Laboratory of Systems Medicine for Cancer, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200001, China.
Tian-Hui ZouDivision of Gastroenterology and Hepatology, Shanghai Institute of Digestive Disease, NHC Key Laboratory of Digestive Diseases, State Key Laboratory of Systems Medicine for Cancer, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200001, China.
Ke YuSchool of Mathematical Sciences, Shanghai Jiao Tong University, Shanghai 200240, China.
Jian-Qiu ShengDepartment of Gastroenterology, the Seventh Medical Center of PLA General Hospital, Beijing 100010, China.
Peng JinDepartment of Gastroenterology, the Seventh Medical Center of PLA General Hospital, Beijing 100010, China.
Ming-Jie ZhangDepartment of Gastroenterology, the Seventh Medical Center of PLA General Hospital, Beijing 100010, China.
Xiao-Ping ZouDivision of Gastroenterology and Hepatology, the Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, China.
Xiao-Tan DouDivision of Gastroenterology and Hepatology, the Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, China.
Si-De LiuDepartment of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.
Shao-Hui HuangDepartment of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.
Jian-Lin RenDepartment of Gastroenterology, Zhongshan Hospital, Xiamen University, Xiamen 361001, China.
Xiao-Ning YangDepartment of Gastroenterology, Zhongshan Hospital, Xiamen University, Xiamen 361001, China.
Zhan-Ju LiuDepartment of Gastroenterology, Shanghai Tenth People's Hospital, Tongji University, Shanghai 200072, China.
Xiao-Min SunDepartment of Gastroenterology, Shanghai Tenth People's Hospital, Tongji University, Shanghai 200072, China.
Bang-Mao WangDepartment of Gastroenterology and Hepatology, General Hospital, Tianjin Medical University, Tianjin 300050, China.
Hai-Long CaoDepartment of Gastroenterology and Hepatology, General Hospital, Tianjin Medical University, Tianjin 300050, China.
Ya-Xuan ZhangDivision of Gastroenterology and Hepatology, Shanghai Institute of Digestive Disease, NHC Key Laboratory of Digestive Diseases, State Key Laboratory of Systems Medicine for Cancer, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200001, China.
Qin-Yan GaoDivision of Gastroenterology and Hepatology, Shanghai Institute of Digestive Disease, NHC Key Laboratory of Digestive Diseases, State Key Laboratory of Systems Medicine for Cancer, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200001, China.
Hui-Min ChenDivision of Gastroenterology and Hepatology, Shanghai Institute of Digestive Disease, NHC Key Laboratory of Digestive Diseases, State Key Laboratory of Systems Medicine for Cancer, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200001, China.
Yun CuiDivision of Gastroenterology and Hepatology, Shanghai Institute of Digestive Disease, NHC Key Laboratory of Digestive Diseases, State Key Laboratory of Systems Medicine for Cancer, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200001, China.
Ying-Xuan ChenDivision of Gastroenterology and Hepatology, Shanghai Institute of Digestive Disease, NHC Key Laboratory of Digestive Diseases, State Key Laboratory of Systems Medicine for Cancer, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200001, China. Electronic address: yingxuanchen71@sjtu.edu.cn.
Jing-Yuan FangDivision of Gastroenterology and Hepatology, Shanghai Institute of Digestive Disease, NHC Key Laboratory of Digestive Diseases, State Key Laboratory of Systems Medicine for Cancer, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200001, China. Electronic address: jingyuanfang@sjtu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Berberine has been reported as a safe and effective pharmacological agent to reduce colorectal adenoma recurrence after polypectomy. This retrospective cohort study is an extended follow-up of a previous clinical trial (NCT02226185) during the post-treatment observational phase. We aim to evaluate the long-term protective effects of berberine on adenoma recurrence. Among 895 patients who finished the previous 2-year randomized trial, we recruited 781 patients at 7 clinical centers across 6 provinces in China. The primary outcome is adenoma recurrence. Between December 29, 2018, and October 10, 2024, 648 patients underwent at least one colonoscopy during the follow-up. The protective effects of berberine persist for at least 6 years after treatment cessation, with lower adenoma recurrence rate (34.7% vs. 52.1%) and lower neoplasm occurrence rate (63.4% vs. 71.0%). Berberine may serve as a potential long-term preventive agent against adenoma recurrence after polypectomy.

Indexed as

AdenomaBerberineColorectal NeoplasmsNeoplasm Recurrence, LocalAdultAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedRetrospective StudiesBerberineberberinechemopreventioncolorectal adenomacolorectal neoplasmendoscopic polypectomy

Identifiers

PMID40795846
PMCPMC12490254

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.