Correlation Between Myocardial Injury and Intestinal Flora Changes Associated With Oncology Drug Therapy and the Preventive of Probiotics

February 15, 2023 updated by: Peking University Third Hospital

Correlation Between Early Myocardial Injury and Intestinal Flora Changes Associated With Oncology Drug Therapy and the Preventive and Curative Effects of Probiotics

The purpose of this study was to explore the relationship between early myocardial injury caused by tumor drug therapy and intestinal microbial structure changes by echocardiographic two-dimensional speckle tracking technique and intestinal microflora structure detection. The investigators will also explore prevention and treatment through randomized controlled trials to initiate early intervention before clinical symptoms appear.

Study Overview

Detailed Description

This is a single-center randomized controlled trial in which 100 patients treated with antineoplastic agents will be enrolled. All participants will be followed for 6 months after the initiation of oncology drug therapy. Echocardiography and 2D speckle tracking will be performed and stool and blood samples will be tested before treatment initiation and at 3 and 6 months after initiation. All patients will be randomly divided into test and control groups. Patients in the test group will receive oral Bifidobacterium trivium capsules for 6 months in addition to conventional treatment, whereas patients in the control group will receive conventional antitumor treatment only.

Study Type

Interventional

Enrollment (Anticipated)

200

Phase

  • Phase 4

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Beijing, China
        • Peking University Third Hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 75 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • With malignant tumors
  • Will receive antitumor drugs
  • Could receive regular follow-up for 6 months
  • Written informed consent

Exclusion Criteria:

  • Satisfactory echocardiographic images could not be obtained
  • Cardiomyopathy
  • Coronary artery disease
  • Heart failure
  • Arrhythmia requiring intervention
  • Moderate or severe valvular disease
  • Acute myocarditis
  • Refractory hypertension
  • Participating in other studies of drug intervention

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Bifidobacterium Bifidum Oral Capsule in addition to conventional treatment
Bifidobacterium Bifidum Oral Capsule for 6 months in addition to conventional treatment
Bifidobacterium Bifidum Oral Capsule for 6 months in addition to conventional treatment
Other Names:
  • Probiotics
Patients in the control group will receive conventional antitumor treatment only.
Other Names:
  • conventional antitumor treatmen
Patients in the control group will receive conventional antitumor treatment only.
Other Names:
  • conventional antitumor treatmen
Patients in the control group will receive conventional antitumor treatment only.
Other Names:
  • conventional antitumor treatmen
Patients in the control group will receive conventional antitumor treatment only.
Other Names:
  • conventional antitumor treatmen
Active Comparator: conventional antitumor treatment
Patients in the control group will receive conventional antitumor treatment only.
Patients in the control group will receive conventional antitumor treatment only.
Other Names:
  • conventional antitumor treatmen
Patients in the control group will receive conventional antitumor treatment only.
Other Names:
  • conventional antitumor treatmen
Patients in the control group will receive conventional antitumor treatment only.
Other Names:
  • conventional antitumor treatmen
Patients in the control group will receive conventional antitumor treatment only.
Other Names:
  • conventional antitumor treatmen

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
The decline rate of global longitudinal strain
Time Frame: 6 months
The primary endpoint is at least a 10% decrease in the global longitudinal strain, determined using cardiac 2D STE.
6 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Anticipated)

February 15, 2023

Primary Completion (Anticipated)

July 1, 2023

Study Completion (Anticipated)

December 31, 2023

Study Registration Dates

First Submitted

February 6, 2023

First Submitted That Met QC Criteria

February 15, 2023

First Posted (Actual)

February 16, 2023

Study Record Updates

Last Update Posted (Actual)

February 16, 2023

Last Update Submitted That Met QC Criteria

February 15, 2023

Last Verified

February 1, 2023

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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