- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07615907
A Study on the Efficacy of Sodium Propionate Combined With Anti-PD-1 Immunotherapy in Gastric Cancer (PAPGC)
25. maj 2026 opdateret af: Wang Xinying, Jinling Hospital, China
Sodium Propionate Combined With Anti-PD-1 Immunotherapy on Tumor Efficacy in Gastric Cancer Patients
Eligible patients were randomized into two groups: the sodium propionate group and the control group.
In the control group, patients received placebo combined with anti-PD-1 therapy plus chemotherapy without additional sodium propionate intervention.
In the sodium propionate group, on the basis of anti-PD-1 therapy combined with chemotherapy, patients were additionally administered oral sodium propionate capsules at a dose of 500 mg (1 capsule) twice weekly, with a total intervention duration of 12 weeks.
The primary and secondary outcome indicators will be collected for subsequent analysis.
Studieoversigt
Status
Ikke rekrutterer endnu
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Eligible patients with unresectable gastric cancer were randomly assigned to either the sodium propionate group or the control group.
In the control group, patients received placebo combined with anti-PD-1 therapy and chemotherapy, without additional sodium propionate intervention.
In the sodium propionate group, on the basis of anti-PD-1 therapy combined with chemotherapy, patients were additionally given oral sodium propionate capsules at a dose of 500 mg per capsule, one capsule twice a week, for a total intervention period of 12 weeks.
Relevant primary and secondary outcome measures will be collected for further analysis.
Undersøgelsestype
Interventionel
Tilmelding (Anslået)
20
Fase
- Ikke anvendelig
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiekontakt
- Navn: Xinying Wang, MD
- Telefonnummer: +86 13913028866
- E-mail: wangxinying@nju.edu.cn
Studiesteder
-
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Jiangsu
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Nanjing, Jiangsu, Kina, 210002
- Xinying Wang
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Kontakt:
- Xinying Wang, MD
- Telefonnummer: +86 13913028866
- E-mail: wangxinying@nju.edu.cn
-
-
Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Ingen
Beskrivelse
Inclusion Criteria:
- Subjects voluntarily participated in the trial and signed the informed consent form;
- Aged ≥ 18 years and < 80 years, regardless of gender;
- Stable vital signs;
- Patients with gastric adenocarcinoma confirmed by gastroscopic biopsy;
- Tumors judged as unresectable by attending physicians;
- Receiving anti-PD-1 therapy combined with chemotherapy as first-line treatment;
- No history of allergic diseases and non-allergic constitution;
- No history of drug abuse;
- Non-pregnant and non-lactating females (applicable to male subjects as well);
- No participation in any drug clinical trial (including investigational drugs of this trial) within 3 months prior to enrollment.
Exclusion Criteria:
- Failure to meet the inclusion criteria, or individuals deemed inappropriate for trial participation by investigators;
- Concurrent primary malignant tumors at other sites;
- Poor general condition, severe infection, respiratory insufficiency, or other conditions leading to inability to cooperate with the trial;
- Patients with mental disorders, consciousness disturbance, or poor treatment compliance;
- Suspected or confirmed history of drug abuse;
- Immunodeficiency, or long-term use of immunosuppressants and glucocorticoids;
- Pregnant or lactating women;
- Sponsors, investigators directly involved in this trial, and their immediate family members;
- Individuals unsuitable for enrollment for any reason as judged by the investigator.
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Ingen indgriben: Control
patients received placebo combined with anti-PD-1 therapy and chemotherapy, without additional sodium propionate intervention.
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Eksperimentel: Sodium propionate
on the basis of anti-PD-1 therapy combined with chemotherapy, patients were additionally given oral sodium propionate capsules at a dose of 500 mg per capsule, one capsule twice a week, for a total intervention period of 12 weeks.
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on the basis of anti-PD-1 therapy combined with chemotherapy, patients were additionally given oral sodium propionate capsules at a dose of 500 mg per capsule, one capsule twice a week, for a total intervention period of 12 weeks.
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Response to treatment for gastric cancer
Tidsramme: up to 12 weeks
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Tumor responses in patients with gastric cancer after corresponding treatment were evaluated in accordance with the Response Evaluation Criteria in Solid Tumors (RECIST 1.1).
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up to 12 weeks
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Tumor markers
Tidsramme: up to 12 weeks
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Serum levels of CEA in ng/mL, CA19-9 in U/mL, CA72-4 in U/mL, AFP in ng/mL and CA125 in U/mL were routinely measured in patients on a monthly basis.
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up to 12 weeks
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Patient survival
Tidsramme: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 12 months.
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Follow up on the survival status of patients
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From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 12 months.
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Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Generelle publikationer
- Duscha A, Gisevius B, Hirschberg S, Yissachar N, Stangl GI, Dawin E, Bader V, Haase S, Kaisler J, David C, Schneider R, Troisi R, Zent D, Hegelmaier T, Dokalis N, Gerstein S, Del Mare-Roumani S, Amidror S, Staszewski O, Poschmann G, Stuhler K, Hirche F, Balogh A, Kempa S, Trager P, Zaiss MM, Holm JB, Massa MG, Nielsen HB, Faissner A, Lukas C, Gatermann SG, Scholz M, Przuntek H, Prinz M, Forslund SK, Winklhofer KF, Muller DN, Linker RA, Gold R, Haghikia A. Propionic Acid Shapes the Multiple Sclerosis Disease Course by an Immunomodulatory Mechanism. Cell. 2020 Mar 19;180(6):1067-1080.e16. doi: 10.1016/j.cell.2020.02.035. Epub 2020 Mar 10.
- Yu L, Guo Q, Gu X, Wang Z, Li J, Wang X, Xu Z, Wang Y, Zhang Y, Zhang Y, Ding Y, Chen Z, Chen K, Ding Y. Impact of gut microbiome on radiotherapy and immunotherapy efficacy in microsatellite-stable colorectal cancer: role of propionic acid and B. fragilis. Br J Cancer. 2025 Oct;133(7):956-969. doi: 10.1038/s41416-025-03105-2. Epub 2025 Jul 26.
- Nomura M, Nagatomo R, Doi K, Shimizu J, Baba K, Saito T, Matsumoto S, Inoue K, Muto M. Association of Short-Chain Fatty Acids in the Gut Microbiome With Clinical Response to Treatment With Nivolumab or Pembrolizumab in Patients With Solid Cancer Tumors. JAMA Netw Open. 2020 Apr 1;3(4):e202895. doi: 10.1001/jamanetworkopen.2020.2895.
- Pham CH, Lee JE, Yu J, Lee SH, Yu KR, Hong J, Cho N, Kim S, Kang D, Lee S, Yoo HM. Anticancer Effects of Propionic Acid Inducing Cell Death in Cervical Cancer Cells. Molecules. 2021 Aug 16;26(16):4951. doi: 10.3390/molecules26164951.
- Eladwy RA, Fares M, Chang D, Alsherbiny MA, Li CG, Bhuyan DJ. Fuelling the Fight from the Gut: Short-Chain Fatty Acids and Dexamethasone Synergise to Suppress Gastric Cancer Cells. Cancers (Basel). 2025 Jul 28;17(15):2486. doi: 10.3390/cancers17152486.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart (Anslået)
30. maj 2026
Primær færdiggørelse (Anslået)
30. august 2026
Studieafslutning (Anslået)
30. august 2027
Datoer for studieregistrering
Først indsendt
22. april 2026
Først indsendt, der opfyldte QC-kriterier
25. maj 2026
Først opslået (Faktiske)
29. maj 2026
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
29. maj 2026
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
25. maj 2026
Sidst verificeret
1. maj 2026
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- 20260422
Plan for individuelle deltagerdata (IPD)
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Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med Mavekræft (GC)
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Washington University School of MedicineNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)AfsluttetRoux-en-Y Gastric Bypass | Bariatrisk kirurgi | Vertikal ærmegatrektomi | Mavebånd | Bypass, GastricForenede Stater
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The First Affiliated Hospital with Nanjing Medical...Rekruttering
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The First Affiliated Hospital with Nanjing Medical...Ikke rekrutterer endnu
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Medtronic - MITGAfsluttet
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DuomedAktiv, ikke rekrutterendeFedme | Gastrectomi | Roux-en-Y Gastric Bypass | Mini Gastric BypassBelgien
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Olympus Corporation of the AmericasUnity Health TorontoAfsluttet
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North Dakota State UniversityNational Institutes of Health (NIH)AfsluttetRoux en Y Gastric Bypass OperationForenede Stater
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Jessa HospitalIkke rekrutterer endnu
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Wageningen UniversityRijnstate HospitalUkendtRoux-en-Y Gastric BypassHolland
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North Dakota State UniversityNeuropsychiatric Research Institute, Fargo, North DakotaAfsluttetRoux en Y Gastric BypassForenede Stater
Kliniske forsøg med Sodium propionate
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University of CopenhagenRekrutteringSund | Andet: Kortkædede fedtsyre (SCFA) | Andet: butyrat (C4) | Andet: propionat (C3)Danmark
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Qianfoshan HospitalIkke rekrutterer endnuMyokardieskade | Hypokaliæmi | Hyperkaliæmi | Kronisk nyresygdom ved hæmodialyse
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Ain Shams UniversityAfsluttetDiabetes | Kronisk nyresygdom | Sodium Glucose Co-Transporter 2-hæmmere | Estimeret glomerulært filtrationsrateEgypten
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Sihuan Pharmaceutical Holdings Group Ltd.Ukendt
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Brigham and Women's HospitalUkendtKroniske nyresygdomme | HyperkaliæmiForenede Stater
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DSM Nutritional Products, Inc.Glycemic Index Laboratories, IncAfsluttet
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Rigshospitalet, DenmarkSnedkermester Sophus Jacobsen and hustru Astrid Jacobsens Foundation; Danish... og andre samarbejdspartnereAfsluttetHjerte magnetisk resonans | Sunde individer | T1 kortlægningDanmark
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Misook L. ChungAfsluttet
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Galderma R&DAfsluttet
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AstraZenecaRekrutteringHyperkaliæmiKina, Tyskland, Forenede Stater, Ukraine, Spanien, Brasilien, Det Forenede Kongerige, Indien, Canada, Japan, Polen, Rumænien, Rusland