- ICH GCP
- Registro de ensayos clínicos de EE. UU.
- Ensayo clínico NCT06039644
Evaluar la eficacia clínica de los probióticos en pacientes con cáncer de mama
Evaluar la eficacia de los probióticos para mejorar y prevenir los efectos secundarios asociados a la quimioterapia en pacientes con cáncer de mama
Chemotherapy-associated side-effects would affect therapeutic effect, quality of life, and cause permanent harm to breast cancer patients. This study is designed to explore after consumption of probiotics of lactobacillus composite strain powder sachets for 6 months in breast cancer chemotherapy, and whether the improvement of meliorate the side effects, further assists patients completing the chemotherapy.
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Descripción detallada
In 2020, the incidence rate of women's breast cancer in Taiwan was up to 82.1% . The death rate increased to 16%; in 2021, the ranking rose to no.3, and the death rate grew up to 24.6%. In the decades, breast cancer gradually becomes the dominant malignant women's cancer in Taiwan. Besides the lumpectomy, chemotherapy is one of the dominant and important treatments for breast cancer. Beyond the effects of chemotherapy, several side effects rise up. The most common chemotherapy are anthracyclin drugs (doxorubicin and epirubicin) and taxane (docetaxel and paclitaxel ). There are common side effects including neutropenia, hair loss, vomiting, diarrhea, stomatitis, mucositis, peripheral neuropathy, dermatitis, nephrotoxicity, and hepatotoxicity. Currently, most treatments for chemotherapy-induced side effects are symptomatic treatment, but there is no good solution to prevent it.
Tipo de estudio
Inscripción (Estimado)
Fase
- No aplica
Contactos y Ubicaciones
Ubicaciones de estudio
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Taipei, Taiwán
- Mackay Memorial Hospital
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
Inclusion Criteria:
- Stage I-III breast patients using anthracycline-based and taxane-based chemotherapy (not limited before or after chemotherapy/surgery)
- BMI > 18 kg/m^2
- Age between 20 and 80 years old
- Patients judged by physicians to participate in this trial and who are willing
Exclusion Criteria:
- Pregnant or lactating female patients
- Patients with bariatric surgery, gastrointestinal resections, Crohn's disease, celiac disease
- BMI < 18 kg/m^2
- Patient who have severe allergy to soybeans or peanuts
- Those who are under 20 years old or over 80 years old
- Use of antibiotics within 1 month prior to trial initiation
- Long-term, stable use of probiotic or prebiotic supplements within 1 month prior to trial initiation (excluding yogurt and dairy products)
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Cuidados de apoyo
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Doble
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
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Experimental: Probiotic group
Subjects received two probiotic sachets per day |
Three-strain probiotic supplement includes Lactobacillus reuteri GMNL-89 (alive), Lactobacillus plantarum GMNL-141 (alive) and Lactobacillus paracasei GMNL-133 (alive).
Otros nombres:
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Comparador de placebos: Placebo group
Subjects received two placebo sachets per day |
Same additives to Probiotic group but replace probiotics with corn starch and Maltodextrin.
Otros nombres:
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Change from 12 weeks in the chemotherapy associated side-effects questionnaire at 24 weeks
Periodo de tiempo: 24 weeks
|
The questionnaire will finished to record the side effects, including nausea, vomiting, diarrhea, stomatitis, peripheral neuropathy, skin rashes, and hand-food syndrome before and after the treatment. |
24 weeks
|
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Change from 12 weeks in self-record of the FACT-G questionnaire (The Functional Assessment of Cancer Therapy - General; Version 4) at 24 weeks
Periodo de tiempo: 24 weeks
|
The FACT-G questionnaire will record the quality of life by subjects at 12-weeks and-24 weeks. There are 4 domains of quality of life will be measured, including physical well-being, social/family well-being, emotional well-being, functional well-being. All domains will sum as total score of 108, and each domain will also evaluated. |
24 weeks
|
|
Variability in BMI (Body Mass Index)
Periodo de tiempo: 24 weeks
|
BMI will calculated with weight and height combined in kg/m^2. Measured every visit (week 0. 3. 6. 9. 12. 15. 18. 21. 24) |
24 weeks
|
|
Change from baseline in levels of hs-CRP (high-sensitivity C-Reactive Protein) in mg/dL at 12 weeks
Periodo de tiempo: 12 weeks
|
Blood samples will collected to examine the variation of hs-CRP from baseline at 12 weeks. |
12 weeks
|
|
Change from baseline in levels of hs-CRP (high-sensitivity C-Reactive Protein) in mg/dL at 24 weeks
Periodo de tiempo: 24 weeks
|
Blood samples will collected to examine the variation of hs-CRP from baseline at 24 weeks. |
24 weeks
|
|
Change from baseline in levels of IL-6 (Interleukin-6) in pg/mL at 12 weeks
Periodo de tiempo: 12 weeks
|
Blood samples will collected to examine the variation of IL-6 from baseline at 12 weeks. |
12 weeks
|
|
Change from baseline in levels of IL-6 (Interleukin-6) in pg/mL at 24 weeks
Periodo de tiempo: 24 weeks
|
Blood samples will collected to examine the variation of IL-6 from baseline at 24 weeks. |
24 weeks
|
|
Change from baseline in levels of IL-10 (Interleukin-10) in pg/mL at 12 weeks
Periodo de tiempo: 12 weeks
|
Blood samples will collected to examine the variation of IL-10 from baseline at 12 weeks. |
12 weeks
|
|
Change from baseline in levels of IL-10 (Interleukin-10) in pg/mL at 24 weeks
Periodo de tiempo: 24 weeks
|
Blood samples will collected to examine the variation of IL-10 from baseline at 24 weeks. |
24 weeks
|
|
Change from baseline in levels of TNF-α (Tumor Necrosis Factor-α) in pg/mL at 12 weeks
Periodo de tiempo: 12 weeks
|
Blood samples will collected to examine the variation of TNF-α from baseline at 12 weeks. |
12 weeks
|
|
Change from baseline in levels of TNF-α (Tumor Necrosis Factor-α) in pg/mL at 24 weeks
Periodo de tiempo: 24 weeks
|
Blood samples will collected to examine the variation of TNF-α from baseline at 24 weeks. |
24 weeks
|
|
Change from baseline in gut microbiome at 12 weeks
Periodo de tiempo: 12 weeks
|
Fecal sample will collected to extract DNA from the intestinal microbiota to examine the variations of gut microbiome from baseline at 12 weeks by NGS (Next Generation Sequencing) analysis. |
12 weeks
|
|
Change from baseline in gut microbiome at 24 weeks
Periodo de tiempo: 24 weeks
|
Fecal sample will collected to extract DNA from the intestinal microbiota to examine the variations of gut microbiome from baseline at 24 weeks by NGS (Next Generation Sequencing) analysis. |
24 weeks
|
|
Variability in levels of ALT (Alanine Aminotransferase) in IU/L
Periodo de tiempo: 24 weeks
|
ALT levels will obtained from routine medical records every visit. (week 0. 3. 6. 9. 12. 15. 18. 21. 24) |
24 weeks
|
|
Variability in levels of AST (Aspartate Aminotransferase) in IU/L
Periodo de tiempo: 24 weeks
|
AST levels will obtained from routine medical records every visit. (week 0. 3. 6. 9. 12. 15. 18. 21. 24) |
24 weeks
|
|
Variability in levels of Creatinine in mg/dL
Periodo de tiempo: 24 weeks
|
Creatinine levels will obtained from routine medical records every visit. (week 0. 3. 6. 9. 12. 15. 18. 21. 24) |
24 weeks
|
|
Variability in levels of Hb (Hemoglobin) in g/dL
Periodo de tiempo: 24 weeks
|
Hb levels will obtained from routine medical records every visit. (week 0. 3. 6. 9. 12. 15. 18. 21. 24) |
24 weeks
|
|
Variability in levels of RBC (Red Blood Cell count) in 10^6/μL
Periodo de tiempo: 24 weeks
|
RBC levels will obtained from routine medical records every visit. (week 0. 3. 6. 9. 12. 15. 18. 21. 24) |
24 weeks
|
|
Variability in levels of Ht (Hematocrite) in %
Periodo de tiempo: 24 weeks
|
Ht levels will obtained from routine medical records every visit. (week 0. 3. 6. 9. 12. 15. 18. 21. 24) |
24 weeks
|
|
Variability in levels of WBC(White Blood Cell count) in 10^3/μL
Periodo de tiempo: 24 weeks
|
WBC levels will obtained from routine medical records every visit. (week 0. 3. 6. 9. 12. 15. 18. 21. 24) |
24 weeks
|
|
Variability in levels of MCV (Mean Corpuscular Volume) in fL
Periodo de tiempo: 24 weeks
|
MCV levels will obtained from routine medical records every visit. (week 0. 3. 6. 9. 12. 15. 18. 21. 24) |
24 weeks
|
|
Variability in levels of MCH (Mean Corpuscular Haemoglobin) in Pg
Periodo de tiempo: 24 weeks
|
MCH levels will obtained from routine medical records every visit. (week 0. 3. 6. 9. 12. 15. 18. 21. 24) |
24 weeks
|
|
Variability in levels of MCHC (Mean Corpuscular Haemoglobin Concentration) in g/dL
Periodo de tiempo: 24 weeks
|
MCHC levels will obtained from routine medical records every visit. (week 0. 3. 6. 9. 12. 15. 18. 21. 24) |
24 weeks
|
|
Variability in levels of ANC (Absolute Neutrophil Count) in mm^3
Periodo de tiempo: 24 weeks
|
Total neutrophils and WBC collected from routine medical records at each visit to calculate ANC levels. (week 0. 3. 6. 9. 12. 15. 18. 21. 24) ANC is calculated as 10 x WBC count in 1000s x (%Segment neutrophils + % bands neutrophils). |
24 weeks
|
|
Variability in levels of platelet in 10^3/μL
Periodo de tiempo: 24 weeks
|
Platelet levels will obtained from routine medical records every visit. (week 0. 3. 6. 9. 12. 15. 18. 21. 24) |
24 weeks
|
Colaboradores e Investigadores
Patrocinador
Colaboradores
Investigadores
- Investigador principal: Po-Sheng Yang, MD, PhD, Mackay Memorial Hospital
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Finalización primaria (Estimado)
Finalización del estudio (Estimado)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
- Neoplasias por sitio
- Neoplasias
- Enfermedades de la piel
- Enfermedades de los senos
- Enfermedades de la piel y del tejido conectivo
- Neoplasias de mama
- Técnicas de investigación
- Diseño de investigación epidemiológica
- Métodos epidemiológicos
- Diseño de la investigación
- Métodos
- Suplementos dietéticos
- Alimento
- Dieta, alimentos y nutrición
- Fenómeno fisiológico
- Comida y bebidas
- Grupos de control
- Probióticos
Otros números de identificación del estudio
- BC2023
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .