- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT06039644
Per valutare l'efficacia clinica dei probiotici nei pazienti con cancro al seno
Valutare l’efficacia dei probiotici nel miglioramento e nella prevenzione degli effetti collaterali associati alla chemioterapia nei pazienti con cancro al seno
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.
Panoramica dello studio
Stato
Condizioni
Intervento / Trattamento
Descrizione dettagliata
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 di studio
Iscrizione (Stimato)
Fase
- Non applicabile
Contatti e Sedi
Luoghi di studio
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-
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Taipei, Taiwan
- Mackay Memorial Hospital
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Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
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)
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Terapia di supporto
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Doppio
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
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Sperimentale: 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).
Altri nomi:
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Comparatore placebo: Placebo group
Subjects received two placebo sachets per day |
Same additives to Probiotic group but replace probiotics with corn starch and Maltodextrin.
Altri nomi:
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Change from 12 weeks in the chemotherapy associated side-effects questionnaire at 24 weeks
Lasso di tempo: 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
|
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Change from 12 weeks in self-record of the FACT-G questionnaire (The Functional Assessment of Cancer Therapy - General; Version 4) at 24 weeks
Lasso di tempo: 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)
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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 %
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 24 weeks
|
Platelet levels will obtained from routine medical records every visit. (week 0. 3. 6. 9. 12. 15. 18. 21. 24) |
24 weeks
|
Collaboratori e investigatori
Sponsor
Collaboratori
Investigatori
- Investigatore principale: Po-Sheng Yang, MD, PhD, Mackay Memorial Hospital
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Completamento primario (Stimato)
Completamento dello studio (Stimato)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
- Neoplasie per sede
- Neoplasie
- Malattie della pelle
- Malattie del seno
- Malattie della pelle e del tessuto connettivo
- Neoplasie mammarie
- Tecniche investigative
- Progetto di ricerca epidemiologica
- Metodi epidemiologici
- Progetto di ricerca
- Metodi
- Integratori dietetici
- Cibo
- Dieta, cibo e nutrizione
- Fenomeni fisiologici
- Cibo e bevande
- Gruppi di controllo
- Probiotici
Altri numeri di identificazione dello studio
- BC2023
Piano per i dati dei singoli partecipanti (IPD)
Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?
Informazioni su farmaci e dispositivi, documenti di studio
Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti
Studia un dispositivo regolamentato dalla FDA degli Stati Uniti
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .