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- Klinische proef NCT06039644
Om de klinische werkzaamheid van probiotica bij patiënten met borstkanker te evalueren
Om de werkzaamheid van probiotica te evalueren bij de verbetering en preventie van chemotherapie-geassocieerde bijwerkingen bij patiënten met borstkanker
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.
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
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.
Studietype
Inschrijving (Geschat)
Fase
- Niet toepasbaar
Contacten en locaties
Studie Locaties
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Taipei, Taiwan
- Mackay Memorial Hospital
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
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)
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Ondersteunende zorg
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Dubbele
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
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Experimenteel: 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).
Andere namen:
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Placebo-vergelijker: Placebo group
Subjects received two placebo sachets per day |
Same additives to Probiotic group but replace probiotics with corn starch and Maltodextrin.
Andere namen:
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Change from 12 weeks in the chemotherapy associated side-effects questionnaire at 24 weeks
Tijdsspanne: 24 weeks
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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
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Change from 12 weeks in self-record of the FACT-G questionnaire (The Functional Assessment of Cancer Therapy - General; Version 4) at 24 weeks
Tijdsspanne: 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
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Variability in BMI (Body Mass Index)
Tijdsspanne: 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
|
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Change from baseline in levels of hs-CRP (high-sensitivity C-Reactive Protein) in mg/dL at 12 weeks
Tijdsspanne: 12 weeks
|
Blood samples will collected to examine the variation of hs-CRP from baseline at 12 weeks. |
12 weeks
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Change from baseline in levels of hs-CRP (high-sensitivity C-Reactive Protein) in mg/dL at 24 weeks
Tijdsspanne: 24 weeks
|
Blood samples will collected to examine the variation of hs-CRP from baseline at 24 weeks. |
24 weeks
|
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Change from baseline in levels of IL-6 (Interleukin-6) in pg/mL at 12 weeks
Tijdsspanne: 12 weeks
|
Blood samples will collected to examine the variation of IL-6 from baseline at 12 weeks. |
12 weeks
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Change from baseline in levels of IL-6 (Interleukin-6) in pg/mL at 24 weeks
Tijdsspanne: 24 weeks
|
Blood samples will collected to examine the variation of IL-6 from baseline at 24 weeks. |
24 weeks
|
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Change from baseline in levels of IL-10 (Interleukin-10) in pg/mL at 12 weeks
Tijdsspanne: 12 weeks
|
Blood samples will collected to examine the variation of IL-10 from baseline at 12 weeks. |
12 weeks
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Change from baseline in levels of IL-10 (Interleukin-10) in pg/mL at 24 weeks
Tijdsspanne: 24 weeks
|
Blood samples will collected to examine the variation of IL-10 from baseline at 24 weeks. |
24 weeks
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Change from baseline in levels of TNF-α (Tumor Necrosis Factor-α) in pg/mL at 12 weeks
Tijdsspanne: 12 weeks
|
Blood samples will collected to examine the variation of TNF-α from baseline at 12 weeks. |
12 weeks
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Change from baseline in levels of TNF-α (Tumor Necrosis Factor-α) in pg/mL at 24 weeks
Tijdsspanne: 24 weeks
|
Blood samples will collected to examine the variation of TNF-α from baseline at 24 weeks. |
24 weeks
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Change from baseline in gut microbiome at 12 weeks
Tijdsspanne: 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
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Change from baseline in gut microbiome at 24 weeks
Tijdsspanne: 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
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Variability in levels of ALT (Alanine Aminotransferase) in IU/L
Tijdsspanne: 24 weeks
|
ALT levels will obtained from routine medical records every visit. (week 0. 3. 6. 9. 12. 15. 18. 21. 24) |
24 weeks
|
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Variability in levels of AST (Aspartate Aminotransferase) in IU/L
Tijdsspanne: 24 weeks
|
AST levels will obtained from routine medical records every visit. (week 0. 3. 6. 9. 12. 15. 18. 21. 24) |
24 weeks
|
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Variability in levels of Creatinine in mg/dL
Tijdsspanne: 24 weeks
|
Creatinine levels will obtained from routine medical records every visit. (week 0. 3. 6. 9. 12. 15. 18. 21. 24) |
24 weeks
|
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Variability in levels of Hb (Hemoglobin) in g/dL
Tijdsspanne: 24 weeks
|
Hb levels will obtained from routine medical records every visit. (week 0. 3. 6. 9. 12. 15. 18. 21. 24) |
24 weeks
|
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Variability in levels of RBC (Red Blood Cell count) in 10^6/μL
Tijdsspanne: 24 weeks
|
RBC levels will obtained from routine medical records every visit. (week 0. 3. 6. 9. 12. 15. 18. 21. 24) |
24 weeks
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Variability in levels of Ht (Hematocrite) in %
Tijdsspanne: 24 weeks
|
Ht levels will obtained from routine medical records every visit. (week 0. 3. 6. 9. 12. 15. 18. 21. 24) |
24 weeks
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Variability in levels of WBC(White Blood Cell count) in 10^3/μL
Tijdsspanne: 24 weeks
|
WBC levels will obtained from routine medical records every visit. (week 0. 3. 6. 9. 12. 15. 18. 21. 24) |
24 weeks
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Variability in levels of MCV (Mean Corpuscular Volume) in fL
Tijdsspanne: 24 weeks
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MCV levels will obtained from routine medical records every visit. (week 0. 3. 6. 9. 12. 15. 18. 21. 24) |
24 weeks
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Variability in levels of MCH (Mean Corpuscular Haemoglobin) in Pg
Tijdsspanne: 24 weeks
|
MCH levels will obtained from routine medical records every visit. (week 0. 3. 6. 9. 12. 15. 18. 21. 24) |
24 weeks
|
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Variability in levels of MCHC (Mean Corpuscular Haemoglobin Concentration) in g/dL
Tijdsspanne: 24 weeks
|
MCHC levels will obtained from routine medical records every visit. (week 0. 3. 6. 9. 12. 15. 18. 21. 24) |
24 weeks
|
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Variability in levels of ANC (Absolute Neutrophil Count) in mm^3
Tijdsspanne: 24 weeks
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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
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Variability in levels of platelet in 10^3/μL
Tijdsspanne: 24 weeks
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Platelet levels will obtained from routine medical records every visit. (week 0. 3. 6. 9. 12. 15. 18. 21. 24) |
24 weeks
|
Medewerkers en onderzoekers
Sponsor
Medewerkers
Onderzoekers
- Hoofdonderzoeker: Po-Sheng Yang, MD, PhD, Mackay Memorial Hospital
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
- Neoplasmata per site
- Neoplasmata
- Huidziektes
- Borst ziekten
- Huid- en bindweefselaandoeningen
- Borstneoplasmata
- Onderzoekstechnieken
- Epidemiologisch onderzoeksontwerp
- Epidemiologische methoden
- Onderzoeksontwerp
- Methoden
- Voedingssupplementen
- Voedsel
- Dieet, voedsel en voeding
- Fysiologische fenomenen
- Eten en dranken
- Controlegroepen
- Probiotica
Andere studie-ID-nummers
- BC2023
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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