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For å evaluere den kliniske effekten av probiotika hos pasienter med brystkreft

8. november 2026 oppdatert av: GenMont Biotech Incorporation

For å evaluere effekten av probiotika i forbedring og forebygging av kjemoterapi-assosierte bivirkninger hos pasienter med brystkreft

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.

Studieoversikt

Status

Aktiv, ikke rekrutterende

Forhold

Detaljert beskrivelse

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

Intervensjonell

Registrering (Antatt)

100

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

      • Taipei, Taiwan
        • Mackay Memorial Hospital

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

20 år til 80 år (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

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)

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Støttende omsorg
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Dobbelt

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: 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).

Andre navn:
  • Testgruppe
Placebo komparator: Placebo group

Subjects received two placebo sachets per day

Same additives to Probiotic group but replace probiotics with corn starch and Maltodextrin.

Andre navn:
  • Kontrollgruppe

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Change from 12 weeks in the chemotherapy associated side-effects questionnaire at 24 weeks
Tidsramme: 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

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Change from 12 weeks in self-record of the FACT-G questionnaire (The Functional Assessment of Cancer Therapy - General; Version 4) at 24 weeks
Tidsramme: 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)
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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 %
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 24 weeks

Platelet levels will obtained from routine medical records every visit. (week 0. 3. 6. 9. 12. 15. 18. 21. 24)

24 weeks

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Samarbeidspartnere

Etterforskere

  • Hovedetterforsker: Po-Sheng Yang, MD, PhD, Mackay Memorial Hospital

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

8. april 2024

Primær fullføring (Antatt)

1. mars 2027

Studiet fullført (Antatt)

30. juni 2027

Datoer for studieregistrering

Først innsendt

6. september 2023

Først innsendt som oppfylte QC-kriteriene

14. september 2023

Først lagt ut (Faktiske)

15. september 2023

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

12. november 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

8. november 2026

Sist bekreftet

1. november 2026

Mer informasjon

Begreper knyttet til denne studien

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

NEI

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

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