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L. Plantarum 299v and Gut Microbiome, Diarrhoea, and Clostridioides Difficile Infection in Colorectal Cancer Patients

Primary Purpose

Colorectal Cancer, Clostridioides Difficile Infection, Diarrhea

Status
Recruiting
Phase
Not Applicable
Locations
Poland
Study Type
Interventional
Intervention
Sanprobi IBS®
Sponsored by
Medical University of Gdansk
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Colorectal Cancer focused on measuring Lactobacillus plantarum 299v, Probiotics, Colorectal Cancer, Clostridioides difficile, Diarrhea

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: age ≥18 oraz ≤65 patients with colorectal cancer prior to surgical treatment qualification to surgery the treatment with chemotherapy and radiotherapy in preoperative period an appropriate swallowing patients agreement to take part in this study Exclusion Criteria: the presence of other cancers than colorectal cancer inflammatory bowel diseases dysphagia intake of antibiotics, proton pump inhibitors, probiotics, and synbiotics 3 months befor taking part in this study

Sites / Locations

  • Unit of Surgery with Unit of Oncological Surgery in KoscierzynaRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

No Intervention

No Intervention

Arm Label

Lactobacillus plantarum 299v

Lactobacillus plantarum 299v in combination with inulin

Placebo in combination with inulin

Placebo

Arm Description

15 patients will receive 2 capsules (per day - 1 capsule contains 10x10 CFU) of L. plantarum 299v for 4 weeks

15 patients will receive 2 capsules (per day - 1 capsule contains 10x10 CFU) of L. plantarum 299v and inulin (4 g) for 4 weeks

15 patients will receive 2 capsules (per day) of placebo and inulin (4 g) for 4 weeks

15 patients will receive 2 capsules (per day) of placebo for 4 weeks

Outcomes

Primary Outcome Measures

gut microbiota composition
It will be measured by presenting alpha diversity and beta-diversity of microbial community and after that it will be presented using bioinformatic analysis.

Secondary Outcome Measures

chemotherapy and radiotherapy-induced diarrhoea
It will be analysed by using own created survey.
Clostridioides difficile infection
The incidence of Clostridioides difficile infection will be noted.

Full Information

First Posted
August 10, 2023
Last Updated
August 24, 2023
Sponsor
Medical University of Gdansk
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1. Study Identification

Unique Protocol Identification Number
NCT06019312
Brief Title
L. Plantarum 299v and Gut Microbiome, Diarrhoea, and Clostridioides Difficile Infection in Colorectal Cancer Patients
Official Title
The Impact of Lactobacillus Plantarum 299v in Combination With Inulin on Gut Microbiome, Chemotherapy and Radiotherapy-induced Diarrhoea, and Clostridioides Difficile Infection in Colorectal Cancer Patients in Periooperative Period
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 1, 2023 (Actual)
Primary Completion Date
May 30, 2024 (Anticipated)
Study Completion Date
June 1, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Medical University of Gdansk

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
Colorectal cancer in periooperative period patients (n=60) will be enrolled to this study. Participants will be divided into 4 groups as follows: group 1 (n=15) will receive 2 capsules (per day) of L. plantarum 299v L. plantarum 299v (Sanprobi IBS®) for 4 weeks group 2 (n=15) will receive L. plantarum 299v (2 capsules per day) and inulin (4 g) for 4 weeks group 3 (n=15) will receive placebo (2 capsules per day) and inulin (4 g) for 4 weeks group 4 (n=15) will receive placebo (2 capsules per day) for 4 weeks

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Colorectal Cancer, Clostridioides Difficile Infection, Diarrhea
Keywords
Lactobacillus plantarum 299v, Probiotics, Colorectal Cancer, Clostridioides difficile, Diarrhea

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
60 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Lactobacillus plantarum 299v
Arm Type
Experimental
Arm Description
15 patients will receive 2 capsules (per day - 1 capsule contains 10x10 CFU) of L. plantarum 299v for 4 weeks
Arm Title
Lactobacillus plantarum 299v in combination with inulin
Arm Type
Experimental
Arm Description
15 patients will receive 2 capsules (per day - 1 capsule contains 10x10 CFU) of L. plantarum 299v and inulin (4 g) for 4 weeks
Arm Title
Placebo in combination with inulin
Arm Type
No Intervention
Arm Description
15 patients will receive 2 capsules (per day) of placebo and inulin (4 g) for 4 weeks
Arm Title
Placebo
Arm Type
No Intervention
Arm Description
15 patients will receive 2 capsules (per day) of placebo for 4 weeks
Intervention Type
Dietary Supplement
Intervention Name(s)
Sanprobi IBS®
Intervention Description
Patients will be treated with probiotics in combination with inulin, which is able to stimulate the growing of probiotic bacteria in gastrointestinal tract.
Primary Outcome Measure Information:
Title
gut microbiota composition
Description
It will be measured by presenting alpha diversity and beta-diversity of microbial community and after that it will be presented using bioinformatic analysis.
Time Frame
4 weeks
Secondary Outcome Measure Information:
Title
chemotherapy and radiotherapy-induced diarrhoea
Description
It will be analysed by using own created survey.
Time Frame
4 weeks
Title
Clostridioides difficile infection
Description
The incidence of Clostridioides difficile infection will be noted.
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: age ≥18 oraz ≤65 patients with colorectal cancer prior to surgical treatment qualification to surgery the treatment with chemotherapy and radiotherapy in preoperative period an appropriate swallowing patients agreement to take part in this study Exclusion Criteria: the presence of other cancers than colorectal cancer inflammatory bowel diseases dysphagia intake of antibiotics, proton pump inhibitors, probiotics, and synbiotics 3 months befor taking part in this study
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Karolina Kaźmierczak-Siedlecka, PhD
Phone
607507240
Email
leokadia@gumed.edu.pl
Facility Information:
Facility Name
Unit of Surgery with Unit of Oncological Surgery in Koscierzyna
City
Kościerzyna
ZIP/Postal Code
83-400
Country
Poland
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Paweł Ulasiński
Phone
537168985
Email
ulasinskipawel@gmail.com

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

L. Plantarum 299v and Gut Microbiome, Diarrhoea, and Clostridioides Difficile Infection in Colorectal Cancer Patients

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