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NCT02944617

Probiotic Yogurt Supplement in Reducing Diarrhea in Patients With Metastatic Kidney Cancer Being Treated With Vascular Endothelial Growth Factor-Tyrosine Kinase Inhibitor

Completed NA Results posted Last updated 23 February 2024
What this trial tests

NA trial testing Laboratory Biomarker Analysis in Diarrhea in 21 participants. Completed in 19 December 2021.

Timeline
11 November 2016
Primary endpoint
19 December 2021
19 December 2021

Quick facts

Lead sponsorCity of Hope Medical Center
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposesupportive care
Enrollment21
Start date11 November 2016
Primary completion19 December 2021
Estimated completion19 December 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

City of Hope Medical Center

Who can join

18 and older, any sex, with Diarrhea or Metastatic Renal Cell Carcinoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Overall Response Primary · Up to 3 years

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR

GroupValue95% CI
Arm I (Probiotic Yogurt Supplement)2
Arm II (no Intervention)1
Number of Participants With Diarrhea Primary · Up to 13 weeks

The rate of all grade diarrhea as graded by the Common Terminology Criteria for Adverse Events version 4.0 will be compared in the patients who receive the dietary supplement and those who do not. A Fisher's exact test with a 0.050 one-sided significance level will be used.

GroupValue95% CI
Arm I (Probiotic Yogurt Supplement)4
Arm II (no Intervention)4
Clinical Benefit Rate Secondary · Up to 6 months

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial response (PR): At least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR; Stable disease (SD): Neither sufficient shrinkage to qualify for CR or PR nor sufficient increase to qualify for PD; Progressive disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters

GroupValue95% CI
Arm I (Probiotic Yogurt Supplement)70
Arm II (no Intervention)80
Progression-free Survival (PFS) Secondary · Up to 36 months

Estimated using the product-limit method of Kaplan and Meier. Failure defined as disease progression or death from any cause. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.

GroupValue95% CI
Arm I (Probiotic Yogurt Supplement)6.22.2 – 10.3
Arm II (no Intervention)13.86.2 – 21.5

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were assessed from the time of initial treatment until 30 days post discontinuation of treatment, up to 4 months.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm I (Probiotic Yogurt Supplement)
Serious: 0/10 (0%)
Deaths: 3/10
Arm II (no Intervention)
Serious: 0/10 (0%)
Deaths: 6/10
Other adverse events (13 terms — click to expand)

ReactionSystemArm I (Probiotic Yogurt Su…Arm II (no Intervention)
DiarheaGastrointestinal disorders
HypertensionGeneral disorders
Hand-foot SyndromeImmune system disorders
MucositisGeneral disorders
ColitisGastrointestinal disorders
TransaminitisInvestigations
SinusitisGeneral disorders
HypothyroidismEndocrine disorders
FatigueGeneral disorders
GastritisGastrointestinal disorders
EpistaxisGeneral disorders
DermatitisSkin and subcutaneous tissue disorders
ConstipationGastrointestinal disorders

Data from ClinicalTrials.gov NCT02944617 adverse events section.

Sponsor's own description

This randomized clinical trial studies how well probiotic yogurt supplement works in reducing diarrhea in patients with kidney cancer that has spread from the primary site to other places in the body (metastatic) and that are being treated with vascular endothelial growth factor-tyrosine kinase inhibitor therapy. Studying samples of blood and stool from patients who eat probiotic yogurt and those who avoid probiotic yogurt may help doctors plan better treatment.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Gut Microbiota and Cancer: From Pathogenesis to Therapy.
    Vivarelli S, Salemi R, Candido S, Falzone L, et al · · 2019 · cited 344× · PMID 30609850 · DOI 10.3390/cancers11010038
  2. Modulating the microbiome to improve therapeutic response in cancer.
    McQuade JL, Daniel CR, Helmink BA, Wargo JA. · · 2019 · cited 283× · PMID 30712808 · DOI 10.1016/s1470-2045(18)30952-5
  3. Potential effects of gut microbiota on host cancers: focus on immunity, DNA damage, cellular pathways, and anticancer therapy.
    Sun J, Chen F, Wu G, Wu G. · · 2023 · cited 71× · PMID 37553473 · DOI 10.1038/s41396-023-01483-0
  4. Randomized trial assessing impact of probiotic supplementation on gut microbiome and clinical outcome from targeted therapy in metastatic renal cell carcinoma.
    Dizman N, Hsu J, Bergerot PG, Gillece JD, et al · · 2021 · cited 56× · PMID 33135866 · DOI 10.1002/cam4.3569
  5. Diarrhea Induced by Small Molecule Tyrosine Kinase Inhibitors Compared With Chemotherapy: Potential Role of the Microbiome.
    Secombe KR, Van Sebille YZA, Mayo BJ, Coller JK, et al · · 2020 · cited 53× · PMID 32493068 · DOI 10.1177/1534735420928493
  6. Bringing microbiome-drug interaction research into the clinic.
    Guthrie L, Kelly L. · · 2019 · cited 48× · PMID 31151933 · DOI 10.1016/j.ebiom.2019.05.009
  7. Impact of the microbiome on cancer progression and response to anti-cancer therapies.
    Buchta Rosean C, Feng TY, Azar FN, Rutkowski MR. · · 2019 · cited 32× · PMID 31202360 · DOI 10.1016/bs.acr.2019.03.005
  8. Gut microbiota and its therapeutic implications in tumor microenvironment interactions.
    Feng P, Xue X, Bukhari I, Qiu C, et al · · 2024 · cited 19× · PMID 38322318 · DOI 10.3389/fmicb.2024.1287077

Verify or expand the search:

Other trials of Laboratory Biomarker Analysis

Trials testing the same drug.

Other recruiting trials for Diarrhea

Currently open trials in the same condition.

Other City of Hope Medical Center trials

Trials by the same sponsor.

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