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. 2018 Aug 31;2018(8):CD008831. doi: 10.1002/14651858.CD008831.pub3

EUCTR2015‐000868‐34‐DE.

Trial name or title Study for investigating the effects of a probiotic on diarrhea caused by chemotherapy in patients with gastric, colon, and rectum cancer
Methods Allocation: randomised controlled trial
Control: placebo
Study endpoint classification: efficacy study
Intervention model: parallel
Number of arms: 2
Masking: double‐blind (masked roles: subject, investigator, outcomes assessor)
Primary purpose: prevention
Study phase: 3
Participants Gastric or colorectal cancer, for which treatment with 5‐fluorouracil and 1 further chemotherapeutic remedy (irinotecan or a platinum‐based chemotherapeutic remedy) is planned
Inclusion criteria:
  • Male or female adults; patients with gastric or colorectal cancer (stage III or IV), for which treatment with 5‐fluorouracil and 1 further chemotherapeutical remedy (irinotecan or a platinum‐based chemotherapeutical remedy) is planned

  • Addition of bevacizumab antibody is allowed as well; life expectancy of at least the trial duration

  • First administration of the product under investigation must take place 72 hours before or after the beginning of the chemotherapeutical treatment, ideally at the same time

  • Inclusion into the study is possible only at the beginning of the first chemotherapeutic cycle

  • Fertile female patients (aged 49 years or younger, last menstruation occurred within last 2 years), surgically sterilised or using the same highly effective method of contraception for ≥ 3 months

  • Willingness to refrain from other probiotics or probiotic yogurts; a systematic change in eating behaviour should not be planned

  • Sufficient knowledge of German language and sufficient psychological state to complete questionnaires and assessment scales

  • Informed written consent


Exclusion criteria:
  • Participation in other clinical trials (currently or within past 30 days)

  • Intolerance against ingredients of the product under investigation; pregnancy or lactation

  • Not able to orally consume the product under investigation

  • Antidiarrhoeal therapy with antibiotics

  • Alcohol or drug abuse within past 6 months

  • Any health condition (including abnormal blood parameters) that prevents patient from taking part in the study according to the opinion of the investigator

Interventions Intervention group: Mutaflor Suspension. Oral suspension
Placebo group: oral suspension
Outcomes Primary outcome measures:
  • Common toxicity criteria (CTC) for diarrhoea


Secondary outcome measures:
  • Quality of life (according to SF‐12 and FACIT‐D)

  • Stool consistency according to the Bristol Stool Scale

  • Anthropometry (body mass index (BMI))

  • Bioelectrical impedance analysis (BIA)

  • Blood parameters (C‐reactive protein, haematocrit)

  • Stool parameters (α1‐antitrypsin, calprotectin)

Starting date ClinicalTrials.gov Identifier: EUCTR2015‐000868‐34‐DE
Study start date: 9 April 2015
Contact information Contact: Clinical Trials Information
info@zkes‐gmbh.de
Notes