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

NCT02169388.

Trial name or title Effects of gut microflora on the immune and nutritional status of CRC patients after chemotherapy
Methods Allocation: randomised
Endpoint classification: efficacy study
Intervention model: parallel assignment
Masking: double‐blind (subject, caregiver, investigator)
Primary purpose: supportive care
Participants Estimated enrolment: 30
Ages eligible for study: 18 to 80 years (adult, senior)
Genders eligible for study: both
Accepts healthy volunteers: no
Inclusion criteria:
  • Scheduled for chemotherapy after radical resection of colorectal cancer


Exclusion criteria:
  • Palliative resection of colorectal cancer

  • Antibiotic, probiotic, or prebiotic usage within 1 month

  • Other malignancy

  • History of other abdominal surgery

  • Coagulopathy or bleeding disorders

  • Pregnant or breast‐feeding (for females)

  • Impaired liver or renal function

Interventions Experimental: probiotic (microbial composition using probiotic, 3 capsules/times, 2 times/d for 4 weeks)
Placebo comparator: placebo (Microbiota modulation using placebo, 3 capsules/times, 2 times/d for 4 weeks)
Outcomes Primary outcome measures:
  • Composition of micro‐organisms in stool after probiotic intervention [Time Frame: 5 months] [Designated as safety issue: No]

    • Primary coordination of faecal samples: 16s rDNA (ribosomal DNA) will be compared between 2 groups using Bray‐Curtis distance‐based primary co‐ordination analysis (PCoA)

  • Short‐chain fatty acids in faeces of patients after chemotherapy [Time Frame: 5 months] [Designated as safety issue: No]

    • The total concentration of short‐chain fatty acids in the faeces of patients after chemotherapy

  • Frequency and severity of adverse effects during chemotherapy [Time Frame: 5 months] [Designated as safety issue: No]

    • Adverse effects include vomiting, nausea, diarrhoea, and abdominal pain


Secondary outcome measures:
  • Observed changes in immune status after chemotherapy [Time Frame: 5 months] [Designated as safety issue: No]

    • Immune status indexes include percentage of neutrophils, total lymphocytes, lymphocyte subgroups, plasma immunoglobulin level, CRP (C‐reactive protein)

  • Observed changes in nutritional status after chemotherapy [Time Frame: 5 months] [Designated as safety issue: No]

    • Nutritional status indexes include BMI, percentage of body weight changes, plasma albumin, and prealbumin

Starting date ClinicalTrials.gov Identifier: NCT02169388
Study start date: June 2014
Estimated primary completion date: January 2015
Contact information Contact: Yanqing Li, MD, PhD; 86‐531‐82169236 ext 82169508; liyanqing@sdu.edu.cn
Notes