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

Sharma 2013.

Trial name or title A phase II/III, randomised, double‐blind, placebo‐controlled study to investigate the efficacy of a probiotic VSL#3 on chemotherapy‐induced diarrhea in people with cancer receiving fluoropyrimidines and/or irinotecan (interim analysis)
Clinical Trial Registry number: CTRI/2009/091/001042
Methods Randomised, parallel‐group, placebo‐controlled trial
Country: India
Participants Participants ≥ 18 years with histologically confirmed diagnosis of cancer, treated with fluoropyrimodines and/or irinotecan‐based chemotherapy; ECOG ≤ 2
Participants with recurrent disease must have completed last chemotherapy 4 weeks before enrolment in the study
Interventions VSL#3 sachets; 1 sachet bid for 12 to 16 weeks. Each sachet contains 900 billion CFU
Placebo sachets; 1 sachet bid for 16 weeks
Outcomes Primary outcome: incidence and duration of grade 3 and 4 diarrhoea caused by fluoropyrimidines and/or irinotecan
Secondary outcomes:
  • Reduction in use of rescue medications (loperamide, antibiotics for diarrhoea)

  • Weight loss

  • Frequency of use of TPN (total parenteral nutrition)

  • Frequency of use of IV fluids

  • Incidence and duration of all grades of diarrhoea

  • Assessment of health‐related quality of life

  • Incidence of oral mucositis

  • Incidence of grade III or IV neutropenia

  • Stool consistency (Bristol Stool Chart)

  • Chemotherapy dose modification

  • Chemotherapy treatment delays


Time points: at all chemotherapy cycles, that is, cycles 1, 2, and 3 of chemotherapy and at the follow‐up visit (i.e. 2 weeks after third cycle of chemotherapy)
Starting date 27/7/2010
Contact information Dr Atul Sharma; atul1@hotmail.com
Notes Conference abstract (limited reporting of interim analysis without unblinding)