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临床试验/NCT07733817
NCT07733817尚未招募不适用

Impact of Probiotic Supplementation on Neuropathy Induced by Adjuvant Chemotherapy in Patients With Colon Cancer: a Phase III Randomized Study

Centre Francois Baclesse7 个研究点 分布在 1 个国家目标入组 130 人开始时间: 2026年10月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
尚未招募
发起方
入组人数
130
试验地点
7
主要终点
Proportion of patients who experience a grade ≥2 peripheral neuropathy

研究概览

简要总结

The pbjective of this study is to assess the impact of a multi-strain bacteria probiotic OXXYSLAB® on the reduction of oxaliplatin-induced peripheral neuropathy in patients with stage III colon cancer receiving FOLFOX or XELOX regimen in adjuvant treatment, assessed using the oxaliplatin-specific scale of Levi.

详细描述

Patients are randomized (1:1 ratio), between:

  • Experimental group: Multi-strain PROBIOTIC treatment (OXXYSLAB®) 1.5 g sachet containing maltose and the OXXYSLAB® multi-strain probiotic formulation (eight different live bacterial strains, 200 billion bacteria).
  • Control group: PLACEBO treatment 1.5 g sachet strictly identical to OXXYSLAB®, containing maltose only.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Prevention
盲法
Triple (Participant, Care Provider, Investigator)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patient ≥ 18 years
  • Patient with histologically confirmed stage III adenocarcinoma colon cancer with curative resection
  • Patient with an indication to start adjuvant oxaliplatin-based chemotherapy (FOLFOX 4 or XELOX regimen)
  • ECOG performance status score of 0 or 1
  • Patient must consent to allow the collection of fecal and blood samples during study for further ancillary studies
  • Screening laboratory values must meet the following criteria:
  • Neutrophils ≥ 1500/ mm³; Platelets ≥ 100 000/ mm³; Hemoglobin ≥ 9.0 g/dL
  • Bilirubin ≤ 1.5 x ULN, AST and ALT ≤ 3 x ULN
  • Serum creatinine ≤ 1.5 x ULN or measured or calculated creatinine ≥ 50 ml/min clearance (CrCl) (using the Cockcroft-Gault formula)
  • Patient with French language comprehension
  • Female subject of childbearing potential must have a negative urine or serum pregnancy test within 7 days before study probiotics supplementation start
  • Patient in reproductive age must be willing to use adequate contraception during study probiotics supplementation
  • Patient affiliated to an appropriate social security system
  • Patient has signed informed consent obtained before to any study specific procedures
  • Enclusion Criteria:
  • Patient with any distant metastasis
  • Patient with current peripheral neuropathy of any grade or ongoing treatment prescribed to prevent or treat peripheral neuropathy
  • Patient with hypersensitivity to any ingredients in the composition of the multi-strain formulation and/or maltose
  • Patient with history of acute pancreatitis
  • Patient seriously immunosuppressed
  • Patient with history of other malignancy within the previous 3 years (except for appropriately treated in-situ cervix carcinoma and non-melanoma skin carcinoma)
  • Patient using of probiotics or antibiotic treatments within one month before inclusion
  • Patient with chronic inflammatory gastro-intestinal disease
  • Patient with uracilemia ≥ 16 ng/ml
  • Patient with QT/QTc > 450 msec for men and > 470 msec for women
  • Patient with active infection requiring systemic therapy
  • Patient with personality disorder or any other known progressive psychiatric pathology
  • Patient with neurological previous history with ongoing symptoms (sequelae of head trauma, stroke, multiple sclerosis, epilepsy, neurodegenerative pathology, etc.)
  • Patient with dependence on alcohol and / or drugs
  • Pregnant or lactating woman
  • Simultaneous participation in another clinical study that may compromise the conduct of this study.
  • Patient assessed by the investigator to be unable or unwilling to comply with the requirements of the protocol
  • Patient deprived of liberty or placed under the authority of a tutor

排除标准

  • 未提供

研究组 & 干预措施

Experimental group

Experimental

Multi-strain PROBIOTIC treatment

干预措施: PROBIOTIC SUPPLEMENTATION BY OXXYSLAB® (Dietary Supplement)

Control group

Placebo Comparator

PLACEBO treatment

干预措施: PLACEBO supplementation (Dietary Supplement)

结局指标

主要结局

Proportion of patients who experience a grade ≥2 peripheral neuropathy

时间窗: Around week 12 (+/- 7 days) after initiation of treatment

Oxaliplatin-specific scale of Levi \[min grade 0 (better)- max Grade 4 (worse)\] after 6 cycles for FOLFOX or 4 cycles for XELOX

次要结局

未报告次要终点

研究者

发起方
Centre Francois Baclesse
申办方类型
Other
责任方
Sponsor

研究点 (7)

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