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Correlation Between Myocardial Injury and Intestinal Flora Changes Associated With Oncology Drug Therapy and the Preventive of Probiotics

Phase 4
Not yet recruiting
Conditions
Cancer Therapy-related Cardiovascular Toxicity
Interventions
Registration Number
NCT05730777
Lead Sponsor
Peking University Third Hospital
Brief Summary

The purpose of this study was to explore the relationship between early myocardial injury caused by tumor drug therapy and intestinal microbial structure changes by echocardiographic two-dimensional speckle tracking technique and intestinal microflora structure detection. The investigators will also explore prevention and treatment through randomized controlled trials to initiate early intervention before clinical symptoms appear.

Detailed Description

This is a single-center randomized controlled trial in which 100 patients treated with antineoplastic agents will be enrolled. All participants will be followed for 6 months after the initiation of oncology drug therapy. Echocardiography and 2D speckle tracking will be performed and stool and blood samples will be tested before treatment initiation and at 3 and 6 months after initiation. All patients will be randomly divided into test and control groups. Patients in the test group will receive oral Bifidobacterium trivium capsules for 6 months in addition to conventional treatment, whereas patients in the control group will receive conventional antitumor treatment only.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
200
Inclusion Criteria
  • With malignant tumors
  • Will receive antitumor drugs
  • Could receive regular follow-up for 6 months
  • Written informed consent
Exclusion Criteria
  • Satisfactory echocardiographic images could not be obtained
  • Cardiomyopathy
  • Coronary artery disease
  • Heart failure
  • Arrhythmia requiring intervention
  • Moderate or severe valvular disease
  • Acute myocarditis
  • Refractory hypertension
  • Participating in other studies of drug intervention

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Bifidobacterium Bifidum Oral Capsule in addition to conventional treatmentBifidobacterium Bifidum Oral CapsuleBifidobacterium Bifidum Oral Capsule for 6 months in addition to conventional treatment
Bifidobacterium Bifidum Oral Capsule in addition to conventional treatmentCarboplatinBifidobacterium Bifidum Oral Capsule for 6 months in addition to conventional treatment
Bifidobacterium Bifidum Oral Capsule in addition to conventional treatmentCisplatinBifidobacterium Bifidum Oral Capsule for 6 months in addition to conventional treatment
Bifidobacterium Bifidum Oral Capsule in addition to conventional treatmentPaclitaxelBifidobacterium Bifidum Oral Capsule for 6 months in addition to conventional treatment
Bifidobacterium Bifidum Oral Capsule in addition to conventional treatmentAtlizumabBifidobacterium Bifidum Oral Capsule for 6 months in addition to conventional treatment
conventional antitumor treatmentCisplatinPatients in the control group will receive conventional antitumor treatment only.
conventional antitumor treatmentCarboplatinPatients in the control group will receive conventional antitumor treatment only.
conventional antitumor treatmentPaclitaxelPatients in the control group will receive conventional antitumor treatment only.
conventional antitumor treatmentAtlizumabPatients in the control group will receive conventional antitumor treatment only.
Primary Outcome Measures
NameTimeMethod
The decline rate of global longitudinal strain6 months

The primary endpoint is at least a 10% decrease in the global longitudinal strain, determined using cardiac 2D STE.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Peking University Third Hospital

🇨🇳

Beijing, China

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