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Study for investigating the effects of a probiotic on diarrhea caused by chemotherapy in patients with gastric, colon and rectum cancer

Randomized, placebo controlled phase III trial of a microbiological concomitant therapy/prevention of chemotherapeutical induced diarrhea (caused by inflammation and an impaired intestinal barrier) with E. coli Nissle 1917 (EcN)-Suspension in patients with gastric and colorectal cancer - E. coli Nissle in oncology (EcNO-study)

Status
Not yet recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2015-000868-34-DE
Enrollment
Unknown
Registered
2015-04-09
Start date
2015-05-29
Completion date
Unknown
Last updated
2017-03-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Gastric or colorectal cancers, where a treatment with 5-Fluoruracil and one further chemotherapeutic remedy (either irinotecan or a platinum based chemotherapeutic remedy) is planned.

Interventions

Trade Name: Mutaflor® Suspension Pharmaceutical Form: Oral suspension Other descriptive name: E. coli Nissle 1917 (concentration unit: cfu = colony forming units) Concentration unit: CFU/ml colony for

Sponsors

ZKES GmbH
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Male or female adults; patients with gastric or colorectal cancer (stages III or IV), where a treatment with 5-Fluoruracil and one further chemotherapeutical remedy (either Irinoecan or a platinum based chemotherapeutical remedy) is planned, the addition of bevacizumab antibody is allowed as well; life expectancy of at least the trial duration; the first administering of the product under investigation must be able to take place 72 hours befor or after the beginning of the chemotherapeutical treatment, ideally at the same time; an inclusion into the study is only possible at the beginning of the first chemotherapeutic cycle; fertile female patients (aged 49 years or minor, the last menstruation occured in less than two years) have to be either surgically sterilized or use the same highly effective method of contraception for at least three minths; willingness to refrain from other probiotics or probiotic yoghurts, a systematic change of eating behavior should not be planned; sufficient knowledge of german language and sufficient psychological state for being able to answer questionnaires and assessment scales; informed written consent Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 54 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 22

Exclusion criteria

Exclusion criteria: Participation in other clinical trials (currently or within the last 30 days); intolerance against ingredients of the product under investigation; pregnancy or lactation; beeing not able to consume the product under investigation orally; antidiarrheal therapy with antibiotics; alcohol or drug abuse within the last six months; any health condition (including abnormal blood parameters) which refuses a patient from taking part in the study according to the opinion of the investigator

Design outcomes

Primary

MeasureTime frame
Main Objective: The study investigates whether a Escherichia coli Nissle-suspenison has a (preventive) antidiarrheal effect in patients with tumors who are treated with chemotherapeutic schemes which are associated with increased occurances of diarrhea. Diarrhea caused by treatment are thought to be reduced in intensity and/or frequency by the treatment with Escherichia coli Nissle-Suspension.;Secondary Objective: not applicable;Primary end point(s): Common toxicity criteria (CTC) for diarrhea ;Timepoint(s) of evaluation of this end point: End of the study (after six chemotherapeutic cycles)

Secondary

MeasureTime frame
Secondary end point(s): Quality of life (according to SF12 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 (a1-Antitrypsin, Calprotectin);Timepoint(s) of evaluation of this end point: End of the study (after six chemotherapeutic cycles)

Countries

Germany

Contacts

Public ContactClinical Trials Information

ZKES GmbH

info@zkes-gmbh.de004971145924894

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026