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Vivomixx for Prevention of Bone Loss in Women With Breast Cancer Treated With an Aromatase Inhibitor

The Efficacy of the Probiotic Supplement Vivomixx on Prevention of Bone Loss in Early Menopausal Women With Breast Cancer Treated With an Aromatase Inhibitor

Status
UNKNOWN
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03518268
Enrollment
40
Registered
2018-05-08
Start date
2019-01-31
Completion date
2021-06-30
Last updated
2019-01-17

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

Conditions

Breast Cancer, Osteoporosis, Osteopenia

Keywords

probiotics, aromatase inhibitors, bone mass, postmenopausal

Brief summary

This study evaluates the efficacy of the probiotic food supplement Vivomixx in the prevention of bone loss occurring in post menopausal women with breast cancer treated with an aromatase inhibitor. Half of the participants will receive Vivomixx while the other half will receive a placebo. The primary endpoint is to assess changes of bone turnover markers during the period of 6 months.

Detailed description

Aromatase inhibitors function to reduce estrogen levels. They are considered first-line treatment for postmenopausal women with estrogen receptor-positive breast cancer. Estrogen depletion leads to significant loss of bone mineral density and an increased fracture risk. One contributing mechanism to estrogen deficiency associated bone loss is the increase in systemic and local gut inflammatory responses upon estrogen deficiency. Probiotics have been shown to decrease inflammatory cytokine formation in both the systemic circulation and gut. Vivomixx is a high potency probiotic medical food designated for the dietary management of inflammatory gut conditions in adults and children and is currently being studied in clinical trials in a wide variety of inflammatory conditions such as asthma and diabetes. In preclinical studies Vivomixx has been shown to protect from estrogen deficient bone loss.

Interventions

The intervention consists of 2 sachets a day containing the probiotic Vivomixx, for 6 months

DRUGPlacebo

The intervention consists of 2 sachets a day of placebo, for 6 months

Sponsors

Perrigo Company
CollaboratorINDUSTRY
Tel-Aviv Sourasky Medical Center
Lead SponsorOTHER_GOV

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
FEMALE
Age
35 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Age≥ 35 years 2. Breast cancer stages 1-3 (non metastatic) 3. Under treatment with aromatase inhibitors 4. In menopausal status for ≤10y 5. Estrogen receptor positive tumor 6. CTX ≥300 pg/ml

Exclusion criteria

1. Distant metastases 2. Additional active primary malignancy 3. Metabolic bone disease (primary hyperparathyroidism, hyperthyroidism, paget, osteomalacia etc) 4. Glucocorticoid treatment (chronic or high dose \>7.5 mg in the last three months) 5. Bisphosphonate treatment for more than 3 months in the last 2 years 6. Bone densitometry (DXA) T-Score \<-2 unless not a candidate for antiresorptive therapy (unwilling/unable to take treatment) 7. Lactose intolerant subjects

Design outcomes

Primary

MeasureTime frameDescription
Collagen type 1 cross-linked C-telopeptide (CTX)3-6 monthsChange in percent in CTX in serum compared to placebo
Serum type 1 procollagen (N-terminal) P1NP3-6 monthsChange in percent in serum in P1NP compared to placebo

Secondary

MeasureTime frameDescription
Sclerostin3-6 monthsChange in percent in sclerostin in serum compared to placebo
Tumor-necrosis factor-alpha3-6 monthsChange in percent in tumor-necrosis factor-alpha in serum compared to placebo
Alkaline phosphatase/ bone specific alkaline phosphatase3-6 monthsChange in percent in alkaline phosphatase/ bone specific alkaline phosphatase in serum compared to placebo
Receptor activator of nuclear factor kappa B ligand (RANK-ligand)3-6 monthsChange in percent in RANK-ligand in serum compared to placebo
Interleukin-173-6 monthsChange in percent in interleukin-17 in serum compared to placebo
Osteocalcin3-6 monthsChange in percent in osteocalcin in serum compared to placebo

Contacts

Primary ContactSigal Shaklai, M.D, Ph.D
Sigal.shaklai@gmail.com+972-3-6973732
Backup ContactVanessa Rouach, M.D
vanessar@tlvmc.gov.il+972-3-6973732

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026