Impact of Dietary Fiber as Prebiotics on Chemotherapy-related Diarrhea in Patients With Gastrointestinal Tumors

NCT ID: NCT04447443

Last Updated: 2021-08-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2020-06-30

Study Completion Date

2021-06-30

Brief Summary

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This study evaluates longitudinal data associating changes in gut microbiota composition and diversity, defecation, performance status and adverse reactions in response to prebiotic fiber supplementation in patients with gastrointestinal cancer chemotherapy-related diarrhea. 120 adult participants , age 18 to 65 years, will be randomized into one of the two arms. Arm A (intervention group) will receive prebiotic fiber and loperamide hydrochloride capsule(a drug for standard treatment). Arm B will receive maltodextrin placebo and loperamide hydrochloride capsule.

Detailed Description

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Conditions

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Chemotherapy-related Diarrhea

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Prebiotic Fiber

Group Type EXPERIMENTAL

Prebiotic Fiber Supplement + loperamide hydrochloride capsule

Intervention Type DIETARY_SUPPLEMENT

2-week sequential supplementation with prebiotic fiber supplement (3.5g, twice a day).

The initial dose of loperamide hydrochloride capsules is 4 mg (2 capsules) followed by 2 mg/4 h if diarrhea persists.

Maltodextrin

Group Type PLACEBO_COMPARATOR

Maltodextrin + loperamide hydrochloride capsule

Intervention Type DIETARY_SUPPLEMENT

2-week sequential supplementation with placebo of of maltodextrin (3.5g, twice a day).

The initial dose of loperamide hydrochloride capsules is 4 mg (2 capsules) followed by 2 mg/4 h if diarrhea persists.

Interventions

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Prebiotic Fiber Supplement + loperamide hydrochloride capsule

2-week sequential supplementation with prebiotic fiber supplement (3.5g, twice a day).

The initial dose of loperamide hydrochloride capsules is 4 mg (2 capsules) followed by 2 mg/4 h if diarrhea persists.

Intervention Type DIETARY_SUPPLEMENT

Maltodextrin + loperamide hydrochloride capsule

2-week sequential supplementation with placebo of of maltodextrin (3.5g, twice a day).

The initial dose of loperamide hydrochloride capsules is 4 mg (2 capsules) followed by 2 mg/4 h if diarrhea persists.

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Age 18-65, be able to comply with the protocol
* Life expectancy greater than 3 months
* Patients with cytologically or histologically confirmed diagnosis of gastrointestinal cancers
* Undergoing chemotherapy, not synchronized with radiotherapy and other anti-tumor treatments
* Chemotherapy-related diarrhea grade 2-4
* Not experience diarrhea before chemotherapy

Exclusion Criteria

* age\<18 or \>65
* Patients who cannot eat by mouth for example chewing disorders, difficulty swallowing, intractable vomiting, gastrointestinal obstruction or gastrointestinal tract bleeding
* Other acute or chronic diarrhea or colostomy
* Patients with other severe adverse effects of chemotherapy other than diarrhea
* Patients with severe diseases of heart, kidney, liver and other major organs
* Use of any other drug for promoting intestine movement
* Use of any other drug or dietary supplement for chemotherapy-related diarrhea such as other fiber supplements, probiotics, octreotide
* Allergic to the components of the intervention dietary supplements;
* Pregnancy (positive serum pregnancy test) and lactation
* Any other serious or uncontrolled illness which the investigator think is undesirable for the patient to enter the trial
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Zhejiang Cancer Hospital

OTHER

Sponsor Role collaborator

The First Affiliated Hospital with Nanjing Medical University

OTHER

Sponsor Role collaborator

First Affiliated Hospital of Wenzhou Medical University

OTHER

Sponsor Role collaborator

Jinhua Municipal Central Hospital

OTHER

Sponsor Role collaborator

Quzhou Kecheng People's Hospital

UNKNOWN

Sponsor Role collaborator

Second Affiliated Hospital, School of Medicine, Zhejiang University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pianhong Zhang

Role: PRINCIPAL_INVESTIGATOR

Second Affiliated Hospital, Zhejiang University School of Medicine

Locations

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Second Affiliated Hospital, Zhejiang University School of Medicine

Hangzhou, Zhejiang, China

Site Status

Countries

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China

Other Identifiers

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2019-111

Identifier Type: -

Identifier Source: org_study_id

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