RecruitingNot ApplicableNCT06428422

The Impact of Probiotic on Survival and Treatment Response in Metastatic Non-small Cell Lung Cancer Patients

The Impact of Bifidobacterium Lactis Supplementation on Survival and Treatment Response in Metastatic Non-small Cell Lung Cancer Patients Receiving Immunotherapy (Nivolumab)


Sponsor

Necmettin Erbakan University

Enrollment

100 participants

Start Date

Aug 12, 2024

Study Type

INTERVENTIONAL

Summary

The aim of this study is to evaluate the effect of a probiotic supplement containing Bifidobacterium animalis lactis BL-04 on the clinical effectiveness of immunotherapy in patients diagnosed with metastatic non-small cell lung cancer who are receiving immunotherapy.


Eligibility

Min Age: 19 YearsMax Age: 90 Years

Inclusion Criteria7

  • Volunteering to participate in the study.
  • Histologically confirmed diagnosis of Non-Small Cell Lung Cancer (NSCLC).
  • Patients must be in an advanced stage (incurable with surgery or radiotherapy) or have metastatic disease (Stage IV).
  • Male or female patients aged \>18 years.
  • Eastern Cooperative Oncology Group (ECOG) Performance Status less than 2.
  • Laboratory findings must confirm adequate bone marrow function, indicated by:
  • White Blood Cell (WBC) count \> 2,000/mm³, Neutrophil count \> 1,500/mm³,Platelet count \> 100,000/mm³

Exclusion Criteria9

  • Previously received treatment with any of the following antibody blockers: anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, or anti-CTLA-4.
  • Currently taking probiotic supplements or consuming probiotic bacteria-supported yogurt and similar food supplements.
  • Antibiotic utilization within the past month
  • Active interstitial lung disease or a history of interstitial lung disease requiring systemic steroid treatment.
  • A condition requiring systemic corticosteroids (greater than 10 mg of prednisone daily or equivalent) or who have received immunosuppressive treatment within 14 days prior to the first dose of the study.
  • Presence of uncontrolled adrenal insufficiency.
  • Pregnancy or breastfeeding.
  • Severe congestive heart failure (Class III or higher according to the New York Heart Association Functional Classification) or a history of myocarditis.
  • Uncontrolled cardiac arrhythmia that developed within six months prior to the start of the study.

Interventions

DIETARY_SUPPLEMENTBifidobacterium animalis subsp. lactis Bl-04

4 x 10\^9 cfu/g/day Bifidobacterium animalis subsp. lactis Bl-04 for 12 weeks

OTHERPlasebo

1 g/day maltodextrin for 12 weeks


Locations(1)

Necmettin Erbakan University

Konya, Turkey (Türkiye)

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NCT06428422