Fecal Microbiota Transplantation (FMT) in Patients With Advanced Gastric Cancer

Advanced Gastric Cancer Clinical Trial

Official title:

A Prospective, Randomised Placebo Controlled Trial of Faecal Microbiota Transplantation in Patients With Advanced Gastric Cancer

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06346093
• Other study ID #: CHEC2024-089
• Status: Recruiting
• Phase: N/A
• Start date: April 2, 2024
• Est. completion date: December 31, 2026

Study information

• Verified date: May 2024
• Source: Changhai Hospital
• Contact: Xiangyu Kong, associate professor
• Phone: 13564644397
• Email: xiangyukong185[@]hotmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study is a randomized, double-blind and placebo-controlled study. The purpose of this study is to evaluate the efficacy and safety of FMT capsules combined with chemotherapy and anti-PD-L1 therapy in the advanced gastric cancer.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 66
• Est. completion date: December 31, 2026
• Est. primary completion date: December 31, 2026
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

Voluntarily participate in this study and provide written informed consent. Age = 18 years , male or female. Pathological confirmed locally advanced, unresectable or metastatic gastric adenocarcinoma, esophagogastric junction adenocarcinoma.

Able and willing to provide tumor tissue. At least one measurable extracranial target lesion according to iRECIST. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1. Life expectancy =3 months.

Exclusion Criteria:

Presence of absolute contra-indications to FMT administration:Toxic megacolon;Inflammatory bowel disease;Anatomic contra-indications to colonoscopy;Colectomy Patient is currently participating and receiving other study therapy or has participated in a study of an investigational agent and received study therapy or used an investigational device within 4 weeks of this study intervention.

Currently under any form of systemic antibiotics. Has a diagnosis of immunodeficiency or is receiving systemic steroid therapy (> 10 mg prednisone daily or equivalent) or any other form of immunosuppressive therapy two weeks prior to trial treatment. Patients receiving systemic steroids at physiologic doses are permitted to enroll assuming steroid dose is not above the acceptable threshold (> 10 mg prednisone daily or equivalent).

Severe anaphylactic reaction to any food (food allergies). Had a severe hypersensitivity reaction to propofol. Has serious concomitant illnesses. The eligibility can be granted by the treating investigator on individual bases.

Has HIV infection or AIDS-related illness. Has active infection of HAV, HBV or HCV. Patients with a history of Hepatitis B/C infection who have received anti-viral therapy and are disease free may be considered for enrollment after discussion with Principal Investigator.

Patient has received a live vaccine within 4 weeks prior to the first dose of treatment. Seasonal influenza vaccines or COVID-19 vaccines for injection are generally inactivated virus vaccines and are allowed.

Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial.

Females who are pregnant or breastfeeding. Active central nervous system (CNS) metastases and/or leptomeningeal involvement

Related Conditions & MeSH terms

• Advanced Gastric Cancer
• Stomach Neoplasms

Intervention

Procedure:
• Fecal Microbiota Transplantation Capsules
FMT Capsules in Combination with Chemotherapy and Anti-PD-L1 Therapy
• Placebo
Mainly composed of starch, the appearance, shape, color, and size are exactly the same as FMT capsules

Locations

Country	Name	City	State
China	Changhai Hospital	Shanghai	Shanghai

Sponsors (1)

Lead Sponsor	Collaborator
Changhai Hospital

Country where clinical trial is conducted

China, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Marker of nutritional status	Hemoglobin is a measure of the nutritional status and are seen as markers for the catabolic state of cachectic cancer patients.	up to 2 years
Other	Marker of nutritional status	Creatinin is a measure of the nutritional status and is seen as markers for the catabolic state of cachectic cancer patients.	up to 2 years
Other	Marker of nutritional status	Albumin is a measure of the nutritional status and is seen as markers for the catabolic state of cachectic cancer patients.	up to 2 years
Other	Body Weight	Body Weight Change. (kilograms)	up to 2 years
Other	Appetite	Appetite measured by FAACT	up to 2 years
Other	Marker of nutritional status	C-reactief proteïne is a measure of the nutritional status and is seen as markers for the catabolic state of cachectic cancer patients.	up to 2 years
Other	Marker of nutritional status	Lactate dehydrogenase (LDH) is a measure of the nutritional status and is seen as markers for the catabolic state of cachectic cancer patients.	up to 2 years
Primary	Objective response rate (ORR)	ORR is defined as the percentage of subjects who had a complete response (CR) or partial response (PR), as defined by ir-RECIST v1.1, and is based on the best response obtained.	up to 6 months
Primary	Rate of Disease Control	Rate of Disease Control is defined as the percentage of subjects who had a complete response (CR), partial response (PR), or stable disease (SD), as defined by ir-RECIST v1.1.	up to 6 months
Secondary	Progression-free Survival (PFS)	The median length of time from initiation of study drug(s) disease progression as defined by RECIST v1.1, or death. Progressive Disease (PD): =20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). The sum must also demonstrate an absolute increase of =5 mm. The appearance =1 new lesion(s) is considered progression.	up to 2 years
Secondary	Overall Survival (OS)	The length of time (in days) from study intervention that participants remain alive.	up to 2 years
Secondary	Incidence of Adverse Events Related to Treatment	All adverse events and their relationships to study drugs and procedures will be recorded,to assess overall safety, feasibility and tolerability of treatment.	up to 6 months
Secondary	Change in the intestinal microbiome community	Mean change from baseline of bacterial species compared with 6 months post fecal microbiota transplantation (FMT).	up to 6 months
Secondary	Quality of life based on the questionnaire	The EQ-5D-5L questionnaire will be used to assess the quality of life of the participants.	up to 2 years
Secondary	Quality of life based on the questionnaire	The FACT-GA questionnaire will be used to assess the quality of life of the participants.	up to 2 years
Secondary	Change in the immunity	Mean change from baseline of immune cells compared with 6 months post fecal microbiota transplantation (FMT).	up to 6 months