Colorectal Cancer Metastatic Clinical Trial
Official title:
Probiotics as Adjuvant Therapy in the Treatment of Metastatic Colorectal Cancer: Randomized Double-blind Placebo-controlled Trial
The research will be prospective, randomised, placebo controlled and double-blinded.The research will be carried on with regards to Helsinki Declaration and following the guidelines of Good Clinical Practice.
The investigators plan this research to be prospective, randomized, placebo-controlled and
double blinded. It will be held according to Declaration of Helsinki and in harmony with Good
Clinical Practice guidelines. All patients would be required to sign informed consent,
approved by the Ethics Committee of Clinical Hospital Center (CHC) Rijeka.
All patients will have at their disposal current medications for diarrhea based on
guidelines, and education regarding side effects and dietary recommendations will be
undertaken. One cohort will also ingest a probiotic (OMNi-BiOTiC® 10AAD), while other cohort
will take a placebo, same in colour, shape, taste and smell; both medications will be taken 2
per day, every 12 hours, over 84 days (6 chemotherapy cycles every 14 days). After 84 days, a
regular examination will be undertaken. Total follow-up would be for two full cycles, at
least 160 days. (Stool analyses will take place before and after chemotherapy(6-8 weeks after
chemotherapy) and eventually three month later) Patients will be followed up in six main
control points, t1, t2, t3, t4, t5, t6, which all represent the 1st day of matching
2-week-chemotherapy cycle. Each cycle starts exactly and at least 14 days from the first day
of previous chemotherapy cycle. There would be no additional invasive procedures done for
this study, regular blood examinations will be expanded with additional parameters. All
patients would have the right to withdraw their written consent to participate in the study
at any given time and for any reason whatsoever. (fecal analyses only before and 6-8 weeks
after the last chemotherapy cycle)
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