Associations Between Chemotherapy-Induced Nausea in Patients With Genitourinary, Sarcoma or Melanoma Cancers and Changes in Gut Microbiome: Potential for Precision Therapeutics

Clinicaltrials.gov ID: NCT05819827
db-list-check Status RECRUITING
b-loader Phase
b-people Age ≥ 20 Years
b-bullseye-arrow Enrollments 30

Conditions

Bladder Cancer, Prostate Cancer, Testicular Cancer, Bladder Carcinoma, Genitourinary System Carcinoma, Malignant Testicular Neoplasm, Melanoma, Prostate Carcinoma, Sarcoma

Summary

The objective of this pilot cohort study is to investigate associations between CIN and changes in gut microbiome composition profiles.

Detailed Description

The long-term goal of this study is to alleviate the occurrence of CIN and to improve chemotherapy treatment outcomes. The identification of associations between CIN and chemotherapy-induced changes in gut microbiome composition profiles will increase our understanding of these mechanisms that underlie CIN. An increased understanding of the underlying mechanisms will provide targets for the development of novel interventions to help alleviate CIN.

Locations

2 locations Found with status Recruiting

Status

  • RECRUITING

Contact Person

Principal Investigator

  • Komal P. Singh, Ph.D., R.N.

Status

  • RECRUITING

Contact Person

Principal Investigator

  • Komal P. Singh, Ph.D., R.N.

Eligibility Criteria

Inclusion Criteria:

* at least 20 years of age
* last chemotherapy more than 3 years ago
* scheduled to receive either moderate to highly emetogenic chemotherapy with or without targeted therapies including immunotherapies) or immunotherapies/targeted therapies alone that can lead to toxicity symptoms for example, nausea and fatigue.
* Patients receiving chemotherapy and/or immunotherapy treatment at a Mayo Clinic infusion center or an infusion center outside of Mayo Clinic

Exclusion Criteria:

* concurrent radiation therapy
* concurrent antibiotic treatment
* concurrent oncolytic virus treatment

Study Plan

Patients with genitourinary cancers

Genitourinary medical oncologists and study coordinators will identify patients with genitourinary cancers (i.e., bladder cancer, prostate cancer, and testicular cancer) who will receive moderate to high emetogenic chemotherapy regimen.

  • OTHER:

    Blood and Tissue

    Description:

    Patients will collect stool for microbiome analysis at baseline (i.e., 3 +2 days prior to chemotherapy) and again 5-7 days following initiation of chemotherapy.nnBlood samples will be collected prior to their first chemotherapy treatment, and in the second week after chemotherapy.

Outcome Measures

Primary Outcome Measures

Change in patient recruitment

Time Frame: Baseline, 14 days

Change in patient retention

Time Frame: Baseline, 14 days

Change in patient specimen collection

Time Frame: Baseline, 14 days

Change of the gut microbiome

Time Frame: Up to 10 months

Associations between microbial composition functional profiles

Time Frame: Up to 10 months

Evaluate for differentially abundant metabolites

Time Frame: Up to 10 months

Evaluate for perturbed metabolic pathways

Time Frame: Up to 10 months

Timeline

  • Last Updated
    May 21, 2024
  • Start Date
    April 19, 2023
  • Today
    January 16, 2025
  • Completion Date ( Estimated )
    March 27, 2025

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