CClinicalTrials.gg
CompletedNCT01410955Updated Jan 23, 2014

Prevention of Irinotecan Induced Diarrhea by Probiotics

A Phase 3 interventional study of Probiotic formula and Placebo in Colorectal Cancer, sponsored by Monsea Ltd.. Completed at 6 sites in Slovakia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-01-23.

Sponsored by Monsea Ltd. · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
46
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Irinotecan is one of key drug used in the treatment of colorectal cancer. The incidence of irinotecan induced diarrhea varies between 60-90%, with severe diarrhea in 20-40%. The main cause of diarrhea is one of irinotecan metabolites, SN-38 which is in the liver glucuronidated and subsequently expelled into the intestine. Due to the bacterial enzyme beta-D-glucuronidase in intestinal lumen it is deconjugated. This form causes direct damage of intestinal mucosa associated with malabsorption and the development of diarrhea. It is known that probiotic bacteria, reduce activity of intestinal beta-D-glucuronidase and therefore these bacteria could be applied in the prevention of diarrhea in patients treated by this food supplement. Given their low toxicity, good tolerability, probiotics may be an important part of supportive therapy. This is a first study aimed to determine the effectiveness of the probiotics in the prophylaxis of irinotecan induced diarrhea due to reduction intestinal beta-D-glucuronidase activity.

02

Conditions studied

  • Colorectal Cancer

Browse trials for

Keywords

  • probiotics
  • diarrhoea
  • prevention
  • colon cancer
  • irinotecan
03

In context

Diarrhea

852 studies on the registry are indexed under Diarrhea; 78 are open to participants now.

This study's enrollment of 46 is below the median of 136 across 713 interventional studies indexed under Diarrhea.

Browse Diarrhea studies →

Lead sponsor

This is the only study on the registry with Monsea Ltd. as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • signed written informed consent
  • histologically proven colorectal cancer patients started new line of chemotherapy based on irinotecan
  • ECOG PS 0 - 1 at study entry
  • life expectancy more than 3 months
  • absence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule;

Exclusion criteria

Exclusion Criteria:

  • impossibility to take oral medication
  • active infection treated by antibiotic therapy
  • ileostomy
  • hypersensitivity to study drug
  • any concurrent malignancy other than non-melanoma skin cancer, no other cancer in past 5 years.
  • serious concomitant systemic disorders or diseases incompatible with the study (at the discretion of investigator )
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
46 participants (actual)

Study arms

  • Experimental
    Probiotics

    Patients receiving probiotics.

    Dietary Supplement: Probiotic formula

  • Placebo comparator
    Placebo

    Patients receiving placebo

    Dietary Supplement: Placebo

Interventions

  • Dietary supplementProbiotic formula

    Probiotic formula Colon DophilusTM , will be administered at a dose of 3x1 cps per day orally for 12 weeks. In the first cycle the starting dose is 3x1 cps per day. In other cycles the starting dose is 3x1 cps per day, or the dose according to dose adjustments from the previous treatment cycle.

  • Dietary supplementPlacebo

    Placebo capsules will be administered at a dose of 3x1 cps per day orally for 12 weeks. In the first cycle the starting dose is 3x1 cps per day. In other cycles the starting dose is 3x1 cps per day, or the dose according to dose adjustments from the previous treatment cycle.

06

What researchers measure

Primary outcomes

  1. Prevention of grade 3-4 diarrhea by probiotics in patients treated by irinotecan based chemotherapy

    Time frame: 2 years

Secondary outcomes

  1. Prevention of any grade of diarrhea

    Time frame: 2 years

  2. Number of patients with any grade 3 or 4 toxicity or SAE related toxicity.

    Number of patients with any grade 3 or 4 toxicity or SAE related toxicity according to NCI Common Terminology Criteria for Adverse Events Version 4.0 (CTCAE).

    Time frame: 2 years

  3. Number of patients with any grade gastrointestinal symptoms

    Number of patients with any grade gastrointestinal symptoms (enteritis, colitis, constipation, abdominal distension, bloating, flatulence, gastritis, dyspepsia,nausea, vomiting) according to NCI Common Terminology Criteria for Adverse Events Version 4.0 (CTCAE.

    Time frame: 2 years

07

Study locations

6 sites
  • St.James Hospital and Clinic
    Bardejov, 085 01, Slovakia
  • Oncologic Institute of St.Elisabeth OUSA
    Bratislava, 81250, Slovakia
  • National Cancer Institute, Slovakia
    Bratislava, 833 10, Slovakia
  • Zdravspol s r.o. - oncologic ambulance
    Komarno, 94501, Slovakia
  • POKO Poprad Ltd.
    Poprad, 058 01, Slovakia
  • Faculty Hospital Trencin
    Trencin, 91101, Slovakia
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 23, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01410955
Lead sponsor
Monsea Ltd.
Collaborators
Harmonium International Inc., Pharma Agency
Responsible party
Sponsor
First posted
Aug 5, 2011
Start date
Dec 2011
Primary completion
Dec 2013
Completion
Jan 2014
Last update
Jan 23, 2014

Study contacts

Michal Mego, MD, PhD
study chair · National Cancer Institute, Slovakia
Lubos Drgona, MD, PhD
study chair · National Cancer Institute, Slovakia

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2014. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion