ClinicalTrials.gg
Status unknownNCT03469063AFERBIOUpdated Jun 14, 2018

Impact of AferBio® on Quality of Life and Chemotherapy Toxicity in Lung Cancer Patients

An interventional study of AferBio in Quality of Life, Infection and Drug Toxicity, sponsored by Barretos Cancer Hospital. Status unknown at 1 site in Brazil. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2018-06-14.

Sponsored by Barretos Cancer Hospital · Not applicable, Interventional, and Supportive care

The sponsor has not verified this record recently (last verified Feb 2018), so the status shown — last known as Recruiting — may be out of date.

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Phase
Not applicable
Study type
Interventional
Enrollment
104
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The AFERBIO study will evaluates safety and potential benefit of AferBio® in patients with non-small cell lung cancer undergoing at least a second-line palliative monochemotherapy. AferBio® is a fermented supplement in powder form obtained through biotechnological processes developed in Brazil. In this double-blind placebo-controlled randomized clinical trial, participants starting a new palliative regimen will be allocated to AferBio® or placebo. The primary aim will be to compare health-related QOL scores among the arms of the study over time.

02

Conditions studied

  • Quality of Life
  • Infection
  • Drug Toxicity
03

In context

Infections

2,094 studies on the registry are indexed under Infections; 364 are open to participants now.

This study's planned enrollment of 104 is close to the median of 113 across 1,304 interventional studies indexed under Infections.

Browse Infections studies →

Lead sponsor

Barretos Cancer Hospital is the lead sponsor of 49 studies on the registry; 5 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age above or equal to 18 years, and below 75 years;
  • Diagnosis of or recurrent NSCLC, beginning palliative mono-chemotherapy treatment;
  • Functional capacity (-PS) grade 0 - 2;
  • Adequate hematological, kidney and liver function, as follows:

    • Total ≥ 1500/μL
    • count ≥ 100.000/μL
    • ≥ 9 g/dL
    • Serum ≤ 1.5 × (ULN)
    • Patients with confirmed Gilbert's syndrome and serum bilirubin ≤ 3 × ULN
  • (AST), alanine transaminase (ALT), alkaline phosphatase ≤ 1.5 × ULN, serum creatinine ≤ 1.5 × ULN, or ≥ 50 mL/min based on the Cockcroft-Gault equation:

    (140 - age) × (weight in Kkg) × (0.85) 72 × (serum creatinine in mg/dL)

  • Absence of any emotional, family-related, sociological, or geographic condition that can potentially hamper adherence to the study protocol and the follow-up schedule;
  • Capacity and willingness to adhere to the study visits and tests, and to adhere to the protocol, according to the researcher's evaluation.

Exclusion criteria

Exclusion Criteria:

  • Tube feeding, gastrostomy- or jejunostomy;
  • Uncontrollable vomiting;
  • Sexually active women of reproductive age, except for those who underwent surgical sterilization (e. g., tubal ligation);
  • Intestinal obstruction or sub-obstruction;
  • Known allergy to any of the components of the product;
  • Malabsorption syndrome or other condition that could interfere with enteric absorption;
  • History of inflammation of the small or large intestine, previous or currently active (such as Crohn's disease or ulcerative colitis);
  • Chronic diarrhea of any cause;
  • Diagnosis of any chronic disease that, in the researcher's opinion, will interfere with the participation in the study;
  • Known diagnosis of -infection;
  • Diagnosis of any chronic disease that changes the immune system and significantly increases the risk of infection;
  • The need to use G-CSF already in the first chemotherapy cycle;
  • Severe neuropsychiatric disease that prevents the patient from completing the study questionnaires, determined at the researcher's discretion.
Terms in these criteria, in plain language(12)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
104 participants (estimated)

Study arms

  • Experimental
    AferBio

    Daily oral AferBio (20 g/day, in sachets)

    Dietary Supplement: AferBio

  • Placebo comparator
    Placebo

    Daily oral placebo (20 g/day, in sachets)

    Dietary Supplement: AferBio

Interventions

  • Dietary supplementAferBio

    Patients will use the product (AferBio/Placebo) once a day for seven days, and then twice a day, continuously (for a total of three months of use).

06

What researchers measure

Primary outcomes

  1. Health-related QOL scores over time.

    To compare health-related QOL scores among the arms of the study over time.

    Time frame: Over time (during 90 days)

Secondary outcomes

  1. Toxicity

    To compare the incidence of any given toxicity ≥ grade 3 (jointly and individually)

    Time frame: 3 months

  2. 20% reduction in HRQOL

    To compare worsening-free survival of 20 % of the health-related QOL scores among the arms of the study;

    Time frame: Along the study (3 months)

  3. Treatment delays

    To compare the numbers of days of treatment delay due to toxicity, infections or worse performance status among the arms of the study;

    Time frame: 3 months

  4. Dose intensity

    To compare the dose intensity (in mg/m2/week) among the arms of the study

    Time frame: 3 months

  5. Dose-reduction rates

    To compare dose-reduction rates (≥ 20 %) and calculate dose reduction-free survival among the arms of the study;

    Time frame: 3 months

  6. Hospitalizations

    To compare the number of hospitalizations among the arms of the study;

    Time frame: 3 months

  7. Infections

    To compare the number of infections (any grade) among the arms of the study.

    Time frame: 3 months

  8. Use of anti-microbials

    To compare the number of patients that used anti-microbials among the arms of the study.

    Time frame: 3 months

  9. Use of G-CSF

    To compare the number of chemotherapy cycles with addition of granulocyte colony-stimulating factor (G-CSF) among the arms of the study.

    Time frame: 3 months

  10. Incidence of febrile neutropenia

    To compare the incidence of febrile neutropenia among the arms of the study.

    Time frame: 3 months

  11. ECOG-PS worsening-free survival

    To compare worsening-free survival of the ECOG-PS (\> 1 point) among the arms of the study

    Time frame: Along the study (3 months)

  12. Nutritional status

    To compare nutritional status among the arms of the study

    Time frame: Along the study (3 months)

  13. Antineoplastic response rates

    To compare antineoplastic response rates among the arms of the study

    Time frame: 3 months

  14. Progression-free survival

    To compare progression-free survival among the arms of the study

    Time frame: 3 months

  15. Adherence to AferBio®

    To assess adherence to treatment with AferBio®

    Time frame: 3 months

07

Study locations

1 of 1 sites recruiting
  • Barretos Cancer Hospital
    Barretos, SP 14784400, Brazil
    Recruiting
    • Carlos Paiva, PhD · Contact1733216600
    • Bianca Paiva, PhD · Contact1733216600
08

References and documents

Publications

  • D'Almeida Preto D, Baston MT, Geraige CC, Augusto SB, de Oliveira MA, Mamere AE, Pinto GDJ, Dias JM, De Marchi PRM, Paiva BSR, Paiva CE. Impact of AferBio(R) on quality of life and chemotherapy toxicity in advanced lung cancer patients (AFERBIO study): protocol study for a phase II randomized controlled trial. BMC Cancer. 2019 Apr 25;19(1):382. doi: 10.1186/s12885-019-5599-z. PubMed 31023257 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Jun 2018; primary completion for Feb 2020, 20 months later.

Of 273 non-industry interventional studies with no phase under Infections, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 51. This study's planned 20 months is below that.

Counting every sponsor, half of 304 studies reached it within 24 months; a quarter within 10 and three quarters within 50.

Infections covers many different conditions, not one, so the studies compared here vary widely. Read these figures as a rough guide.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 19, 2018
First posted
Mar 19, 2018
StartEst.
Jun 28, 2018
Primary completionEst.
Feb 28, 2020
CompletionEst.
Jun 30, 2020
Last update
Jun 14, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 14, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03469063
Lead sponsor
Barretos Cancer Hospital
Responsible party
Sponsor
First posted
Mar 19, 2018
Start date
Jun 28, 2018 (estimated)
Primary completion
Feb 28, 2020 (estimated)
Completion
Jun 30, 2020 (estimated)
Last update
Jun 14, 2018

Study contacts

Carlos E Paiva, MD, PhD
Contact
caredupai@gmail.com
+551733216600 ext. 6786
Bianca SR Paiva, RN, PhD
Contact
bsrpaiva@gmail.com
+551733216600

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Feb 2018. You cannot join it, but the record below documents what was studied.

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