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CompletedNCT03688347Updated May 11, 2022

Microbiome in Lung Cancer and Other Malignancies

An observational study in Lung Cancer, Cancer and Malignancy, sponsored by Taher Abu Hejleh. Completed at 1 site in United States. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2022-05-11.

Sponsored by Taher Abu Hejleh · Observational

Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
44
Ages
18 Years to 100 Years
Sex
All
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Study summary

To characterize the fecal, skin, nasal and oral microbiome and metabolome in patients with lung cancer and other malignancies, and correlate to treatment response and toxicities of various therapies including immunotherapy, chemotherapy and targeted therapy, etc.

Read the detailed description

Patients will be asked to provide nasal, oral and skin swabs, as well as stool samples during their regular clinic visits, at the baseline before desired therapy is given, and at the time when treatment is changed due to either disease progression or unbearable toxicities leading to treatment stop/change. If treatment stop/held is due to toxicities, a 3rd set of samples will be collected when toxicities reduce to less than grade 1. The samples will be subjected to DNA extraction followed by 16S rRNA and/or shotgun sequencing metagenomic analysis. The data will be correlated to clinical response from treatments, toxicities, clinical data (use of antibiotics, PPIs, lab parameters, etc.) and tissue genetic/immunological characteristics (mutations, PDL1 expression, etc.) for review of response. This is not data to be used for treatment of these subjects.

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Conditions studied

  • Lung Cancer
  • Cancer
  • Malignancy
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In context

Lung Neoplasms

7,334 studies on the registry are indexed under Lung Neoplasms; 1,555 are open to participants now.

This study's enrollment of 44 is below the median of 190 across 1,548 observational studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

This is the only study on the registry with Taher Abu Hejleh as lead sponsor.

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

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Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

All individuals, meeting eligibility requirements will be eligible to participate in the study by providing samples during times of routine care for lung cancer and other malignancies.

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

Patients diagnosed with lung cancer and other malignancies who are candidates for systemic therapies such as immunotherapy and chemotherapy

Eligibility criteria for studying microbiome in patients receiving immunotherapy:

  • Patients with advanced/recurrent lung cancer (including both NSCLC and SCLC) and other solid tumors of our study interest (e.g. GU cancer and melanoma, etc.) that initiate a new line of immunotherapy (can be 1st or later line), either alone or in combination with chemotherapy, targeted therapy or other immunotherapy.
  • Patients can be in other clinical trials as long as they meet criteria 1.
  • Prior treatment with immunotherapy is acceptable as long as criteria 1 is met. For example, a new line therapy with pembrolizumab plus pemetrexed after failing pembrolizumab is considered eligible.
  • Patients who are to start immunotherapy maintenance after chemoradiation therapy are eligible (e.g. NSCLC patients who will be on durvalumab maintenance)
  • Patients who are to start immunotherapy after local therapies (e.g. radiation, ablation, etc.) are eligible.
  • Immunotherapy must have component of anti-PD-1/PD-L1 agents (e.g. nivolumab, pembrolizumab, atezolizumab, durvalumab and avelumab, etc.) or anti-CTLA4 (e.g. ipilimumab)

Exclusion criteria

Exclusion Criteria:

  • Patients \< 18 years of age
  • Patients that are pregnant
  • Patients taking more than 2 alcoholic drinks per day and those using non-medical drugs such as marijuana, cocaine, heroine, etc.
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Study design

Observational model
Other
Time perspective
Prospective
Enrollment
44 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Interventions

  • ProcedureNasal Swab

    The swab is removed from packaging, moistened with sterile water if needed to prevent any discomfort to the participant. The swab is gently inserted less than one inch into the anterior nare (nostril) until resistance is met at turbinate. Then it is rotated several times against nasal wall and repeated in other nostril using the same swab.

  • ProcedureOral Swab

    The swab is removed from packaging, moistened with sterile water if needed to prevent any discomfort to the participant. The swab is gently rubbed along the inside of the participant's cheek for 5-10 seconds.

  • OtherStool Collection

    A stool collection kit will be sent home with each participant. It will include instructions on how to collect the stool specimen and how to return the kit.

  • GeneticMicrobiome analysis

    Study of microbial communities found in and on the human body.

  • GeneticDNA Banking

    Secure, long term storage of an individual's genetic material.

  • ProcedureSkin Swab

    Gentle rubbing of the swab will be applied to the skin on the dorsal part of the hand.

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What researchers measure

Primary outcomes

  1. Identify and compare bacteria within given samples through standard protocol and 16S rRNA amplicon

    Bacterial DNA will be isolated from stool/swab samples using standard protocol. Fecal micobiota will be examined based on an 16S rRNA amplicon.

    Time frame: Time of study enrollment up to one year

Secondary outcomes

  1. Correlate data from samples with patient clinical information

    Correlate data from samples with patient clinical information regarding overall response rates.

    Time frame: Time of study enrollment up to one year

  2. Number of treatment related adverse events (AE) as defined by National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0

    Record from each clinical visit the AEs from immunotherapy or its combination with chemotherapy.

    Time frame: Time of study enrollment up to one year

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Study locations

1 site
  • University of Iowa Hospitals and Clinics
    Iowa City, Iowa 52242, United States
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References and documents

Publications

  • Strouse C, Mangalam A, Zhang J. Bugs in the system: bringing the human microbiome to bear in cancer immunotherapy. Gut Microbes. 2019;10(2):109-112. doi: 10.1080/19490976.2018.1511665. Epub 2018 Sep 5. PubMed 30183502 ↗
  • Swami U, Zakharia Y, Zhang J. Understanding Microbiome Effect on Immune Checkpoint Inhibition in Lung Cancer: Placing the Puzzle Pieces Together. J Immunother. 2018 Oct;41(8):359-360. doi: 10.1097/CJI.0000000000000232. PubMed 29781826 ↗
  • Chau J, Yadav M, Liu B, Furqan M, Dai Q, Shahi S, Gupta A, Mercer KN, Eastman E, Hejleh TA, Chan C, Weiner GJ, Cherwin C, Lee STM, Zhong C, Mangalam A, Zhang J. Prospective correlation between the patient microbiome with response to and development of immune-mediated adverse effects to immunotherapy in lung cancer. BMC Cancer. 2021 Jul 13;21(1):808. doi: 10.1186/s12885-021-08530-z. PubMed 34256732 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 11, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03688347
Lead sponsor
Taher Abu Hejleh
Collaborators
Holden Comprehensive Cancer Center, Iowa Institute of Human Genetics
Responsible party
Taher Abu Hejleh (Clinical Associate Professor, University of Iowa) — Sponsor-investigator
First posted
Sep 28, 2018
Start date
Aug 30, 2018
Primary completion
Sep 23, 2019
Completion
May 9, 2022
Last update
May 11, 2022

Study contacts

Taher Abu Hejleh, MBBS
principal investigator · University of Iowa

Oversight

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

Not currently enrolling

This study is completed, as verified in May 2022. You cannot join it, but the record below documents what was studied.

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