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CompletedNCT04638049IMPRINTUpdated Dec 1, 2022

Intestinal Microbiota in Prostate Cancer Patients as a Biomarker for Radiation-INduced Toxicity (IMPRINT)

An interventional study of Collection of human biofluids and Patient reported outcome measures in Prostate Cancer, Prostate Adenocarcinoma and Prostatic Neoplasms, sponsored by University Hospital, Ghent. Completed at 1 site in Belgium. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-12-01.

Sponsored by University Hospital, Ghent · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Non-randomized
Ages
18 Years and older
Sex
Male
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Study summary

Radiotherapy (RT) of the abdomen and/or pelvis is known to cause acute and late gastrointestinal (GI) toxicities. While radiation dose and volume are known risk factors for developing such side effects, recent evidence suggests patterns of disturbance in the composition of the GI microbiota - so called "dysbiosis" - may also promote the host's susceptibility to GI toxicities through impaired intestinal barrier function and inflammation. The IMPRINT-study aims to expand the current knowledge on the role of intestinal bacteria and their metabolites involved in the pathophysiology of radiation-induced GI toxicities by longitudinally examining the microbiota composition (feces), the associated metabolome (blood, feces and urine) and bacterial extracellular vesicles (BEVs) (blood and feces).

Read the detailed description

The IMPRINT-study is a prospective biomarker study assessing the impact of different treatment field sizes and associated radiation doses on the patient's microbiome and metabolome, whereby the link with radiation-induced GI toxicities will be emphasized. Blood, urine and fecal samples will be longitudinally collected at 4 different time points: (1) shortly before, (2) during and (3) shortly after RT treatment, as well as (4) one-month post-RT. To our knowledge, this is the first clinical research project relating the impact of multiple radiation parameters on fecal-, urine- and blood-based biomarkers to risk of GI toxicities in a homogeneously defined study population.

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Conditions studied

  • Prostate Cancer
  • Prostate Adenocarcinoma
  • Prostatic Neoplasms

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Keywords

  • Radiotherapy
  • Microbiome
  • Metabolome
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In context

Prostatic Neoplasms

6,367 studies on the registry are indexed under Prostatic Neoplasms; 1,397 are open to participants now.

This study's enrollment of 50 is below the median of 58 across 4,821 interventional studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

University Hospital, Ghent is the lead sponsor of 665 studies on the registry; 156 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 4 (80%) have results posted.

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

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Who can participate

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

Inclusion criteria

  • Histologically proven (initial) adenocarcinoma of the prostate
  • Localized (confined to primary site) and/or regional (spread to regional pelvic lymph nodes) disease stage at diagnosis
  • Age ≥ 18 years
  • RT is an integral part of the treatment - primary, adjuvant or salvage
  • WHO performance status 0-2
  • Administration of androgen deprivation therapy (ADT) before RT
  • Absence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule
  • Signed informed consent form (ICF) according to ICH/GCP and national/regional regulations

Exclusion criteria

Exclusion Criteria:

  • Other primary tumor (except for non-melanoma skin cancer) diagnosed \< 5 years before enrollment
  • Diagnosis of inflammatory bowel disease (e.g. Crohn's disease or ulcerative colitis)
  • Administration of systemic therapy during RT other that ADT
  • Subjected to antibiotic treatment or medically imposed dietary restrictions \< 1 month prior to enrollment
  • Body mass index (BMI) > 35
  • Administration of pelvic RT \< 1 year
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Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
50 participants (actual)

Study arms

  • Active comparator
    Prostate (Bed) only RadioTherapy (PBRT)

    Primary, adjuvant or salvage RT of the prostate (bed) without RT of the pelvic nodal regions in the small pelvis, according to local hospital guidelines and protocols.

    Other: Collection of human biofluids · Other: Patient reported outcome measures

  • Active comparator
    Whole Pelvis RadioTherapy (WPRT)

    Primary, adjuvant or salvage RT of the pelvic nodal regions in the small pelvis with possible additional RT of the prostate (bed), according to local hospital guidelines and protocols.

    Other: Collection of human biofluids · Other: Patient reported outcome measures

Interventions

  • OtherCollection of human biofluids

    Feces, blood and urine: (1) shortly before, (2) during and (3) shortly after RT treatment, as well as (4) one-month post-RT

  • OtherPatient reported outcome measures

    EORTC QLQ-C30, PR25: (1) shortly before and (2) shortly after RT treatment, as well as (3) one-month post-RT

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What researchers measure

Primary outcomes

  1. Microbiome profiles as assessed by fecal samples

    Characterization of dynamic changes in the intestinal microbiota composition using 16S rRNA sequencing technology

    Time frame: Up to 3.5 months after inclusion

  2. Metabolome profiles as assessed by fecal, blood and urine samples

    Characterization of dynamic changes in the concentration of all small molecules (metabolites) in feces, blood and urine using ultra-high performance liquid chromatography coupled to high-resolution mass spectrometry (UHPLC-HRMS)

    Time frame: Up to 3.5 months after inclusion

Secondary outcomes

  1. Discovery of potential predictive biomarkers for the development of RT-induced GI toxicities

    The identified microbiota and metabolite signatures will be investigated for association with incidence and severity of GI toxicities

    Time frame: Up to 3.5 months after inclusion

  2. Incidence of GI and Genitourinary (GU) toxicities

    GI and GU toxicities as per Common Terminology for Adverse Events (CTCAE) v4.0

    Time frame: Up to 3.5 months after inclusion

  3. Patient reported QOL as per EORTC-QLQ C30

    Validated questionnaire assessing different health-related parameters (psychological, physical and social well-being) in cancer patients

    Time frame: Up to 3.5 months after inclusion

  4. Patient reported QOL as per EORTC-QLQ PR25

    Validated questionnaire assessing the health-related QOL of prostate cancer patients

    Time frame: Up to 3.5 months after inclusion

  5. Concentration of BEVs in fecal and blood samples

    BEVs in fecal and blood samples will be separated and analyzed through the orthogonal implementation of ultrafiltration, size-exclusion chromatography (SEC) and density-gradient centrifugation, followed by biochemical characterization

    Time frame: Up to 3.5 months after inclusion

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Study locations

1 site
  • Ghent University Hospital
    Ghent, 9000, Belgium
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 1, 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
NCT04638049
Lead sponsor
University Hospital, Ghent
Responsible party
Sponsor
First posted
Nov 20, 2020
Start date
Aug 25, 2020
Primary completion
Aug 8, 2022
Completion
Aug 8, 2022
Last update
Dec 1, 2022

Study contacts

Piet Ost, MD, PhD
principal investigator · University Ghent

Oversight

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

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This study is completed, as verified in Oct 2020. You cannot join it, but the record below documents what was studied.

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