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RecruitingNCT04957511Updated Jan 29, 2025

Gut Microbiome and Treatment for Gynecological Cancer Patients Receiving Immunotherapy

An observational study in Gynecologic Cancer, Immunotherapy and Gut Microbiome, sponsored by Viome. Recruiting at 1 site in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-01-29.

Sponsored by Viome · Observational

From the registry’s dates

  • Primary completion was expected by Jun 2026, 4 months ago, but the record still lists the study as recruiting.
  • Started Jun 2021; still recruiting 5 years 3 months later.
Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
30
Ages
18 Years and older
Sex
Female
01

Study summary

30 participants with advanced or recurrent gynecological cancer from are enrolled for this study. Eligible participants then provide fecal specimen, blood, vaginal swab, oral mucosal swab and receive food dietary recommendation. Additional samples are collected for results analysis.

Read the detailed description

30 patients diagnosed with advanced or recurrent gynecological cancer who plan to receive immunotherapy treatment with a checkpoint inhibitor at AHMG AdventHealth Orlando Gynecological Oncology Group are recruited. Patients will be recruited 1-2 weeks prior to the beginning of treatment and appropriate informed consent will be obtained. Fecal samples; blood; saliva and vaginal swab samples will be collected among participants prior to their first treatment, after four doses of immunotherapy, and again at the completion of immunotherapy (follow-up). These 4 biomarker samples will undergo metatranscriptomic analysis, also known as RNAseq, method of sample analysis. Only RNA molecules are sequenced, while DNA is degraded. for bacterial community analysis. These findings will help to design a future study to examine the role of the gut microbiome in antitumor immunity and its effect on immune checkpoint inhibitor therapy for advanced or recurrent gynecological cancer. NHANES Food Frequency Questionnaire will be collected prior to participants' first treatments.

The short-term goals of this pilot study are to obtain preliminary data on the gut bacterial microbiome of patients with advanced or recurrent gynecological cancer. The long-term goals of this study is to begin to understand how the gut microbiome changes within an individual patient undergoing immunotherapy, to gut microbiome differs among patients undergoing immunotherapy, and to examine whether the gut microbiome is associated with the response to cancer immunotherapy.

02

Conditions studied

  • Gynecologic Cancer
  • Immunotherapy
  • Gut Microbiome

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Keywords

  • Biome
  • Microbiome
  • Gastrointestinal
  • Immune check point inhibitors
  • Nutrition
  • Diet
  • Viome
  • ICI
  • ICIs
  • RNAseq
  • Anti-tumor immunity
  • Cancer
  • Gynecology
03

In context

Neoplasms

9,616 studies on the registry are indexed under Neoplasms; 2,508 are open to participants now.

This study's planned enrollment of 30 is below the median of 202 across 1,742 observational studies indexed under Neoplasms.

Browse Neoplasms studies →

Lead sponsor

Viome is the lead sponsor of 25 studies on the registry; 13 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Advanced or recurrent gynecological cancer patients receiving immunotherapy from AHMG Advent Health Orlando Gynecologic Oncology Group

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

  • Adult females > 18 years old
  • Advanced or recurrent gynecological cancer patients from AHMG Advent Health Orlando Gynecologic Oncology Group
  • Patients for whom an immunotherapy regimen has been ordered

Exclusion criteria

Exclusion Criteria:

  • Patients unable to provide fecal specimens at three time points
  • Patients unable to read or understand informed consent
  • Taking medications that may affect gut microbiome:

    • Proton pump inhibitors (PPIs)
    • Metformin
    • Antibiotics
    • Laxatives
  • Patients who are receiving investigational agent
05

Study design

Observational model
Other
Time perspective
Prospective
Enrollment
30 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna
06

What researchers measure

Primary outcomes

  1. Microbiome change through analysis of biological samples (fecal specimen, blood, vaginal swab, oral mucosal swab).

    Changes are measured between the genetic microbiome signatures of advanced or recurrent gynecological cancer patients who are receiving immune checkpoint inhibitors.

    Time frame: ~2 years

07

Study locations

1 of 1 sites recruiting
  • AdventHealth Cancer Institute
    Orlando, Florida 32804, United States
    • Jessica Chestnut · Contact · Jessica.Chestnut@adventhealth.com · 407 303 2451
    • Nathalie McKenzie, MD · Principal investigator
    • Robert Holloway, MD · Sub investigator
    • James Kendrick, MD · Sub investigator
    Recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

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

Started Jun 2021 (actual). Primary completion is estimated for Jun 2026, 60 months after the start.

Of 92 industry-sponsored observational studies under Neoplasms, half reached primary completion within 46 months of starting (the median), counting those still running; a quarter within 32 and three quarters within 102. This study's planned 60 months is above that.

Counting every sponsor, half of 884 studies reached it within 80 months; a quarter within 32 and three quarters within 318.

Neoplasms 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
Jun 10, 2021
First posted
Jul 12, 2021
StartActual
Jun 29, 2021
Primary completionEst.
Jun 2026
CompletionEst.
Jun 2026
Last update
Jan 29, 2025
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 Jan 29, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04957511
Lead sponsor
Viome
Collaborators
AdventHealth
Responsible party
Sponsor
First posted
Jul 12, 2021
Start date
Jun 29, 2021
Primary completion
Jun 2026 (estimated)
Completion
Jun 2026 (estimated)
Last update
Jan 29, 2025

Study contacts

Momchilo Vuyisich, PhD
Contact
studies@viome.com
855 958 4663
Ryan Toma, MS
Contact
Momchilo Vuyisich, PhD
principal investigator · Viome Life Sciences

Oversight

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

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