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CompletedNCT05472753TERATROFOUpdated Feb 12, 2025

Dietary Supplement on the Intestinal Microbiota in Patients with Colon Cancer

An interventional study of Experimental Treatment, DCOOP Product, Hydroxytyrosol extract and Experimental Treatment,Indukern product, Curcumin and selenium extract in Colon Cancer, sponsored by Fundación Pública Andaluza para la Investigación de Málaga en Biomedicina y Salud. Completed at 1 site in Spain. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-02-12.

Sponsored by Fundación Pública Andaluza para la Investigación de Málaga en Biomedicina y Salud · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
75
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Effect of a dietary supplement with antioxidant and anti-inflamatory properties on the intestinal microbiota in patients with colon cancer. Ramdonized placebo controlled clinical trial. Teratrophic study

Read the detailed description

Introduction:

The alteration in the microbiota plays a fundamental role in the promotion and progression of colon cancer due to various pathways such as inflammation and oxidative stress. The use of substances with anti-inflammatory and antioxidant effect could be useful for the treatment of this disease.

Methodology:

Prospective randomized clinical trial, with three parallel groups and double blind. Patients with stage II or III colon neoplasia who are going to receive post-surgical chemotherapy will be included. Patients will be randomized to one of the following groups: group 1 (25 patients): product with hydroxytyrosol extract; group 2 (25 patients): product with curcumin and selenium extract. Group 3 (25 patients): placebo. Before starting chemotherapy, stool and blood samples will be taken, and gastrointestinal symptoms, quality of life, symptoms of anxiety-depression and evaluation of nutritional status will be assessed. When starting chemotherapy, they will start with a daily intake of the assigned dietary supplement. At 3 months ± 2 weeks after starting chemotherapy (at least 2 weeks must have passed since the last chemotherapy of the fourth cycle), the same assessment will be made as in the initial visit, in addition to recording adherence to the intervention dietary supplement and new health problems that have appeared since the previous visit.

02

Conditions studied

  • Colon Cancer

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Keywords

  • intestinal microbiota,
  • antioxidants
  • anti-inflammatories
03

In context

Colonic Neoplasms

1,432 studies on the registry are indexed under Colonic Neoplasms; 357 are open to participants now.

This study's enrollment of 75 is below the median of 90 across 1,034 interventional studies indexed under Colonic Neoplasms.

Browse Colonic Neoplasms studies →

Lead sponsor

Fundación Pública Andaluza para la Investigación de Málaga en Biomedicina y Salud is the lead sponsor of 71 studies on the registry; 23 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Diagnosis of stage II or III colo neoplasia
  • Indication of adjuvant chemotherapy according to the Protocols for the diagnosis and treatment of cancer of the Intercenter Clinical Management Unit
  • Sign the informed consent

Exclusion criteria

Exclusion Criteria:

  • Systemic autoimmune diseases (systemic lupus erythematosus, antiphospholipid syndrome, Sjögren's syndrome, progressive systemic sclerosis -scleroderma-, idiopathic inflammatory myopathies -myositis-, vasculitis, Behçet's disease, relapsing polychondritis, etc.)
  • Mellitus diabetes type 1
  • Previous gastrointestinal resections, except for appendectomy or surgery required to treat colon neoplasia
  • Chronic intestinal pathologies (inflammatory bowel disease, celiac disease, lymphangiectasias)
  • Continued consumption of probiotics, with the exception of dairy products or other natural fermented foods
  • Chronic and continued use of NSAIDs or corticosteroids
  • Allergy to any component of the product under investigation
  • Pregnancy
  • Mean consumption of > 3 UBE of alcohol per day
  • Previous or concomitant neoplasia, unless curative treatment was received and ≥5 years have passed free of disease
  • ECOG scale greater than or equal to 3 at the start of the clinical trial
  • Grade 3-4 neuropathy that limits the use of oxaliplatin.
  • History of familial adenomatous polyposis mediated by the APC gene or by Lynch syndrome (mutations MLH1, MSH2, PMS2, MSH6).
  • Patients with partial or complete deficiency of the enzyme dihydropyrimidine dehydrogenase (DPD), which causes poor metabolism and the use of fluoropyrimidines is contraindicated.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
75 participants (actual)

Study arms

  • Experimental
    Group 1 (25 patients)

    A product of the company DCOOP, with hydroxytyrosol extract

    Dietary Supplement: Experimental Treatment, DCOOP Product, Hydroxytyrosol extract

  • Experimental
    Group 2 (25 patients)

    A product of the company Indukern, with extract of curcumin and selenium

    Dietary Supplement: Experimental Treatment,Indukern product, Curcumin and selenium extract

  • Placebo comparator
    Group 3 (25 patients)

    Placebo

    Other: Control Treatment

Interventions

  • Dietary supplementExperimental Treatment, DCOOP Product, Hydroxytyrosol extract

    Intervention group will receive a nutritional formula from DCOOP (Spain).

  • Dietary supplementExperimental Treatment,Indukern product, Curcumin and selenium extract

    Intervention group will receive a nutritional formula from Indukern (Spain).

  • OtherControl Treatment

    Control group will receive a placebo (product loading substance)

06

What researchers measure

Primary outcomes

  1. Change in the alpha diversity index (Shannon)

    This diversity index is a quantitative indicator of the number of different bacteria that are present in a stool sample, taking into account the uniformity in the distribution of these bacteria in these species. Diversity index value increases both when the number of species increases and when evenness increases. The Shannon index is a well-known diversity index used in microecological studies. The higher the Shannon index value, the higher the community diversity. It is calculated as: H = -Σpi \* ln(pi), where "H" is the Shannon Diversity Index. "Σ" is a Greek symbol that means "sum". "ln" is natural log. "pi" is the proportion of the entire community made up of species i. The minimum value the Shannon diversity index can take is 0. Such a number would tell us that there is no diversity - only one species is found in that habitat. There is no upper limit to the index.

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

Secondary outcomes

  1. Change in weight

    Weight in kg

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  2. Change in height

    Height in m

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  3. BMI (body mass index) changes

    Measured by body composition analysis

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  4. Mediterranean diet adherence questionnaire

    to evaluate adherence to a Mediterranean diet pattern. It consists of 14 items in which different components of the Mediterranean diet are evaluated (number of pieces of fruit consumed per day, number of portions of legumes consumed per week...). Each item is scored as 0 or 1. A total score of \<9 indicates poor adherence, while a score of ≥9 indicates good adherence.

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  5. Maximum and mean value of 3 measurements in dominant hand dynamometry

    Measured in kg

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  6. Maximum and mean value of 3 measurements in non dominant hand dynamometrydynamometry

    Measured in kg

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  7. Mean dominant arm circumference

    Measured in cm

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  8. Calf circumference in the dominant leg

    Measured in cm

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  9. Anteroposterior diameter of the rectus femoris of the quadriceps in the dominant thigh

    Measured in cm

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  10. Transverse diameter of the rectus femoris of the quadriceps in the dominant thigh

    Measured in cm

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  11. Cross-sectional area of the rectus femoris quadriceps in the dominant thigh

    Measured in in cm²

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  12. Transverse perimeter of the quadriceps rectus muscle in the dominant thigh

    Measured in cm

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  13. Mean value of 3 measurements of the anteroposterior diameter of abdominal subcutaneous adipose tissue

    Measured in cm

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  14. Mean value of 3 measurements of the anteroposterior diameter of abdominal visceral adipose tissue

    Measured in cm

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  15. Fat mass in bioimpedanciometry

    Measured in kg

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  16. Lean mass in bioimpedanciometry

    Measured in kg

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  17. Extracellular water in bioimpedanciometry

    Measured in kg

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  18. Phase angle 50 kHz in bioimpedance measurement

    Measured in º

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  19. Total cell mass in bioimpedance measurement

    Measured in kg

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  20. Appendicular muscle mass in bioimpedanciometry

    Measured in kg

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  21. Percentage of weight lost in the last 6 months

    Measured in %.

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  22. Percentage of weight lost in the last 12 months

    Measured in %.

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  23. Hemoglobin in blood

    Measured in g/dl

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  24. Mean corpuscular volume in blood

    Measured in in fL

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  25. Leukocytes in blood

    Measured in in x10\^9/l

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  26. Lymphocytes in blood

    Measured in in x10\^9/l

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  27. Platelets in blood

    Measured in in x10\^9/l

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  28. Creatinine in blood

    Measured in in g/dl

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  29. Glucose in blood

    Measured in in mg/dl

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  30. Sodium in blood

    Measured in mEq/l

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  31. Potassium in blood

    Measured in mEq/l

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  32. Chlorine in blood

    Measured in mEq/l

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  33. Calcium in blood

    Measured in in mg/dl

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  34. Phosphorus in blood

    Measured in in mg/dl

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  35. Magnesium in blood

    Measured in in mg/dl

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  36. Iron in blood

    Measured in in mcg/dl

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  37. Blood cholesterol

    Measured in in mg/dl

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  38. HDL cholesterol in the blood

    Measured in in mg/dl

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  39. LDL cholesterol in the blood

    Measured in in mg/dl

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  40. Blood triglycerides

    Measured in in mg/dl

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  41. ALT in blood

    Measured in U/L

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  42. GGT in blood

    Measured in U/L

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  43. Alkaline phosphatase in blood

    Measured in U/L

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  44. Bilirubin in blood

    Measured in mg/dl

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  45. Total protein in blood

    Measured in g/dl

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  46. Albumin in blood

    Measured in g/dl

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  47. Ferritin in blood

    Measured in ng/ml

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  48. 25OH vitamin D in blood

    Measured in ng/ml

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  49. Prealbumin in blood

    Measured in mg/dl

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  50. C-reactive protein in blood

    Measured in mg/dl

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  51. Normalized prothrombin time

    Measured in in INR

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  52. Degree in "ECOG Performance Status Scale"

    This scale was developed by the Eastern Cooperative Oncology Group (ECOG), currently the ECOG-ACRIN Cancer Research Group. It was published in 1982. The scale describes the level of functioning of a patient in terms of her ability to take care of herself, perform daily physical activity and physical capacity (walk, work...). It was devised to use standard criteria between different centers to measure how the disease affects a patient's daily living abilities. The scale has a score from 0 to 5 in whole numbers. Lower score indicates better functional capacity. Score 0 refers to fully active patients, capable of carrying out all activities as before the onset of the disease. A score of 5 indicates the death of the patient.

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  53. Assess the effect of supplementation on quality of life: "EORTC QLQ-30" test.

    The "EORTC quality of life questionnaire (QLQ)" is an integrated system to assess the quality of life of cancer patients participating in international clinical trials. The main questionnaire is the "QLQ-C30". Version 3.0 is currently the standard version. The QLQ-C30 is made up of multiple-item and single-item scales. Five functionality scales, three symptom scales, a global health status/quality of life scale, and six individual items are included. Each of the multiple item scales includes a different set of items; no item appears on more than one scale. All single-item scales and measures range in score from 0 to 100. A high scale score represents a higher level of response. Thus, a high score for a functionality scale represents a high/healthy level of functionality, a high score for global health status/quality of life represents a high quality of life, but a high score for a scale or isolated items of symptoms represents a high level of symptoms/problems.

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  54. Assess the effect of supplementation on quality of life: "EORTC QLQ-CR29" test.

    It is a supplemental questionnaire module to be used together with the QLQ-C30. The QLQ-CR29 incorporates 4 multi-item and 19 single-item scales. A variety of common symptoms and problems are assessed in colorectal cancer patients. The scoring approach is identical in principle to that of the scales or isolated items of functionality and symptoms of the QLQ-C30. All scales and single-item measures have a score range of 0 to 100. A high score on the functionality scale and the isolated items of functionality represents a high level of functionality, while a high score for the scales and isolated items represents a high level of functionality. of symptoms represents a high level of symptomatology or problems.

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  55. Assess the effect of supplementation on symptoms of depression-anxiety

    Hospital Anxiety and Depression Scale (HADS). Its objective is to detect depressive and anxious disorders in non-psychiatric hospital services, avoiding overlapping with symptoms due to physical illness, without taking into account the physical aspects that may accompany anxiety/depression, focusing only on emotional ones. It is a self-administered scale with 14 items divided into 2 subscales (anxiety and depression) whose maximum score is 21 points for each of them. Based on the score obtained, patients can be classified as normal (\<7), doubtful (between 8 and 10) and potential clinical case (≥11). The score is referred to the last week.

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  56. Assess gastrointestinal tolerance to supplementation and chemotherapy

    Gastrointestinal symptoms questionnaire: an own questionnaire created for this study will be carried out in which the presence of nausea, vomiting, diarrhoea, constipation, acid reflux, early satiety, abdominal distension and abdominal pain will be evaluated. Each variable is evaluated on a scale with 4 possible responses: absent, mild, moderate, severe.

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  57. Change in serum C-reactive protein

    Measured in mg/l

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  58. Change in serum Il-6

    Measured in pg/ml

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  59. Change in serum TNF-alpha

    Measured in pg/ml

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

  60. Change in stool calprotectin

    Measured in mcg/g

    Time frame: From baseline to 3 months about 2 weeks after starting chemotherapy

07

Study locations

1 site
  • Hospital Regional Universitario de Málaga
    Málaga, 29009, Spain
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 12, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05472753
Lead sponsor
Fundación Pública Andaluza para la Investigación de Málaga en Biomedicina y Salud
Responsible party
Sponsor
First posted
Jul 25, 2022
Start date
Nov 16, 2022
Primary completion
Feb 27, 2024
Completion
May 31, 2024
Last update
Feb 12, 2025

Study contacts

Gabriel Olveira Fuster, MD, PhD.
principal investigator · Hospital Regional Universitario de Málaga, FIMABIS

Oversight

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

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