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CompletedNCT05943041Updated Feb 14, 2025

Live Biotherapeutic Product GB104 Phase 1 Study in Colorectal Cancer

A Phase 1 interventional study of GB104(Level 1) and GB104(Level 2) in Solid Tumor, Colorectal Cancer and Sigmoid Colon Cancer, sponsored by GI Biome, Inc.. Completed at 1 site in Korea, Republic of. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2025-02-14.

Sponsored by GI Biome, Inc. · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
9
Allocation
Non-randomized
Ages
19 Years and older
Sex
All
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Study summary

Prospective, open label, multi-dose, sequential dose escalation, single-center, Phase 1 trial

Read the detailed description

This is a single center, open-label, phase 1 study to evaluate the safety and tolerability of GB104 and explore gut microbial composition in patients with colorectal cancer who completed standard treatment including curative colectomy with or without full-cycle adjuvant chemotherapy. GB104 is a live biotherapeutic product consisting of a lyophilized formulation of a single strain of bacterium. The dosing regimen for the study involves the oral administration of the experimental drug once a day.

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Conditions studied

  • Solid Tumor
  • Colorectal Cancer
  • Sigmoid Colon Cancer
  • Rectosigmoid Junction Cancer
  • Cancer
  • Rectal Cancer
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In context

Colorectal Neoplasms

5,599 studies on the registry are indexed under Colorectal Neoplasms; 1,459 are open to participants now.

This study's enrollment of 9 is below the median of 77 across 4,123 interventional studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

This is the only study on the registry with GI Biome, Inc. as lead sponsor.

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

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Who can participate

Ages eligible
19 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Subjects who sign on an informed consent form willingly
  2. Subjects who have histological and radiological diagnosis of colorectal cancer
  3. Males and females aged between 19 and 80 years at the time of screening
  4. Subjects who have undergone radical colectomy and received the following treatments before participating in the clinical trial, and have completed the specified period:

    • Subjects who have received adjuvant chemotherapy, radiotherapy, or concurrent chemoradiotherapy and have completed 3 months since the last treatments
    • Subjects who have not received any adjuvant therapy and have completed 3 months from the radical colectomy
    • Subjects who have undergone stoma closure and have completed 3 months after stoma closure
  5. Subjects who have received standard treatment for colorectal cancer without disease progression or recurrence until the first administration of GB104
  6. Subjects who have received adjuvant chemotherapy or radiation therapy, and have completed 3 months after completing the treatment, and toxicity from previous adjuvant treatment must have recovered to NCI-CTCAE v5.0 grade 1
  7. Subjects who have been confirmed to have adequate hematological, renal, and hepatic function at the screening point (laboratory tests may be retested during the screening period)
  8. Female subjects of childbearing potential and sexually active men who agree to abstain from sexual activity or use an adequate method of contraception

Exclusion criteria

Exclusion Criteria:

  1. Significant cardiac dysfunction, New York Heart Association classification for chronic heart failure III-IV, symptomatic coronary artery disease, significant deep vein thrombosis; myocardial infarction within 6 months
  2. Severe active infections that require systemic antibiotics, antifungal agents, antiviral agents, or other medications that cannot be controlled
  3. Previous history of immunosuppressant within the 1 month of initial administration
  4. Known HIV infection, or active infection with hepatitis B or C
  5. Subjects who have completed a course of antibiotics within the one month prior to screening
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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
9 participants (actual)

Study arms

  • Experimental
    GB104: Dose level 1

    Dose escalation cohort includes patients with CRC who completed curative colectomy and planned therapy. 3 to 6 patients will be enrolled per escalating dose levels.

    Drug: GB104(Level 1)

  • Experimental
    GB104: Dose level 2

    Dose escalation cohort includes patients with CRC who completed curative colectomy and planned therapy. 3 to 6 patients will be enrolled per escalating dose levels.

    Drug: GB104(Level 2)

  • Experimental
    GB104: Dose level 3

    Dose escalation cohort includes patients with CRC who completed curative colectomy and planned therapy. 3 to 6 patients will be enrolled per escalating dose levels.

    Drug: GB104(Level 3)

Interventions

  • DrugGB104(Level 1)

    One capsule QD oral administration for 28 days

  • DrugGB104(Level 2)

    Three capsules QD oral administration for 28 days

  • DrugGB104(Level 3)

    Five capsules QD oral administration for 28 days

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What researchers measure

Primary outcomes

  1. Incidence of DLT(Dose-Limiting Toxicity) at week 4

    Time frame: 4 weeks

  2. Incidence of Adverse Events from baseline to 8 weeks

    Time frame: assessed up to 8 weeks

Other outcomes

  1. Quantity and persistence of GB104 in fecal sample from baseline to 8 weeks

    analyzed by quantitative PCR

    Time frame: assessed up to 8 weeks

  2. Changes in composition of gut microbiota in fecal samples from baseline to 8 weeks

    analyzed by 16S rRNA gene amplicon sequencing

    Time frame: assessed up to 8 weeks

  3. Changes in immune status from baseline to 8 weeks

    * Immune response activation factors(cytokine) * Immunophenotyping of peripheral blood mononuclear cells will be performed by flow cytometry

    Time frame: assessed up to 8 weeks

  4. Changes in quality of life improvement from baseline to 8 weeks

    analyzed by EQ-5D-5L(EuroQoL 5-Dimensions 5-Level) questionnaire

    Time frame: assessed up to 8 weeks

  5. Changes of LARS(Low Anterior Resection Syndrome) score from baseline to 8 weeks

    analyzed by LARS questionnaire

    Time frame: assessed up to 8 weeks

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Study locations

1 site
  • Samsung Medical Center
    Seoul, Gangnam-gu 81 Ilwon-ro, Korea, Republic of
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 14, 2025, 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
NCT05943041
Lead sponsor
GI Biome, Inc.
Responsible party
Sponsor
First posted
Jul 12, 2023
Start date
Apr 28, 2023
Primary completion
Dec 22, 2023
Completion
Dec 22, 2023
Last update
Feb 14, 2025

Study contacts

Woo Yong Lee, M.D., Ph.D.
principal investigator · Samsung Medical Center

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 Feb 2025. You cannot join it, but the record below documents what was studied.

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