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RecruitingNCT06640959CRIBSUpdated Dec 20, 2024

Chronic Radiation Induced Bowel Toxicity Study

An observational study in Prostate Cancer, sponsored by The Christie NHS Foundation Trust. Recruiting at 2 sites in United Kingdom. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-12-20.

Sponsored by The Christie NHS Foundation Trust · Observational

From the registry’s dates

  • Primary completion was expected by Jul 2026, 3 months ago, but the record still lists the study as recruiting.
  • Started Nov 2024; still recruiting 1 year 10 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
50
Ages
18 Years and older
Sex
Male
01

Study summary

In the UK over 22,000 people undergo pelvic radiotherapy treatment per year, for several types of cancers including prostate cancer. The investigators want to investigate whether there are any differences in the bacteria in the bowel in patients with prostate cancer and whether these change during treatment.

The aim of this study is to analyse the bacteria from the stool of patients undergoing radiotherapy for prostate cancer. The investigators will also look for any changes in the urine, blood and using rectal swabs that might be a surrogate for what is happening in the gut at the same time. They will collect food frequency/ food diary information for each patient alongside health questionnaires.

The investigators aim to recruit approximately 50 patients diagnosed with prostate cancer due to undergo radiotherapy over a two year period. Patients will be recruited across 2 sites (Rosemere Cancer Centre, Lancashire Teaching Hospitals Trust and The Christie NHS Foundation Trust).

Read the detailed description

This is a prospective, translational study which aims to investigate the radiation induced immunological changes in the bowel mucosa, blood and urine, and the role of the microbiota in acute and late bowel toxicity.

The investigators aim to recruit 50 patients newly diagnosed with (histologically confirmed) localised, intermediate to high-risk prostate cancer (T2b -T4a N0 M0), who are due to undergo standard of care radical radiotherapy (Intensity modulated radiotherapy (IMRT)) (60Gy in 20# with curative intent) 4-week regimen.

Eligible patients who have consented to the study will provide the following samples at baseline (prior to the start of radiotherapy), weekly during radiotherapy for 4 weeks, 6-8 weeks and 12 from the start of radiotherapy, and at 6-month and 12-month follow-up appointments:

  1. stool sample
  2. blood sample (40mls) delegated nurse or research nurse.
  3. mid-stream urine sample
  4. optional rectal swab
  5. quality of life health questionnaire

4-day diet diaries will be completed by the patients in the 4 days prior to providing their baseline stool samples and at follow-up appointments (6-8 weeks, 6 months, 12 months).

02

Conditions studied

  • Prostate Cancer

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Keywords

  • radiotherapy
03

In context

Prostatic Neoplasms

6,370 studies on the registry are indexed under Prostatic Neoplasms; 1,400 are open to participants now.

This study's planned enrollment of 50 is below the median of 200 across 1,181 observational studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

The Christie NHS Foundation Trust is the lead sponsor of 99 studies on the registry; 25 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
Male
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Newly diagnosed patients with prostate cancer

Inclusion criteria

  • Male, aged ≥ 18; no upper age limit and able to give informed consent.
  • Newly diagnosed patients with, histologically confirmed, localised, intermediate to high-risk prostate cancer (T2b -T4a N0 M0).
  • Patients to be treated with prostate radical radiotherapy IMRT (60Gy in 20# with curative intent) 4-week regimen.
  • Performance status - ECOG 0-2.

Exclusion criteria

Exclusion Criteria:

  • Had received systemic antibiotics (intravenous, intramuscular, or oral) within 2 months before enrolment.
  • Had received cytotoxic or immunosuppressive therapies within 6 months of enrolment, including chemotherapy or immunotherapy.
  • Had consumed large doses of commercial probiotics (greater or equal to 108 CFU per day) within 12 months of enrolment (such as Actimint®, CranProBio®, ImmunoProBio®, among others).
  • Patients with diagnosed inflammatory bowel disease or coeliac disease
  • Patients with previous colorectal cancer
  • Patients who have undergone colectomy (total or subtotal)
  • Patients with a history of diverticulitis (uncomplicated diverticular disease permitted)
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
50 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Interventions

  • ProcedureProcedure - blood, urine and stool sample collection

    Samples will be collected (blood, urine, stool and optional rectal swab) at baseline (prior to the start of radiotherapy), weekly during radiotherapy for 4 weeks, 6-8 weeks and 12 weeks from start of radiotherapy, and at 6-month and 12-month follow-up appointments

06

What researchers measure

Primary outcomes

  1. Feasibility of obtaining longitudinal blood, urine and stool samples

    Feasibility of obtaining longitudinal blood, urine and stool samples from patients with newly diagnosed prostate cancer undergoing standard of care radiotherapy. Samples will be collected at baseline (prior to the start of radiotherapy), weekly during radiotherapy for 4 weeks, 6-8 weeks and 12 from the start of radiotherapy, and at 6-month and 12-month follow-up appointments.

    Time frame: From enrolment until 12 months post treatment

07

Study locations

2 of 2 sites recruiting
  • Christie NHS Foundation Trust
    Manchester, Greater Manchester M20 4BX, United Kingdom
    Recruiting
  • Lancashire Teaching Hospitals NHS Foundation Trust
    Preston, Lancashire PR2 9HT, United Kingdom
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 20, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06640959
Lead sponsor
The Christie NHS Foundation Trust
Collaborators
University of Manchester, Lancashire Teaching Hospitals NHS Foundation Trust
Responsible party
Sponsor
First posted
Oct 15, 2024
Start date
Nov 19, 2024
Primary completion
Jul 2026 (estimated)
Completion
Jul 2027 (estimated)
Last update
Dec 20, 2024

Study contacts

Lois Gardner, PhD
Contact
lois.gardner@manchester.ac.uk
01612008863
Eleanor Cheadle, PhD
Contact
eleanor.j.cheadle@manchester.ac.uk
01612008863

Oversight

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

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