ClinicalTrials.gg
Enrolling by invitationNCT06855355Updated May 16, 2025

CBM588 Reduces Colorectal Polyp Recurrence

An interventional study of Clostridium butyricum MIYAIRI 588 in Colorectal Polyp, sponsored by Kaohsiung Medical University. Enrolling by invitation at 1 site in Taiwan. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-05-16.

Sponsored by Kaohsiung Medical University · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 7 years 11 months after the study started (first participant enrolled Mar 2017, registered Feb 2025).
Phase
Not applicable
Study type
Interventional
Enrollment
500
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this randomized crossover clinical trial is to evaluate the efficacy of Clostridium butyricum MIYAIRI 588 (CBM588) in reducing colorectal adenomatous polyp recurrence in adult patients with a history of colorectal polyps.

The main questions it aims to answer are:

  • Does CBM588 reduce the recurrence of colorectal adenomatous polyps?
  • Does CBM588 lead to a sustained decrease in polyp burden over time? Researchers will compare a group receiving CBM588 in the first year to a group receiving CBM588 in the second year (after a washout period) to determine whether CBM588 effectively lowers polyp recurrence rates and adenoma prevalence.
Read the detailed description

This randomized crossover clinical trial evaluates the effect of Clostridium butyricum MIYAIRI 588 (CBM588), a butyrate-producing probiotic, on colorectal adenomatous polyp recurrence. Participants who had undergone complete polypectomy were randomly assigned into two groups:

  • Group A: Received CBM588 for one year, followed by a washout period and no treatment in the second year.
  • Group B: Did not receive CBM588 in the first year but received it in the second year after a washout period.

Annual colonoscopy assessments were conducted to evaluate polyp count, type, and location. The primary outcome measure is adenoma recurrence. This study was conducted at a tertiary medical center and received Institutional Review Board (IRB) approval (KMUHIRB-F(I)-20170010). All participants provided informed consent.

02

Conditions studied

  • Colorectal Polyp

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Keywords

  • gut microbiota
  • butyrate-producing bacteria
  • probiotic therapy
  • colorectal neoplasia prevention
03

In context

Polyps

312 studies on the registry are indexed under Polyps; 60 are open to participants now.

This study's planned enrollment of 500 is above the median of 150 across 204 interventional studies indexed under Polyps.

Browse Polyps studies →

Lead sponsor

Kaohsiung Medical University is the lead sponsor of 56 studies on the registry; 17 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
All
Accepts healthy volunteers
No

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

  • Adults with a history of colorectal adenomas that had been completely removed by endoscopic resection within the past three years, and who presented with recurrent colorectal polyps detected during surveillance colonoscopy
  • Willingness to undergo follow-up colonoscopies at study intervals
  • No antibiotic or probiotic use for at least three months before study entry
  • Written obtained

Exclusion criteria

Exclusion Criteria:

  • History of colorectal cancer or other gastrointestinal
  • Diagnosis of inflammatory bowel disease or familial adenomatous polyposis
  • Use of antibiotics and other probiotics during the study period
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
500 participants (estimated)

Study arms

  • Experimental
    CBM588 First-Year Treatment Group (Group A)

    .Participants receive Clostridium butyricum MIYAIRI 588 (CBM588) for one year. .Followed by a washout period and no treatment in the second year. .Annual colonoscopies are performed to assess polyp recurrence.

    Dietary Supplement: Clostridium butyricum MIYAIRI 588

  • Active comparator
    CBM588 Second-Year Treatment Group (Group B)

    .Participants do not receive CBM588 in the first year. .Undergo a washout period and then begin CBM588 treatment in the second year. .Annual colonoscopies are performed to assess polyp recurrence.

    Dietary Supplement: Clostridium butyricum MIYAIRI 588

Interventions

  • A butyrate-producing probiotic, has demonstrated potential anti-inflammatory and anti-tumorigenic effects.

    Also known as: MIYARISAN BM

06

What researchers measure

Primary outcomes

  1. Colorectal polyp recurrence rate (%)

    The percentage of participants with at least one recurrent colorectal polyp detected during follow-up colonoscopy. Recurrence is defined as the presence of new polyps (adenomatous or non-adenomatous) identified on annual surveillance colonoscopy.

    Time frame: 1 year and 2.25 years after baseline colonoscopy

Secondary outcomes

  1. Adenomatous polyp recurrence rate (%)

    The percentage of participants with at least one recurrent adenomatous polyp detected during follow-up colonoscopy.

    Time frame: 1 year and 2.25 years after baseline colonoscopy

  2. Mean number of recurrent polyps

    The average number of polyps detected per participant during follow-up colonoscopy.

    Time frame: 1 year and 2.25 years after baseline colonoscopy

  3. Polyp location distribution

    The proportion of recurrent polyps found in different segments of the colon (right colon, left colon, rectum).

    Time frame: 1 year and 2.25 years after baseline colonoscopy

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No — We do not plan to share individual participant data (IPD) from this study. The primary reasons include privacy concerns, ethical considerations, and regulatory restrictions. The data contain sensitive health information, and sharing could compromise participant confidentiality. Additionally, there are no institutional or legal frameworks in place to support external data sharing for this study.

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 May 16, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06855355
Lead sponsor
Kaohsiung Medical University
Responsible party
Jiunn-Wei Wang (Doctor, Kaohsiung Medical University) — Principal investigator
First posted
Mar 3, 2025
Start date
Mar 10, 2017
Primary completion
Dec 31, 2028 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
May 16, 2025

Oversight

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

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No contact was published for this record. The registry link below has the sponsor’s details.

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