ClinicalTrials.gg
Enrolling by invitationNCT07465497Updated Mar 12, 2026

Impact of Supplementation With Synbiotics and Prebiotics on Cognitive Decline Associated With Neoadjuvant Chemotherapy in First-line Patients With Breast Cancer

An interventional study of Synbiotics Blend and Synbiotics + Vitamin D in Chemobrain, Breast Cancer and Inflammatory Disease, sponsored by Instituto Jalisciense de Cancerologia. Enrolling by invitation at 1 site in Mexico. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-12.

Sponsored by Instituto Jalisciense de Cancerologia · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

The goal of this research protocol is to evaluate whether supplementation with: synbiotics (probiotics with agave inulin), synbiotics with vitamid D or prebiotics (agave inulin) can reduce cognitive decline in patients with breast cancer undergoing neoadjuvant chemotherapy. It will also assess the safety of these supplements. The main questions it aims to answer are:

Does supplementation with synbiotics and prebiotics decrease cognitive decline in participants? What adverse effects do participants experience while taking these supplements? Are there significant changes in inflammation markers (calprotectin and C-reactive protein) before and after treatment?

Participants will:

Receive either synbiotics, prebiotics or none daily for 4 months. Undergo cognitive assessments using the CERAD neuropsychological battery at the beginning and end of the study.

Provide blood and stool samples for analysis of inflammation markers. Report any adverse effects experienced during the supplementation period.

Read the detailed description

The primary aim of this research is to investigate the effects of supplementation with synbiotics and prebiotics on cognitive decline in patients diagnosed with breast cancer who are undergoing neoadjuvant chemotherapy.

This study will utilize a double-blind, randomized design. Group 1: synbiotics (Lactobacillus acidophilus (LA3) Lactobacillus delbrueckii subsp. bulgaricus (SP 96) Lactobacillus casei (BGP 93) Lactobacillus plantarum (BG 112) Lactobacillus sporogenes, Lactobacillus rhamnosus and Agave Inulin) Group 2: synbiotics with D-vitamin (Inulin, Lactobacillus rhamnosus, Lactobacillus plantarum, D3 Vitamin/Colecalciferol, Lactobacillus bulgaricus, Lactobacillus paracasei, Lactobacillus lactis) Group 3: prebiotics (agave inulin) Group 4: None

Duration: The intervention will last for a total of 4 months, coinciding with the chemotherapy treatment period.

At the beginning of the study and at the end of the 4-month period, participants will undergo cognitive assessments using the CERAD neuropsychological battery. Additionally, blood and stool samples will be collected to analyze inflammation markers.

02

Conditions studied

  • Chemobrain
  • Breast Cancer
  • Inflammatory Disease
03

In context

Chemotherapy-Related Cognitive Impairment

39 studies on the registry are indexed under Chemotherapy-Related Cognitive Impairment; 19 are open to participants now.

This study's planned enrollment of 80 is below the median of 95 across 30 interventional studies indexed under Chemotherapy-Related Cognitive Impairment.

Browse Chemotherapy-Related Cognitive Impairment studies →

Lead sponsor

Instituto Jalisciense de Cancerologia is the lead sponsor of 3 studies on the registry; 1 is 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

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

  • Age: Participants must be between 18 and 75 years old.
  • Diagnosis: Must have a confirmed diagnosis of breast cancer at stages IB to IIIC.
  • Treatment Status: Participants should be scheduled to receive chemotherapy as part of their treatment plan.
  • Cognitive Function: Must demonstrate baseline cognitive function as assessed by the CERAD neuropsychological battery, indicating no severe cognitive impairment.
  • : Participants must provide written informed consent to participate in the study and comply with all study procedures.
  • Health Status: Should not have any significant comorbidities that could interfere with the study outcomes, such as severe psychiatric disorders or neurological conditions.
  • No Previous Probiotic Use: Must not have used probiotics or prebiotics in the month prior to the study

Exclusion criteria

Exclusion Criteria:

  • Severe Cognitive Impairment: Participants with significant cognitive impairment or dementia as assessed by the CERAD neuropsychological battery will be excluded.
  • Severe Comorbidities: Participants with serious comorbid conditions, such as uncontrolled diabetes, severe cardiovascular diseases, or active infections, will be excluded.
  • Psychiatric Disorders: Individuals with a history of severe psychiatric disorders that could affect cognitive function or compliance with the study protocol will be excluded.
  • Neurological Conditions: Participants with neurological disorders such as multiple sclerosis, Parkinson's disease, or other conditions that affect cognitive function will be excluded.
  • Pregnant or Lactating Women: Pregnant or breastfeeding women will not be eligible to participate in the study.
  • Allergies: Individuals with known allergies to any of the components of the synbiotics or prebiotics used in the study will be excluded.
  • Non-compliance Risk: Participants who are deemed at risk of non-compliance with study procedures or follow-up will be excluded.
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.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

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.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
80 participants (estimated)

Study arms

  • Active comparator
    Synbiotic

    The intervention will last for a total of 4 months, coinciding with the chemotherapy treatment period. Each participant will take one capsule daily. Capsule: Lactobacillus acidophilus (LA3) Lactobacillus delbrueckii subsp. bulgaricus (SP 96) Lactobacillus casei (BGP 93) Lactobacillus plantarum (BG 112) Lactobacillus sporogenes, Lactobacillus rhamnosus and Agave Inulin)

    Dietary Supplement: Synbiotics Blend

  • Active comparator
    Synbiotic with vitamin D3

    The intervention will last for a total of 4 months, coinciding with the chemotherapy treatment period. Each participant will take one capsule daily. Capsule: Inulin, Lactobacillus rhamnosus, Lactobacillus plantarum, D3 Vitamin/Colecalciferol, Lactobacillus bulgaricus, Lactobacillus paracasei, Lactobacillus lactis)

    Dietary Supplement: Synbiotics + Vitamin D

  • Active comparator
    Prebiotic

    The intervention will last for a total of 4 months, coinciding with the chemotherapy treatment period. Each participant will take one capsule daily. Capsule: Agave inulin.

    Dietary Supplement: Prebiotic

  • No intervention
    No synbiotic/prebiotic

    Participants in this arm won't have an intervention.

Interventions

  • Dietary supplementSynbiotics Blend

    Lactobacillus and inulin

  • Dietary supplementSynbiotics + Vitamin D

    Lactobacillus, inulin and colecalciferol.

  • Dietary supplementPrebiotic

    Agave Inulin

06

What researchers measure

Primary outcomes

  1. Neuropsychological battery

    Cognitive assessments using the CERAD neuropsychological battery.

    Time frame: Before the first cicle of chemotherapy and intervention, and after the four months of cancer treatment and intervention.

Secondary outcomes

  1. C-reactive Protein

    Serum C-reactive Protein

    Time frame: Before the first cicle of chemotherapy and intervention, and after the four months of cancer treatment and intervention.

  2. Calprotectin

    Calprotectine in stool sample

    Time frame: Before the first cicle of chemotherapy and intervention, and after the four months of cancer treatment and intervention.

07

Study locations

1 site
  • Instituto Oncológico Nacional
    Zapopan, Jalisco 44660, Mexico
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 reached

Started Feb 2026 (actual). Primary completion is estimated for Dec 2026, 10 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 6, 2026
First posted
Mar 12, 2026
StartActual
Feb 27, 2026
Primary completionEst.
Dec 2026
CompletionEst.
Feb 2027
Last update
Mar 12, 2026
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 Mar 12, 2026, 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
NCT07465497
Lead sponsor
Instituto Jalisciense de Cancerologia
Collaborators
Instituto Tecnológico y de Estudios Superiores de Occidente, Instituto Oncológico Nacional, University of Guadalajara
Responsible party
Jose Alfonso Cruz-Ramos (Medical Researcher, Instituto Jalisciense de Cancerologia) — Principal investigator
First posted
Mar 12, 2026
Start date
Feb 27, 2026
Primary completion
Dec 2026 (estimated)
Completion
Feb 2027 (estimated)
Last update
Mar 12, 2026

Oversight

Data monitoring committee
Yes
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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Studies of the drug tested here: Prebiotics

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