UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000058963
Receipt number R000067430
Scientific Title A study on the efficacy of concomitant use of lactic acid bacteria in patients with advanced hepatobiliary cancer undergoing pharmacotherapy
Date of disclosure of the study information 2025/09/02
Last modified on 2025/09/02 13:40:16

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Basic information

Public title

A study on the efficacy of concomitant use of lactic acid bacteria in patients with advanced hepatobiliary cancer undergoing pharmacotherapy

Acronym

Study on the efficacy of concomitant use of lactic acid bacteria in patients with advanced hepatobiliary cancer

Scientific Title

A study on the efficacy of concomitant use of lactic acid bacteria in patients with advanced hepatobiliary cancer undergoing pharmacotherapy

Scientific Title:Acronym

Study on the efficacy of concomitant use of lactic acid bacteria in patients with advanced hepatobiliary cancer

Region

Japan


Condition

Condition

hepatobiliary cancer

Classification by specialty

Hepato-biliary-pancreatic medicine Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To investigate whether the concomitant use of lactic acid bacteria enhances the efficacy of pharmacotherapy and reduces its side effects

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Overall survival after initiation of pharmacotherapy

Key secondary outcomes

Incidence of adverse events associated with pharmacotherapy
Relative dose intensity of pharmacotherapy used at 24 weeks after initiation of ICIs
Progression-free survival following initiation of pharmacotherapy
Changes in gut microbiota, serum bile acids, cytokines, and Functional Assessment of Cancer Therapy-General (Fact-G), dietary survey


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Food

Interventions/Control_1

Consumption of the test food to the subject, one bottle per day for 24 weeks

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Patients aged 20 years or older at the time of consent, who are currently receiving outpatient care at the Department of Hepatobiliary Surgery, Kansai Medical University Hospital
2) Patients diagnosed with hepatocellular carcinoma or cholangiocarcinoma who are scheduled to initiate immune checkpoint inhibitor (ICI) therapy
3) Patients who have received sufficient explanation regarding the study, fully understand its content, and voluntarily provide written informed consent to participate
4) Sex: No restrictions
5) Patients with Performance Status of 0 or 1:
PS 0: Fully active, able to carry on all pre-disease performance without restriction
PS 1: Restricted in physically strenuous activity but ambulatory and able to carry out light or sedentary work (e.g., light housework, office work)

Key exclusion criteria

1) Non Japanese individuals
2) Pregnant or breastfeeding individuals
3) Patients with severe comorbidities
4) Patients with psychiatric disorders or symptoms that make study participation difficult, as determined by the investigator
5) Patients with infectious diseases requiring systemic treatment
6) Individuals with difficulty in natural defecation
7) Patients with cows milk allergy
8) Patients with poorly controlled diabetes mellitus
9) Patients with liver cirrhosis classified as Child-Pugh Grade B or Grade C
10) Patients with a history of prior treatment with ICIs
11) Patients receiving continuous corticosteroid therapy or immunosuppressive agents
12) Patients with a history or current diagnosis of autoimmune disease
13) Patients participating in other interventional clinical trials
14) Any individual deemed inappropriate for participation

Target sample size

40


Research contact person

Name of lead principal investigator

1st name Masaki
Middle name
Last name Kaibori

Organization

Kansai Medical University

Division name

Department of Hepatobiliary Surgery

Zip code

573-1010

Address

2-5-1 Shinmachi, Hirakata, Osaka, Japan

TEL

072-804-0101

Email

kaibori@hirakata.kmu.ac.jp


Public contact

Name of contact person

1st name Kyoko
Middle name
Last name Inoue

Organization

Kansai Medical University

Division name

Department of Hepatobiliary Surgery

Zip code

573-1010

Address

2-5-1 Shinmachi, Hirakata, Osaka, Japan

TEL

072-804-2557

Homepage URL


Email

inoue-ky@osaka-seikei.ac.jp


Sponsor or person

Institute

Kansai Medical University

Institute

Department

Personal name



Funding Source

Organization

Meiji Holdings Co., Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)

Meiji Co., Ltd.


IRB Contact (For public release)

Organization

Institutional Review Board of Kansai Medical University Hospital

Address

2-5-1 Shinmachi, Hirakata-shi, Osaka, Japan

Tel

072-804-2440

Email

rinriirb@hirakata.kmu.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 09 Month 02 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2025 Year 08 Month 25 Day

Date of IRB

2025 Year 08 Month 19 Day

Anticipated trial start date

2025 Year 09 Month 02 Day

Last follow-up date

2026 Year 06 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 09 Month 02 Day

Last modified on

2025 Year 09 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000067430