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The purpose of this study is to examine the effect of probiotics on the breast tumor microbiome and gut microbiome in breast cancer. Microorganisms that make up the microbiome (such as viruses, bacteria, and fungi) may have an important role in breast cancer development. Understanding the association of microorganisms with breast cancer may enable new ways to prevent, diagnose, and treat breast cancer.
The probiotic, BIOHM, which is owned and distributed by BIOHM Health LLC, will be used in this study. BIOHM is a food supplement that is believed to balance bacteria and fungi in the body and has received the designation as Generally Recognized as Safe (GRAS) by the Food and Drug Administration (FDA). This study is being done to determine the effectiveness of BIOHM in breast cancer.
This study will investigate the efficacy of the investigational product (a novel probiotic) on altering the microbiome (bacteriomeand mycobiome) and polymicrobial biofilms in the gut of 50 women with breast cancer given the novel probiotic, compared to 50 women with breast cancer given a placebo.
The objectives of this study are to:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Novel probiotic | Experimental | Investigational novel probiotic plus normal standard of care for breast cancer. |
|
| Placebo | Placebo Comparator | Placebo plus normal standard of care for breast cancer. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Novel probiotic | Biological | Investigational novel probiotic |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Beta-D-Glucagon levels | Efficacy of the novel probiotic as defined by change in Beta-D-Glucagon levels. This biomarker is well established to measure shifts in the mycobiome | At baseline and at 6 weeks |
| Short-chain fatty acid levels | Efficacy of the novel probiotic as defined by change in short-chain fatty acid levels. This biomarker is well established to measure shifts in the bacteriome | At baseline and at 6 weeks |
| Free amino acid levels | Efficacy of the novel probiotic as defined by change in free amino acid levels. This biomarker is well established to measure shifts in the bacteriome | At baseline and at 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Alpha and beta biodiversity of gut microbiome and mycobiome | Gut microbiome and polymicrobioal biofilm composition analyzed through bacteriome in stool as measured by alpha and beta biodiversity | At baseline and at 6 weeks |
| Differential abundances of gut microbiome and mycobiome |
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Inclusion Criteria:
Exclusion Criteria:
Clinically significant abnormal laboratory results that may negatively impact the participant being involved on the study, at the discretion of the physician.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Zahraa Al-Hilli, MD | Contact | +1 216-444-3440 | alhillz@ccf.org |
| Name | Affiliation | Role |
|---|---|---|
| Zahraa Al-Hilli, MD | Cleveland Clinic Taussig Cancer institute, Case Comprehensive Cancer Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cleveland Clinic Taussig Cancer institute, Case Comprehensive Cancer Center | Recruiting | Cleveland | Ohio | 44122 | United States |
All IPD that underlie results in publication
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| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
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| Placebo |
| Other |
Placebo for probiotic |
|
Gut microbiome and polymicrobioal biofilm composition analyzed through bacteriome in stool as measured by differential abundances |
| At baseline and at 6 weeks |
| Polymicrobial biofilm composition of gut microbiome and mycobiome | Gut microbiome and polymicrobioal biofilm composition analyzed through bacteriome in stool as measured by polymicrobioal biofilm composition | At baseline and at 6 weeks |
| Alpha and beta biodiversity of breast microbiome and mycobiome | Gut microbiome and polymicrobioal biofilm composition analyzed through bacteriome in breast tissue as measured by alpha and beta biodiversity | At baseline and at 6 weeks |
| Differential abundances of breast microbiome and mycobiome | Gut microbiome and polymicrobioal biofilm composition analyzed through bacteriome in breast tissue as measured by differential abundances | At baseline and at 6 weeks |
| Polymicrobial biofilm composition of breast microbiome and mycobiome | Gut microbiome and polymicrobioal biofilm composition analyzed through bacteriome in breast tissue as measured by polymicrobioal biofilm composition | At baseline and at 6 weeks |
| QoL via standardized European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 | Quality of life (QoL) via EORTC QLQ C-30 will be converted into dimensions, which evaluate the quality of life associated with health. Dimensions are expected to range 0-100, with high scores referring to higher responses (QoL, symptoms) and are described by the arithmetic mean and standard deviation. Mann-Whitney U test will be utilized to compare the dimensions between each of the 2 groups (probiotic vs placebo groups). For testing the statistical significance of the change in dimensions before and after treatment (within probiotic arm; within placebo arm), the Wilcoxon signed rank test will be used. P<0.05 will be considered statistically significant. | At baseline and at 6 weeks |
| QoL via EORTC QLQ-BR23 | EORTC QLQ-BR23 will be converted into dimensions, which evaluate the quality of life associated with health. Dimensions are expected to range 0-100 with high scores referring to higher responses (QoL, symptoms) and are described by the arithmetic mean and standard deviation. Mann-Whitney U test will be utilized to compare the dimensions between each of the 2 groups (probiotic vs placebo groups). For testing the statistical significance of the change in dimensions before and after treatment (within probiotic arm; within placebo arm), the Wilcoxon signed rank test will be used. P<0.05 will be considered statistically significant. | At baseline and at 6 weeks |
| D017437 |
| Skin and Connective Tissue Diseases |