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Breast CancerNCT07607548

Assessment of the Effect of Probiotic Supplementation on Proinflammatory Mechanisms Induced by Systemic Treatment in Women With Breast Cancer

A study testing Probiotic in people with Breast Cancer and Probiotic Therapy, run by Poznan University of Medical Sciences at 1 site in Poland.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The gut microbiota and its role in cancer treatment are currently the subject of intensive research. It has long been known that interactions between the microbiome and the host are responsible for the proper functioning of many physiological processes and for maintaining systemic homeostasis. Read more about this study

Who is it for?
Ages 18 to 75 years, women only
Conditions the study is for
Breast Cancer, Probiotic Therapy
What is being tested?
Probiotic
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
60 participants
Where
1 sitePoland
Study dates
18 Oct 2022to 30 Apr 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • first-time chemotherapy
  • written consent to participate in the research
  • no antibiotic and probiotic therapy in the last 3 months

Who cannot join

  • serious comorbidities (chronic renal failure, diabetes, autoimmune diseasese, unstable coronary artery disease or other cancers)
  • previous history of cancer
  • smoking cigarettes or using other stimulants
  • another probiotic supplementation
  • qualification for another type of treatment - surgery or hormone therapy

Trial locations and contacts

1 site in 1 country.

Poland1 site
  • Greater Poland Cancer Centre

    Poznan, 61-866

Other trials in Poland

About this study

Official title: A 8-week, Randomized, Double-blind, and Placebo-controlled Study Evaluating the Effect of Probiotic Supplementation on Proinflammatory Mechanisms Induced by Systemic Treatment in Women With Breast Cancer

The gut microbiota and its role in cancer treatment are currently the subject of intensive research. It has long been known that interactions between the microbiome and the host are responsible for the proper functioning of many physiological processes and for maintaining systemic homeostasis. Although the precise mechanisms underlying these interactions remain unclear, they appear to have a significant impact on the development and treatment of various diseases, including cancer.

One of the crucial functions regulated by the gut microbiota is the body's immune response. The appropriate quantitative and qualitative composition of the gut microbiota supports the maintenance of a critical balance between pro- and anti-inflammatory processes. Even a slight disruption of this balance can lead to systemic metabolic and biochemical changes, affecting the overall condition of the body and its systems.

Read more

Chemotherapy and immunotherapy are standard treatment protocols for cancer patients, including those with breast cancer. Despite their proven role in prolonging remission and improving patient survival, their effectiveness remains limited. Regardless of the regimen, the use of cytotoxic drugs does not fully prevent metastasis. In women with breast cancer, the risk of local recurrence or distant metastasis-primarily to the bones, lungs, and liver-is approximately 30% and increases over time following the initial diagnosis. Although the risk of cancer recurrence in this group is largely influenced by the baseline characteristics of the tumor, increasing attention is being paid to the immune response to treatment. The effectiveness of anticancer therapies depends not only on the response of cancer cells but also on the condition of the entire organism, particularly the host's immune system.

Recent studies indicate that chemotherapy induces a systemic inflammatory state that may persist long after treatment completion. Prolonged inflammation, along with increased levels of chemoattractants, cytokines, and metalloproteinases, creates an environment conducive to cancer progression and metastasis. Therefore, it is increasingly suggested that chemotherapy-induced chronic inflammation may be a significant factor limiting therapeutic effectiveness. Although the precise mechanisms underlying inflammation during chemotherapy are not fully understood, a growing body of evidence points to a key role of the gut microbiota in this process.

Cytotoxic drugs used during chemotherapy disrupt both the quantitative and qualitative composition of the gut microbiota, leading to dysbiosis. Dysbiosis is associated with the overgrowth of pathogenic species and alterations in the profile of microbial metabolites, often favoring those that negatively affect the intestinal barrier. Consequently, inflammation of the intestinal mucosa and increased intestinal permeability are observed during chemotherapy.

Bacterial components, collectively known as pathogen-associated molecular patterns (PAMPs), can enter the bloodstream through the compromised intestinal barrier, triggering immune cell activation and systemic inflammation. An important link between the gut microbiota and progressive inflammation involves Toll-like receptors (TLRs), particularly TLR4, which is expressed on the surface of monocytes and recognizes, among other ligands, lipopolysaccharide (LPS) produced by Gram-negative bacteria. This interaction activates transcription factors such as Nuclear factor-κB (NF-κB), leading to the expression of genes involved in the immune response, including pro-inflammatory cytokines such as Tumor Necrosis Factor-α (TNF-α), Interleukin-6 (IL-6), and Cyclooxygenase-2 (COX-2). These cytokines promote tumor progression and metastasis both directly, by acting on cancer cells, and indirectly, by enhancing cell proliferation and angiogenesis.

Several studies have reported increased expression and activity of TLR4 in various types of cancer, including breast cancer. Animal model studies have shown that blocking TLR4 reduces tumor metastasis and significantly decreases invasiveness. Therefore, inhibition of TLR4 signaling appears to be a promising therapeutic strategy for counteracting metastasis and chemoresistance. Probiotic therapy may contribute to this effect, as it has been shown to downregulate TLR4 expression and reduce levels of pro-tumor inflammatory mediators.

The aim of this study is to evaluate the impact of probiotic therapy on immunological, biochemical, morphological, and anthropometric parameters in a group of women with breast cancer undergoing chemotherapy or immunotherapy. The study will include two visits: one before treatment initiation and another eight weeks later. The main hypothesis is that probiotic supplementation will reduce inflammation associated with systemic breast cancer treatment.

Being tested
Probiotic, Placebo
Keywords
systemic treatment, inflammation
Medical subject headings
Breast Neoplasms, Inflammation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ProbioticDietary supplement

    The probiotic contained the Lactiplantibacillus plantarum 299v. It was prepared by Sanprobi Sp. z o.o., Sp. k., Szczecin, Poland; probiotic capsules manufacturer - Institute Rosell-Lallemand, Montreal, Canada; Lactiplantibacillus plantarum 299v strain owner - Probi AB, Lund, Sweden. Placebo supplementation began on the day of chemotherapy initiation, according to the following regimen: 1 capsule/day in the first week (1 x 1010 colony-forming unit (CFU)), and 2 capsules/day in the following weeks (2 x 1010 CFU). The supplementation period lasted eight weeks.

  • PlaceboDietary supplement

    The placebo contained crystalline cellulose powder. It was prepared by Sanprobi Sp. z o.o., Sp. k., Szczecin, Poland.. Placebo supplementation began on the day of chemotherapy initiation and lasted eight weeks.

Study groups in NCT07607548
Study groupRoleWhat they receive
Probiotic supplementationExperimentalNot described
Receives: Dietary Supplement: Probiotic
Placebo supplementationPlacebo comparatorNot described
Receives: Dietary Supplement: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Changes in serum levels of Tumor Necrosis Factor α (TNFα)

    Measured: Baseline, 8 week

  2. Changes in serum levels of interleukin-6 (IL-6)

    Measured: Baseline, 8 week

  3. Changes in serum levels of high-specific C-reactive protein (hsCRP)

    Measured: Baseline, 8 week

  4. Changes in Toll-like receptor 4 (TLR) expression on the surface of monocytes

    Measured: Baseline, 8 week

  5. Changes in the intracellular expression of cyclooxygenase 2 (COX-2)

    Measured: Baseline, 8 week

Secondary outcomes (17)
  1. Changes in the concentration of lymphocytes

    Results expressed as G/L, marked routinely in the hospital laboratory

    Measured: Baseline, 8 week

  2. Changes in the concentration of leukocytes

    Results expressed as [G/L], marked routinely in the hospital laboratory.

    Measured: Baseline, 8 week

  3. Changes in the concentration of monocytes

    Results expressed as G/L, marked routinely in the hospital laboratory

    Measured: Baseline, 8 week

  4. Changes in the concentration of neutrophils

    Results expressed as G/L, marked routinely in the hospital laboratory

    Measured: Baseline, 8 week

  5. Changes in the concentration of erythrocytes

    Results expressed as [T/L], marked routinely in the hospital laboratory.

    Measured: Baseline, 8 week

  6. Changes in the concentration of hemoglobin

    Results expressed as [g/dL], marked routinely in the hospital laboratory.

    Measured: Baseline, 8 week

  7. Changes in the levels of hematocrit

    Results expressed as [L/L], marked routinely in the hospital laboratory.

    Measured: Baseline, 8 week

  8. Changes in the concentration of blood platelets

    Results expressed as [G/L], marked routinely in the hospital laboratory.

    Measured: Baseline, 8 week

  9. Changes in serum levels of total cholesterol

    Results expressed as [mg/dL], marked routinely in the hospital laboratory.

    Measured: Baseline, 8 week

  10. Changes in serum levels of low-density lipoprotein (LDL) cholesterol

    Results expressed as [mg/dL], marked routinely in the hospital laboratory.

    Measured: Baseline, 8 week

  11. Changes in serum levels of high-density lipoprotein (HDL) cholesterol

    Results expressed as [mg/dL], marked routinely in the hospital laboratory.

    Measured: Baseline, 8 week

  12. Changes in serum levels of triglycerides (TG)

    Results expressed as [mg/dL], marked routinely in the hospital laboratory.

    Measured: Baseline, 8 week

  13. Changes in body weight

    Results presented in kg, measured with a certified body composition analyzer

    Measured: Baseline, 8 week

  14. Body height measurement

    Results presented in m, measured with a certified height gauge

    Measured: Baseline

  15. Changes of body fat content

    Results presented in kg of body weight, measured with a certified body composition analyzer

    Measured: Baseline, 8 week

  16. Changes of free fat mass content

    Results presented in kg, measured with a certified body composition analyzer

    Measured: Baseline, 8 week

  17. Changes of total body water

    Results presented in kg, measured with a certified body composition analyzer

    Measured: Baseline, 8 week

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 May 2026
  2. Study start18 Oct 2022
  3. Primary completion30 Apr 2024
  4. Study completion30 Apr 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
60 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07607548
Sponsor's protocol ID
551/22
Status last verified
Feb 2026
First submitted
27 Feb 2026
Last updated
26 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Yang X, Fu Y, Liu J, Ren HY. Impact of probiotics on toll-like receptor 4 expression in an experimental model of ulcerative colitis. J Huazhong Univ Sci Technolog Med Sci. 2013 Oct;33(5):661-665. doi: 10.1007/s11596-013-1177-9. Epub 2013 Oct 20.

    PubMed 24142717
  • Khademalhosseini M, Arababadi MK. Toll-like receptor 4 and breast cancer: an updated systematic review. Breast Cancer. 2019 May;26(3):265-271. doi: 10.1007/s12282-018-00935-2. Epub 2018 Dec 12.

    PubMed 30543015
  • Ahmed A, Redmond HP, Wang JH. Links between Toll-like receptor 4 and breast cancer. Oncoimmunology. 2013 Feb 1;2(2):e22945. doi: 10.4161/onci.22945.

    PubMed 23526132
  • Yiu JH, Dorweiler B, Woo CW. Interaction between gut microbiota and toll-like receptor: from immunity to metabolism. J Mol Med (Berl). 2017 Jan;95(1):13-20. doi: 10.1007/s00109-016-1474-4. Epub 2016 Sep 17.

    PubMed 27639584
  • Velloso LA, Folli F, Saad MJ. TLR4 at the Crossroads of Nutrients, Gut Microbiota, and Metabolic Inflammation. Endocr Rev. 2015 Jun;36(3):245-71. doi: 10.1210/er.2014-1100. Epub 2015 Mar 26.

    PubMed 25811237
  • Ge Y, Wang X, Guo Y, Yan J, Abuduwaili A, Aximujiang K, Yan J, Wu M. Gut microbiota influence tumor development and Alter interactions with the human immune system. J Exp Clin Cancer Res. 2021 Jan 25;40(1):42. doi: 10.1186/s13046-021-01845-6.

    PubMed 33494784
  • Secombe KR, Coller JK, Gibson RJ, Wardill HR, Bowen JM. The bidirectional interaction of the gut microbiome and the innate immune system: Implications for chemotherapy-induced gastrointestinal toxicity. Int J Cancer. 2019 May 15;144(10):2365-2376. doi: 10.1002/ijc.31836. Epub 2018 Oct 1.

    PubMed 30155890
  • Montassier E, Gastinne T, Vangay P, Al-Ghalith GA, Bruley des Varannes S, Massart S, Moreau P, Potel G, de La Cochetiere MF, Batard E, Knights D. Chemotherapy-driven dysbiosis in the intestinal microbiome. Aliment Pharmacol Ther. 2015 Sep;42(5):515-28. doi: 10.1111/apt.13302. Epub 2015 Jul 6.

    PubMed 26147207
  • Wei L, Wen XS, Xian CJ. Chemotherapy-Induced Intestinal Microbiota Dysbiosis Impairs Mucosal Homeostasis by Modulating Toll-like Receptor Signaling Pathways. Int J Mol Sci. 2021 Aug 31;22(17):9474. doi: 10.3390/ijms22179474.

    PubMed 34502383
  • Oh B, Boyle F, Pavlakis N, Clarke S, Guminski A, Eade T, Lamoury G, Carroll S, Morgia M, Kneebone A, Hruby G, Stevens M, Liu W, Corless B, Molloy M, Libermann T, Rosenthal D, Back M. Emerging Evidence of the Gut Microbiome in Chemotherapy: A Clinical Review. Front Oncol. 2021 Sep 16;11:706331. doi: 10.3389/fonc.2021.706331. eCollection 2021.

    PubMed 34604043
  • Zheng D, Liwinski T, Elinav E. Interaction between microbiota and immunity in health and disease. Cell Res. 2020 Jun;30(6):492-506. doi: 10.1038/s41422-020-0332-7. Epub 2020 May 20.

    PubMed 32433595
  • Lee KA, Luong MK, Shaw H, Nathan P, Bataille V, Spector TD. The gut microbiome: what the oncologist ought to know. Br J Cancer. 2021 Oct;125(9):1197-1209. doi: 10.1038/s41416-021-01467-x. Epub 2021 Jul 14.

    PubMed 34262150
  • Cheng WY, Wu CY, Yu J. The role of gut microbiota in cancer treatment: friend or foe? Gut. 2020 Oct;69(10):1867-1876. doi: 10.1136/gutjnl-2020-321153. Epub 2020 Aug 5.

    PubMed 32759302
  • Edwardson DW, Boudreau J, Mapletoft J, Lanner C, Kovala AT, Parissenti AM. Inflammatory cytokine production in tumor cells upon chemotherapy drug exposure or upon selection for drug resistance. PLoS One. 2017 Sep 15;12(9):e0183662. doi: 10.1371/journal.pone.0183662. eCollection 2017.

    PubMed 28915246
  • Xu MM, Pu Y, Zhang Y, Fu YX. The Role of Adaptive Immunity in the Efficacy of Targeted Cancer Therapies. Trends Immunol. 2016 Feb;37(2):141-153. doi: 10.1016/j.it.2015.12.007. Epub 2016 Jan 7.

    PubMed 26778079

Questions about this trial

What is this clinical trial studying?

A study testing Probiotic in people with Breast Cancer and Probiotic Therapy, run by Poznan University of Medical Sciences at 1 site in Poland.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Poland. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Changes in serum levels of Tumor Necrosis Factor α (TNFα) (time frame: Baseline, 8 week). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07607548, which also lists 19 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 May 2026.

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