Gut Microbiome Changes During Abemaciclib Therapy in Breast Cancer
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Resistant Potato Starch, Placebo control.
- Who it may be relevant to
- Registry conditions: Breast Cancer, HER-2 Positive Breast Cancer. Basic parameters: from 18 years · Female.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
MICRO-VERZ: MICRObiome Changes During VERZenio Therapy
Overview
Abemaciclib (Verzenio) is a commonly used treatment for hormone receptor-positive breast cancer, but it can cause gastrointestinal side effects such as diarrhea, which may affect quality of life and treatment tolerance. The gut microbiome, which is the collection of bacteria living in the digestive tract, may play a role in these symptoms. The purpose of this study is to examine how the gut microbiome changes during the early phase of abemaciclib treatment and how these changes relate to gastrointestinal symptoms experienced by patients. Participants will provide stool samples at multiple time points using mailed collection kits and will complete questionnaires about gastrointestinal symptoms while receiving standard-of-care abemaciclib therapy. All study procedures will be conducted remotely. Information gained from this study may help inform future supportive care strategies for breast cancer patients receiving abemaciclib.
Interventions
- Dietary supplement Resistant Potato Starch
Participants randomized to the resistant starch intervention will receive a resistant starch dietary supplement administered orally. The supplement will be taken during early abemaciclib therapy according to study instructions. Abemaciclib is administered as standard of care and is not altered by study participation. - Dietary supplement Placebo control
Participants randomized to the placebo intervention will receive a placebo dietary supplement administered orally as a powder mixed with a beverage. The supplement will be taken during early abemaciclib therapy according to study instructions. Abemaciclib is administered as standard of care and is not altered by study participation.
Primary outcome measures
- Recruitment rate [Time frame: From study opening through completion of enrollment (approximately 12 months)]
- Participant retention [Time frame: Through end of intervention (6 weeks)]
- Supplement adherence [Time frame: During the 6-week intervention]
- Completion of study procedures [Time frame: Baseline through end of intervention (6 weeks)]
Secondary outcome measures (3)
- Change in Gut Microbial Community Composition During Early Abemaciclib Therapy [Time frame: Baseline through Week 6 of abemaciclib therapy]
- Correlation between gut microbiome diversity and gastrointestinal symptom severity [Time frame: Baseline through Week 6 of abemaciclib therapy]
- Differences in Gut Microbial Community Composition Between Resistant Starch and Placebo Groups [Time frame: Baseline through Week 6 of abemaciclib therapy]
Eligibility criteria
Inclusion criteria
- Age ≥ 18 years.
- Histologically confirmed hormone receptor-positive, HER2-negative breast cancer.
- Planned initiation of adjuvant abemaciclib (Verzenio) as part of standard clinical care, with enrollment occurring prior to or within 7 days of starting abemaciclib.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-2.
- Women of child-bearing potential must agree to use contraception prior to study entry, for the duration of study participation, and for 90 days following completion of study participation. Should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her treating physician immediately.
A female of child-bearing potential is any woman (regardless of sexual orientation, having undergone a tubal ligation, or remaining celibate by choice) who meets the following criteria:
- Has not undergone a hysterectomy or bilateral oophorectomy; or
- Has not been naturally postmenopausal for at least 12 consecutive months (i.e., has had menses at any time in the preceding 12 consecutive months).
- Ability to understand and the willingness to sign a written informed consent.
Exclusion criteria
- Concurrent participation in another interventional clinical trial that, in the opinion of the investigator, would interfere with study participation or interpretation of results.
- Known gastrointestinal conditions that would significantly interfere with study procedures or interpretation of results, including but not limited to inflammatory bowel disease, short bowel syndrome, or chronic diarrheal disorders.
- Known allergy or intolerance to resistant starch or any component of the study supplement.
- Pregnant or breastfeeding individuals.
- Any medical, psychiatric, or social condition that, in the judgment of the investigator, would limit the participant's ability to comply with study procedures.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Supportive care
Study locations
United States · 1 center
- University of Vermont — Burlington
Identifiers
NCT: NCT07406594 · MICRO-VERZ