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Trial Title: Effect of Salovum™ and SPC-Flakes™ on Abemaciclib-induced Gastrointestinal Toxicity in Early Breast Cancer

NCT ID: NCT06152471

Condition: Early-stage Breast Cancer
Diarrhea
Adverse Drug Event

Conditions: Official terms:
Breast Neoplasms
Diarrhea
Drug-Related Side Effects and Adverse Reactions

Conditions: Keywords:
Early Breast cancer
Abemaciclib induced diarrea

Study type: Interventional

Study phase: Phase 3

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Intervention model description: Randomization 1:1 to investigational product or placebo

Primary purpose: Treatment

Masking: Double (Participant, Investigator)

Masking description: double-blind, placebo controlled

Intervention:

Intervention type: Drug
Intervention name: SPC-flakes
Description: Aktive drug
Arm group label: Experimental

Intervention type: Drug
Intervention name: Salovum
Description: Active drug
Arm group label: Experimental

Intervention type: Drug
Intervention name: Placebo
Description: Placebo drugs
Arm group label: Placebo Comparator

Summary: The present study aims to investigate a proactive strategy including Salovum™ and SPC-flakes to prevent the occurrence of abemaciclib-induced diarrhea in patients with early breast cancer.

Detailed description: In patients with high-risk luminal breast cancer, the addition of CDK 4/6-inhibitor abemaciclib to adjuvant endocrine therapy for two years has been associated with improved disease-free survival and is now recommended from national and international guidelines as the preferred treatment strategy for this patient group. However, patients treated with abemaciclib have higher risk of diarrhea which primarily occurs during the first three months from treatment initiation and seems to impact patients' quality of life. As a result, early and proactive strategies to reduce the occurrence of diarrhea from the initiation of abemaciclib should be investigated to ensure that patients in whom adjuvant abemaciclib is recommended can complete their treatment as planned.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Age ≥ 18 years. - Histologically confirmed diagnosis of luminal breast cancer. - No clinical evidence of metastatic disease. - Planned to start abemaciclib in adjuvant setting (according to current national guidelines). - Signed informed consent. Exclusion Criteria: - Contraindications to the investigational product, e g known or suspected hypersensitivity to the investigational products or expected inability to their use in accordance with the protocol. - Lack of suitability for participation in the study, e g expected difficulties to follow the protocol procedures, as judged by the investigator. - Prior exposure to abemaciclib. - Prior exposure to Salovum or SPC-flakes. - Past or present history of inflammatory bowel disease.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: General Hospital of Eskilstuna

Address:
City: Eskilstuna
Zip: 631 88
Country: Sweden

Status: Recruiting

Contact:
Last name: Andreas Nearchou, MD
Email: andreas.nearchou@regionsormland.se

Facility:
Name: General Hospital of Falun

Address:
City: Falun
Zip: 791 82
Country: Sweden

Status: Recruiting

Contact:
Last name: Greger Nilsson, MD, PhD
Email: greger.nilsson@igp.uu.se

Facility:
Name: General Hospital of Gävle

Address:
City: Gävle
Zip: 801 87
Country: Sweden

Status: Not yet recruiting

Contact:
Last name: Olga Del Val Muñoz, MD
Email: olga.del.val.munoz@regiongavleborg.se

Facility:
Name: General Hospital

Address:
City: Sundsvall
Zip: 856 43
Country: Sweden

Status: Not yet recruiting

Contact:
Last name: Anna-Karin Wennstig, MD, PhD
Email: anna-karin.wennstig@rvn.se

Facility:
Name: Uppsala University Hospital

Address:
City: Uppsala
Zip: 751 85
Country: Sweden

Status: Recruiting

Contact:
Last name: Henrik Lindman, MD, PhD
Email: henrik.lindman@akademiska.se

Facility:
Name: General Hospital Västerås

Address:
City: Västerås
Zip: 721 89
Country: Sweden

Status: Recruiting

Contact:
Last name: Cecilia Nilsson, MD, PhD
Email: Cecilia.nilsson@regionvastmanland.se

Facility:
Name: University Hospital Örebro

Address:
City: Örebro
Zip: 701 85
Country: Sweden

Status: Recruiting

Contact:
Last name: Antonis Valachis, MD, PhD
Email: antonios.valachis@oru.se

Start date: June 7, 2023

Completion date: March 31, 2025

Lead sponsor:
Agency: Henrik Lindman
Agency class: Other

Source: Uppsala University Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06152471

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