About this trial
This study aims to investigate whether Sporoderm-removed Ganoderma lucidum spore powder (RGLS) ameliorates depression in thyroid cancer patients through gut-brain axis modulation, and to elucidate the underlying microbial and metabolic mechanisms. This 3-month randomized, double-blind, placebo-controlled trial will enroll 300 postoperative papillary thyroid carcinoma patients with depressive symptoms (HAMD-24 ≥ 8). Participants will be randomly assigned(2 : 1) to receive RGLS (4 g/day) or matched placebo.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Outpatients at Zhejiang Cancer Hospital with histologically confirmed papillary thyroid carcinoma (post-surgery) and depressive symptoms (HAMD-24 score ≥ 8, confirmed by a clinical psychologist).
Han Chinese ethnicity.
No history of depression or other psychiatric disorders.
Age 18-80 years.
Disqualifiers
Suffering from other gastrointestinal system diseases.
History of gastrointestinal surgery prior to intervention.
Including those with other concurrent malignancies requiring chemotherapy, radiotherapy, biological therapy, or traditional Chinese medicine treatment.
Received antibiotic treatment or microecological modulators within 3 months prior to intervention.
Trial design
Parallel
Treatments tested in this trial
Sporoderm-removed Ganoderma lucidum spore powder (RGLS)
Dietary supplementFrom the first day after enrollment, subjects take RGLS orally at 4g/day for 3 months.
Placebo
Other interventionFrom the first day after enrollment, subjects take placebo orally at 4g/day for 3 months.
Treatment groups
Trial outcomes
Primary outcomes
Change in Hamilton Depression Rating Scale-24(HAMD-24)score from baseline to 3 months of RGLS intervention
Secondary outcomes
Change in Pittsburgh Sleep Quality Index (PSQI) score from baseline to 3 months of RGLS intervention.
Changes in gut microbial species from baseline to 3 months of RGLS intervention.
Change in serum metabolites from baseline to 3 months of RGLS intervention.
Other outcomes
Incidence of adverse events in both groups, including patient-reported symptoms and laboratory parameters.
Improvement rate of thyroid function in both groups, assessed by thyroid function parameters.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Ling Zhiqiang
Lead sponsor
Zhejiang Cancer Hospital
Sponsor institution