Gut Microbiome Changes During Abemaciclib Therapy in Breast Cancer

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18+
SponsorUniversity of Vermont Medical Center

About this trial

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.

Eligibility criteria

Qualifiers

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.

Disqualifiers

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.

Trial design

Treatments tested in this trial

  • Resistant Potato Starch
  • Placebo control

Treatment groups

12 Participants
are divided into 2 treatment groups