Diet-drive Gut Microbiome and Outcome in Patients With Early-stage Triple-negative Breast Cancer Undergoing Neoadjuvant Chemotherapy and Immunotherapy.

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexFemale
Age18+
SponsorBarts & The London NHS Trust

About this trial

CAPTIVATE is a multi-center translational and observational trial, that aims to investigate the impact of the gut microbiome on treatment outcomes in women with untreated, stage I-III Triple Negative undergoing neoadjuvant treatment with and without immune checkpoint inhibitors. As part of the trial, stool samples, core tumors biopsies and research bloods samples for the analysis will be collected at various points of the study.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Willing and able to provide written informed consent prior to study entry

Female ≥ 18 years of age

Histologically confirmed operable primary breast cancer with a tumor size of ≥1 cm

defined as tumours with <10% of tumours cells positive for ER and PR1 on IHC staining or an IHC score (Allred) < 3

Disqualifiers

Previous systemic or local treatment for the new primary breast cancer currently under investigation (including surgery, radiotherapy, cytotoxic and endocrine treatments)

Received therapeutic oral or intravenous antibiotics within 14 days prior to randomization

Known distant metastases

Trial population

A. Patients with triple-negative early stage breast cancer who will be treated with neoadjuvant chemotherapy. B. Patients with triple-negative early stage breast cancer who will be treated with neoadjuvant chemotherapy followed by immunotherapy (immune checkpoint inhibitors).

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

300 Participants
are grouped into 2 trial groups
Group A: Neoadjuvant Chemotherapy
Group B: Neoadjuvant Chemotherapy followed with Immune Checkpoint Inhibitors

Trial outcomes

Primary outcomes

1

Determining the changes in the gut microbiome following treatment

To determine if changes in the gut microbiome has the ability to predict the pathologic complete response following treatment.

Time frame
Through the study completion, an average of 5 years
2

Determining the changes in the gut microbiome following treatment

To determine if changes in the gut microbiome has the ability to predict event free survival following treatment.

Time frame
Through the study completion, an average of 5 years

Secondary outcomes

1

To correlate microbiome findings with characteristics of CTCAE

To correlate microbiome findings with incidence and characteristics of CTCAE (Common Terminology Criteria for Adverse Events) V-5 defined Grade \> 3 irAEs in all enrolled patients, and any association with response to immunosuppressants.

Time frame
Through the study completion, an average of 5 years.
2

To correlate the gut microbiome findings with immune-phenotype of the tumour.

To correlate the gut microbiome findings with tumour mutational burden and immune-phenotype of the tumour.

Time frame
Through the study completion, an average of 5 years
3

To correlate the gut microbiome findings with nutritional input.

To correlate the gut microbiome findings with nutritional input.

Time frame
Through the study completion, an average of 5 years
4

To correlate the gut microbiome findings with cognitive function.

To correlate the gut microbiome findings with cognitive function.

Time frame
Through the study completion, an average of 5 years

Other outcomes

Sponsors and contacts

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