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Microbiota and Pancreatic Cancer Cachexia


2022-08-01


2025-04-30


2025-04-30


24

Study Overview

Microbiota and Pancreatic Cancer Cachexia

This monocentric study aims at evaluating the effects of fecal microbiota transplantation from newly diagnosed cachectic and non-cachectic pancreatic cancer patients, and healthy volunteers on several cachexia-related parameters of germ-free mice.

Aim: Evaluating the effects of fecal microbiota transplantation (FMT) from 6 newly diagnosed cachectic and 6 non-cachectic pancreatic cancer patients, and 12 healthy age-and sex-matched volunteers on several cachexia-related parameters of 96 germ-free mice (4 per donor) over a 30-day period. The fecal material of all 12 pancreatic cancer patients will be collected at diagnosis before any cancer treatment onset. Hypothesis: FMT of cachectic patients with pancreas cancer, naïve of any anti-cancer treatment and artificial nutrition, into germ-free mice impairs weight gain, in contrast to FMT of non-cachectic patients and healthy controls.

  • Pancreatic Cancer
  • Microbiota
  • Cachexia
    • 2022-00820

    Study Record Dates

    These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

    Study Registration Dates Results Reporting Dates Study Record Updates

    2022-08-25  

    N/A  

    2024-12-03  

    2022-10-31  

    N/A  

    2024-12-06  

    2022-11-04  

    N/A  

    2024-12  

    Study Plan

    This section provides details of the study plan, including how the study is designed and what the study is measuring.

    Design Details

    Primary Purpose:
    N/A


    Allocation:
    N/A


    Interventional Model:
    N/A


    Masking:
    N/A


    Arms and Interventions

    Participant Group/ArmIntervention/Treatment
    : Cachectic patients with pancreatic cancer

    Measurements and sample collection at one timepoint.

    : Non-cachectic patients with pancreatic cancer

    Measurements and sample collection at one timepoint.

    : Healthy volunteers

    Measurements and sample collection at one timepoint.

    Primary Outcome MeasuresMeasure DescriptionTime Frame
    Body weight changes in mice after fecal material transplantation.Body weight (g)Between days 0 and 30
    Secondary Outcome MeasuresMeasure DescriptionTime Frame
    Differences in fecal microbiotaby 16S rRNA gene amplicon sequencing and functional profiles by metagenomic sequencing between cachectic patients non-cachectic patients and healthy volunteersat diagnosis
    Body weightin kilograms between cachectic patients non-cachectic patients and healthy volunteersat diagnosis
    Waist-to-hip ratiowaist circumference (cm) and hip circumference (cm) between cachectic patients non-cachectic patients and healthy volunteersat diagnosis
    Fat massby bioelectrical impedance analysis (BIA) between cachectic patients non-cachectic patients and healthy volunteersat diagnosis
    Fat-free massby bioelectrical impedance analysis (BIA) between cachectic patients non-cachectic patients and healthy volunteersat diagnosis
    Muscle masssurfaces of the paraspinal and abdominal wall muscles at the level of L3-L4 disk space by CT for pancreatic cancer patientsat diagnosis
    Nutritional intakeby 3-day food diary between cachectic patients non-cachectic patients and healthy volunteersat diagnosis
    Resting energy expenditure (REE)by indirect calorimetry between cachectic patients non-cachectic patients and healthy volunteersat diagnosis
    Appetiteby visual analogue scale ranging from 0 to 100 mm between cachectic patients non-cachectic patients and healthy volunteersat diagnosis
    Appetiteby fasting level of plasma ghrelin between cachectic patients non-cachectic patients and healthy volunteersat diagnosis
    Appetiteby fasting level of plasma leptin between cachectic patients non-cachectic patients and healthy volunteersat diagnosis
    Appetiteby fasting level of plasma glucagon-like peptide-1 (GLP-1) between cachectic patients non-cachectic patients and healthy volunteersat diagnosis
    Appetiteby fasting level of plasma neuropeptide Y between cachectic patients non-cachectic patients and healthy volunteersat diagnosis
    Appetiteby fasting level of plasma cholecystokinin between cachectic patients non-cachectic patients and healthy volunteersat diagnosis
    Homeostatic model assessment (HOMA)-scoreby fasting glycemia (mmol/l) and fasting insulinemia (mU/ml)) between cachectic patients non-cachectic patients and healthy volunteersat diagnosis
    Glycemiaby fasting glycemia (mmol/l) between cachectic patients non-cachectic patients and healthy volunteersat diagnosis
    Insulinemiaby fasting insulinemia (mU/ml) between cachectic patients non-cachectic patients and healthy volunteersat diagnosis
    Physical functionby handgrip strength between cachectic patients non-cachectic patients and healthy volunteersat diagnosis
    Physical activityby the International Physical Activity Questionnaire (IPAQ) between cachectic patients non-cachectic patients and healthy volunteersat diagnosis
    Quality of lifeby the European Organisation for Research and Treatment of Cancer questionnaire (EORTC QLQ-C30) between cachectic patients non-cachectic patients and healthy volunteersat diagnosis
    Mortalityby tumor progression between cachectic patients non-cachectic patientsat diagnosis
    Oral microbiotaby 16SrRNA gene amplicon sequencing and metagenomic sequencing between cachectic patients non-cachectic patients and healthy volunteersat diagnosis
    Epithelial permeabilityby fasting levels of plasma zonulin between cachectic patients non-cachectic patients and healthy volunteersat diagnosis
    Epithelial permeabilityby fasting levels of plasma lipopolysaccharide-binding protein between cachectic patients non-cachectic patients and healthy volunteersat diagnosis
    Epithelial permeabilityby fasting levels of plasma glucagon-like peptide-2 between cachectic patients non-cachectic patients and healthy volunteersat diagnosis
    GALT function and systemic inflammationby fasting plasma level of C-reactive protein (CRP) and cytokines between cachectic patients non-cachectic patients and healthy volunteersat diagnosis
    GALT function and systemic inflammationby peripheral blood T regulatory cells (Tregs) levels and phenotype between cachectic patients non-cachectic patients and healthy volunteersat diagnosis
    GALT function and systemic inflammationby myeloid derived suppressor cells (MDSC) levels and phenotype between cachectic patients non-cachectic patients and healthy volunteersat diagnosis

    Contacts and Locations

    This section provides the contact details for those conducting the study, and information on where this study is being conducted.

    Study Contact

    Name: Laurence Genton Graf, Prof

    Phone Number: +41 22 3729344

    Email: laurence.genton@hcuge.ch

    Study Contact Backup

    Name: Alexandra Hemmer, MSc

    Phone Number: +41795530491

    Email: alexandra.hemmer@hcuge.ch

    Participation Criteria

    Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

    Ages Eligible for Study:
    ALL

    Sexes Eligible for Study:
    18 Years

    Accepts Healthy Volunteers:
    1

      Inclusion Criteria:
      Patients with pancreatic cancer (n=12)

    • ≥18 years and
    • Newly diagnosed of pancreatic adenocarcinoma (local or metastatic) and
    • Tube feeding or parenteral nutrition ≤ 14 days

    • Cachectic pancreatic cancer patients (n=6)

    • Cachexia according to the Fearon criteria 1: involuntary weight loss >5% over the last 6 months, or any level of weight loss >2% and a BMI <20 kg/m2 or sarcopenia. Sarcopenia will be diagnosed by BIA (fat-free mass index is <17 kg/m2 in men and <15 kg/m2 in women) 81, and not by CT, as it is faster and can be performed at the bedside of the patient. Non-cachectic pancreatic cancer patients (n=6)
    • Normal nutritional state: weight stability (± 2% of habitual weight) over the last 6 months, no anorexia before the diagnosis (appetite rating on a visual analogue scale of 100mm), no known impaired glucose tolerance.

    • Healthy matched subjects (n=12)

    • ≥18 years and
    • BMI between 18.5 and 30 kg/m2 and
    • Absence of chronic or acute disease and
    • Matching for gender and age (± 5 years) with an included pancreatic cancer patient

    • Exclusion Criteria:

    • < 18 years or
    • Inability to give consent or
    • Insufficient knowledge of project language (French, German) or
    • Pancreatic adenocarcinoma already treated by chemo- or radiotherapy, or major surgery as duodenopancreatectomy or biliary diversion
    • Known rheumatologic or immunologic diseases
    • Therapeutic antibiotics or immunosuppressive drugs (for instance glucocorticoids, cytostatics, antibodies) in the 30 days preceding the inclusion

    Collaborators and Investigators

    This is where you will find people and organizations involved with this study.


      • PRINCIPAL_INVESTIGATOR: Laurence Genton Graf, Prof, Geneva University Hospitals (HUG)

      Publications

      The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

      General Publications

      No publications available