UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000054016
Receipt number R000061667
Scientific Title Alteration of T-cell immunity by yogurt containing exopolysaccharide (EPS)
Date of disclosure of the study information 2024/04/01
Last modified on 2024/03/30 13:06:14

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Basic information

Public title

Alteration of T-cell immunity by yogurt containing exopolysaccharide (EPS)

Acronym

Alteration of T-cell immunity by yogurt

Scientific Title

Alteration of T-cell immunity by yogurt containing exopolysaccharide (EPS)

Scientific Title:Acronym

Alteration of T-cell immunity by yogurt

Region

Japan


Condition

Condition

Non-small cell lung cancer

Classification by specialty

Pneumology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Dr. Kawanabe et al. reported that oral intake of exopolysaccharide (EPS) produced by lactic acid bacteria of the genus Lactobacillus increased the proliferation of CCR6-positive CD8+ T cells in Peyer's patches and enhanced the anti-tumor effect of immune checkpoint inhibitors The applicant and his colleagues have reported that oral intake of PD-1 inhibitor (EPS) enhances the anti-tumor effect of immune checkpoint inhibitors.
The applicants have previously reported the discovery of a novel CD4+ T-cell cluster, Th7R, which is expressed as CCR4-CCR6+ in the peripheral blood of patients with advanced stage lung cancer who had responded to PD-1 inhibitors. We have reported that the percentage of Th7R in peripheral blood before treatment can predict the efficacy of immune checkpoint inhibitors in patients with advanced stage non-small cell lung cancer and recurrence-free survival after surgery in patients with early stage lung cancer. In long-term survivors of advanced stage non-small cell lung cancer after immune checkpoint inhibitor therapy and recurrence-free survivors of postoperative early stage non-small cell lung cancer, a high percentage of CCR4-CCR6+ CD4+ T cell clusters were maintained after treatment.
This study aims to analyze the numerical changes in CCR6-positive T cells including Th7R by analyzing the peripheral blood of lung cancer patients who consume Meiji Probio Yogurt R-1, a food containing this EPS, over time.

Basic objectives2

Others

Basic objectives -Others

1. PBMCs are centrifuged by standard techniques after blood collection and cryopreserved by CellBanker2TM. Whole blood samples will be analyzed within 3 days of storage at room temperature. 2.
2. Whole blood samples will be analyzed by flow cytometry for T-cell clusters and other cellular components on behalf of Immunity Research, Inc.
3. Frozen blood samples collected from BD Vacutina CPT blood collection tubes will be subjected to immune cell cluster analysis by mass cytometry after regenerative culture. 4) The mRNA expression of isolated T cells will be analyzed.
4. mRNA expression analysis of isolated T cells and T cell receptor repertoire analysis will be performed using single cell RNA sequencing.
5. Immunohistochemical staining analysis of tissue samples

Trial characteristics_1

Exploratory

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

CCR6-positive T cells (CD8+, CD4+) in blood

Key secondary outcomes

Changes in T-cell cluster proportions, changes in expression of functional molecules in each T-cell cluster, immunohistochemical staining analysis of lung cancer biopsy specimens


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Prevention

Type of intervention

Food

Interventions/Control_1

Test Food Meiji Probio Yogurt R-1 Drink Type 112 g (provided free of charge by Meiji Holdings)
Consume one bottle of the test food once a day for 28 days. The time of intake is free.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

(1) Patients diagnosed with non-small cell lung cancer
(2) Patients who are 20 years of age or older at the time of consent
(3) Patients whose written consent for this study has been obtained.

Key exclusion criteria

(1) Patients with psychosis/psychiatric symptoms that make it difficult for them to participate in this study
(2) Patients with milk allergy
(3) Patients with poorly controlled diabetes mellitus
(4) Patients who do not wish to consume Meiji Probio Yogurt R-1
(5) Other patients who are deemed inappropriate for the study by the physician in charge.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Hiroshi
Middle name
Last name Kagamu

Organization

Saitama Medical University International Medical Center

Division name

Div. of Respiratory Medicine

Zip code

350-1298

Address

1397-1 Yamane, Hidaka city, Saitama pref.

TEL

042-984-4581

Email

kagamu19@saitama-med.ac.jp


Public contact

Name of contact person

1st name Hisao
Middle name
Last name Imai

Organization

Saitama Medical University International Medical Center

Division name

Div. of Respiratory Medicine

Zip code

350-1298

Address

1397-1 Yamane, Hidaka city, Saitama pref.

TEL

042-984-4511

Homepage URL


Email

hisao725@saitama-med.ac.jp


Sponsor or person

Institute

Saitama Medical University

Institute

Department

Personal name



Funding Source

Organization

Meiji Holdings Co.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Saitama Medical University International Medical Center Clinical Research IRB

Address

1397-1 Yamane, Hidaka city, Saitama pref.

Tel

042-984-4523

Email

imc_irb@saitama-med.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2024 Year 04 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2024 Year 03 Month 26 Day

Date of IRB

2024 Year 03 Month 26 Day

Anticipated trial start date

2024 Year 04 Month 15 Day

Last follow-up date

2025 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2024 Year 03 Month 30 Day

Last modified on

2024 Year 03 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000061667


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name