Correlates of CRCI and Gut Microbiome Dysbiosis; a Pilot Study
Summary
The aim of this study is to characterize the microbiome and assess fatigue and cognition of patients with cancer undergoing standard of care treatment.
Detailed description
Cancer-related fatigue is experienced by nearly all patients during treatment, and cancer-related cognitive impairment (CRCI), which is a decrease in neurocognitive functioning that can be caused by cancer or its treatment, is present in up to ¾ of patients during treatment. Fatigue and CRCI have both been linked to the composition of the gut microbiome in cancer patients. CRCI is often reported as one of the most debilitating and life-altering aspects of cancer and treatment. Although CRCI is widely reported in patients with a variety of cancers and undergoing a variety of treatments, it is not clear if the mechanisms leading to symptoms are the same throughout. Using identical methods to monitor CRCI symptoms and microbial dysbiosis in a cross-section of various cancers, cancer stages, and treatments, can help to identify commonalities associated with symptoms. Specific Aims Specific Aim 1: Characterize the microbiome of cancer patients and compare to healthy control subjects from previous studies. Specific Aim 2: Assess fatigue in cancer patients and determine associations with composition of the gut microbiome.
Arms & interventions
Outcome measures
Primary
Characterization of fecal microbiome using molecular methods at baseline
Characterization of the fecal microbiome using a commercially available sampling kit and our lab's patented array for PCR at baseline
Time frame: Baseline
Characterization of fecal microbiome using molecular methods at 6 months
Characterization of the fecal microbiome using a commercially available sampling kit and our lab's patented array for PCR after 6 months of standard of care treatment.
Time frame: 6 months
Secondary
Cognitive Function as measured by Montreal Cognitive Assessment at baseline
Time frame: Baseline
Cognitive Function as measured by Montreal Cognitive Assessment at 6 months
Time frame: 6 months
Fatigue and Cognition as measured by the Fatigue and Altered Cognition Scale at baseline
Time frame: Baseline
Fatigue and Cognition as measured by the Fatigue and Altered Cognition Scale at 6 months
Time frame: 6 months
Gastrointestinal Health measured by the Gastrointestinal Symptom Rating Scale at baseline
Time frame: Baseline
Gastrointestinal Health measured by the Gastrointestinal Symptom Rating Scale at 6 months.
Time frame: 6 months
Eligibility criteria
Study locations (1)
The University of Texas Medical Branch
Galveston, Texas, 77555