Gut bacteria may boost cancer immunotherapy: new trial launches
NCT ID NCT04264975
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at how gut bacteria affect immunotherapy in people with advanced solid tumors. It has two parts: first, finding bacterial markers linked to treatment response; second, testing if fecal transplants from healthy donors can make immunotherapy work better. About 60 adults with solid cancers who are on or about to start immunotherapy will take part.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 60 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2018
- Expected to finish
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Dec 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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19 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Part 1: development of microbiome biomarkers \<Inclusion Criteria:\> 1.Patients with pathologically confirmed solid cancer who are being treated with immunotherapy or are going to receive immunotherapy 1. Age ≥ 19 years old 2. Eastern Cooperative Oncology Group performance status 0-2 3. Measurable or evaluable lesion(s) according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 \<Exclusion Criteria\> 1. A history of other cancers requiring treatment within the recent 3 years (excepting treated basal or squamous cell carcinoma of the skin, superficial bladder cancer, or carcinoma in situ of the prostate, cervix, breast, or stomach) 2. A history of active primary immunodeficiency 3. Active infection including tuberculosis or Human Immunodeficiency Virus (HIV) 4. Autoimmune disease (excepting type 1 diabetes mellitus, hypothyroidism requiring hormone replacement therapy only, skin disease not requiring systemic therapy (such as vitiligo, psoriasis or alopecia) 5. Patients who are receiving immunosuppressive medications (excepting topical steroids, systemic steroid ≤10 mg/day prednisone or equivalents, or a brief course of steroids for prophylaxis (e.g., hypersensitivity reaction) \-------------------------------------------------------------------------------------------- part 2: proof-of-concept trial on the fecal microbiota transplantation in patients who are being treated with immunotherapy for solid cancers \<Inclusion Criteria for donors\> 1. Patients who have partial or complete response to immunotherapy at the time of stool donation 2. No history of exposure to HIV or hepatitis virus within the previous 12 months 3. No history of international travel within previous 6 months to areas of high risk of travelers' diarrhea 4. No current communicable disease 5. No household members with active gastrointestinal infection 6. No history of inflammatory bowel disease 7. No recent intake of potential allergenic foods that are known to cause hypersensitivity in a recipient (such as peanut) \<Inclusion criteria for recipients\> 1. Patients without contraindications for colonoscopy such as suspected bowel perforation, acute diverticulitis, or fulminant colitis 2. Patients who have disease progression to immunotherapy as one of the following two patterns: 2-1) Patients who have disease progression due to primary resistance to immunotherapy 2-2) Patients who have disease progression following disease stabilization due to secondary resistance to immunotherapy
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Asan Medical Center
RECRUITINGSeoul, Seoul, 05505, South Korea
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a Dual-Action antibody outsmart advanced solid tumors?
- Can a tracer that hunts unstable iron light up hidden tumors?
- Can a pill that starves tumors of oxygen help fight advanced cancer?
- New imaging agent aims to light up hidden tumors