NCT06398418

Brief Summary

The goal of this study is determine the safety and tolerability of orally taken probiotic (R-5780) in patients currently on a PD-1 Pathway Checkpoint Inhibitor (checkpoint protein on immune cells called T cells) with Solid Tumors.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
33

participants targeted

Target at P50-P75 for phase_1

Timeline
20mo left

Started Aug 2025

Typical duration for phase_1

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress32%
Aug 2025Dec 2027

First Submitted

Initial submission to the registry

April 29, 2024

Completed
4 days until next milestone

First Posted

Study publicly available on registry

May 3, 2024

Completed
1.2 years until next milestone

Study Start

First participant enrolled

August 1, 2025

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 30, 2027

Expected
8 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2027

Last Updated

September 4, 2025

Status Verified

August 1, 2025

Enrollment Period

1.7 years

First QC Date

April 29, 2024

Last Update Submit

August 27, 2025

Conditions

Keywords

Solid Tumors

Outcome Measures

Primary Outcomes (1)

  • Incidence and severity of adverse events and their relationship to R-5780 (probiotic) administration

    To assess the number of participants with treatment-related adverse events after taking R-5780 (probiotic)

    Baseline through Week 4

Secondary Outcomes (1)

  • Scale (QOLS)

    Baseline through End of Study Day 112

Study Arms (1)

Open Label

OTHER

R-5780 Probiotic

Drug: R-5780

Interventions

R-5780DRUG

Probiotic

Open Label

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • At least 18 years of age to 80
  • Ability to provide written informed consent
  • Unresectable stage III or stage IV melanoma, basal cell carcinoma, or squamous cell carcinoma as per the American Joint Committee on Cancer 2017 Guidelines (8th Edition) regardless of BRAF mutation status and other solid tumors.
  • Refractory to anti-PD (checkpoint Protein on Immune Cells called T cells)-1/L1 therapy per RECIST v1.1 defined as subject who has disease progression after receiving at least two complete cycles of ICI (immune checkpoint inhibitors) therapy or disease progression 6 months from initiation of ICI (immune checkpoint inhibitors) therapy while still on active therapy.
  • Life expectancy of greater than 3 months
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2
  • Subjects must have evaluable disease by CT (computer tomography) or MRI (magnet resonance imaging) per RECIST 1.1 criteria or clinically apparent disease that the investigator can follow for response.

You may not qualify if:

  • Any serious medical condition or laboratory abnormality or psychiatric condition or any other significant or unstable concurrent medical illness (in the opinion of the Investigator) would preclude protocol adherence or would make the safety of the study drug difficult to assess
  • Treatment with systemic broad-spectrum antibiotics.
  • No active viral infections.
  • Coexisting severe chronic diseases other than cancer (autoimmunity, inflammatory diseases)
  • Secondary gastrointestinal motility disorders
  • History of solid organ transplant or bone marrow transplant
  • Prior CAR-T (chimeric antigen receptor) or allogeneic cellular therapy
  • Concurrent therapy with any other investigational agent, vaccine, or device
  • Pregnant or breastfeeding or planning to conceive or father a child during the trial period
  • Subjects with untreated brain metastasis. Treated brain metastasis are permitted if stable
  • More than 4 prior systemic therapies
  • Other cancer medications during treatment period are not permitted
  • Enrollment in other clinical trials.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Sarah Cannon Research Institute

Nashville, Tennessee, 37203, United States

RECRUITING

MeSH Terms

Conditions

MelanomaNeoplasms, Basal CellNeoplasms, Squamous CellAdenoma

Condition Hierarchy (Ancestors)

Neuroendocrine TumorsNeuroectodermal TumorsNeoplasms, Germ Cell and EmbryonalNeoplasms by Histologic TypeNeoplasmsNeoplasms, Nerve TissueNevi and MelanomasSkin NeoplasmsNeoplasms by SiteSkin DiseasesSkin and Connective Tissue DiseasesNeoplasms, Glandular and Epithelial

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Model Details: Single Group Assignment
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 29, 2024

First Posted

May 3, 2024

Study Start

August 1, 2025

Primary Completion (Estimated)

April 30, 2027

Study Completion (Estimated)

December 31, 2027

Last Updated

September 4, 2025

Record last verified: 2025-08

Locations