NCT07534033

Brief Summary

The goal of this clinical trial is to understand whether Lactobacillus rhamnosus LR607 can enhance neoadjuvant chemoimmunotherapy for adult patients with non-small cell lung cancer. It will also evaluate the safety of LR607. The main questions it aims to answer include: Can LR607 improve the major pathological response of neoadjuvant chemoimmunotherapy? What is the relationship between LR607 combined with neoadjuvant chemoimmunotherapy and treatment-related adverse reactions? What changes occur in the gut microbiota composition at the species level and gut metabolites of subjects after LR607 treatment? Participants will: Take LR607 daily for 3 months Visit the hospital for check-ups and examinations every month Record their pathological response, tumor recurrence, and treatment-related adverse reactions

Trial Health

77
On Track

Trial Health Score

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

Enrollment
46

participants targeted

Target at P25-P50 for phase_2

Timeline
21mo left

Started Dec 2025

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

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Study Timeline

Key milestones and dates

Study Progress18%
Dec 2025Dec 2027

Study Start

First participant enrolled

December 6, 2025

Completed
5 days until next milestone

First Submitted

Initial submission to the registry

December 11, 2025

Completed
4 months until next milestone

First Posted

Study publicly available on registry

April 16, 2026

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 23, 2026

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 23, 2027

Last Updated

April 16, 2026

Status Verified

December 1, 2025

Enrollment Period

1 year

First QC Date

December 11, 2025

Last Update Submit

April 13, 2026

Conditions

Keywords

NSCLCIB-IIIC stageResectable NSCLC

Outcome Measures

Primary Outcomes (1)

  • Major pathological response

    Major pathological response (MPR) was defined as ≤10% residual viable tumor cells in the tumor bed on pathological examination of the resected specimen in enrolled patients who underwent surgery within approximately 1 week after completion of three cycles of neoadjuvant therapy with a PD-1/PD-L1 inhibitor plus LR607 and platinum-based doublet chemotherapy (approximately 63 days).

    Day 1 to 4 weeks

Secondary Outcomes (1)

  • Pathological Complete Response

    Day 1 to 4 Weeks

Study Arms (1)

Probiotics combined with neoadjuvant chemoimmunotherapy

EXPERIMENTAL
Drug: Probiotics combined with neoadjuvant chemoimmunotherapy

Interventions

This clinical study aims to enhance efficacy by using functional probiotics selected from a Chinese food-grade probiotic library in combination with neoadjuvant chemoimmunotherapy.

Probiotics combined with neoadjuvant chemoimmunotherapy

Eligibility Criteria

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

You may qualify if:

  • Histologically confirmed newly diagnosed patients
  • ECOG performance status 0-1
  • Age ≥18 years
  • Measurable lesions (RECIST v1.1)
  • Organ function meeting the requirements for chemotherapy and immunotherapy.

You may not qualify if:

  • Including active autoimmune diseases
  • Recent use of immunosuppressants
  • Interstitial lung disease
  • Presence of other malignancies
  • History of immunotherapy
  • Active infection
  • Pregnancy or drug allergies

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Zhu Jiang Hospital of Southern Medical University

Guangzhou, China

RECRUITING

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 11, 2025

First Posted

April 16, 2026

Study Start

December 6, 2025

Primary Completion (Estimated)

December 23, 2026

Study Completion (Estimated)

December 23, 2027

Last Updated

April 16, 2026

Record last verified: 2025-12

Data Sharing

IPD Sharing
Will share

Locations