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Table 4 Clinical trials of manipulating the gut microbiota to enhance immunotherapy

From: Role of gut microbiome in cancer immunotherapy: from predictive biomarker to therapeutic target

Type

Conditions

Interventions

Phases

Enrollment

Funder type

Start date

Completion date

Locations

Study status

NCT number

Probiotics

RCC

CBM 588 + ipilimumab + nivolumab

Phase1

30

Other

2019/5/14

2023/6/11

US

Active not recruiting

NCT03829111

Probiotics

Advanced HCC

Bifidobacterium bifidum + carrilizumab + apatinib mesylate

Phase1|phase2

30

Other

2021/11/1

2024/10/31

China

Recruiting

NCT05620004

Probiotics

NSCLC

Lactobacillus bifidobacterium V9(Kex02) + carilizumab + platinum

–

46

Other

2021/10/19

2023/12/30

China

Recruiting

NCT05094167

Probiotics

Melanoma

Pembrolizumab + EDP1503

Phase2

8

Other

2018/10/2

2023/11/2

US

Suspended

NCT03595683

Probiotics

Liver cancer

M9 + PD-1 inhibitors

–

46

Other

2021/11/19

2023/12/30

China

Recruiting

NCT05032014

Probiotics

Metastatic melanoma

SER-401 + nivolumab

Phase1

14

Other

2019/1/28

2022/3/4

US

Completed

NCT03817125

Probiotics

All solid tumors

MET-4 + ICI

Phase2|phase3

65

Other

2018/11/30

2025/12/1

Canada

Active not recruiting

NCT03686202

Probiotics

NSCLC, melanoma, RCC

BMC128 + nivolumab

Phase1

12

Industry

2022/5/1

2023/5/1

Israel

Recruiting

NCT05354102

Probiotics

RCC

Clostridium butyricum CBM 588 + nivolumab and cabozantinib

Phase1

30

Other

2021/11/1

2023/11/30

US

Recruiting

NCT05122546

FMT

GI system cancer

FMT + PD-1 inhibitors

Phase1

10

Other

2020/1/3

2021/12/1

China

Unknown

NCT04130763

FMT

RCC

FMT + ICI

Phase1|phase2

50

Other

2021/2/18

2024/2/19

Italy

Recruiting

NCT04758507

FMT

Mesothelioma

FMT + keytruda

Early_phase1

1

Other

2018/9/18

2018/12/18

US

Completed

NCT04056026

FMT

Advanced HCC

FMT + atezolizumab + bevacizumab

Phase2

48

Other

2024/1/1

2027/3/1

Germany

Not yet recruiting

NCT05690048

FMT

Cancer

FMT + ICI

–

30

Other

2022/3/14

2025/3/31

Switzerland

Recruiting

NCT05273255

FMT

HCC

FMT + atezolizumab + bevacizumab

Phase2

12

Other

2023/3/1

2026/1/1

Austria

Not yet recruiting

NCT05750030

FMT

RCC

FMT + nivolumab + ipilimumab

Phase1

20

Other

2020/1/23

2028/11/1

Canada

Recruiting

NCT04163289

FMT

Melanoma

FMT + ICI

Phase1|phase2

24

Other

2022/7/1

2025/4/1

Netherlands

Recruiting

NCT05251389

FMT

NSCLC

FMT + PD-1/PDL-1 inhibitors

Phase1

20

Other

2021/9/1

2022/12/30

China

Not yet recruiting

NCT05008861

FMT

Melanoma

FMT + ICI

Phase1

40

Other_gov

2017/11/30

2021/12/30

Israel

Unknown

NCT03353402

FMT

Metastatic lung cancer

FMT + ICI

Phase2

80

Other

2022/9/1

2028/6/30

Israel

Not yet recruiting

NCT05502913

FMT

Lung cancer

FMT + PD1 inhibitors

–

20

Other

2021/4/23

2022/12/31

Spain

Recruiting

NCT04924374

FMT

Melanoma

FMT + pembrolizumab/nivolumab

Phase1

20

Other

2019/3/27

2023/12/1

Canada

Active not recruiting

NCT03772899

FMT

Solid carcinoma

FMT + immunotherapy

–

60

Other

2018/6/4

2023/4/30

Korea

Unknown

NCT04264975

Antibiotics

Pancreatic cancer

Antibiotics + pembrolizumab

Phase4

0

Other

2019/6/25

2020/6/1

US

Withdrawn

NCT03891979

Antibiotics

Pancreatic cancer

Chemotherapy + antibiotics + pembrolizumab

Phase2

25

Other

2022/8/1

2029/4/1

US

Not yet recruiting

NCT05462496

Diet

Head and neck cancer

Prolonged nightly fasting + ICI (nivolumab/pembrolizumab/atezolizumab/avelumab/durvalumab)

–

29

Other

2021/10/20

2023/5/24

US

Active not recruiting

NCT05083416

Diet

Solid tumor

Potato starch + ICIs

Early_phase1

12

Other

2021/6/2

2023/1/24

US

Completed

NCT04552418

Diet

Lung cancer

Fish oil + immunotherapy/chemotherapy/TKI

–

50

Other

2022/11/15

2024/5/15

Brazil

Recruiting

NCT04965129

Diet

Melanoma

Dietary intervention + pembrolizumab/nivolumab

Phase2

42

Other

2020/6/24

2024/2/1

US

Recruiting

NCT04645680

Diet and exercise

Melanoma

Immunotherapy

–

80

NIH

2023/5/15

2025/10/31

US

Recruiting

NCT04866810

  1. US United States, GI gastrointestinal, NSCLC non-small cell lung cancer, RCC renal cell carcinoma, HCC hepatocellular carcinoma, ICI immune checkpoint inhibitor, FMT fecal microbiota transplantation, TKI tyrosine kinase inhibitor