Gut bacteria and diarrhea in breast cancer patients on pyrotinib
Official title: Gut Microbiota Changes in Breast Cancer Patients Treated With Pyrotinib and Correlation With Drug-Induced Diarrhea: An Observational Cohort Study
Run by Hubei Cancer Hospital · NCT07264985 · Data updated 2026-11-12
This study will see if gut bacteria differ between breast cancer patients on pyrotinib who develop diarrhea and those who don’t, to understand why this side effect happens.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 60 (estimated) |
| Sponsor | Hubei Cancer Hospital Academic / other |
| Drugs / interventions | pyrotinib |
| Locations | 1 site (Wuhan, Hubei) |
| Status | Recruiting |
| Started | December 25, 2025 |
| Main results expected | June 2027 |
| Study ends | July 2027 |
| Registry record updated | July 16, 2026 |
| Trial ID | NCT07264985 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18-75) with HER2-positive breast cancer actively receiving pyrotinib for at least two weeks, who can consent.
✕Probably not a fit
Patients with diarrhea not linked to gut microbiota or those not showing microbiota differences may not benefit from findings.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study will examine the gut microbiota of HER2-positive breast cancer patients being treated with pyrotinib. Researchers will compare those who experience diarrhea with those who do not to identify bacteria that might be linked to the side effect. The goal is to uncover patterns in gut microbiota that could lead to future prevention or treatment approaches. Participants must be adults aged 18-75 on pyrotinib for at least two weeks and able to provide informed consent. Exclusion criteria include significant GI disease, recent antibiotic or probiotic use, pregnancy, or unwillingness to participate.
Why it matters
Potential benefit: If successful, results could inform strategies to prevent or mitigate diarrhea by targeting gut bacteria.
How similar studies have gone: Previous work in oncology suggests gut microbiota can influence drug-related side effects, but specific links to pyrotinib are not yet established.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Patients aged 18-75 years, regardless of gender. 2. Diagnosed with HER2-positive breast cancer and currently receiving pyrotinib treatment (either as monotherapy or in combination with endocrine therapy), with a treatment duration of ≥ 2 weeks. 3. Voluntarily agree to participate in this study and provide written informed consent. Exclusion Criteria: 1. History of significant gastrointestinal diseases (e.g., inflammatory bowel disease, Crohn's disease, ulcerative colitis, intestinal obstruction) or previous major gastrointestinal surgery. 2. Recent use (within 1 month) of antibiotics, probiotics, or traditional Chinese medicine intended to alter intestinal function. 3. Pregnant or lactating women. 4. Patients who refuse to provide informed consent or explicitly express unwillingness to participate. Patients found not meeting the inclusion criteria after enrollment will be discontinued from the study.
Where it's running
-
Hubei Cancer Hospital
Wuhan, Hubei, China Recruiting
Study contacts
- Study coordinator: Xinhong Wu Wu, Principal Investigator
- Email: wuxinhong_9@sina.com
- Phone: 18602726300
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Entinostat with Pyrotinib and Endocrine Therapy in HER2-positive, HR-positive Advanced Breast Cancer after Trastuzumab Failure
This study tests whether adding entinostat to pyrotinib and hormone therapy is safe and helps patients with advanced HR+/HER2+ breast cancer who progressed after trastuzumab.
-
Pyrotinib and Trastuzumab with Dalpiciclib vs with Docetaxel in advanced HER2-positive breast cancer
This study tests whether an oral regimen of pyrotinib + subcutaneous trastuzumab + dalpiciclib works as well as the standard IV regimen with docetaxel in people with advanced HER2-positive breast cancer who have limited prior treatment.
-
Using blood ctDNA to compare two pre-surgery HER2-positive breast cancer regimens
We will test whether two different pre-surgery drug combinations clear tumor DNA from the blood better in people with HER2-positive early breast cancer.
-
Pyrotinib + Dalpiciclib + Letrozole for ER-positive, HER2-positive advanced breast cancer
This trial tests whether combining pyrotinib, dalpiciclib, and letrozole can help people with ER-positive, HER2-positive advanced breast cancer.
-
Evaluating Pyrotinib for HER2-positive Advanced Breast Cancer
This study is testing if a new drug called Pyrotinib, given with standard chemotherapy, can help people with advanced HER2-positive breast cancer feel better and improve their treatment outcomes.
-
Evaluating Pyrotinib dosing for advanced HER2-positive breast cancer
This study is testing if a lower dose of Pyrotinib is safer and just as effective as the standard dose for people with advanced HER2-positive breast cancer.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.