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CTRI Number  CTRI/2025/04/086081 [Registered on: 30/04/2025] Trial Registered Prospectively
Last Modified On: 20/02/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Nutraceutical
Other (Specify) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   The study tests whether BugSpeaks®, a personalized diet based on gut bacteria, can improve the quality of life of cervical cancer patients undergoing chemo-radiotherapy. 
Scientific Title of Study   A prospective, randomized, open label study to evaluate safety and efficacy of BugSpeaks®, a microbiota based personalised diet on the quality of life of patients undergoing concurrent chemo-radiotherapy for Carcinoma Cervix of squamous histology. 
Trial Acronym  NA 
Secondary IDs if Any  
Secondary ID  Identifier 
PRPL- BUGSPEAKS-01-2024  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Siddhartha Nanda 
Designation  Professor and HOD, Department of Radiation Oncology 
Affiliation  All India Institute of Medical Sciences, Raipur 
Address  B1 Block, Room Number 5, Department of Radiation Oncology, AIIMS, Gate number 1, Tatibandh

Raipur
CHHATTISGARH
492099
India 
Phone  919713711888  
Fax    
Email  sidnanda@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Debojyoti Dhar 
Designation  Co-Founder & Director (Business Development and Innovation) 
Affiliation  Leucine Rich Bio Pvt Ltd 
Address  2nd Floor,HSG Anush,33, 15th Main Road, JP Nagar,4th Phase, Bangalore

Bangalore
KARNATAKA
560078
India 
Phone  981839509  
Fax    
Email  ddhar@leucinerichbio.com  
 
Details of Contact Person
Public Query
 
Name  Dr Mukul Maurya 
Designation  Director 
Affiliation  ProClin Research Private Limited 
Address  2nd Floor,Plot Number 1 Nevri Hills, Gufa Mandir Road, Lalghati

Bhopal
MADHYA PRADESH
462030
India 
Phone  7032802286  
Fax    
Email  mukul@proclinresearch.com  
 
Source of Monetary or Material Support  
Leucine Rich Bio Pvt Ltd, 2nd Floor, HSG Anush, 33, 15th Main Road, JP Nagar, 4th Phase, Bangalore - 560078  
 
Primary Sponsor  
Name  Leucine Rich Bio Pvt Ltd 
Address  2nd Floor, HSG Anush, 33, 15th Main Road, JP Nagar, 4th Phase, Bangalore - 560078 
Type of Sponsor  Other [Diagnostic Manufacturer ] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Siddhartha Nanda  All India Institute of Medical Sciences, Raipur  B1 Block, Room Number 5, Department of Radiation Oncology, AIIMS, Gate number 1, Tatibandh
Raipur
CHHATTISGARH 
9713711888

sidnanda@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute Ethics Committee, AIIMS Raipur  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C539||Malignant neoplasm of cervix uteri, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  BugSpeaks® based personalized nutrition  BugSpeaks®, is a non-invasive gut microbiota profiling test which profiles the gut microbiota and provides personalised nutritional recommendation based on the gut microbiota. 
Comparator Agent  Routine Nutrition  A Regular Diet refers to the usual dietary pattern that participants were following before enrolling in the study. During the study, participants will be required to continue with the same regular diet without any modifications.  
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  99.00 Year(s)
Gender  Female 
Details  1)Cervical Cancer(Of Squamous Histology) Stage III and IV, Undergoing chemoradiotherapy.
2) Signed Informed Consent Form.
3)Patients who agrees to follow personalised diet for 3 months.
4) Karnofsky Performance Score Greater than 70. 
 
ExclusionCriteria 
Details  1) Individuals with Gastritis, Colitis, Irritable Bowel Syndrome, Pseudomembranous Colitis and Crohns disease.
2) Individuals with autoimmune diseases and or under treatment with corticosteroids and or immunosuppressants.
3)Individuals with major surgeries within the last 1 month or gastrointestinal surgery in the last 3month.
4)Operated patients for carcinoma cervix.
5) Individuals undergoing dietary restriction and or pharmacological treatment for the decrease of body weight 2 months prior to the beginning of the study.
6) Women on Oral contraceptive Pills.
7) Individuals with Intensive Physical Activity (More than 2 hours,3 times per week).
8) Individual taking prebiotics or probiotics during the 4 weeks prior to the beginning of the study.
9) Alcoholic or Drug addicted Individuals.
10) Individuals with regular use of Laxatives ( More than 2 times per week) 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To study the effects of microbiota based personalised diet on quality-of-life parameters of cervical cancer patients undergoing chemo and radiotherapy.  Day 1 to day 90 
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate any Adverse Event or Discomfort occurring due to BugSpeaks® based personalised nutrition.  Day 1 to day 90 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   12/05/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Malnutrition and muscle wasting are frequently reported in cancer patients, either linked to the tumour itself or caused by oncologic therapies. Understanding the value of nutritional care during cancer treatment remains crucial. In fact, cancer-associated sarcopenia plays a key role in determining higher rates of morbidity, mortality, treatment induced toxicities, prolonged hospitalizations and reduced adherence to anti cancer treatment, worsening quality of life and survival. Since many cancer patients suffer weight loss and are poorly nourished or initially sarcopenic, the importance of screening patients for malnutrition from the beginning of their treatment is well established, as lack of proper nutritional management may limit the response to even the most effective therapy.

More especially, muscle wasting, resulting from mechanical and functional disorders including the imbalance between catabolic and anabolic pathways, is associated with increased surgical complications, poor prognosis, greater treatment related toxicities, a poorer response to anti-cancer therapies, worse quality of life and length hospital stay, On the other hand, cancer therapies may affect the function and composition of gut microbiota, and can trigger dysbiosis affecting multiple metabolic pathways, thus weakening the immune response [6]. We will outline the role of gut microbiota in cancer therapies in terms of toxicity and treatment response and, in turn, how cancer therapies could impact gut microbiota composition and function and vice versa. In this context, we will explore the potential implications of personalized nutritional interventions based on the gut microbiota profile during cancer therapies [7-10]. In this study, we will ascertain how modulating the gut microbiota through nutritional intervention may improve the overall quality of life of the cancer patients and may also improve the efficacy of the treatment.
 
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