This study evaluates the efficacy of the probiotic food supplement Vivomixx in the prevention of bone loss occurring in post menopausal women with breast cancer treated with an aromatase inhibitor. Half of the participants will receive Vivomixx while the other half will receive a placebo. The primary endpoint is to assess changes of bone turnover markers during the period of 6 months.
Aromatase inhibitors function to reduce estrogen levels. They are considered first-line treatment for postmenopausal women with estrogen receptor-positive breast cancer. Estrogen depletion leads to significant loss of bone mineral density and an increased fracture risk. One contributing mechanism to "estrogen deficiency associated bone loss" is the increase in systemic and local gut inflammatory responses upon estrogen deficiency. Probiotics have been shown to decrease inflammatory cytokine formation in both the systemic circulation and gut. Vivomixx is a high potency probiotic medical food designated for the dietary management of inflammatory gut conditions in adults and children and is currently being studied in clinical trials in a wide variety of inflammatory conditions such as asthma and diabetes. In preclinical studies Vivomixx has been shown to protect from estrogen deficient bone loss.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
40
Collagen type 1 cross-linked C-telopeptide (CTX)
Change in percent in CTX in serum compared to placebo
Time frame: 3-6 months
Serum type 1 procollagen (N-terminal) P1NP
Change in percent in serum in P1NP compared to placebo
Time frame: 3-6 months
Alkaline phosphatase/ bone specific alkaline phosphatase
Change in percent in alkaline phosphatase/ bone specific alkaline phosphatase in serum compared to placebo
Time frame: 3-6 months
Osteocalcin
Change in percent in osteocalcin in serum compared to placebo
Time frame: 3-6 months
Sclerostin
Change in percent in sclerostin in serum compared to placebo
Time frame: 3-6 months
Tumor-necrosis factor-alpha
Change in percent in tumor-necrosis factor-alpha in serum compared to placebo
Time frame: 3-6 months
Interleukin-17
Change in percent in interleukin-17 in serum compared to placebo
Time frame: 3-6 months
Receptor activator of nuclear factor kappa B ligand (RANK-ligand)
Change in percent in RANK-ligand in serum compared to placebo
Time frame: 3-6 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.