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Testing a high-fiber diet program for women with triple-negative breast cancer on immunotherapy

Tests whether women with triple-negative breast cancer can switch to a high-fiber diet.

Plain-language title generated from the registry record
Registry title: Feasibility of a Lifestyle Intervention for Women With Triple-negative Breast Cancer Under Neoadjuvant Immunotherapy

Key facts

Where
Essen, GermanySee the site

Could this be for you?

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 18 and 75 years old?

Source: NCT07311083, who can take part

Where in Germany

  • Evang. Kliniken Essen-Mitte gGmbhEssen, GermanyTaking people

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?
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Trial details

Who runs it
Kliniken Essen-Mitte
Trial code
NCT07311083
Record updated
27 October 2026
Original description
Triple-negative breast cancer (TNBC) is considered a tumor with a high risk of recurrence and metastasis and requires aggressive systemic therapy combining immunotherapy and chemotherapy. If the therapy leads to complete remission (pCR), this is prognostically beneficial for patients.Read full original descriptionShow less

Feasibility of a Lifestyle Intervention to Switch to a High-fiber, Gut-healthy Diet in Women With Triple-negative Breast Cancer Undergoing Neoadjuvant Immunotherapy: a Randomized Controlled Trial

Triple-negative breast cancer (TNBC) is considered a tumor with a high risk of recurrence and metastasis and requires aggressive systemic therapy combining immunotherapy and chemotherapy. If the therapy leads to complete remission (pCR), this is prognostically beneficial for patients.

Studies demonstrating the influence of the microbiome on the development of cancer and on the efficacy and toxicity of immunotherapy and chemotherapy underscore the potential of targeted nutritional interventions. Current data from microbiome research indicate that a high-fiber, gut-healthy diet modulates the microbiota in such a way that the response to and toxicity of immunotherapy and chemotherapy could be improved.

The aim of this project is to translate these findings into clinical care. The study will investigate whether an online integrative oncology group training program with mind-body elements supports and is feasible for the implementation of a high-fiber diet in patients with TNBC undergoing neoadjuvant immunotherapy and chemotherapy. The program will be compared with a control group that receives a flyer with nutritional recommendations. If the feasibility of this complementary medicine approach can be demonstrated, a confirmatory study is planned to investigate the expected effect on the pathological complete remission of TNBC.

Inclusion: Female patients aged 18-75; Histologically confirmed diagnosis of non-metastatic triple-negative breast cancer (TNM stage I-III) with planned neoadjuvant chemotherapy and immunotherapy; Willingness to participate in the study and signed consent form.

Exclusion: Abuse of drugs and/or alcohol; Advanced stage of disease with metastases; Severe physical or psychopharmacologically treated psychiatric comorbidity that prevents a patient from participating in the study; Eating disorders; Pregnancy; Participation in other clinical studies involving behavioral, psychological, or complementary medical interventions; A diet that is incompatible with a high-fiber diet, such as the ketogenic diet; Inability to complete the questionnaires independently; Colectomy; Gastrointestinal stenosis; Fructose intolerance; Histamine intolerance; Gluten intolerance; Ketogenic diet; Unwillingness to refrain from taking probiotics for the duration of the study; No laptop and/or camera available to participate in the online group training program.

ClinicalTrials.gov NCT07311083