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Gut Health in Children With Cancer

This study aims to understand how cancer treatment affects a child's gut health and how quickly it gets back to normal. When children receive treatment for cancers like AML, HLH, or Burkitt Lymphoma/Leukemia, the powerful medicines designed to kill cancer cells can also impact the gut. This can lead to problems like soreness and make it harder for the body to absorb nutrients. Researchers at Great Ormond Street Hospital will observe changes in gut health and nutrition during treatment and recovery. The goal is to learn more about how to support children's gut health, helping them recover better and leading to improved care guidelines for healthcare professionals in the future.

At a glance

Status
Recruiting
Sponsor
Great Ormond Street Hospital for Children NHS Foundation Trust
Enrolment target
40
Start
30 Jan 2025
Estimated completion
30 Oct 2026

What is this study about?

When children are being treated for certain types of cancer, like Acute Myelogenous Leukaemia (AML), HLH, or Burkitt Lymphoma/Leukemia, they receive strong medications, often called chemotherapy. While these medicines are vital for fighting cancer, they can sometimes affect other parts of the body, including the gut. The 'gut' refers to your child's digestive system, which contains trillions of tiny living things called microbes (often called the 'gut microbiome'). These microbes are incredibly important for digestion, fighting off bad germs, and even affecting overall health.

The powerful cancer treatments can sometimes cause soreness and inflammation in the gut lining, a condition known as mucositis. This can make it difficult for the gut to work properly, leading to problems absorbing nutrients from food. Sometimes, children might even need to receive nutrition through a feeding tube or directly into their veins. This study wants to understand how these treatments, along with eating and nutrition, affect your child's gut health during treatment and as they begin to recover.

Researchers will observe what happens to your child's nutrition and gut health during their regular hospital appointments at Great Ormond Street Hospital. By understanding these changes, especially how the gut recovers after treatment, the aim is to develop better guidelines for doctors and nurses. These guidelines will help healthcare professionals support children's gut health more effectively, leading to better outcomes and a smoother recovery journey for young patients.

Key takeaways

  • Study focuses on how cancer treatment affects children's gut health.
  • Aims to understand how gut health recovers after treatment.
  • Looks at the link between nutrition and gut health during cancer care.
  • Data collection happens during routine hospital appointments.
  • Findings could lead to improved care guidelines for children with cancer.
  • No new treatments or medications are given as part of this study.

Who may be eligible?

This study is looking for children aged between 1 month and 16 years old. They must have a diagnosis of Acute Myelogenous Leukaemia (AML), HLH, or Burkitt Lymphoma/Leukemia.

Your child can't take part if they are aged 17 or older. Also, if your child has an inflammatory bowel disease, such as Crohn's disease or ulcerative colitis, they won't be able to join. Finally, children who have already received chemotherapy treatment at another hospital are not suitable for this study.

Quick self-check
  • Is your child aged between 1 month and 16 years old?
  • Has your child been diagnosed with AML, HLH, or Burkitt Lymphoma/Leukemia?
  • Does your child NOT have inflammatory bowel disease (like Crohn's or ulcerative colitis)?
  • Has your child NOT received chemotherapy treatment at another hospital already?

This is a guide only — the research team will confirm whether you can take part.

What does participation involve?

If your child takes part in this study, their gut health and nutrition will be monitored during their routine medical appointments at Great Ormond Street Hospital. This will involve researchers taking measurements and observations during these regular visits. These measurements might include things like looking at samples (which will be explained to you) to understand the gut microbes, and monitoring your child's nutritional status. There are no new treatments or medications given as part of this study; it's purely about observing and collecting information. The total duration of your child's participation will depend on the length of their treatment and recovery, but all assessments will be tied to their existing hospital appointments.

Potential risks and benefits

The main benefit of taking part is contributing valuable information that could help improve care for other children with cancer in the future, by helping us understand how best to support their gut health and recovery. As this is an observational study, there are no new medical treatments involved, so the direct medical risks are very low. Any procedures will be explained fully if your child is eligible. You and your child have the right to withdraw from the study at any time, for any reason, without it affecting their medical care.

Locations (1)

  • Great Ormond Street Hospital
    London, United Kingdom· Recruiting

Common questions

What is 'gut health' in simple terms?

Gut health refers to the balance of good and bad tiny living things (microbes) in your child's digestive system, which helps them digest food, absorb nutrients, and stay well.

What is mucositis?

Mucositis is when the lining of the gut becomes sore and inflamed, often as a side effect of cancer treatment, making it harder to eat and digest food.

Will my child receive new medicine in this study?

No, this study is about observing and learning from your child's natural treatment and recovery; no new medications or experimental treatments are given.

How will my child's gut health be monitored?

Monitoring will involve taking measurements and samples during your child's regular hospital visits to understand how their gut microbes and nutrition are changing.

How will this study help children in the future?

By understanding more about how treatment affects gut health, doctors can develop better advice and care plans to help children recover more effectively.

How to find out more

Graeme O'Connor, PhD

Always speak to your GP or specialist before deciding to take part in a study.

Interested in taking part?

Register your interest

Share your details and the research team for "Gut Health in Children With Cancer…" will contact you if you may be eligible. Always speak to your GP before agreeing to take part.

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