Follicular LymphomaPhase 2KLYMFNCT00455416
Dietary Intervention in Follicular Lymphoma
A Phase 2 study testing Omega 3 fatty acids (EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid)), Selenium (L-Selenomethionine), and Garlic extract (Allicin) in people with Follicular Lymphoma, run by Oslo University Hospital at 1 site in Norway.
Trial summary
A dietary intervention study in patients with Follicular Lymphoma (FL) Stage III/IV to assess the ability of several dietary factors to induce apoptosis, inhibit cell proliferation and modulate tumor cell infiltrate in vivo. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Follicular Lymphoma
- What is being tested?
- Omega 3 fatty acids (EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid)), Selenium (L-Selenomethionine), and Garlic extract (Allicin)
- How many people
- 45 participants
- Where
- 1 siteNorway
- Study dates
- Apr 2007to Dec 2009
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age 18 years or more.
- Permanent address in Norway, located in health region south or east. People living outside these areas in other health regions in Norway may be able to participate but after individual evaluation.
- Histologically verified follicular lymphoma grade I or II without clinical signs of transformation to aggressive lymphoma.
- Stage III/IV.
- Previously untreated or at least 1 year since rituximab treatment or 6 months since cytotoxic chemotherapy.
- Not scheduled for disease specific treatment for the next 3 months.
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- At least one pathological superficial lymph node available for ultrasound guided biopsy.
- Cytologically and/or immunocytologically compatible with follicular lymphoma.
- Women with childbearing potential, only with use of safe contraceptives
Who cannot join
- Gross abnormalities in blood samples. (Hematologic values Hgb< 10, leukocytes< 2,5, trombocytes <100, liver enzymes (ALAT,ASAT,GT,ALP) > 2,5 x upper normal values,bilirubin >35 creatinine >130)
- Other serious medical illness (unstable cardiovascular disease, unstable pulmonary disease, uncontrolled diabetes, autoimmunity, chronic infection or other active cancer).
- Use of NSAID, ASA the last two weeks prior to enrollment.
- Use of systemic corticosteroids the last two months prior to enrollment.
- Regular use of anticoagulants as LMW Heparin or warfarin.
- Use of carbamazepin, nifedipin and other drugs metabolized with CYP 3A4 where interaction might cause hazardous side effects which cannot be controlled with serum measurements or organ function monitoring.
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- Inclusion in another clinical trial which involves medication or nutritional supplements.
- Use of complementary medicine/alternative medicine which includes high dose* vitamins or antioxidants/nutritional supplements 2 weeks prior to sampling procedures .
- Regularly use of omega 3 fatty acids more than 1g / day
- History of serious or unstable medical or psychiatric disorder.
- History of heavy alcohol consumption > 3 units / day.
- Pregnancy
- Individuals judged by the clinical investigator to be unable to follow instructions and procedures of the study.
- (high dose is defined as vitamins or antioxidant supplements exceeding what is present in regular multi-vitamin supplements covering regular RDAs)
Trial locations and contacts
1 site in 1 country.
Norway1 site, 1 recruiting
- Recruiting
RRHF RIkshospitalet Radiumhospitalet HF
Montebello, Oslo, 0310
Kjell Magne Russnes, MD, +4722934000, k.m.russnes@medisin.uio.no
Harald JR Holte, MD, PhD, +4722934000, harald.holte@radiumhospitalet.no
About this study
Official title: Dietary Intervention in Stage III/IV Follicular Lymphoma. Impact on Markers of Cell Proliferation, Apoptosis, Host Immune Cell Infiltrate and Oxidative Stress.
A dietary intervention study in patients with Follicular Lymphoma (FL) Stage III/IV to assess the ability of several dietary factors to induce apoptosis, inhibit cell proliferation and modulate tumor cell infiltrate in vivo.
Read the detailed description
Dietary factors plays an important role in the prevention of several diseases. The cardiovascular disease mortality have dropped dramatically the last 20 years, but the relative death rates from cancer remains fairly stable. There is reason to believe that factors in the tumors microenvironment is of great importance for the outcome of many malignant diseases, including FL. Factors predicting a poor outcome are associated with inflammation, oxidative stress which both impair the hosts immune response and produces growth stimulatory signals. In this open study with 45 patients to be included we seek to perform a dietary intervention with comparison of apoptosis rate, proliferation rate and immune cell infiltrate before and after the intervention period.
- Conditions
- Follicular Lymphoma
- Being tested
- Omega 3 fatty acids (EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid)), Selenium (L-Selenomethionine),, Garlic extract (Allicin), Pomegranate juice (ellagic acid), Grape juice (resveratrol, quercetin)
- Keywords
- Low grade lymphoma, Diet, Antioxidants, Non Hodgkin Lymphoma - Follicular Lymphoma grade 1&2 stage III/IV
- Medical subject headings
- Lymphoma, Follicular, Lymphoma, Non-Hodgkin
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Omega 3 fatty acids (EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid))Drug
Also called Nycoplus omega-3 1000mg
1000mgx5 daily
Selenium (L-Selenomethionine),Drug
Also called Solaray selenium 100mcg
100mcgx2 daily
Garlic extract (Allicin)Drug
Also called Circuline
6 garlic pearls daily
Pomegranate juice (ellagic acid)Drug
Also called Produced by:Tine Meierier.
Pomegranate juice 100%, 660ml /495 ml every second day.
Grape juice (resveratrol, quercetin)Drug
Also called Produced by Tine Meierier
Merlot grape juice 100%, 660ml /495 ml every second day
Green Tea (Epigallocathechin gallate)Drug
Also called Green tea - twinings java green tea
Green Tea. 2 cups daily
What is being measured
The primary outcome is the main question the study is designed to answer.
Apoptosis an proliferation rate in tumor cells,
Measured: At the end of intervention (week 16)
Secondary outcomes (1)
Levels of: proinflammatory cytokines,tumor immune cell infiltrate
Measured: Week 16
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Apr 2007 (estimated)
- Study startApr 2007
- Primary completionApr 2009 (estimated)
- Study completionDec 2009 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Follicular LymphomaStudies of the same condition, open and under way.
- More trials run by Oslo University HospitalThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 45 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Oslo University Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- University of Oslo
- Investigators
- Harald Jr. Holte, MD, PhD, Principal investigator, RRHF Rikshospitalet Radiumhospitalet HF
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00455416
- Sponsor's protocol ID
- Dietary intervention FL
- Acronym
- KLYMF
- Status last verified
- Apr 2007
- First submitted
- 2 Apr 2007
- Last updated
- 21 May 2008
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 21 May 2008. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Dietary Intervention in Stage III/IV Follicular Lymphoma. Impact on Markers of Cell Proliferation, Apoptosis, Host Immune Cell Infiltrate and Oxidative Stress.
- ClinicalTrials.gov ID
- NCT00455416
- Acronym / sponsor ID
- KLYMF / Dietary intervention FL
- Conditions
- Follicular Lymphoma
- Keywords
- Low grade lymphoma, Diet, Antioxidants, Non Hodgkin Lymphoma - Follicular Lymphoma grade 1&2 stage III/IV
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 45 participants (estimated)
- Lead sponsor
- Oslo University HospitalUniversity, hospital or other
- Collaborators
- University of Oslo
- Study start
- Apr 2007
- Primary completion
- Apr 2009 (estimated)
- Study completion
- Dec 2009 (estimated)
- First posted
- 3 Apr 2007 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A dietary intervention study in patients with Follicular Lymphoma (FL) Stage III/IV to assess the ability of several dietary factors to induce apoptosis, inhibit cell proliferation and modulate tumor cell infiltrate in vivo.
Detailed description
Dietary factors plays an important role in the prevention of several diseases. The cardiovascular disease mortality have dropped dramatically the last 20 years, but the relative death rates from cancer remains fairly stable. There is reason to believe that factors in the tumors microenvironment is of great importance for the outcome of many malignant diseases, including FL. Factors predicting a poor outcome are associated with inflammation, oxidative stress which both impair the hosts immune response and produces growth stimulatory signals. In this open study with 45 patients to be included we seek to perform a dietary intervention with comparison of apoptosis rate, proliferation rate and immune cell infiltrate before and after the intervention period.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Age 18 years or more.
- Permanent address in Norway, located in health region south or east. People living outside these areas in other health regions in Norway may be able to participate but after individual evaluation.
- Histologically verified follicular lymphoma grade I or II without clinical signs of transformation to aggressive lymphoma.
- Stage III/IV.
- Previously untreated or at least 1 year since rituximab treatment or 6 months since cytotoxic chemotherapy.
Key exclusion criteria (14 listed)
- Gross abnormalities in blood samples. (Hematologic values Hgb< 10, leukocytes< 2,5, trombocytes <100, liver enzymes (ALAT,ASAT,GT,ALP) > 2,5 x upper normal values,bilirubin >35 creatinine >130)
- Other serious medical illness (unstable cardiovascular disease, unstable pulmonary disease, uncontrolled diabetes, autoimmunity, chronic infection or other active cancer).
- Use of NSAID, ASA the last two weeks prior to enrollment.
- Use of systemic corticosteroids the last two months prior to enrollment.
- Regular use of anticoagulants as LMW Heparin or warfarin.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Omega 3 fatty acids (EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid))Also: Nycoplus omega-3 1000mg1000mgx5 daily | Drug | – |
| Selenium (L-Selenomethionine),Also: Solaray selenium 100mcg100mcgx2 daily | Drug | – |
| Garlic extract (Allicin)Also: Circuline6 garlic pearls daily | Drug | – |
| Pomegranate juice (ellagic acid)Also: Produced by:Tine Meierier.Pomegranate juice 100%, 660ml /495 ml every second day. | Drug | – |
| Grape juice (resveratrol, quercetin)Also: Produced by Tine MeierierMerlot grape juice 100%, 660ml /495 ml every second day | Drug | – |
| Green Tea (Epigallocathechin gallate)Also: Green tea - twinings java green teaGreen Tea. 2 cups daily | Drug | – |
Primary outcome
Apoptosis an proliferation rate in tumor cells,
Time frame: At the end of intervention (week 16)
1 secondary outcome
Levels of: proinflammatory cytokines,tumor immune cell infiltrate
Time frame: Week 16
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 May 2008.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Harald Jr. Holte, MD, PhD principal investigator
RRHF Rikshospitalet Radiumhospitalet HF
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Omega 3 fatty acids (EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid)), Selenium (L-Selenomethionine), and Garlic extract (Allicin) in people with Follicular Lymphoma, run by Oslo University Hospital at 1 site in Norway.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 21 May 2008. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Norway. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Kjell Magne Russnes, MD (+4722934000, k.m.russnes@medisin.uio.no), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Apoptosis an proliferation rate in tumor cells, (time frame: At the end of intervention (week 16)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 May 2008.