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Cancer of PancreasNCT02681601

Nutrition Support to Improve Outcomes in Patients With Unresectable Pancreatic Cancer

A study testing Nutrawell Powder, Diet Only and OmegaRich fish oil supplement in people with Cancer of Pancreas, run by Jonsson Comprehensive Cancer Center at 1 site in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

There are few well-designed studies evaluating the effect of nutrition support in patients with cancer cachexia. The aim of this study is to examine the effect of dietary prescription with and without nutrition supplementation in patients with unresectable pancreatic cancer on body weight, body composition, total… Read more about this study

Who is it for?
Ages 18 to 75 years, men only
Conditions the study is for
Cancer of Pancreas
What is being tested?
Nutrawell Powder, Diet Only and OmegaRich fish oil supplement
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
2 participants
Where
1 siteUnited States
Study dates
19 Jul 2016to 1 Oct 2021
Phase
Interventional
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 to 75 years
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Unresectable pancreatic adenocarcinoma
  • Weight loss of greater than 5% in the previous 6 months
  • Life expectancy of greater than 3 months and a Karnofsky performance score of 60 or more.
  • Non-smokers

Who cannot join

  • Chemotherapy other than gemcitabine
  • Radiotherapy, or surgical treatment in the previous month
  • Consumption of dietary supplements or medications such as steroids that could affect metabolism.
  • Presence of ascites
  • Liver function test > 2 standard deviation of upper limit
  • Chronic or acute renal insufficiency
Show all 12Show fewer
  • Severe anemia with hemoglobin<10
  • Uncontrolled pain
  • Uncontrolled nausea and vomiting
  • Participation in a therapeutic research study within 30 days of baseline
  • Diet restrictions including vegetarianism and veganism
  • Allergy or intolerance to fish and/or fish oil

Trial locations and contacts

1 site in 1 country.

United States1 site
  • UCLA Department of Medicine Center for Human Nutrition

    Los Angeles, California, 90095

Other trials in United States

About this study

There are few well-designed studies evaluating the effect of nutrition support in patients with cancer cachexia. The aim of this study is to examine the effect of dietary prescription with and without nutrition supplementation in patients with unresectable pancreatic cancer on body weight, body composition, total calorie intake, quality of life and blood inflammatory markers.

Read the detailed description

A total of 60 subjects will be recruited from The University of California Los Angeles (UCLA) Hirshberg Pancreatic Cancer Center, print and/or radio advertisements, UCLA campus wide e-mail, and flyers posted on campus and in the community. Participants will be pre-screened over the telephone to determine eligibility. Eligible subjects will be asked to come to the Center for Human Nutrition for a Screening Visit.

At screening, informed consent and authorization will be reviewed and signed a medical history will be obtained. The subjects will be screened by medical history/physical exam, a fasting blood sample will be collected for a comprehensive metabolic panel, a complete blood count, chemistry and liver function tests.

Day 1 will be the first study day. Subjects will come to the UCLA Center for Human Nutrition in the fasting state and remain for approximately ~1 hour. The food intake record will be collected and entered into the Automated Self- Administered Food Recall (NIH ASA24). The vital signs, anthropometric assessments will be measured and quality of life questionnaire will be completed.

A fasting blood sample (20 ml) will be collected for metabolic panel and inflammatory markers. A 6-minute walk will be done at the research center.

Subjects will be evaluated by a registered dietitian and randomized to diet prescription (55% carbohydrate, 30% fat and 15% protein) vs. the same diet prescription including three servings of supplement powder and fish oil. The research dietitian will develop meal plans based on basal metabolic rate and physical activity. Subjects will be provided a pedometer to wear daily. Any subject in either group who develops symptoms of pancreatic insufficiency will be provided with pancreatic enzyme supplementation.

Day 28, 56, 84 and 112 will be follow-up visits. The same procedures will be performed as on day 1. Subjects will come to the UCLA Center for Human Nutrition in the fasting state and remain for approximately ~1 hour.

Being tested
Nutrawell Powder, Diet Only, OmegaRich fish oil supplement
Keywords
Diet, Food, and Nutrition
Medical subject headings
Pancreatic Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Nutrawell PowderDietary supplement

    The NutraWell nutrition powder will be provided by and distributed from New Health Nutraceuticals (Irvine, California - USA). Nutrawell is manufactured New Health Enterprises, Inc. The supplement sample will be stored at room temperature in the UCLA Center for Human Nutrition research unit.

    OmegaRich Contains high concentration and high purity of natural omega-3 polyunsaturated fatty acids: Eicosapenatenoic acid (EPA) and docosahexaenoic acid (DHA) from deep water fish.

    Enriched with natural vitamin E: d- tocopherol Triglyceride form (TG-form) of the raw fish oil ingredients. Each fish oil capsule contains 55% EPA and DHA with 330 mg EPA and 220 mg DHA.

  • Diet OnlyOther

    Subjects will be evaluated by a registered dietitian and randomized to diet prescription (55% carbohydrate, 30% fat and 15% protein)

  • OmegaRich fish oil supplementDietary supplement

    OmegaRich is manufactured New Health Enterprises, Inc. The supplement sample will be stored at room temperature in the UCLA Center for Human Nutrition research unit.

    OmegaRich Contains: high concentration and high purity of natural omega-3 polyunsaturated fatty acids: Eicosapenatenoic acid (EPA) and docosahexaenoic acid (DHA) from deep water fish.

    Enriched with natural vitamin E: d- tocopherol Triglyceride form (TG-form) of the raw fish oil ingredients. Each fish oil capsule contains 55% EPA and DHA with 330 mg EPA and 220 mg DHA.

Study groups in NCT02681601
Study groupRoleWhat they receive
Diet + Nutrawell Powder with Fish OilActive comparatorSubjects will be evaluated by a registered dietitian with a diet prescription (55% carbohydrate, 30% fat and 15% protein) including Nutrawell powder with fish oil.
Receives: Dietary Supplement: Nutrawell Powder; Dietary Supplement: OmegaRich fish oil supplement
Dietary Intervention OnlyActive comparatorSubjects will be evaluated by a registered dietitian with a diet prescription (55% carbohydrate, 30% fat and 15% protein) not including servings of Nutrawell powder with fish oil.
Receives: Other: Diet Only

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Anthropometric measurement: Weight

    Weight in Kilograms

    Measured: At each visit outlined for 3 months

  2. Anthropometric measurement: Body Composition

    Body Composition: kilogram weight of lean body mass

    Measured: At each visit outlined for 3 months

Secondary outcomes (11)
  1. Blood biochemistry

    complete blood count

    Measured: At each visit outlined for 3 months

  2. Blood biochemistry

    Blood electrolytes

    Measured: At each visit outlined for 3 months

  3. Blood biochemistry

    Liver function test

    Measured: At each visit outlined for 3 months

  4. Blood biochemistry

    Lipid panel

    Measured: At each visit outlined for 3 months

  5. Blood biochemistry

    Pancreatic tumor markers

    Measured: At each visit outlined for 3 months

  6. Blood biochemistry

    Inflammatory markers

    Measured: At each visit outlined for 3 months

  7. Physical activity

    All subjects will be provided a pedometer to record daily steps.

    Measured: At each visit outlined for 3 months

  8. Physical activity

    A 6 minute walk will be done at each visit.

    Measured: At each visit outlined for 3 months

  9. Physical activity

    Karnofsky performance score

    Measured: At each visit outlined for 3 months

  10. Quality of life: General

    Measured with short form health survey (SF36)

    Measured: At each visit outlined for 3 months

  11. Quality of life: Appetite

    Appetite will be measured on a numerical rating scale between 0 and 10, where 0 indicated absolutely no appetite and 10 indicated an extremely good appetite (Simons et al, 1996)

    Measured: At each visit outlined for 3 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Feb 2016 (estimated)
  2. Study start19 Jul 2016
  3. Primary completion1 Oct 2021
  4. Study completion1 Oct 2021

Why it stopped: low accrual

Resources

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 N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
2 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02681601
Sponsor's protocol ID
15-001926
Status last verified
Oct 2021
First submitted
27 Jan 2016
Last updated
3 Aug 2022
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Publications

  • Lillemoe KD. Palliative therapy for pancreatic cancer. Surg Oncol Clin N Am. 1998 Jan;7(1):199-216.

    PubMed 9443996
  • Capra S, Bauer J, Davidson W, Ash S. Nutritional therapy for cancer-induced weight loss. Nutr Clin Pract. 2002 Aug;17(4):210-3. doi: 10.1177/0115426502017004210.

    PubMed 16214989
  • Stratton RJ. Should food or supplements be used in the community for the treatment of disease-related malnutrition? Proc Nutr Soc. 2005 Aug;64(3):325-33. doi: 10.1079/pns2005439.

    PubMed 16048664
  • Fearon KC, Von Meyenfeldt MF, Moses AG, Van Geenen R, Roy A, Gouma DJ, Giacosa A, Van Gossum A, Bauer J, Barber MD, Aaronson NK, Voss AC, Tisdale MJ. Effect of a protein and energy dense N-3 fatty acid enriched oral supplement on loss of weight and lean tissue in cancer cachexia: a randomised double blind trial. Gut. 2003 Oct;52(10):1479-86. doi: 10.1136/gut.52.10.1479.

    PubMed 12970142
  • Cawood AL, Elia M, Stratton RJ. Systematic review and meta-analysis of the effects of high protein oral nutritional supplements. Ageing Res Rev. 2012 Apr;11(2):278-96. doi: 10.1016/j.arr.2011.12.008. Epub 2011 Dec 22.

    PubMed 22212388
  • Goldberg MF, Custis PH. Retinal and other manifestations of incontinentia pigmenti (Bloch-Sulzberger syndrome). Ophthalmology. 1993 Nov;100(11):1645-54. doi: 10.1016/s0161-6420(93)31422-3.

    PubMed 8233390
  • Kraft M, Kraft K, Gartner S, Mayerle J, Simon P, Weber E, Schutte K, Stieler J, Koula-Jenik H, Holzhauer P, Grober U, Engel G, Muller C, Feng YS, Aghdassi A, Nitsche C, Malfertheiner P, Patrzyk M, Kohlmann T, Lerch MM. L-Carnitine-supplementation in advanced pancreatic cancer (CARPAN)--a randomized multicentre trial. Nutr J. 2012 Jul 23;11:52. doi: 10.1186/1475-2891-11-52.

    PubMed 22824168
  • Donohoe CL, Ryan AM, Reynolds JV. Cancer cachexia: mechanisms and clinical implications. Gastroenterol Res Pract. 2011;2011:601434. doi: 10.1155/2011/601434. Epub 2011 Jun 13.

    PubMed 21760776
  • Kleponis J, Skelton R, Zheng L. Fueling the engine and releasing the break: combinational therapy of cancer vaccines and immune checkpoint inhibitors. Cancer Biol Med. 2015 Sep;12(3):201-8. doi: 10.7497/j.issn.2095-3941.2015.0046.

    PubMed 26487965
  • Simons JP, Aaronson NK, Vansteenkiste JF, ten Velde GP, Muller MJ, Drenth BM, Erdkamp FL, Cobben EG, Schoon EJ, Smeets JB, Schouten HC, Demedts M, Hillen HF, Blijham GH, Wouters EF. Effects of medroxyprogesterone acetate on appetite, weight, and quality of life in advanced-stage non-hormone-sensitive cancer: a placebo-controlled multicenter study. J Clin Oncol. 1996 Apr;14(4):1077-84. doi: 10.1200/JCO.1996.14.4.1077.

    PubMed 8648360

Questions about this trial

What is this clinical trial studying?

A study testing Nutrawell Powder, Diet Only and OmegaRich fish oil supplement in people with Cancer of Pancreas, run by Jonsson Comprehensive Cancer Center at 1 site in United States.

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 4 inclusion and 12 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: stopped early, as of the sponsor's last update on 3 Aug 2022. 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 United States. 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.

Are results available for this study?

The study was stopped early (reason given: low accrual). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Anthropometric measurement: Weight (time frame: At each visit outlined for 3 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02681601, which also lists 10 linked publications.

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 3 Aug 2022.

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