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Leukemia, Lymphocytic, AcuteNCT04940468

High- Fiber/ Low-fat Diet for Prevention of Recurrent Clostridioides Difficile Infection in Oncology

A study testing Diet Intervention in people with Leukemia, Lymphocytic, Acute and Leukemia, Myeloid, Acute, run by University of Colorado, Denver at 2 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record

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Trial summary

The primary objective of the study is to determine whether dietary intervention to increase fiber and decrease fat reduces C. difficile infection recurrence in a cohort of oncology patients. Read more about this study

Who is it for?
Ages 9 years and older
What is being tested?
Diet Intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
8 participants
Where
2 sitesUnited States
Study dates
21 Oct 2022to 12 Jan 2026
Phase
Interventional

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 9 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Diagnosis of a malignant neoplasm at the at Children's Hospital Colorado or the University of Colorado Hospital
  • Diagnosis of first time or first recurrent CDI as defined by clinical criteria within the past 21 days
  • Informed consent obtained and signed. For minors, the consent will be completed by a guardian and the study participant will sign the assent form. Only the consent form is required of adults.
  • 9 years old or older
  • 40th to 100th percentiles of saturated fat intake and below the 50th percentile for fiber intake based on a food frequency questionnaire.
  • Ability to comply with study procedures for the entire length of the study.

Who cannot join

None listed.

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Childrens Hospital Colorado

    Aurora, Colorado, 80045

  • University of Colorado Hospital

    Aurora, Colorado, 80045

Other trials in United States

About this study

Official title: Do Decreased Dietary Fat and Increased Fiber Reduce Recurrence of Clostridioides Difficile Infection in Oncology Patients?

The primary objective of the study is to determine whether dietary intervention to increase fiber and decrease fat reduces C. difficile infection recurrence in a cohort of oncology patients.

Read the detailed description

This is a randomized study. A total of 124 individuals with cancer and a first or second occurrence of C. difficile infection will be enrolled. Participants will be randomized to Arm 1 (Diet intervention) or Arm 2 (No diet intervention). Participants in Arm 1 will be assessed for food preferences and will be provided lists of foods with high fiber and high saturated fats. Participants will be able to choose foods from the high fiber food lists and groceries will be provided once per week to support each participant's meal plan. Participants will be asked to limit foods on the high saturated fats list. Food consumption with a 24 hour recall and weight will be monitored and stool samples will be collected one time per week for 6 weeks. In Arm 2, participants will be asked to provide 24 hour food recall and stool samples. Individuals in both arms will be monitored for stool consistency and any antibiotics or chemotherapy drugs taken. Participation will last 6 weeks.

Being tested
Diet Intervention
Medical subject headings
Precursor Cell Lymphoblastic Leukemia-Lymphoma, Leukemia, Myeloid, Acute, Lymphoma, Clostridium Infections

What participants receive

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

  • Diet InterventionOther

    The dietary fiber intake target will be 19 g/d for ages 9-18 and females age 19 and older and 23g/d for males age 19 and older.

Study groups in NCT04940468
Study groupRoleWhat they receive
Arm 1: Diet InterventionActive comparatorBased on participant food preferences, diet higher in fiber and lower in fat than the participant's typical diet will be provided.
Receives: Other: Diet Intervention
Arm 2: No Diet InterventionNo interventionNo diet changes will be made for participants

What is being measured

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

  1. Number of Participants With Recurrent C Difficile Infection

    Clinical diagnosis of recurrent C. difficile

    Measured: 6 weeks

Secondary outcomes (2)
  1. C. Difficile Toxins A and B

    Quantify toxins in stool using "Separate detection of C. difficile toxins A and B" kit (tgc Biomics)

    Measured: 6 weeks

  2. Fecal Microbiome

    Characterize the microbiome in fecal samples as using 16S rRNA targeted and shotgun metagenomic sequencing

    Measured: 6 weeks

Timeline

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

  1. First posted25 Jun 2021
  2. Study start21 Oct 2022
  3. Primary completion2 Jul 2025
  4. Study completion12 Jan 2026

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
8 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04940468
Sponsor's protocol ID
21-2851.cc
Other IDs
P30CA046934, U01AI150589-01A1
Status last verified
Aug 2026
First submitted
17 Jun 2021
Last updated
10 Sep 2026
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

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