DementiaNCT05007730
Enhancing Health and Quality of Life for Individuals With Dementia Through Transitional-State Snacks
A study testing Transitional-state food therapeutic nutrition supplement in people with Dementia and Nutrition Poor, run by University of Oregon at 2 sites in United States.
Trial summary
Malnutrition significantly contributes to the disability and mortality associated with Alzheimer's disease and Alzheimer's disease-related dementias. Thus, nutritional status is one important, modifiable clinical factor for maintaining physical and cognitive health among persons with dementia (PWD). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Dementia, Nutrition Poor
- What is being tested?
- Transitional-state food therapeutic nutrition supplement
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 10 participants
- Where
- 2 sitesUnited States
- Study dates
- 1 Jun 2022to 3 Nov 2025
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Medically stable
- Community dwelling
- Has a medical diagnosis of dementia or possible dementia
Who cannot join
- Does not live at home
- Cannot participate in the protocol independently and do not have a consistent caregiver who can provide assistance
- Does not have smartphone access
- Requires 100% feeding assistance
- Is NPO (nil per os)
- Has multiple food allergies
- Requires a strict renal, low-fat, and/or no-salt diet
- Is deemed unsafe for the transitional-state foods by a speech-language pathologist
Trial locations and contacts
2 sites in 1 country.
United States2 sites
University of Oregon
Eugene, Oregon, 97403
Oregon Health & Science University
Portland, Oregon, 97239
About this study
Malnutrition significantly contributes to the disability and mortality associated with Alzheimer's disease and Alzheimer's disease-related dementias. Thus, nutritional status is one important, modifiable clinical factor for maintaining physical and cognitive health among persons with dementia (PWD). This project will pilot an innovative approach to enhancing nutrition through the use of transitional-state snack supplements, or foods that start as one texture and change to another.
Specifically, this study aims to demonstrate the feasibility, acceptability, and safety of a transitional-state therapeutic nutrition supplement among adults with dementia. The central hypothesis is that access to ready-made, savory, nutrient- dense snack supplements that resemble "typical" preferred foods and eating habits will result in improved nutritional intake and status among PWD.
- Conditions
- Dementia, Nutrition Poor
- Being tested
- Transitional-state food therapeutic nutrition supplement
- Keywords
- Caregiver
- Medical subject headings
- Dementia, Malnutrition
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Transitional-state food therapeutic nutrition supplementDietary supplement
Participants will consume at least one "snack-sized" package of the transitional-state food supplements per day across the intervention trial.
| Study group | Role | What they receive |
|---|---|---|
| Intervention Arm | Experimental | Not described Receives: Dietary Supplement: Transitional-state food therapeutic nutrition supplement |
What is being measured
The primary outcome is the main question the study is designed to answer.
Participant enrollment rates (%)
The percentage of participants enrolled (i.e., who meet all eligibility criteria) as compared to the total number of participants who are recruited (i.e., initiate contact with the research team)
Measured: Measured during recruitment (at baseline, prior to study onset; week 0)
Proportion of participants deemed eligible to consume transitional-state foods
Instrumental swallowing assessments will be conducted for each participant by a licensed speech-language pathologist to determine whether the potential participant can safely consume transitional-state foods based on their swallowing physiology. The number of potential participants deemed eligible to consume this consistency of food will be compared to the total number of potential participants receiving the swallow study.
Measured: Prior to enrollment (to determine eligibility at baseline, prior to study onset; week 0)
Participant retention rates (%)
The percentage of participants retained (i.e., who who remain enrolled and participate for the duration of the study) as compared to the total number of participants who are enrolled
Measured: Measured at the end of the study (post-intervention, after 8 weeks of snack consumption)
Change in acceptability of nutrition supplements
Using a Likert (5 point) rating scale, participants will rate their acceptability of the nutrition supplements each week. Change in acceptability will be calculated over the length of the study (e.g., increased or decreased acceptability over time)
Measured: Measured weekly for enrolled participants (weeks 1, 2, 3, 4, 5, 6, 7, 8)
Number of test snacks consumed each week
As a measured of adherence to the protocol, participants will document the total number of test snacks consumed each week (protocol is for at least one snack per day)
Measured: Measured weekly for enrolled participants (weeks 1, 2, 3, 4, 5, 6, 7, 8)
Secondary outcomes (8)
Change in malnutrition status (not present, present, moderate, severe)
Malnutrition status (not present, present, moderate, severe) will be assessed via a nutrition-focused physical exam (NFPE) by a registered dietitian. The exams will be guided by the recommendations of the American Society for Parenteral and Enteral Nutrition (ASPEN) in conjunction with the Academy of Nutrition and Dietetics (AND) and use the following characteristics for diagnosing malnutrition: insufficient energy intake, weight loss, loss of muscle mass, loss of subcutaneous fat, fluid accumulation, and diminished functional status. Using published definitions of the six clinical characteristics, a diagnosis of severe malnutrition, moderate malnutrition, or not malnourished will be made.
Measured: Measured at baseline (study onset) and post-intervention (end of study after 8 weeks of snack consumption)
Change in malnutrition risk score
A malnutrition risk score will be calculated using the Mini Nutritional Assessment-Short Form (MNA-SF). Using the information collected by a registered dietitian during a nutrition-focused physical exam, the MNA-SF will be scored; the MNA-SF is a six-item, validated, and reliable screening tool for malnutrition risk.
Measured: Measured at baseline (study onset) and post-intervention (end of study after 8 weeks of snack consumption)
Change in daily energy intake (kcal/d)
Daily energy intake (in kcal/d) will be calculated based on photo-assisted, 24-hour dietary recalls completed via telephone. Three recalls will take place over the course of 2 weeks for each time point of interest.
Measured: Baseline (study onset), mid-intervention (approximately 4 weeks into the trial), post-intervention (end of study after 8 weeks of snack consumption)
Change in fat intake (g/d)
Daily fat intake (in g/d) will be calculated based on photo-assisted, 24-hour dietary recalls completed via telephone. Three recalls will take place over the course of 2 weeks for each time point of interest.
Measured: Baseline (study onset), mid-intervention (approximately 4 weeks into the trial), post-intervention (end of study after 8 weeks of snack consumption)
Change in protein intake (g/d)
Daily protein intake (in g/d) will be calculated based on photo-assisted, 24-hour dietary recalls completed via telephone. Three recalls will take place over the course of 2 weeks for each time point of interest.
Measured: Baseline (study onset), mid-intervention (approximately 4 weeks into the trial), post-intervention (end of study after 8 weeks of snack consumption)
Change in carbohydrate intake (g/d)
Daily carbohydrate intake (in g/d) will be calculated based on photo-assisted, 24-hour dietary recalls completed via telephone. Three recalls will take place over the course of 2 weeks for each time point of interest.
Measured: Baseline (study onset), mid-intervention (approximately 4 weeks into the trial), post-intervention (end of study after 8 weeks of snack consumption)
Change in calcium intake (mg/d)
Daily calcium intake (in mg/d) will be calculated based on photo-assisted, 24-hour dietary recalls completed via telephone. Three recalls will take place over the course of 2 weeks for each time point of interest.
Measured: Baseline (study onset), mid-intervention (approximately 4 weeks into the trial), post-intervention (end of study after 8 weeks of snack consumption)
Change in vitamin D intake (mg/d)
Daily vitamin D intake (in mg/d) will be calculated based on photo-assisted, 24-hour dietary recalls completed via telephone. Three recalls will take place over the course of 2 weeks for each time point of interest.
Measured: Baseline (study onset), mid-intervention (approximately 4 weeks into the trial), post-intervention (end of study after 8 weeks of snack consumption)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Aug 2021
- Study start1 Jun 2022
- Primary completion3 Nov 2025
- Study completion3 Nov 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for DementiaStudies of the same condition, open and under way.
- 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 N/A
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 10 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Oregon
- Sponsor type
- University, hospital or other
- Collaborators
- Oregon Health and Science University, Oregon Partnership for Alzheimer's Research
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05007730
- Sponsor's protocol ID
- 02042020.009
- Status last verified
- Dec 2025
- First submitted
- 28 Jul 2021
- Last updated
- 18 Dec 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Barewal R, Shune S, Ball J, Kosty D. A Comparison of Behavior of Transitional-State Foods Under Varying Oral Conditions. Dysphagia. 2021 Apr;36(2):316-324. doi: 10.1007/s00455-020-10135-w. Epub 2020 May 26.
PubMed 32458146
Study at a glance
From the registry record, last updated by the sponsor on 18 Dec 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Enhancing Health and Quality of Life for Individuals With Dementia Through Transitional-State Snacks
- ClinicalTrials.gov ID
- NCT05007730
- Acronym / sponsor ID
- 02042020.009
- Conditions
- Dementia, Nutrition Poor
- Keywords
- Caregiver
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 10 participants (actual)
- Lead sponsor
- University of OregonUniversity, hospital or other
- Collaborators
- Oregon Health and Science University, Oregon Partnership for Alzheimer's Research
- Study start
- 1 Jun 2022 (actual)
- Primary completion
- 3 Nov 2025 (actual)
- Study completion
- 3 Nov 2025 (actual)
- First posted
- 16 Aug 2021 (actual)
- 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.
Malnutrition significantly contributes to the disability and mortality associated with Alzheimer's disease and Alzheimer's disease-related dementias. Thus, nutritional status is one important, modifiable clinical factor for maintaining physical and cognitive health among persons with dementia (PWD). This project will pilot an innovative approach to enhancing nutrition through the use of transitional-state snack supplements, or foods that start as one texture and change to another.
Specifically, this study aims to demonstrate the feasibility, acceptability, and safety of a transitional-state therapeutic nutrition supplement among adults with dementia. The central hypothesis is that access to ready-made, savory, nutrient- dense snack supplements that resemble "typical" preferred foods and eating habits will result in improved nutritional intake and status among PWD.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Intervention Arm | Experimental | Dietary Supplement: Transitional-state food therapeutic nutrition supplement |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Medically stable
- Community dwelling
- Has a medical diagnosis of dementia or possible dementia
Key exclusion criteria (8 listed)
- Does not live at home
- Cannot participate in the protocol independently and do not have a consistent caregiver who can provide assistance
- Does not have smartphone access
- Requires 100% feeding assistance
- Is NPO (nil per os)
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 |
|---|---|---|
| Transitional-state food therapeutic nutrition supplementParticipants will consume at least one "snack-sized" package of the transitional-state food supplements per day across the intervention trial. | Dietary supplement | Intervention Arm |
Primary outcome
Participant enrollment rates (%)
Time frame: Measured during recruitment (at baseline, prior to study onset; week 0)
The percentage of participants enrolled (i.e., who meet all eligibility criteria) as compared to the total number of participants who are recruited (i.e., initiate contact with the research team)
Proportion of participants deemed eligible to consume transitional-state foods
Time frame: Prior to enrollment (to determine eligibility at baseline, prior to study onset; week 0)
Instrumental swallowing assessments will be conducted for each participant by a licensed speech-language pathologist to determine whether the potential participant can safely consume transitional-state foods based on their swallowing physiology. The number of potential participants deemed eligible to consume this consistency of food will be compared to the total number of potential participants receiving the swallow study.
Participant retention rates (%)
Time frame: Measured at the end of the study (post-intervention, after 8 weeks of snack consumption)
The percentage of participants retained (i.e., who who remain enrolled and participate for the duration of the study) as compared to the total number of participants who are enrolled
Change in acceptability of nutrition supplements
Time frame: Measured weekly for enrolled participants (weeks 1, 2, 3, 4, 5, 6, 7, 8)
Using a Likert (5 point) rating scale, participants will rate their acceptability of the nutrition supplements each week. Change in acceptability will be calculated over the length of the study (e.g., increased or decreased acceptability over time)
Number of test snacks consumed each week
Time frame: Measured weekly for enrolled participants (weeks 1, 2, 3, 4, 5, 6, 7, 8)
As a measured of adherence to the protocol, participants will document the total number of test snacks consumed each week (protocol is for at least one snack per day)
8 secondary outcomes
Change in malnutrition status (not present, present, moderate, severe)
Time frame: Measured at baseline (study onset) and post-intervention (end of study after 8 weeks of snack consumption)
Change in malnutrition risk score
Time frame: Measured at baseline (study onset) and post-intervention (end of study after 8 weeks of snack consumption)
Change in daily energy intake (kcal/d)
Time frame: Baseline (study onset), mid-intervention (approximately 4 weeks into the trial), post-intervention (end of study after 8 weeks of snack consumption)
Change in fat intake (g/d)
Time frame: Baseline (study onset), mid-intervention (approximately 4 weeks into the trial), post-intervention (end of study after 8 weeks of snack consumption)
Change in protein intake (g/d)
Time frame: Baseline (study onset), mid-intervention (approximately 4 weeks into the trial), post-intervention (end of study after 8 weeks of snack consumption)
Change in carbohydrate intake (g/d)
Time frame: Baseline (study onset), mid-intervention (approximately 4 weeks into the trial), post-intervention (end of study after 8 weeks of snack consumption)
Change in calcium intake (mg/d)
Time frame: Baseline (study onset), mid-intervention (approximately 4 weeks into the trial), post-intervention (end of study after 8 weeks of snack consumption)
Change in vitamin D intake (mg/d)
Time frame: Baseline (study onset), mid-intervention (approximately 4 weeks into the trial), post-intervention (end of study after 8 weeks of snack consumption)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Dec 2025.
- Background: PubMed 32458146Barewal R, Shune S, Ball J, Kosty D. A Comparison of Behavior of Transitional-State Foods Under Varying Oral Conditions. Dysphagia. 2021 Apr;36(2):316-324. doi: 10.1007/s00455-020-10135-w. Epub 2020 May 26.
- Individual participant dataSharing planned: No
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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.
The record lists no contact. Use the official record to reach the sponsor.
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Transitional-state food therapeutic nutrition supplement in people with Dementia and Nutrition Poor, run by University of Oregon at 2 sites 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 3 inclusion and 8 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: finished, as of the sponsor's last update on 18 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites 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 is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Participant enrollment rates (%) (time frame: Measured during recruitment (at baseline, prior to study onset; week 0)). The study lists 5 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 NCT05007730, which also lists 1 linked publication.
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 18 Dec 2025.