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Breast Cancer FemaleEarly Phase 1NCT05331807

Omega-3 and Vitamin D Supplementation in Breast Cancer Women

A Early Phase 1 study testing Omega-3 FA, Vitamin D and Combined Omega-3 and Vitamin D Supplementation in people with Breast Cancer Female, run by Universiti Sains Malaysia at 1 site in Palestinian Territories.

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

Breast cancer (BC) is the most common malignant disease, which is fifth leading cause of cancer mortality worldwide. Poor nutritional status is one of the common physical symptoms found among cancer patients, in which it is caused by both cancer disease state and its oncology treatment regimens used. Read more about this study

Who is it for?
Ages 19 to 64 years, women only
Conditions the study is for
Breast Cancer Female
What is being tested?
Omega-3 FA, Vitamin D and Combined Omega-3 and Vitamin D Supplementation
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
88 participants
Where
1 sitePalestinian Territories
Study dates
20 Apr 2022to 31 Mar 2023
Phase
Early Phase 1
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 19 to 64 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Females who have been newly diagnosed with the breast cancer of stage I, II and III
  • Patients with following clinical diagnosis of breast cancer such as lymph node positive +ve, hormonal receptor negative -ve and human epidermal growth factor receptor 2 (HER2) negative -ve
  • Patient will receive her first chemotherapy treatment with Adriamycin + Cytoxan (AC) for a total of four cycle (each cycle will be carried-out every 3 weeks (21 days)

Who cannot join

  • Participants who had already undertaken her chemotherapy previously, and/or other oncology treatments such as hormonal or radiation oncology therapy
  • Patients with recurrent breast cancer, patients with other chronic disease conditions such as renal disease and under dialysis, HIV, malabsorption disorder diseases, autoimmune diseases, diabetes, hypertension, hepatic, parathyroid, and gastrointestinal disorders.
  • Patients who have reported any allergy condition to fish and/or fish products
  • Pregnant women

Trial locations and contacts

1 site in 1 country.

Palestinian Territories1 site
  • Turkish-Palestinian Friendship Hospital

    Al-Zahra', Gaza Strip, 890

Other trials in Palestinian Territories

About this study

Official title: The Effects of Combined Omega-3 and Vitamin D Supplementation on Nutritional Status, Quality of Life and Inflammatory Markers Among the Breast Cancer Women in Gaza Strip

Breast cancer (BC) is the most common malignant disease, which is fifth leading cause of cancer mortality worldwide. Poor nutritional status is one of the common physical symptoms found among cancer patients, in which it is caused by both cancer disease state and its oncology treatment regimens used. Cancer patients develop a tumor-associated malnutrition characterized by an insufficient supply of macro- and micronutrients and systemic chemotherapy treatment that could significantly affecting the nutritional status of these patients by its side effects associated with chemotherapy that may lead to many medical complications that often requires hospitalization and death. An adequate nutritional intervention can have a beneficial impact on the disease condition and also the progress of the disease, as an integral part of adjuvant therapy on cancer care. Numerous studies had shown that the use of EPA and DHA are safe (absence of cardiotoxic effects) and effective in reducing the common chemotherapy-related side effects, such as bone density loss, peripheral neuropathy and weight gain. The question remains arises to whether administration of both vitamin D and omega-3 fatty acids supplementations could be used as important nutritional strategy during the active oncology treatment in breast cancer patients. In Palestine, nutritional intervention strategies are poorly evaluated in the oncology setting especially among patients undergoing chemotherapy. Suitable and proper nutritional interventions among breast cancer patients during active oncology treatments could help to improve nutritional status, decrease mortality and improve quality of life among these subjects. Hence, the present study is formulated to assess the effect of combined omega-3 fatty acid and vitamin D supplementation on the nutritional status, quality of life and blood inflammatory markers among breast cancer women undergoing chemotherapy treatment in the Gaza Strip, Palestine.

Read the detailed description

An adequate nutritional intervention can have a beneficial impacts on the disease condition and also the progress of the disease, as an integral part of adjuvant therapy on cancer care. Numerous clinical and epidemiological studies had found that vitamin D deficiency is common nutritional disorder in BC patients and that significantly associated with a negative prognostic factor, in which some have reported a positive effect of combining vitamin D or its analogues as an adjuvant therapy, together with a variety of chemotherapeutic factors used during oncology treatments. Moreover, combination of vitamin D and omega-3 fatty acids may provide a new complementary treatment by decreasing inflammatory biomarkers and resistance to cancer treatment in patients with BC. The question remains whether vitamin D and omega-3 fatty acids co-supplementation would actually be useful after diagnosis of BC. So, the aim of this study is to investigate the effects of vitamin D and omega-3 fatty acids co-supplementation on inflammatory biomarkers, and nutritional status in patients with BC.

Being tested
Omega-3 FA, Vitamin D, Combined Omega-3 and Vitamin D Supplementation

What participants receive

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

  • Omega-3 FADietary supplement

    Two capsules of 1000mg fish oil daily (Each soft gel capsule contains 180mg EPA and 120 mg DHA)

  • Vitamin DDietary supplement

    one capsule of vitamin D3 weekly (one D3 capsule contains 50,000 IU)

  • Combined Omega-3 and Vitamin D SupplementationCombination product

    Two capsules of 1000mg fish oil daily (Each soft gel capsule contains 180mg EPA and 120 mg DHA) and one capsule of vitamin D3 weekly (one D3 capsule contains 50,000 IU)

Study groups in NCT05331807
Study groupRoleWhat they receive
Group (A)ExperimentalParticipants will be received daily omega-3 fatty acid (two capsules of 1000mg fish oil daily). Each soft gel capsule contains 300 mg of omega-3 fatty acids in the bioactive triglyceride (TG) and 180mg EPA and 120 mg DHA. (Omega3 complex, Jamieson Laboratories, Canada)
Receives: Dietary Supplement: Omega-3 FA
Group (B)ExperimentalParticipants will be received only vitamin D (one capsule of 50,000IU weekly). Each film coated tablet of vitamin D contains 50,000 IU Vitamin D3 (Cholecalciferol). (J-Dee, Jerusalem Pharmaceutical Company, West bank, Palestine).
Receives: Dietary Supplement: Vitamin D
Group (C)ExperimentalParticipants will be received both omega-3 fatty acids capsules and vitamin D3 capsule. (one capsule of D3 50,000 IU weekly + two omega-3 fatty acids capsules daily (each capsule contains 300 mg of omega-3 fatty acids)
Receives: Combination Product: Combined Omega-3 and Vitamin D Supplementation
Group (D)No interventionParticipants will not be received any supplements and just receive oncology treatment as an usual oncology patient.

What is being measured

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

  1. Change of Nutritional status, as assessed by Body Mass Index

    Body weight in kilograms and height in meters will be combined to report BMI in kg/m^2

    Measured: Change from Baseline BMI at 2 months

  2. Change of body weight

    Body weight will be measured in kilograms

    Measured: Change from Baseline Weight in kg at 2 months

  3. Change of Muscle Mass Status

    Muscle mass status will be assessed by calf circumference levels in cm. Higher values of calf circumference is indicative of greater lean mass.

    Measured: Change from Baseline calf circumference in cm at 2 months

  4. Change of Nutritional Status Condition, as assessed by the Patient-Generated Subjective Global Assessment PG-SGA

    The PG-SGA will be based four components such as questions related to body weight status (scored 0-5), food intake (score 0-4); symptoms affecting oral food intake (scored 0-23), and lastly questions on daily activities and function, in which the degree of malnutrition of patients will be classified as (A) well-nourished; (B) moderately malnourished; or (C) severely malnourished.

    Measured: Change from Baseline Nutritional Status Condition in category of well-nourished, moderately malnourished or severely malnourished at 2 months

  5. Change of Total Scale and Single-item measures Scores derived from the Quality of life questionnaire (QLQ C-30) assessment

    The EORTC Core Quality of Life questionnaire (EORTC QLQ-C30) assessment of 30 questions to measure cancer patients' physical, psychological and social functions. All of the scales and single-item measures range in score from 0 to 100. Higher score for the functioning scales and global health status denote a better level of functioning (i.e. a better state of the patient), while higher scores on the symptom and single-item scales indicate a higher level of symptoms (i.e. a worse state of the patient).

    Measured: Change from Baseline total scales and single-item measures scores (0 to 100 scores) at 2 months

  6. Change of Blood inflammatory markers of blood TNF-α levels

    Blood concentration of TNF-α levels will be measured in unit pg/mL.

    Measured: Change from baseline TNF-α levels in pg/mL at 2 months

  7. Change of Blood inflammatory markers of blood CRP levels

    Blood concentration of CRP levels will be measured in nmol/L

    Measured: Change from baseline CRP levels in nmol/L at 2 months

  8. Change of Nutritional Status Assessed by body weight levels

    Body weight will be measured in kilograms

    Measured: Change from baseline weight in kg at 2 months

Secondary outcomes (5)
  1. Change of Dietary Energy Intakes

    Habitual dietary nutrients intake will be assessed by mean energy intakes in kcal

    Measured: Change from Baseline dietary energy intakes in kcal at 2 months

  2. Change of Dietary Fat Intakes

    Habitual dietary nutrients intake will be assessed by mean fat intakes in grams

    Measured: Change from Baseline dietary fat intakes in grams at 2 months

  3. Change of Dietary Protein Intakes

    Habitual dietary protein intakes will be assessed by mean protein intakes in grams

    Measured: Change from Baseline dietary Protein intakes in grams at 2 months

  4. Change of Dietary Vitamin D intakes

    Habitual dietary nutrients intake will be assessed by mean vitamin D intakes in micrograms

    Measured: Change from Baseline Dietary Vitamin D Intakes in microgram at 2 months

  5. Lifestyle physical activity status

    A short form of the international physical activity questionnaire (IPAQ) will be used to assess the physical activity levels of the study participants, in which three different category groups of inactive, minimally active and active will be categorised.

    Measured: Change from Baseline Physical Activity Status (inactive, minimally active or active physical activity status) at 2 months

Timeline

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

  1. First posted18 Apr 2022
  2. Study start20 Apr 2022
  3. Primary completion30 Dec 2022
  4. Study completion31 Mar 2023

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
Early Phase 1
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
An open-label randomized clinical trial of breast cancer women that are undergoing chemotherapy treatment for total duration of 2 months (approximately 9 weeks in total), in which participants will be randomly selected and included in either one of these four (4) experimental groups (arms).
Masking
None (open label)
Enrolment
88 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05331807
Sponsor's protocol ID
21090645
Status last verified
May 2024
First submitted
18 Mar 2022
Last updated
8 May 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Almassri HF, Abdul Kadir A, Srour M, Foo LH. The Effects of Omega-3 Fatty Acids and Vitamin D Supplementation on the Nutritional Status of Women with Breast Cancer in Palestine: An Open-Label Randomized Controlled Trial. Nutrients. 2024 Nov 20;16(22):3960. doi: 10.3390/nu16223960.

    PubMed 39599746
  • Almassri HF, Abdul Kadir A, Srour M, Foo LH. The effects of Omega-3 fatty acids and vitamin D supplementation on the quality of life and blood inflammation markers in newly diagnosed breast cancer women: An open-labelled randomised controlled trial. Clin Nutr ESPEN. 2025 Feb;65:64-75. doi: 10.1016/j.clnesp.2024.11.014. Epub 2024 Nov 20.

    PubMed 39577691

Questions about this trial

What is this clinical trial studying?

A Early Phase 1 study testing Omega-3 FA, Vitamin D and Combined Omega-3 and Vitamin D Supplementation in people with Breast Cancer Female, run by Universiti Sains Malaysia at 1 site in Palestinian Territories.

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 4 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 8 May 2024. 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 Palestinian Territories. 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?

Early Phase 1 (sometimes called Phase 0) studies give a very small amount of a treatment to a few people, mainly to see how the body handles it.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

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?

Change of Nutritional status, as assessed by Body Mass Index (time frame: Change from Baseline BMI at 2 months). The study lists 8 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 NCT05331807, which also lists 2 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 8 May 2024.

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