Locally Advanced Head and Neck CarcinomaPhase 2NCT07242365
Soylent in Reducing Gastrostomy Tube Rates in Patients With Locally Advanced Head and Neck Cancer Undergoing Chemoradiotherapy
A Phase 2 study testing Soylent Graham Dietary Supplement, Laboratory Biomarker Analysis and Quality-of-Life Assessment in people with Locally Advanced Head and Neck Carcinoma, run by Jonsson Comprehensive Cancer Center at 1 site in United States.
Trial summary
This phase II trial studies Soylent in reducing gastrostomy tube rates in patients with head and neck cancer that has spread to nearby tissues or lymph nodes (locally advanced) who are undergoing chemoradiotherapy. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Locally Advanced Head and Neck Carcinoma
- What is being tested?
- Soylent Graham Dietary Supplement, Laboratory Biomarker Analysis and Quality-of-Life Assessment
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 1 siteUnited States
- Study dates
- 19 Jun 2017to 31 Dec 2027
- Phase
- Phase 2
- Are there results?
- Not yet: the study is under way
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
- Documented locally advanced head and neck malignancies for which concurrent chemoradiation has been recommended for definitive or adjuvant treatment
- No history of prior radiotherapy to the head and neck; however, if previous treatment was superficial skin radiotherapy without regional lymph node treatment this will be allowed
- Karnofsky performance status (KPS) >= 70
- Body mass index >= 18 kg/m^2
- No evidence of metastatic disease (M1 disease)
- No G-tube placement prior to initiation of chemoradiation
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- Eligible to undergo concurrent chemotherapy as determined by treating medical oncologist
- If a woman is of childbearing potential, a negative serum pregnancy test must be documented prior to proceeding with chemoradiation; women of childbearing potential must agree to use adequate contraception (hormonal or barrier method of birth control; or abstinence) for at least 4 weeks after study treatment
- Ability to understand and willingness to sign a written informed consent
- Able to tolerate the taste of one of the flavors of the oral nutritional supplement Soylent
- Able and willing to participate in the Swallow Preservation Program at the Speech Pathology Clinic
- No evidence of clinically significant swallowing dysfunction by history or physical exam at time of radiation oncology consultation
Who cannot join
- Patients who have previously received therapeutic radiation therapy to the head and neck except for superficial skin radiotherapy is allowed
- Patients who had G-tube placement due to concern for aspiration or due to severe malnutrition in advance of chemoradiation
- Patients underweight in advance of chemoradiation (BMI < 18 kg/m^2)
- Patients who refuse to use Soylent oral nutritional supplementation due to its taste or other patient preference reasons
- Patients with allergies to any of the ingredients contained in the nutritional supplement
- Pregnant women, or women of childbearing potential who are sexually active and not willing/able to use medically acceptable forms of contraception for the entire study period and for up to 4 weeks after the study treatment
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- Refusal to sign the informed consent
- Refusal to participate in the Swallow Preservation Program prior to start of Soylent if applicable
- Evidence of clinically significant swallowing dysfunction by history or physical exam at time of radiation oncology consultation
- Distant metastatic disease (M1 disease)
Trial locations and contacts
1 site in 1 country.
United States1 site
UCLA / Jonsson Comprehensive Cancer Center
Los Angeles, California, 90095
About this study
Official title: A Phase II Study Integrating Soylent™ Meal Replacement to Reduce Gastrostomy Tube Rates in Patients With Head &Amp; Neck Cancer Undergoing Chemoradiotherapy
This phase II trial studies Soylent in reducing gastrostomy tube rates in patients with head and neck cancer that has spread to nearby tissues or lymph nodes (locally advanced) who are undergoing chemoradiotherapy. Soylent is a liquid meal replacement product that may reduce the risk of malnutrition and gastrostomy placement during or following treatment for head and neck cancer with chemoradiation.
Read the detailed description
PRIMARY OBJECTIVES:
- To determine the compliance rate of oral nutritional replacement with Soylent.
II. To determine the overall therapeutic gastrostomy (G)-tube placement rate (G-tube placement from the 1st day of chemoradiation up to 4 weeks following treatment).
SECONDARY OBJECTIVES:
- To determine weight loss and body mass index (BMI) changes during and following treatment.
II. To determine the change in nutritional and metabolic biomarkers during treatment.
III. To determine physician-reported acute and late toxicities during and following treatment.
IV. To determine patient-reported quality of life during and following treatment.
- To determine clinical outcomes from treatment.
OUTLINE:
Patients receive Soylent orally (PO) for up to 3 months.
After completion of study, patients are followed up at 1, 3, 6, 12, 16, 18 and 24 months.
- Conditions
- Locally Advanced Head and Neck Carcinoma
- Being tested
- Soylent Graham Dietary Supplement, Laboratory Biomarker Analysis, Quality-of-Life Assessment, Questionnaire Administration
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Soylent Graham Dietary SupplementDietary supplement
Also called Dietary Supplement, Dietary Supplements, Nutritional Supplement, Supplement
Given Soylent PO
Laboratory Biomarker AnalysisOther
Correlative studies
Quality-of-Life AssessmentOther
Also called Quality of Life Assessment
Ancillary studies
Questionnaire AdministrationOther
Ancillary studies
| Study group | Role | What they receive |
|---|---|---|
| Supportive care (Soylent) | Experimental | Patients receive Soylent PO for up to 3 months. Receives: Dietary Supplement: Soylent Graham Dietary Supplement; Other: Laboratory Biomarker Analysis; Other: Quality-of-Life Assessment; Other: Questionnaire Administration |
What is being measured
The primary outcome is the main question the study is designed to answer.
Compliance with Soylent nutritional supplementation
The compliance rate and the corresponding 95% exact confidence interval will be calculated.
Measured: Up to 24 months
Therapeutic gastrostomy (G)-tube placement rate
The G-tube placement rate will be analyzed using one-sample exact binomial test. The 95% exact confidence interval will be provided.
Measured: Up to 24 months
Secondary outcomes (25)
Weight change
Will be collected at each visit and summary descriptive statistics will be calculated at each time points. Repeated measure analysis of variation will be used to explore if there are any change in these parameters over time.
Measured: Up to 24 months
Body mass index
Will be collected at each visit and summary descriptive statistics will be calculated at each time points. Repeated measure analysis of variation will be used to explore if there are any change in these parameters over time.
Measured: Up to 24 months
Treatment breaks
Will be recorded in days per study patient and summarized.
Measured: Up to 24 months
Timing and duration of G-tube placement
G-tube placement timing will be recorded for patients receiving G-tubes, and the duration of G-tube dependence will be recorded in days per study patient and summarized.
Measured: Up to 24 months
Serum human papilloma virus deoxyribonucleic acid
Will be summarized by descriptive statistics by visit time points, and these statistics will be plotted graphically.
Measured: Up to 24 months
Pre-albumin
Will be summarized by descriptive statistics by visit time points, and these statistics will be plotted graphically.
Measured: Up to 24 months
Albumin
Will be summarized by descriptive statistics by visit time points, and these statistics will be plotted graphically.
Measured: Up to 24 months
C-reactive protein
Will be summarized by descriptive statistics by visit time points, and these statistics will be plotted graphically.
Measured: Up to 24 months
Interleukin-6
Will be summarized by descriptive statistics by visit time points, and these statistics will be plotted graphically.
Measured: Up to 24 months
Tumor necrosis factor
Will be summarized by descriptive statistics by visit time points, and these statistics will be plotted graphically.
Measured: Up to 24 months
Vitamin A
Will be summarized by descriptive statistics by visit time points, and these statistics will be plotted graphically.
Measured: Up to 24 months
Vitamin C
Will be summarized by descriptive statistics by visit time points, and these statistics will be plotted graphically.
Measured: Up to 24 months
Vitamin D
Will be summarized by descriptive statistics by visit time points, and these statistics will be plotted graphically.
Measured: Up to 24 months
Tryptophan
Will be summarized by descriptive statistics by visit time points, and these statistics will be plotted graphically.
Measured: Up to 24 months
Kynurenine
Will be summarized by descriptive statistics by visit time points, and these statistics will be plotted graphically.
Measured: Up to 24 months
Leptin
Will be summarized by descriptive statistics by visit time points, and these statistics will be plotted graphically.
Measured: Up to 24 months
Adiponectin
Will be summarized by descriptive statistics by visit time points, and these statistics will be plotted graphically.
Measured: Up to 24 months
Complete metabolic panel
Will be summarized by descriptive statistics by visit time points, and these statistics will be plotted graphically.
Measured: Up to 24 months
Complete blood count
Will be summarized by descriptive statistics by visit time points, and these statistics will be plotted graphically.
Measured: Up to 24 months
Radiosensitivity biomarker panel
Will be summarized by descriptive statistics by visit time points, and these statistics will be plotted graphically.
Measured: Up to 24 months
Incidence of physician-reported acute and late toxicities
Toxicity will be graded using the Common Toxicity Criteria for Adverse Events version 4.0. Adverse events and serious adverse events will be reported using a Common Terminology Criteria for Adverse Events version 4.0 terminology and severity.
Measured: Up to 24 months
University of Washington and Functional Assessment of Cancer Therapy questionnaire assessment of Patient-reported quality of life
Will be summarized by descriptive statistics by visit time points.
Measured: Up to 24 months
Local/loco-regional control
Will be estimated using the Kaplan-Meier method.
Measured: Up to 24 months
Distant metastasis-free survival
Will be estimated using the Kaplan-Meier method.
Measured: Up to 24 months
Overall survival
Will be observed.
Measured: Up to 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Nov 2025
- Study start19 Jun 2017
- Primary completion31 Dec 2026 (estimated)
- Study completion31 Dec 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Locally Advanced Head and Neck CarcinomaStudies of the same condition, open and under way.
- More trials run by Jonsson Comprehensive Cancer CenterThe 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
- Supportive care
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 60 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Jonsson Comprehensive Cancer Center
- Sponsor type
- University, hospital or other
- Collaborators
- National Cancer Institute (NCI)
- Responsible party
- Sponsor
- Investigators
- John Hegde, Principal investigator, UCLA / Jonsson Comprehensive Cancer Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07242365
- Sponsor's protocol ID
- 17-000033
- Other IDs
- NCI-2017-01225, 17-000033, P30CA016042
- Status last verified
- Nov 2026
- First submitted
- 13 Oct 2023
- Last updated
- 5 Nov 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 5 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase II Study Integrating Soylent™ Meal Replacement to Reduce Gastrostomy Tube Rates in Patients With Head &Amp; Neck Cancer Undergoing Chemoradiotherapy
- ClinicalTrials.gov ID
- NCT07242365
- Acronym / sponsor ID
- 17-000033
- Conditions
- Locally Advanced Head and Neck Carcinoma
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 60 participants (estimated)
- Lead sponsor
- Jonsson Comprehensive Cancer CenterUniversity, hospital or other
- Collaborators
- National Cancer Institute (NCI)
- Study start
- 19 Jun 2017 (actual)
- Primary completion
- 31 Dec 2026 (estimated)
- Study completion
- 31 Dec 2027 (estimated)
- First posted
- 21 Nov 2025 (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.
This phase II trial studies Soylent in reducing gastrostomy tube rates in patients with head and neck cancer that has spread to nearby tissues or lymph nodes (locally advanced) who are undergoing chemoradiotherapy. Soylent is a liquid meal replacement product that may reduce the risk of malnutrition and gastrostomy placement during or following treatment for head and neck cancer with chemoradiation.
Detailed description
PRIMARY OBJECTIVES:
- To determine the compliance rate of oral nutritional replacement with Soylent.
II. To determine the overall therapeutic gastrostomy (G)-tube placement rate (G-tube placement from the 1st day of chemoradiation up to 4 weeks following treatment).
SECONDARY OBJECTIVES:
- To determine weight loss and body mass index (BMI) changes during and following treatment.
II. To determine the change in nutritional and metabolic biomarkers during treatment.
III. To determine physician-reported acute and late toxicities during and following treatment.
IV. To determine patient-reported quality of life during and following treatment.
- To determine clinical outcomes from treatment.
OUTLINE:
Patients receive Soylent orally (PO) for up to 3 months.
After completion of study, patients are followed up at 1, 3, 6, 12, 16, 18 and 24 months.
Study design
- Primary purpose
- Supportive care
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Supportive care (Soylent) | Experimental | Dietary Supplement: Soylent Graham Dietary Supplement, Other: Laboratory Biomarker Analysis, Other: Quality-of-Life Assessment, Other: Questionnaire AdministrationPatients receive Soylent PO for up to 3 months. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- Documented locally advanced head and neck malignancies for which concurrent chemoradiation has been recommended for definitive or adjuvant treatment
- No history of prior radiotherapy to the head and neck; however, if previous treatment was superficial skin radiotherapy without regional lymph node treatment this will be allowed
- Karnofsky performance status (KPS) >= 70
- Body mass index >= 18 kg/m^2
- No evidence of metastatic disease (M1 disease)
Key exclusion criteria (10 listed)
- Patients who have previously received therapeutic radiation therapy to the head and neck except for superficial skin radiotherapy is allowed
- Patients who had G-tube placement due to concern for aspiration or due to severe malnutrition in advance of chemoradiation
- Patients underweight in advance of chemoradiation (BMI < 18 kg/m^2)
- Patients who refuse to use Soylent oral nutritional supplementation due to its taste or other patient preference reasons
- Patients with allergies to any of the ingredients contained in the nutritional supplement
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 |
|---|---|---|
| Soylent Graham Dietary SupplementAlso: Dietary Supplement, Dietary Supplements, Nutritional Supplement, SupplementGiven Soylent PO | Dietary supplement | Supportive care (Soylent) |
| Laboratory Biomarker AnalysisCorrelative studies | Other | Supportive care (Soylent) |
| Quality-of-Life AssessmentAlso: Quality of Life AssessmentAncillary studies | Other | Supportive care (Soylent) |
| Questionnaire AdministrationAncillary studies | Other | Supportive care (Soylent) |
Primary outcome
Compliance with Soylent nutritional supplementation
Time frame: Up to 24 months
The compliance rate and the corresponding 95% exact confidence interval will be calculated.
Therapeutic gastrostomy (G)-tube placement rate
Time frame: Up to 24 months
The G-tube placement rate will be analyzed using one-sample exact binomial test. The 95% exact confidence interval will be provided.
25 secondary outcomes
Weight change
Time frame: Up to 24 months
Body mass index
Time frame: Up to 24 months
Treatment breaks
Time frame: Up to 24 months
Timing and duration of G-tube placement
Time frame: Up to 24 months
Serum human papilloma virus deoxyribonucleic acid
Time frame: Up to 24 months
Pre-albumin
Time frame: Up to 24 months
Albumin
Time frame: Up to 24 months
C-reactive protein
Time frame: Up to 24 months
Interleukin-6
Time frame: Up to 24 months
Tumor necrosis factor
Time frame: Up to 24 months
Vitamin A
Time frame: Up to 24 months
Vitamin C
Time frame: Up to 24 months
Vitamin D
Time frame: Up to 24 months
Tryptophan
Time frame: Up to 24 months
Kynurenine
Time frame: Up to 24 months
Leptin
Time frame: Up to 24 months
Adiponectin
Time frame: Up to 24 months
Complete metabolic panel
Time frame: Up to 24 months
Complete blood count
Time frame: Up to 24 months
Radiosensitivity biomarker panel
Time frame: Up to 24 months
Incidence of physician-reported acute and late toxicities
Time frame: Up to 24 months
University of Washington and Functional Assessment of Cancer Therapy questionnaire assessment of Patient-reported quality of life
Time frame: Up to 24 months
Local/loco-regional control
Time frame: Up to 24 months
Distant metastasis-free survival
Time frame: Up to 24 months
Overall survival
Time frame: Up to 24 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Nov 2026.
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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.
John Hegde principal investigator
UCLA / Jonsson Comprehensive Cancer Center
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 Soylent Graham Dietary Supplement, Laboratory Biomarker Analysis and Quality-of-Life Assessment in people with Locally Advanced Head and Neck Carcinoma, 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 12 inclusion and 10 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: under way, not looking for participants, as of the sponsor's last update on 5 Nov 2026. 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.
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?
This study is still under way. Results are not available in the source record yet.
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?
Compliance with Soylent nutritional supplementation (time frame: Up to 24 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?
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 5 Nov 2026.