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Head and Neck Squamous Cell CarcinomaGALENOS 1NCT07511413

GALENOS 1 in Head and Neck, Lung, and Rectal Cancer Patients

An observational study of Head and Neck Squamous Cell Carcinoma and Locally Advanced Rectal Cancer, run by Fondazione del Piemonte per l'Oncologia at 1 site in Italy.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

GALENOS 1 is a prospective observational study designed to explore longitudinal changes in nutritional status and body composition in patients with head and neck squamous cell carcinoma, locally advanced rectal cancer, and lung cancer undergoing standard antineoplastic treatments. Read more about this study

Who is it for?
Ages 18 years and older
Type of treatment
Pill or oral medicine
How many people
110 participants
Where
1 siteItaly
Study dates
23 Sep 2024to 30 Dec 2027
Phase
Observational
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

Study population: Adult patients with histologically or cytologically documented head and neck squamous cell carcinoma, locally advanced rectal cancer, or lung cancer who are candidates for standard antineoplastic treatment at Fondazione del Piemonte per l'Oncologia - IRCCS Candiolo and meet protocol eligibility criteria

Who may be able to join

  • Written informed consent provided before study procedures
  • Male or female participants aged 18 years or older
  • Histological or cytological documentation of head and neck squamous cell carcinoma, locally advanced rectal cancer, or lung cancer
  • Candidate for standard antineoplastic treatment according to clinical practice
  • ECOG Performance Status score less than 2
  • Adequate kidney, liver, and bone marrow function
  • Ability to adhere to study visits and protocol requirements

Who cannot join

  • Incomplete recovery from surgery before start of antineoplastic treatment
  • Other additional malignancies progressing or requiring active treatment within the previous 3 years, except localized basal cell carcinoma, localized squamous cell carcinoma of the skin, or cervical carcinoma in situ
  • Active infection requiring systemic antibiotic therapy Serious or unstable medical conditions, psychiatric disorders, or substance abuse that would interfere with study compliance
  • Receipt of any live vaccine within 30 days before planned start of study therapy
  • Active cardiac pacing/pacing implants/neurostimulators/hearing systems not compatible with bioimpedance analysis
  • Edema and/or ascites interfering with body weight evaluation or bioimpedance analysis
  • Enteral or parenteral nutritional support at baseline

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Valentina Casalone, MD contact

0119933422 ext. +39

valentina.casalone@ircc.it

Italy1 site, 1 recruiting
  • Fondazione del Piemonte per l'Oncologia- IRCCS Istituto di Candiolo, Candiolo, Turin 10060

    Candiolo, Torino (TO), 10060

    Valentina Casalone, MD, 0119933422, valentina.casalone@ircc.it

    Recruiting

Other trials in Italy

About this study

Official title: An Observational Study on Longitudinal Nutritional Status and Body Composition Changes in Head and Neck Cancer, Lung Cancer and Rectal Cancer Patients During Antineoplastic Treatments

GALENOS 1 is a prospective observational study designed to explore longitudinal changes in nutritional status and body composition in patients with head and neck squamous cell carcinoma, locally advanced rectal cancer, and lung cancer undergoing standard antineoplastic treatments. The study is the preparatory observational component of the FOR-GALE PREVENTION project, which aims to support the future development of a galenic immunonutrition dietary supplement intended to reduce adverse events and improve treatment compliance

Read the detailed description

This single-center prospective observational cohort study will enroll adult patients with pathologically confirmed head and neck squamous cell carcinoma, locally advanced rectal cancer, or lung cancer who are candidates for standard antineoplastic treatment according to routine clinical practice. The study will longitudinally assess nutritional intake, anthropometric and body composition parameters, muscle function, circulating cytokines, quality of life, treatment-related toxicity, and treatment tolerance. Study procedures include dietary visits, 3-day food records, nutritional screening, bioimpedance analysis, handgrip testing, cytokine sampling, quality-of-life questionnaires, and collection of treatment adherence/tolerance data at predefined time points from baseline through follow-up. The study aims to generate observational data to inform future immunonutritional interventional studies

Keywords
Head and Neck Squamous Cell Carcinoma, Lung Cancer, Locally Advanced Rectal Cancer, Nutritional Status, Body Composition, Skeletal Muscle Mass, Sarcopenia, Bioimpedance Analysis, Handgrip Strength, Cytokines, Quality of Life, Treatment Toxicity, Treatment Tolerance, Immunonutrition, Supportive Care
Medical subject headings
Squamous Cell Carcinoma of Head and Neck, Lung Neoplasms, Sarcopenia

What participants receive

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

Study groups in NCT07511413
Study groupRoleWhat they receive
Head and Neck Squamous Cell Carcinoma CohortPatients with pathologically confirmed head and neck squamous cell carcinoma (oropharynx, oral cavity, hypopharynx, larynx, nasopharynx, or sinus cancer) who are candidates for curative or adjuvant chemoradiotherapy according to standard clinical practice
Locally Advanced Rectal Cancer CohortPatients with pathologically confirmed locally advanced rectal cancer who are candidates for neoadjuvant chemoradiotherapy according to standard clinical practice
Lung Cancer CohortPatients with pathologically or cytologically confirmed lung cancer who are candidates for curative immunotherapy with or without chemotherapy according to standard clinical practice

What is being measured

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

  1. Daily energy intake normalized to body weight

    Average daily oral energy intake assessed using a 3-day food record and expressed as kilocalories per kilogram of body weight per day (kcal/kg/day)

    Measured: From baseline (T0, first day of antineoplastic treatment) to end of treatment/final follow-up, assessed up to approximately 3 months

  2. Skeletal muscle mass

    Skeletal muscle mass measured by bioimpedance analysis and expressed in kilograms (kg) the protocol states that phase angle may be used as an alternative depending on the BIA software

    Measured: From baseline (T0) to final follow-up (T4), assessed up to approximately 3 months

  3. Handgrip strength

    Maximum handgrip strength measured using a handgrip dynamometer and expressed in kilograms (kg)

    Measured: From baseline (T0) to final follow-up (T4), assessed up to approximately 3 months

Secondary outcomes (28)
  1. Body weight

    Body weight measured in kilograms (kg)

    Measured: From baseline (T0) to final follow-up (T4), assessed up to approximately 3 months

  2. Participants with more than 5% body weight loss

    Number of participants with body weight loss greater than 5% from baseline

    Measured: From baseline (T0) to final follow-up (T4), assessed up to approximately 3 months

  3. Body mass index

    Body mass index calculated as body weight in kilograms divided by height in meters squared (kg/m²)

    Measured: From baseline (T0) to final follow-up (T4), assessed up to approximately 3 months

  4. Nutritional Risk Screening 2002 score

    Nutritional risk assessed using the Nutritional Risk Screening 2002 (NRS-2002). Total scores range from 0 to 7, with higher scores indicating greater nutritional risk and worse nutritional status

    Measured: From baseline (T0) to final follow-up (T4), assessed up to approximately 3 months

  5. Prognostic Nutritional Index

    Prognostic Nutritional Index calculated as serum albumin + 5 × total lymphocyte count. Higher values indicate better nutritional/immunologic status

    Measured: From baseline (T0) to final follow-up (T4), assessed up to approximately 3 months

  6. Phase angle

    Phase angle measured by bioimpedance analysis and expressed in degrees. Higher values generally indicate better cellular integrity and nutritional status

    Measured: From baseline (T0) to final follow-up (T4), assessed up to approximately 3 months

  7. Fat-free mass

    Fat-free mass measured by bioimpedance analysis and expressed in kilograms (kg)

    Measured: From baseline (T0) to final follow-up (T4), assessed up to approximately 3 months

  8. Body cell mass

    Body cell mass measured by bioimpedance analysis and expressed in kilograms (kg)

    Measured: From baseline (T0) to final follow-up (T4), assessed up to approximately 3 months

  9. Fat mass

    Fat mass measured by bioimpedance analysis and expressed in kilograms (kg)

    Measured: From baseline (T0) to final follow-up (T4), assessed up to approximately 3 months

  10. Total body water

    Total body water measured by bioimpedance analysis and expressed in liters (L)

    Measured: From baseline (T0) to final follow-up (T4), assessed up to approximately 3 months

  11. EORTC QLQ-C30 Global Health Status / Quality of Life score

    Self-perceived quality of life assessed using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30, version 3.0 (EORTC QLQ-C30 v3.0), Global Health Status / Quality of Life scale. Scores range from 0 to 100, with higher scores indicating better global health status and quality of life.

    Measured: From baseline (T0) to final follow-up (T4), assessed up to approximately 3 months

  12. Change in circulating CCL2 concentration

    Plasma CCL2 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL)

    Measured: From baseline (T0) to end of antineoplastic treatment (T3), assessed up to approximately 6 to 7 weeks

  13. Change in circulating CCL4 concentration

    Plasma CCL4 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL)

    Measured: From baseline (T0) to end of antineoplastic treatment (T3), assessed up to approximately 6 to 7 weeks

  14. Change in circulating CCL22 concentration

    Plasma CCL22 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL)

    Measured: From baseline (T0) to end of antineoplastic treatment (T3), assessed up to approximately 6 to 7 weeks

  15. Change in circulating CXCL10 concentration

    Plasma CXCL10 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL)

    Measured: From baseline (T0) to end of antineoplastic treatment (T3), assessed up to approximately 6 to 7 weeks

  16. Change in circulating IL-2 concentration

    Plasma IL-2 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).

    Measured: From baseline (T0) to end of antineoplastic treatment (T3), assessed up to approximately 6 to 7 weeks

  17. Change in circulating IL-4 concentration

    Plasma IL-4 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).

    Measured: From baseline (T0) to end of antineoplastic treatment (T3), assessed up to approximately 6 to 7 weeks

  18. Change in circulating IL-5 concentration

    Plasma IL-5 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).

    Measured: From baseline (T0) to end of antineoplastic treatment (T3), assessed up to approximately 6 to 7 weeks

  19. Change in circulating IL-6 concentration

    Plasma IL-6 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL)

    Measured: From baseline (T0) to end of antineoplastic treatment (T3), assessed up to approximately 6 to 7 weeks

  20. Change in circulating IL-8 concentration

    Plasma IL-8 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).

    Measured: From baseline (T0) to end of antineoplastic treatment (T3), assessed up to approximately 6 to 7 weeks

  21. Change in circulating IL-10 concentration

    Plasma IL-10 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).

    Measured: From baseline (T0) to end of antineoplastic treatment (T3), assessed up to approximately 6 to 7 weeks

  22. Change in circulating IL-12 concentration

    Plasma IL-12 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL)

    Measured: From baseline (T0) to end of antineoplastic treatment (T3), assessed up to approximately 6 to 7 weeks

  23. Change in circulating IL-15 concentration

    Plasma IL-15 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL)

    Measured: From baseline (T0) to end of antineoplastic treatment (T3), assessed up to approximately 6 to 7 weeks

  24. Change in circulating IL-13 concentration

    Plasma IL-13 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).

    Measured: From baseline (T0) to end of antineoplastic treatment (T3), assessed up to approximately 6 to 7 weeks

  25. Change in circulating TNF-α concentration

    Plasma TNF-α concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).

    Measured: From baseline (T0) to end of antineoplastic treatment (T3), assessed up to approximately 6 to 7 weeks

  26. Change in circulating IFN-γ concentration

    Plasma IFN-γ concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL

    Measured: From baseline (T0) to end of antineoplastic treatment (T3), assessed up to approximately 6 to 7 weeks

  27. Change in circulating VEGF concentration

    Plasma VEGF concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL

    Measured: From baseline (T0) to end of antineoplastic treatment (T3), assessed up to approximately 6 to 7 weeks

  28. Change in circulating TGF-β concentration

    Plasma TGF-β concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL

    Measured: From baseline (T0) to end of antineoplastic treatment (T3), assessed up to approximately 6 to 7 weeks

Timeline

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

  1. First posted6 Apr 2026
  2. Study start23 Sep 2024
  3. Primary completion30 Aug 2027 (estimated)
  4. Study completion30 Dec 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
110 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07511413
Sponsor's protocol ID
003-FPO24
Acronym
GALENOS 1
Status last verified
Mar 2026
First submitted
30 Mar 2026
Last updated
6 Apr 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

An observational study of Head and Neck Squamous Cell Carcinoma and Locally Advanced Rectal Cancer, run by Fondazione del Piemonte per l'Oncologia at 1 site in Italy.

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 7 inclusion and 7 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: looking for participants now, as of the sponsor's last update on 6 Apr 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 Italy. 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?

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?

Contact Valentina Casalone, MD (0119933422 ext. +39, valentina.casalone@ircc.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Daily energy intake normalized to body weight (time frame: From baseline (T0, first day of antineoplastic treatment) to end of treatment/final follow-up, assessed up to approximately 3 months). The study lists 3 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 6 Apr 2026.

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