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Short-term Starvation vs. Normal Diet Before Chemotherapy of Solid Tumors


2016-11


2019-03


2019-03


298

Study Overview

Short-term Starvation vs. Normal Diet Before Chemotherapy of Solid Tumors

Recent pre-clinical data provide strong evidence that short-term starvation before the administration of cytostatic drugs for the chemotherapy of solid tumors leads to significantly higher efficacy and lower toxicity levels. However, these findings have so far not been validated in patients. The aim of this trial is to provide first clinical evidence regarding the impact of pre-chemotherapeutic short-term starvation on response to therapy (primary endpoint). Additionally, progression-free survival, adverse events, and overall survival will be monitored (secondary endpoints). In perspective, short-term starvation before chemotherapy could represent a simple and secure way to improve both efficacy and tolerance of chemotherapies at low cost.

N/A

  • Cholangiocarcinoma
  • Pancreatic Ductal Adenocarcinoma
  • Colorectal Cancer
  • Gastric Cancer
  • Adenocarcinoma of the Esophagogastreal Junction
  • Esophagus Cancer
  • PROCEDURE: Starvation
  • Starvation Study

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2015-11-04  

N/A  

2016-10-27  

2015-11-16  

N/A  

2016-10-28  

2015-11-18  

N/A  

2016-10  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Supportive Care


Allocation:
Randomized


Interventional Model:
Parallel


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: Intervention arm

PROCEDURE: Starvation

  • Short-term starvation for a timeframe beginning 24h prior to chemotherapy administration, lasting until 6h after administration
NO_INTERVENTION: Standard of Care

Primary Outcome MeasuresMeasure DescriptionTime Frame
Response to therapy on MRI or CT scancs will be measured using the RECIST criteria version 1.1.Primary endpoint of this study is to assess the improvement in response to therapy for patients undergoing short-term starvation before chemotherapy of solid tumors in comparison to patients without dietary restrictions. Response to therapy on MRI or CT scancs will be measured using the RECIST criteria version 1.1.Three Months
Secondary Outcome MeasuresMeasure DescriptionTime Frame

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:
    1. Patient (male/female) ≥ 18 years of age 2. Written informed consent obtained prior to any trial specific procedure 3. Patient suffering from gastrointestinal tumors: Cholangiocarcinoma (CC), Pancreatic ductal adenocarcinoma (PDAC), Colorectal Cancer (CRC), Gastric Cancer (GC)/ Adenocarcinoma of the Esophagogastreal Junction (AEG) / Esophagus cancer (EC). 4. Planned to receive palliative chemotherapy 5. No prior palliative chemotherapy 6. ECOG performance status of 0 or 1 7. Life expectancy of 12 weeks or more 8. Adequate hematological parameters, as demonstrated by:

  • Hemoglobin > 9.0 g/dl (5.6 mmol/l)
  • WBC ≥ 3.0 x 109/l
  • ANC ≥ 1500/mm³
  • Platelets ≥ 75 x 109/l
  • S-creatinine ≤ 1.5 mg/dl (132 µmol/l)

  • Exclusion Criteria:
    1. Underweight (BMI < 18.5) 2. Dysphagia 3. Insulin-dependent diabetes mellitus 4. Renal failure requiring hemo- or peritoneal dialysis 5. Pregnant or breast-feeding women 6. Drug/alcohol abuse

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Publications

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

No publications available