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A national, multicenter, blind, randomized study of three groups, designed to evaluate the impact on the quality of life of IGEN-0206 (IGEN-0206 is a nutritional product, a food) with nutritional support + standard treatment versus nutritional support + standard treatment versus standard treatment in patients with non-lung cancer metastatic microcytic.
The standard treatment can include any line of active treatment (chemotherapy, immunotherapy, biological therapies or targeted therapies), radiotherapy or nonspecific symptomatic treatment.
It will include 280 patients older than 18 years, who have a life expectancy of less than 9 months, who will receive or not active treatment.
After signing the informed consent and confirmation that the subject meets the eligibility criteria, those will be randomized (2: 2: 1 ratio) to receive treatment:
The present study seeks to demonstrate that IGEN-0206 improves the quality of life and the nutritional status of patients with non-small cell lung cancer. If an improvement in the quality of life is achieved, this could impact on a reduction in the number of treatment delays / omissions, which could secondarily impact on a response and survival benefit (by improving the relative intensity of the active oncological treatment).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| IGEN-0206 | Experimental | a sachet after each meal, preferably (3 sachets per day) |
|
| Placebo | Placebo Comparator | a sachet after each meal, preferably (3 sachets per day) |
|
| group C | No Intervention | standard treatment |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| IGEN0206 | Dietary Supplement | Group A |
| |
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Impact of IGEN-0206 on quality of life in patients with metastatic lung cancer according to the EORTC QLQ-C30. | The QLQ-C30 is composed of both multi-item scales and single-item measures. These include five functional scales, three symptom scales, a global health status / QoL scale, and six single items. Each of the multi-item scales includes a different set of items - no item occurs in more than one scale. All of the scales and single-item measures range in score from 0 to 100. A high scale score represents a higher response level. Thus a high score for a functional | 52 weeks |
| Impact of IGEN-0206 on quality of life in patients with metastatic lung cancer according to the EORTC QLQ-L13 | The QLQ-LC13 incorporates one multi-item scale to assess dyspnoea, and a series of single items assessing pain, coughing, sore mouth, dysphagia, peripheral neuropathy, alopecia, and haemoptysis. All of the scales and single-item measures range in score from 0 to 100. A high score for the scales and single items represents a high level of symptomatology or problems | 52 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| BMI | Compare clinical benefits in terms of body mass index (BMI) in the three treatment arms. | 52 weeks |
| Changes in the microbiota | Compare changes in the microbiota profile in terms of microbiota metabolism (faecal samples) in the three treatment arms with proteomics and genomics methods. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Adverse events | To compare adverse events (AEs) in the three treatment groups according to the Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 4.1. | 52 weeks |
| Progression-free survival |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Público Virgen de los Lirios | Alcoy | Alicante | 03804 | Spain | ||
| Hospital General Universitario de Elche |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 11527672 | Background | Barber MD. Cancer cachexia and its treatment with fish-oil-enriched nutritional supplementation. Nutrition. 2001 Sep;17(9):751-5. doi: 10.1016/s0899-9007(01)00631-1. | |
| 9607565 | Background | Bunn PA Jr, Kelly K. New chemotherapeutic agents prolong survival and improve quality of life in non-small cell lung cancer: a review of the literature and future directions. Clin Cancer Res. 1998 May;4(5):1087-100. |
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All collected IPD
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| Other |
Group B |
|
| 12 weeks |
| Interleukin levels | To evaluate the changes in the inflammatory and immune response and to identify immunological biomarkers in the blood with predictive power and prognosis. | 52 weeks |
| Cytokines levels | To evaluate the changes in the inflammatory and immune response and to identify immunological biomarkers in the blood with predictive power and prognosis. | 52 weeks |
Time from randomization until the progression of the disease or death from any cause is documented. To compare the efficacy in terms of response and survival among the three arms of the study.
| 52 weeks |
| Overall survival | Time elapsed from randomization until death is documented for any reason | 52 weeks |
| Objective response rate | The sum of the complete and partial answers | 52 weeks |
| Disease control | The sum of stable disease and partial / total response. | 52 weeks |
| Number of oncological treatment interruptions | To assess tolerability in terms of interruptions or delays in active oncological treatment by adding IGEN-0206 | 52 weeks |
| Elche |
| Alicante |
| 03203 |
| Spain |
| Hospital General Universitario de Elda | Elda | Alicante | 03600 | Spain |
| Hospital Universitario Marqués de Valdecilla | Santander | Cantabria | 39008 | Spain |
| Complexo Hospitalario Universitario A Coruña | A Coruña | La Coruña | 15006 | Spain |
| Hospital del Henares | Coslada | Madrid | 28822 | Spain |
| Hospital Universitario Puerta de Hierro | Majadahonda | Madrid | 28222 | Spain |
| Hospital Universitario de Móstoles | Móstoles | Madrid | 28935 | Spain |
| Hospital Universitario Infanta Sofía | San Sebastián de los Reyes | Madrid | 28703 | Spain |
| Complexo Hospitalario Universitario de Ourense | Ourense | Ourense | 32005 | Spain |
| Hospital Universitario Son Llatzer | Palma de Mallorca | Palma | 07198 | Spain |
| Hospital de Sagunto | Sagunto | Valencia | 46520 | Spain |
| Hospital Universitario San Juan De Alicante | Alicante | 03550 | Spain |
| Hospital Universitario Reina Sofía | Córdoba | 14004 | Spain |
| Hospital Lucus Augusti | Lugo | 27003 | Spain |
| GenesisCare Madrid, Hospital La Milagrosa | Madrid | 28010 | Spain |
| Hospital Sanitas La Zarzuela | Madrid | 28023 | Spain |
| Hospital Universitario Infanta Leonor | Madrid | 28031 | Spain |
| Hospital Universitario Fundación Jiménez Díaz | Madrid | 28040 | Spain |
| Hospital Universitario La Paz | Madrid | 28046 | Spain |
| Hospital Universitario Severo Ochoa | Madrid | 28914 | Spain |
| Hospital Regional de Málaga | Málaga | 29010 | Spain |
| Hospital Arnau de Vilanova | Valencia | 46015 | Spain |
| Hospital Universitari i Politècnic La Fe | Valencia | 46026 | Spain |
| Hospital Universitario Miguel Servet | Zaragoza | 50009 | Spain |
| 20493771 | Background | Cappuzzo F, Ciuleanu T, Stelmakh L, Cicenas S, Szczesna A, Juhasz E, Esteban E, Molinier O, Brugger W, Melezinek I, Klingelschmitt G, Klughammer B, Giaccone G; SATURN investigators. Erlotinib as maintenance treatment in advanced non-small-cell lung cancer: a multicentre, randomised, placebo-controlled phase 3 study. Lancet Oncol. 2010 Jun;11(6):521-9. doi: 10.1016/S1470-2045(10)70112-1. Epub 2010 May 20. |