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Caloric restriction may alter the response to chemotherapy induced stress response and enhance its antitumor effect. This study intends to use an intermitted caloric restriction protocol with alternate days before the chemotherapy administration to enhance the cytotoxic effect generated by standard treatment of cancer.
This pilot trial will provide preliminary evidence that 1) intermittent caloric restriction and a plant-based diet is feasible in cancer patients; 2) intermittent caloric restriction and a plant-based diet can be safely combined with standard chemotherapy; and 3) intermittent caloric restriction and a plant-based diet may reduce the side effects but increase the antitumor effects of standard chemotherapy.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Diet | Other | Using dietary interventions as an adjuvant tool may represent an effective step toward advancing the treatment options of cancer. Dietary modifications can impact the growth and proliferation of tumors via multiple mechanisms |
| Measure | Description | Time Frame |
|---|---|---|
| The feasibility of intermittent caloric restriction plus a plant-based diet in cancer patients receiving chemotherapy | enrollment rate | 12 Months |
| The feasibility of intermittent caloric restriction plus a plant-based diet in cancer patients receiving chemotherapy | drop-out rate | 12 Months |
| The feasibility of intermittent caloric restriction plus a plant-based diet in cancer patients receiving chemotherapy | compliance with diet measured by self-reports | 12 Months |
| Measure | Description | Time Frame |
|---|---|---|
| To obtain preliminary evidence of clinical efficacy of the combination of chemotherapy and intermittent caloric restriction | objective response rate (partial + complete response) | 12 Months |
| To obtain preliminary evidence of clinical efficacy of the combination of chemotherapy and intermittent caloric restriction |
| Measure | Description | Time Frame |
|---|---|---|
| The safety and tolerability of the combination of chemotherapy and caloric restriction | assessed using NCI CTCAE | 12 Months |
Inclusion Criteria:
• Histologically documented, cancer patients who are eligible to receive cytotoxic chemotherapy.
Life expectancy of at least 6 months
Adults ≥ 18 years of age
Adequate hematologic, renal, and liver function as evidenced by the following:
Exclusion Criteria:
• Eastern Cooperative Oncology Group (ECOG) performance status 2 or higher
Treatment with any of the following medications or interventions within 28 days of registration:
Any infection requiring parenteral antibiotic therapy or causing fever (temperature > 100.5°F or 38.1°C) within 1 week prior to registration
A known allergy, intolerance, or medical contraindication to receiving the contrast dye required for the protocol-specified CT/MRI imaging
Any medical intervention or other condition which, in the opinion of the Principal Investigator, could compromise adherence with study requirements or otherwise compromise the study's objectives
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University at Buffalo / Great Lakes Cancer Care | Recruiting | Buffalo | New York | 14203 | United States |
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Patients with cancer where SOC is represented by chemotherapy will be eligible for the study. After informed consent, eligible patients will be scheduled to the chemotherapy. Each cycle will be every 14, 21 or 28 days depending on the regimen. The diet intervention will commence 1 week prior to the first infusion (i.e. on Day -5 for regimens every 21-28 days, on Day-3 for regimens every 14 days) and will continue until the end of cycle 4 or 6 depending on the regimen in the neoadjuvant or adjuvant setting. For metastatic disease the dietary intervention will last until cycle 6 and not beyond
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progression-free survival (PFS) |
| 12 Months |
| To obtain preliminary evidence of clinical efficacy of the combination of chemotherapy and intermittent caloric restriction | overall survival (OS) | 12 Months |
| University at Buffalo / Great Lakes Cancer Care | Recruiting | Buffalo | New York | 14206 | United States |
|
| ID | Term |
|---|---|
| D004032 | Diet |
| ID | Term |
|---|---|
| D009747 | Nutritional Physiological Phenomena |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
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