Dietary Intervention in Follicular Lymphoma

NCT ID: NCT00455416

Last Updated: 2008-05-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

45 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-04-30

Study Completion Date

2009-12-31

Brief Summary

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A dietary intervention study in patients with Follicular Lymphoma (FL) Stage III/IV to assess the ability of several dietary factors to induce apoptosis, inhibit cell proliferation and modulate tumor cell infiltrate in vivo.

Detailed Description

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Dietary factors plays an important role in the prevention of several diseases. The cardiovascular disease mortality have dropped dramatically the last 20 years, but the relative death rates from cancer remains fairly stable. There is reason to believe that factors in the tumors microenvironment is of great importance for the outcome of many malignant diseases, including FL. Factors predicting a poor outcome are associated with inflammation, oxidative stress which both impair the hosts immune response and produces growth stimulatory signals. In this open study with 45 patients to be included we seek to perform a dietary intervention with comparison of apoptosis rate, proliferation rate and immune cell infiltrate before and after the intervention period.

Conditions

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Follicular Lymphoma

Keywords

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Low grade lymphoma Diet Antioxidants Non Hodgkin Lymphoma - Follicular Lymphoma grade 1&2 stage III/IV

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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Omega 3 fatty acids (EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid))

1000mgx5 daily

Intervention Type DRUG

Selenium (L-Selenomethionine),

100mcgx2 daily

Intervention Type DRUG

Garlic extract (Allicin)

6 garlic pearls daily

Intervention Type DRUG

Pomegranate juice (ellagic acid)

Pomegranate juice 100%, 660ml /495 ml every second day.

Intervention Type DRUG

Grape juice (resveratrol, quercetin)

Merlot grape juice 100%, 660ml /495 ml every second day

Intervention Type DRUG

Green Tea (Epigallocathechin gallate)

Green Tea. 2 cups daily

Intervention Type DRUG

Other Intervention Names

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Nycoplus omega-3 1000mg Solaray selenium 100mcg Circuline Produced by:Tine Meierier. Produced by Tine Meierier Green tea - twinings java green tea

Eligibility Criteria

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Inclusion Criteria

* Age 18 years or more.
* Permanent address in Norway, located in health region south or east. People living outside these areas in other health regions in Norway may be able to participate but after individual evaluation.
* Histologically verified follicular lymphoma grade I or II without clinical signs of transformation to aggressive lymphoma.
* Stage III/IV.
* Previously untreated or at least 1 year since rituximab treatment or 6 months since cytotoxic chemotherapy.
* Not scheduled for disease specific treatment for the next 3 months.
* At least one pathological superficial lymph node available for ultrasound guided biopsy.
* Cytologically and/or immunocytologically compatible with follicular lymphoma.
* Women with childbearing potential, only with use of safe contraceptives

Exclusion Criteria

* Gross abnormalities in blood samples. (Hematologic values Hgb\< 10, leukocytes\< 2,5, trombocytes \<100, liver enzymes (ALAT,ASAT,GT,ALP) \> 2,5 x upper normal values,bilirubin \>35 creatinine \>130)
* Other serious medical illness (unstable cardiovascular disease, unstable pulmonary disease, uncontrolled diabetes, autoimmunity, chronic infection or other active cancer).
* Use of NSAID, ASA the last two weeks prior to enrollment.
* Use of systemic corticosteroids the last two months prior to enrollment.
* Regular use of anticoagulants as LMW Heparin or warfarin.
* Use of carbamazepin, nifedipin and other drugs metabolized with CYP 3A4 where interaction might cause hazardous side effects which cannot be controlled with serum measurements or organ function monitoring.
* Inclusion in another clinical trial which involves medication or nutritional supplements.
* Use of complementary medicine/alternative medicine which includes high dose\* vitamins or antioxidants/nutritional supplements 2 weeks prior to sampling procedures .
* Regularly use of omega 3 fatty acids more than 1g / day
* History of serious or unstable medical or psychiatric disorder.
* History of heavy alcohol consumption \> 3 units / day.
* Pregnancy
* Individuals judged by the clinical investigator to be unable to follow instructions and procedures of the study.

(\*high dose is defined as vitamins or antioxidant supplements exceeding what is present in regular multi-vitamin supplements covering regular RDAs)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Oslo

OTHER

Sponsor Role collaborator

Oslo University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Rikshospitalet-Radiumhospitalet HF

Principal Investigators

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Harald Jr. Holte, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

RRHF Rikshospitalet Radiumhospitalet HF

Locations

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RRHF RIkshospitalet Radiumhospitalet HF

Montebello, Oslo County, Norway

Site Status RECRUITING

Countries

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Norway

Central Contacts

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Kjell Magne Russnes, MD

Role: CONTACT

Phone: +4722934000

Email: [email protected]

Harald Jr. Holte, MD, PhD

Role: CONTACT

Phone: +4722934000

Email: [email protected]

Facility Contacts

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Kjell Magne Russnes, MD

Role: primary

Harald JR Holte, MD, PhD

Role: backup

Other Identifiers

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Dietary intervention FL

Identifier Type: -

Identifier Source: org_study_id