Fiber Formula Study Among Radiation Oncology Patients

NCT ID: NCT00888147

Last Updated: 2011-09-26

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

COMPLETED

Total Enrollment

19 participants

Study Classification

OBSERVATIONAL

Study Start Date

2009-04-30

Study Completion Date

2011-07-31

Brief Summary

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During radiation treatment for head and neck cancer a large percentage of patients at Mayo Clinic Rochester develop the need for tube feeding to meet nutrition and hydration needs. These patients are usually taking pain medication along with a stool softener or laxative. Currently, when these patients get a feeding tube it is our standard practice to choose a fiber-free enteral tube feeding formula as to not worsen their constipation. Currently, there are no guidelines as to which patients are good candidates for fiber containing enteral tube feeding formulas. The investigators hope this study will help determine if fiber containing enteral tube feeding formulas can be used for patients undergoing radiation for head and neck cancer without increasing rates of constipation or increasing use of stool softeners/laxatives.

Hypothesis: Participants enrolled in the study will not have increased rates of constipation on fiber-containing enteral tube feeding formula compared to historical standards on fiber-free formula.

Detailed Description

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Conditions

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Constipation

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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Fiber formula

This group will receive tube feeding formula that contains fiber.

Fiber containing tube feeding formula

Intervention Type DIETARY_SUPPLEMENT

This group will be prescribed adequate calories, protein and fluid using a formula that contains fiber.

Interventions

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Fiber containing tube feeding formula

This group will be prescribed adequate calories, protein and fluid using a formula that contains fiber.

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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There is no brand name we are using. We will use the formula that best meets the patient calorie, protein and fluid needs.

Eligibility Criteria

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Inclusion Criteria

* Cancer of: 1) lip/oral cavity 2) pharynx 3) larynx 4) nasal cavity/paranasal sinus 5) salivary gland 6) Thyroid according to AJCC cancer staging manual 6th edition 2002
* Current radiation therapy or starting radiation therapy in the next 2 weeks
* Patient must have a gastrostomy tube

Exclusion Criteria

* Jejunostomy tube
* Diagnosis of Irritable Bowel Syndrome (abdominal pain and diarrhea or constipation lasting at least three months in one year)
* Short bowel (A patient is generally considered to have short bowel syndrome when less than 100 to 150 centimeters of functioning small bowel remains)
* Body max index (BMI) \<18.5kg/m2
* Gastroparesis (when the stomach retains food for longer than normal periods). This must be diagnosed with a gastric emptying study.
* Use of Metoclopramide
* Receiving 5-FU chemotherapy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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Lisa Epp

Home Enteral Nutrition Coordinator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Lisa M Epp, BS

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Yolanda I Garces, MD

Role: STUDY_DIRECTOR

Mayo Clinic

Locations

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Mayo Clinic Rochester

Rochester, Minnesota, United States

Site Status

Countries

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United States

Other Identifiers

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08-005304

Identifier Type: -

Identifier Source: org_study_id