Intensive Nutritional Counseling in Head-neck Cancer Patients Undergoing Radiotherapy

NCT ID: NCT02055833

Last Updated: 2025-05-01

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

Clinical Phase

NA

Total Enrollment

159 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-30

Study Completion Date

2016-08-31

Brief Summary

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In head-neck cancer patients undergoing radiotherapy (RT) malnutrition is associated with impaired quality of life, reduced survival, more frequent treatment interruptions and dose reductions. The international guidelines recommend early nutritional support in the presence of nutritional risk, as it allows preventing or treating malnutrition and improving the clinical outcomes, as well as the tolerability of oncologic treatments. Previous nutritional intervention trials in head-neck cancer patients have been conducted on small samples and did not clarify the role of oral nutritional supplements (ONS). Accordingly, although current guidelines recommend as grade A the use of ONS associated with dietary counseling for head-neck cancer patients undergoing RT, the efficacy of this nutritional intervention still needs to be evaluated in adequately sized and randomized clinical trials.

Detailed Description

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Conditions

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Head-neck Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Intensive nutritional counseling

Nutritional counseling (follow-up visits once a week for 6 weeks \[during radiotherapy\] and at 1 month and at 3 months since the end of radiotherapy) + n-3 polyunsaturated fatty acids-enriched oral nutritional supplements (1-2 bottles/day)

Group Type EXPERIMENTAL

Intensive nutritional counseling

Intervention Type DIETARY_SUPPLEMENT

Intensive nutritional counseling: nutritional counseling + oral nutritional supplements

Nutritional counseling

Nutritional counseling (follow-up visits once a week for 6 weeks \[during radiotherapy\] and at 1 month and at 3 months since the end of radiotherapy)

Group Type ACTIVE_COMPARATOR

Nutritional counseling

Intervention Type OTHER

Nutritional counseling

Interventions

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Intensive nutritional counseling

Intensive nutritional counseling: nutritional counseling + oral nutritional supplements

Intervention Type DIETARY_SUPPLEMENT

Nutritional counseling

Nutritional counseling

Intervention Type OTHER

Other Intervention Names

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Resource Support Plus (Nestlè Health Science)

Eligibility Criteria

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Inclusion Criteria

* newly diagnosed head-neck cancer
* indication to radiotherapy
* Eastern Cooperative Oncology Group performance status \<=2
* availability to planned measurements and to written informed consent.

Exclusion Criteria

* age \<18 years
* ongoing artificial nutrition
* refusal
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nestlè Health Science

UNKNOWN

Sponsor Role collaborator

Akern Srl

INDUSTRY

Sponsor Role collaborator

Fondazione IRCCS Policlinico San Matteo di Pavia

OTHER

Sponsor Role lead

Responsible Party

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Emanuele Cereda

MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Emanuele Cereda, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Nutrition and Dietetics Service, Fondazione IRCCS Policlinico San Matteo

Riccardo Caccialanza, MD

Role: STUDY_DIRECTOR

Nutrition and Dietetics Service, Fondazione IRCCS Policlinico San Matteo

Locations

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Nutrition and Dietetics Service, Fondazione IRCCS Policlinico San Matteo

Pavia, , Italy

Site Status

Countries

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Italy

References

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Langius JA, Zandbergen MC, Eerenstein SE, van Tulder MW, Leemans CR, Kramer MH, Weijs PJ. Effect of nutritional interventions on nutritional status, quality of life and mortality in patients with head and neck cancer receiving (chemo)radiotherapy: a systematic review. Clin Nutr. 2013 Oct;32(5):671-8. doi: 10.1016/j.clnu.2013.06.012. Epub 2013 Jun 26.

Reference Type BACKGROUND
PMID: 23845384 (View on PubMed)

Baldwin C, Spiro A, Ahern R, Emery PW. Oral nutritional interventions in malnourished patients with cancer: a systematic review and meta-analysis. J Natl Cancer Inst. 2012 Mar 7;104(5):371-85. doi: 10.1093/jnci/djr556. Epub 2012 Feb 15.

Reference Type BACKGROUND
PMID: 22345712 (View on PubMed)

Arends J, Bodoky G, Bozzetti F, Fearon K, Muscaritoli M, Selga G, van Bokhorst-de van der Schueren MA, von Meyenfeldt M; DGEM (German Society for Nutritional Medicine); Zurcher G, Fietkau R, Aulbert E, Frick B, Holm M, Kneba M, Mestrom HJ, Zander A; ESPEN (European Society for Parenteral and Enteral Nutrition). ESPEN Guidelines on Enteral Nutrition: Non-surgical oncology. Clin Nutr. 2006 Apr;25(2):245-59. doi: 10.1016/j.clnu.2006.01.020. Epub 2006 May 12.

Reference Type BACKGROUND
PMID: 16697500 (View on PubMed)

Martin B, Cereda E, Caccialanza R, Pedrazzoli P, Tarricone R, Ciani O. Cost-effectiveness analysis of oral nutritional supplements with nutritional counselling in head and neck cancer patients undergoing radiotherapy. Cost Eff Resour Alloc. 2021 Jun 15;19(1):35. doi: 10.1186/s12962-021-00291-7.

Reference Type DERIVED
PMID: 34130709 (View on PubMed)

Cereda E, Cappello S, Colombo S, Klersy C, Imarisio I, Turri A, Caraccia M, Borioli V, Monaco T, Benazzo M, Pedrazzoli P, Corbella F, Caccialanza R. Nutritional counseling with or without systematic use of oral nutritional supplements in head and neck cancer patients undergoing radiotherapy. Radiother Oncol. 2018 Jan;126(1):81-88. doi: 10.1016/j.radonc.2017.10.015. Epub 2017 Oct 27.

Reference Type DERIVED
PMID: 29111172 (View on PubMed)

Other Identifiers

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20120001310

Identifier Type: -

Identifier Source: org_study_id

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