Early Oral Supplementation in Improving Nutritional Status in Patients Undergoing Hematopoietic Stem Cell Transplant

NCT ID: NCT02590107

Last Updated: 2018-05-15

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

TERMINATED

Clinical Phase

NA

Total Enrollment

5 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-04-01

Study Completion Date

2018-03-01

Brief Summary

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This clinical trial studies the use of early oral supplementation in improving nutritional status in participants undergoing hematopoietic stem cell transplant. Impaired nutritional status in participants undergoing hematopoietic stem cell transplant has been linked to decreased outcomes such as increased length of hospital stay and increased time to engraftment (an important milestone in transplant recovery). Early oral supplementation may increase nutritional status and help to promote a positive outcome in participants undergoing transplant.

Detailed Description

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PRIMARY OBJECTIVES:

I. To determine if early oral supplementation improves nutritional status, decreases length of hospital stay, and shortens time to engraftment of hematopoietic stem cell transplant (HSCT) participants.

SECONDARY OBJECTIVES:

I. Serum albumin, serum 25-hydroxy vitamin D, and the degree of mucositis, as scored by the National Cancer Institute's Common Toxicity Criteria (NCI-CTC), a validated and widely accepted scale used for rating mucositis. The purpose of our secondary aims is to observe a potential correlation between the retrospective and prospective groups, as well as assess the need for future research based on these correlations.

OUTLINE:

Participants receive Boost Plus orally (PO) twice daily (BID) or Pro-Stat 101 PO BID beginning one week before scheduled HSCT and continuing until hospital discharge. If participants do not tolerate the Boost Plus or Pro-Stat, they receive a milkshake PO once daily (QD) as an alternative.

Conditions

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Malignant Neoplasm

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Supportive care (Boost Plus, Pro-Stat 101)

Participants receive Boost Plus PO BID or Pro-Stat 101 PO BID beginning one week before scheduled HSCT and continuing until hospital discharge. If participants do not tolerate the Boost Plus or Pro-Stat, they receive a milkshake PO QD as an alternative.

Group Type EXPERIMENTAL

Boost Plus

Intervention Type DIETARY_SUPPLEMENT

Receive nutritional supplementation twice daily to provide 28g of protein

Pro-Stat 101

Intervention Type DIETARY_SUPPLEMENT

Receive nutritional supplementation twice daily to provide 30g of protein

Milkshake

Intervention Type DIETARY_SUPPLEMENT

Receive alternate nutritional supplementation once daily to provide 28g protein

daily food diaries

Intervention Type OTHER

Participants will be given a food intake form, clipboard, and pen to record specific foods, as well as amounts of foods that are consumed from outside sources. In addition, the specific food items that each participant consumes will be recorded by the participant on his or her meal tickets which are included with each meal tray

Interventions

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Boost Plus

Receive nutritional supplementation twice daily to provide 28g of protein

Intervention Type DIETARY_SUPPLEMENT

Pro-Stat 101

Receive nutritional supplementation twice daily to provide 30g of protein

Intervention Type DIETARY_SUPPLEMENT

Milkshake

Receive alternate nutritional supplementation once daily to provide 28g protein

Intervention Type DIETARY_SUPPLEMENT

daily food diaries

Participants will be given a food intake form, clipboard, and pen to record specific foods, as well as amounts of foods that are consumed from outside sources. In addition, the specific food items that each participant consumes will be recorded by the participant on his or her meal tickets which are included with each meal tray

Intervention Type OTHER

Other Intervention Names

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Supplementation Supplementation Supplementation food diary food intake form

Eligibility Criteria

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Inclusion Criteria

* Undergoing an autologous or reduced intensity conditioning (RIC) allogeneic HSCT
* A serum albumin greater than or equal to 2.5 g/dL
* Able to understand and sign consent

Exclusion Criteria

* Patients who have malabsorption problems, such as ulcerative colitis, irritable bowel syndrome, Crohn's disease, bowel surgery such as gastric bypass, and celiac disease
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Case Comprehensive Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Autumn Diligente, MS, RDN, LD

Role: STUDY_DIRECTOR

Case Comprehensive Cancer Center

Stephanie Logosh, MS, RDN, LD

Role: PRINCIPAL_INVESTIGATOR

Case Comprehensive Cancer Center

Locations

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Case Comprehensive Cancer Center

Cleveland, Ohio, United States

Site Status

Countries

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United States

Other Identifiers

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NCI-2015-00477

Identifier Type: REGISTRY

Identifier Source: secondary_id

CASE6Z14

Identifier Type: OTHER

Identifier Source: secondary_id

P30CA043703

Identifier Type: NIH

Identifier Source: secondary_id

View Link

CASE6Z14

Identifier Type: -

Identifier Source: org_study_id

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