Sustained Oral Fiber Supplementation for Patients Undergoing Donor Stem Cell Transplantation for Hematological Malignancies

NCT ID: NCT04829136

Last Updated: 2025-09-19

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

RECRUITING

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-22

Study Completion Date

2027-12-31

Brief Summary

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This clinical trial examines sustained oral fiber supplementation for patients undergoing donor stem cell transplantation for hematological malignancies. Patients undergoing donor stem cell transplantation often develop oral and gastrointestinal damage from chemotherapy, radiotherapy, or graft-versus-host disease. Oral fiber nutrition support may improve overall nutrition, support a normal gut microbiome (bacteria that live in the gut) and/or improve gut function in patients undergoing stem cell transplants.

Detailed Description

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OUTLINE:

Current study design: Patients receive fiber supplementation orally (PO) or enterally starting 14 to 5 days prior to standard of care conditioning chemotherapy and continuing until discharge. Patients who are not able to receive sufficient nutrition by mouth may receive parenteral nutrition or enteral nutrition by feeding tube from the hospital. Patients may undergo blood sample collection throughout the study.

Previous study design: Before this study was amended in January 2024, patients were randomized to 1 of 2 arms.

Previous Arm I: Patients received enteral nutrition via nasoenteric feeding tube starting on day 1 until hospital discharge.

Previous Arm II: Patients received standard of care nutritional support.

After completion of study treatment, patients are followed up at days 42, 60 and 90 days post transplant.

Conditions

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Hematopoietic and Lymphatic System Neoplasm

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Arm I (enteral nutrition) [Discontinued in January 2024]

Patients receive enteral nutrition via nasoenteric feeding tube starting on day 1 until hospital discharge.

Group Type EXPERIMENTAL

Kate Farms 1.0

Intervention Type DIETARY_SUPPLEMENT

Given enteral nutrition via nasoenteric feeding

Survey Administration

Intervention Type OTHER

Ancillary studies

Arm II (standard of care) [Discontinued in January 2024]

Patients receive standard of care nutritional support.

Group Type ACTIVE_COMPARATOR

Standard of Care Nutritional Support

Intervention Type DIETARY_SUPPLEMENT

Given standard of care, which may be parenteral nutrition

Survey Administration

Intervention Type OTHER

Ancillary studies

Supportive care (Fiber) [Current study activity]

Patients receive fiber supplementation PO or enterally starting 14 to 5 days prior to standard of care conditioning chemotherapy and continuing until discharge from the hospital. Stool will be collected at different time points throughout the study. Patients may also undergo blood sample collection throughout the study.

Group Type EXPERIMENTAL

Survey Administration

Intervention Type OTHER

Ancillary studies

Dietary Supplement

Intervention Type DIETARY_SUPPLEMENT

Receive fiber supplementation orally or enterally

Biospecimen Collection

Intervention Type PROCEDURE

Undergo collection of blood and stool samples

Electronic Health Record Review

Intervention Type OTHER

Ancillary studies

Fiber and Dietary Assessments

Intervention Type OTHER

Ancillary studies

Interventions

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Kate Farms 1.0

Given enteral nutrition via nasoenteric feeding

Intervention Type DIETARY_SUPPLEMENT

Standard of Care Nutritional Support

Given standard of care, which may be parenteral nutrition

Intervention Type DIETARY_SUPPLEMENT

Survey Administration

Ancillary studies

Intervention Type OTHER

Dietary Supplement

Receive fiber supplementation orally or enterally

Intervention Type DIETARY_SUPPLEMENT

Biospecimen Collection

Undergo collection of blood and stool samples

Intervention Type PROCEDURE

Electronic Health Record Review

Ancillary studies

Intervention Type OTHER

Fiber and Dietary Assessments

Ancillary studies

Intervention Type OTHER

Other Intervention Names

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Polymeric Enteral Nutrition Formula hyperalimentation parenteral nutrition Total Parenteral Nutrition TPN nutritional supplement supplemental nutrition Supplements

Eligibility Criteria

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Inclusion Criteria

* Able to provide written informed consent prior to initiation of any study procedures
* Planned allogeneic stem cell transplantation
* At least 18 years of age

Exclusion Criteria

* Major psychiatric diagnosis that impairs cognitive functioning or is not controlled at the time of the approach, as judged by the patient's medical team
* Pregnant or breastfeeding. Pregnancy test is obtained as part of pre-transplant evaluation in women of child-bearing potential at arrival to transplant and again within 7 days of conditioning and will be confirmed as negative by review of the chart
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fred Hutchinson Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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David Fredricks

Role: PRINCIPAL_INVESTIGATOR

Fred Hutch/University of Washington Cancer Consortium

Locations

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Fred Hutch/University of Washington Cancer Consortium

Seattle, Washington, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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David Fredricks

Role: CONTACT

206-667-1935

Facility Contacts

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David Fredricks

Role: primary

206-667-1935

Other Identifiers

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NCI-2021-00842

Identifier Type: REGISTRY

Identifier Source: secondary_id

10599

Identifier Type: OTHER

Identifier Source: secondary_id

RG1121363

Identifier Type: -

Identifier Source: org_study_id

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