Immunonutrition Supplementation in Head and Neck Cancer Patients Undergoing Cancer Treatment Study

NCT ID: NCT05526040

Last Updated: 2022-09-02

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

NA

Total Enrollment

116 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-11-01

Study Completion Date

2023-12-31

Brief Summary

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This is a prospective, randomized, open-label intervention study to evaluate the effectiveness of immunonutrition supplementation in head and neck cancer (HNC) patients during cancer treatment.

Detailed Description

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The study population will be adult HNC patients receiving radiotherapy and chemotherapy treatment. The targeted number of subjects is 116 patients (58 subjects in each arm). Participants will be randomly assigned to receive standard medical nutrition therapy (individualized dietary assessment and counselling, and standard nutrition supplementation as necessary) or standard medical nutrition therapy with high energy, high protein, immunonutrient-enriched oral nutrition supplementation. Immunonutrition supplementation will begin 1 week prior to cancer treatment and continued throughout the cancer treatment, and to be taken in 3 servings/day. The study involves interviewing of subjects for dietary and nutrition assessment; measurement of weight, body composition, handgrip strength; and data collection from subjects' medical records.

Conditions

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Head and Neck Cancer

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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Intervention

Standard medical nutrition therapy with Immunonutrition

Group Type EXPERIMENTAL

Immunonutrient-enriched oral nutrition supplementation

Intervention Type DIETARY_SUPPLEMENT

Individualized dietary assessment and counselling with additional high energy, high protein, immunonutrient-enriched oral nutrition supplement; taken 3 servings per day, from 1 week prior to cancer treatment and continued throughout the cancer treatment.

Oral Impact® is an oral nutrition supplement product enriched with arginine (3.3g/sachet), omega-3 fatty acids (0.8g/sachet) and nucleotides (0.3g/sachet). The immunonutrient-enriched formula is also a complete and balanced formula, and is gluten free. The osmolality of the formula is 620 mOsm/kg water.

Control

Standard medical nutrition therapy

Group Type ACTIVE_COMPARATOR

Standard medical nutrition therapy

Intervention Type DIETARY_SUPPLEMENT

Individualized dietary assessment and counselling and standard nutrition supplementation via oral nutrition supplementation or enteral nutrition as necessary.

Interventions

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Immunonutrient-enriched oral nutrition supplementation

Individualized dietary assessment and counselling with additional high energy, high protein, immunonutrient-enriched oral nutrition supplement; taken 3 servings per day, from 1 week prior to cancer treatment and continued throughout the cancer treatment.

Oral Impact® is an oral nutrition supplement product enriched with arginine (3.3g/sachet), omega-3 fatty acids (0.8g/sachet) and nucleotides (0.3g/sachet). The immunonutrient-enriched formula is also a complete and balanced formula, and is gluten free. The osmolality of the formula is 620 mOsm/kg water.

Intervention Type DIETARY_SUPPLEMENT

Standard medical nutrition therapy

Individualized dietary assessment and counselling and standard nutrition supplementation via oral nutrition supplementation or enteral nutrition as necessary.

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Oral Impact®, Nestle

Eligibility Criteria

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Inclusion Criteria

* Written informed consent obtained
* Adult HNC patients, male or female, above 18 years of age
* Primary HNC diagnosis, stage I to III; including: cancer of the nasopharynx, oropharynx, oral cavity, hypopharynx, or larynx, etc.
* Referred and planned for curative-intent cancer treatment (radiotherapy and chemotherapy)
* Eastern Cooperative Oncology Group (ECOG) performance status \< 2

Exclusion Criteria

* Inability or unwillingness to provide written informed consent or comply with the requirements of the protocol
* Patients with metastatic stage or recurring/relapse of cancer at same site
* Planned for palliative cancer treatment
* Underlying severe hepatic failure or renal dysfunction (eGFR \< 30ml/min/1.73m2)
* Underlying severe sepsis, neutropenia, immune-deficiencies or autoimmune diseases
* Consumption of supplements or enriched foods containing immunonutrients (omega- 3, arginine or nucleotides) in the previous month prior to study; including dietary supplements such as: fish oil capsules, arginine tablets/powder, RNA capsules, etc.
* Known allergy or intolerance to components of the immunonutrition supplement (cow's milk, fish or soy)
* Enrolment in other cancer treatment trials
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Malaya

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Hazreen Abdul Majid, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya

Sing Ean Tan

Role: PRINCIPAL_INVESTIGATOR

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya

Locations

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Hospital Kuala Lumpur

Kuala Lumpur, Kuala Lumpur, Malaysia

Site Status

University of Malaya Medical Centre

Kuala Lumpur, Kuala Lumpur, Malaysia

Site Status

Countries

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Malaysia

Central Contacts

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Hazreen Abdul Majid, Prof. Dr.

Role: CONTACT

+603-79674757

Sing Ean Tan

Role: CONTACT

Facility Contacts

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Sing Ean Tan

Role: primary

Hazreen Abdul Majid, Prof. Dr.

Role: primary

+603-7967 4757

Other Identifiers

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HaNIS-1

Identifier Type: -

Identifier Source: org_study_id

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