A Whole-food, Plant-Based Nutrition Intervention in Women With Metastatic Breast Cancer
Whole-Food, Plant-Based Nutrition Among Women With Metastatic Breast Cancer: A Pilot Study of Recruitment, Retention, and Preliminary Changes in Biomarkers and Symptoms.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
New York
-
Rochester, New York, United States, 14642
- University of Rochester
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Women with a confirmed diagnosis of metastatic breast cancer with a stable treatment regimen, demonstrated by no changes in primary cancer therapy 6 weeks prior to consent and no anticipated changes in primary cancer therapy in the 4 weeks following consent.
- Systemic therapy may consist of any conventional treatment including anti-hormonal, cytotoxic, targeted monoclonal antibody or small molecule kinase inhibitors or any combination of the above. Women who have previously declined conventional cancer therapy are also eligible provided they meet all other eligibility criteria.
- Expected to survive for at least 6 months.
- Eligibility classification for enrollment into the study - T: any; N: any; M:1.
- Any ER/PR/HER2 status is eligible.
- Age > 18 years.
- Must be willing to adopt a strict, whole-foods, plant-based diet.
- Participant must be willing and able to comply with the protocol for the duration of the study including scheduled testing and weekly office visits.
- Able to speak and read English fluently.
Exclusion Criteria:
- Inability to tolerate a normal diet.
- Current use of insulin or sulfonylureas.
- Active malabsorption syndrome at time of consent (ie. Crohn's disease, major bowel resection leading to permanent malabsorption).
- Current eating disorder.
- Uncontrolled diarrhea.
- Plant-based food allergies or intolerances.
- Recent consumption (in the past 6 months) of a vegan diet.
- GFR < 30 on 2 or more lab tests in the past 90 days.
- Serum potassium > 5.3 on 2 or more lab tests in the past 90 days.
- Major surgery within 2 months of starting study program.
- Psychiatric disorder that prohibits giving informed consent.
- Current smoking.
- Current high risk alcohol use (> 7 drinks per week).
- Current illicit substance use.
- Current warfarin use.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Intervention group
Subjects are provided three meals daily, attend weekly office visits, take a daily multivitamin.
|
Women will be provided with 3 meals daily, delivered to their home, for 8 weeks, along with a multivitamin, and will attend weekly office visits.
|
|
No Intervention: Control Group
Women instructed to maintain current intake and take a provided multivitamin.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Recruitment
Time Frame: 1 year
|
Percentage of women who are randomized in the study out of the all women approached.
|
1 year
|
|
Retention
Time Frame: 8 weeks
|
Percentage of women who start the intervention who go on to complete 8-week testing
|
8 weeks
|
|
Compliance
Time Frame: 8 weeks
|
The percentage of daily calorie intake from "on-plan" food will be calculated for each participant.
|
8 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Weight
Time Frame: 8 weeks
|
8 weeks
|
|
|
Blood Pressure
Time Frame: 8 weeks
|
8 weeks
|
|
|
FACT-B
Time Frame: 8 weeks
|
8 weeks
|
|
|
EORTC QLQ-C30
Time Frame: 8 weeks
|
8 weeks
|
|
|
FACT-COG
Time Frame: 8 weeks
|
8 weeks
|
|
|
Brief Fatigue Inventory (BFI)
Time Frame: 8 weeks
|
8 weeks
|
|
|
Symptom Inventory
Time Frame: 8 weeks
|
8 weeks
|
|
|
Serum breast cancer biomarkers
Time Frame: 8 weeks
|
CA 15-3, CEA, CA 27.29
|
8 weeks
|
|
Tumor Metabolic Activity as assessed by Positron Emission Tomography/ Computer Tomography (PET/CT)
Time Frame: 8 weeks
|
8 weeks
|
|
|
Changes in nutrient intakes based on 3 day food diaries
Time Frame: 8 weeks
|
Assess baseline diet compared to intervention diet
|
8 weeks
|
|
Inflammatory Markers
Time Frame: 8 weeks
|
CBC, CRP
|
8 weeks
|
|
Hormonal Levels
Time Frame: 8 weeks
|
Estradiol, testosterone, SHBG, DHEAS, Insulin, IGF-1, IGFBP-3
|
8 weeks
|
|
Metabolic Markers
Time Frame: 8 weeks
|
Lipids, CMP
|
8 weeks
|
|
Tumor Metabolic Activity
Time Frame: 8 weeks
|
PET/CT scan SUV Uptake
|
8 weeks
|
|
Circulating Tumor Cells
Time Frame: 8 weeks
|
8 weeks
|
|
|
cell-free DNA
Time Frame: 8 weeks
|
8 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- RSRB00066846
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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