Galenos 2 Immunonutrition in Head and Neck, Lung, and Rectal Cancer Patients (GALENOS 2)
Use of an Immunonutrition Galenic Formulation in Head and Neck, Lung and Rectal Cancer Patients During Antineoplastic Treatments: A Prospective Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Valentina Casalone, MD
- Phone Number: +39 0119933844
- Email: valentina.casalone@ircc.it
Study Locations
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-
Torino (TO)
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Candiolo, Torino (TO), Italy, 10060
- Recruiting
- Fondazione del Piemonte per l'Oncologia- IRCCS Istituto di Candiolo, Candiolo, Turin 10060
-
Contact:
- Valentina Casalone
- Phone Number: +39 0119933844
- Email: valentina.casalone@ircc.it
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Written informed consent to study procedures
- Male or female, age greater than 18 years
- Histological or cytological documentation of head and neck squamous cell carcinoma, locally advanced rectal cancer, or lung cancer candidate for immunotherapy, chemotherapy, and/or radiotherapy according to standard clinical practice
- ECOG Performance Status score less than 2
- Adequate kidney, liver, and bone marrow function
- Ability to understand, sign informed consent, and comply with study procedures
Exclusion Criteria:
- Incomplete recovery from surgery before starting antineoplastic treatment
- Other progressing malignancy or malignancy requiring active treatment within the last 3 years, except localized basal cell carcinoma, localized squamous cell carcinoma of the skin, or cervical carcinoma in situ
- Active infection requiring systemic antibiotic therapy
- Serious or unstable medical conditions, psychiatric disorders, or substance abuse interfering with study compliance
- Receipt of any live vaccine within 30 days before study treatment
- Active cardiac pacing/pacing implants/neurostimulators/hearing system not compatible with bioimpedance analysis
- Edema and/or ascites not compatible with body weight evaluation and bioimpedance analysis
- Enteral or parenteral nutritional support at baseline
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Experimental: Galenic Immunonutrition Formula
Participants with head and neck squamous cell carcinoma, locally advanced rectal cancer, or lung cancer undergoing standard antineoplastic treatment will receive the galenic immunonutrition formula twice daily from treatment start for a maximum of 45 days, alongside routine nutritional counseling and standard clinical management
|
The investigational galenic immunonutrition formula is a jelly-based oral supplement formulated with arginine, brewer's yeast, omega-3 powder, olive oil, soy lecithin, glycerol, animal gelatine, purified water, citrate components, and flavoring, with sugar-containing or sweetener-containing versions and peach or lemon flavor options.
Participants will receive two servings per day starting on the first day of antineoplastic treatment and continuing for up to 45 days.
The product will be prepared and supplied free of charge by the Hospital Pharmacy of FPO-IRCCS Candiolo
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Participants with at least 1 Grade 3 or higher treatment-related adverse event
Time Frame: From the first day of antineoplastic treatment to end of trial, assessed up to 63 days
|
Number of participants with at least 1 treatment-related adverse event of Grade 3 or higher, assessed according to Common Terminology Criteria for Adverse Events version 5.0 (CTCAE v5.0)
|
From the first day of antineoplastic treatment to end of trial, assessed up to 63 days
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Body weight
Time Frame: From baseline (T0) to end of trial (T3), assessed up to 63 days
|
Body weight measured in kilograms (kg)
|
From baseline (T0) to end of trial (T3), assessed up to 63 days
|
|
Body mass index
Time Frame: From baseline (T0) to end of trial (T3), assessed up to 63 days
|
Body mass index calculated as body weight in kilograms divided by height in meters squared (kg/m²)
|
From baseline (T0) to end of trial (T3), assessed up to 63 days
|
|
Daily oral energy intake
Time Frame: From baseline (T0) to end of trial (T3), assessed up to 63 days
|
Average daily oral energy intake assessed from food record and expressed in kilocalories per day (kcal/day).
|
From baseline (T0) to end of trial (T3), assessed up to 63 days
|
|
Nutritional Risk Screening 2002 score
Time Frame: From baseline (T0) to end of trial (T3), assessed up to 63 days
|
Nutritional risk assessed using the Nutritional Risk Screening 2002 (NRS-2002).
Total score ranges from 0 to 7, with higher scores indicating greater nutritional risk and worse nutritional status
|
From baseline (T0) to end of trial (T3), assessed up to 63 days
|
|
Prognostic Nutritional Index
Time Frame: From baseline (T0) to end of trial (T3), assessed up to 63 days
|
Prognostic Nutritional Index (PNI).
Higher values indicate better nutritional and immunologic status
|
From baseline (T0) to end of trial (T3), assessed up to 63 days
|
|
Participants requiring additional nutritional support
Time Frame: From the first day of treatment to end of trial, assessed up to 63 days
|
Number of participants requiring additional oral, enteral, or parenteral nutritional support during the study period
|
From the first day of treatment to end of trial, assessed up to 63 days
|
|
Skeletal muscle mass
Time Frame: From baseline (T0) to end of trial (T3), assessed up to 63 days
|
Skeletal muscle mass measured by bioimpedance analysis and expressed in kilograms (kg)
|
From baseline (T0) to end of trial (T3), assessed up to 63 days
|
|
Fat-free mass
Time Frame: From baseline (T0) to end of trial (T3), assessed up to 63 days
|
Fat-free mass measured by bioimpedance analysis and expressed in kilograms (kg).
|
From baseline (T0) to end of trial (T3), assessed up to 63 days
|
|
Body cell mass
Time Frame: From baseline (T0) to end of trial (T3), assessed up to 63 days
|
Body cell mass measured by bioimpedance analysis and expressed in kilograms (kg).
|
From baseline (T0) to end of trial (T3), assessed up to 63 days
|
|
Fat mass
Time Frame: From baseline (T0) to end of trial (T3), assessed up to 63 days
|
Fat mass measured by bioimpedance analysis and expressed in kilograms (kg).
|
From baseline (T0) to end of trial (T3), assessed up to 63 days
|
|
Total body water
Time Frame: From baseline (T0) to end of trial (T3), assessed up to 63 days
|
Total body water measured by bioimpedance analysis and expressed in liters (L)
|
From baseline (T0) to end of trial (T3), assessed up to 63 days
|
|
Skeletal muscle index
Time Frame: From baseline (T0) to end of trial (T3), assessed up to 63 days
|
Skeletal muscle index measured by bioimpedance analysis and expressed in kg/m²
|
From baseline (T0) to end of trial (T3), assessed up to 63 days
|
|
Phase angle
Time Frame: From baseline (T0) to end of trial (T3), assessed up to 63 days
|
Phase angle measured by bioimpedance analysis and expressed in degrees.
Higher values generally indicate better cellular integrity
|
From baseline (T0) to end of trial (T3), assessed up to 63 days
|
|
Handgrip strength
Time Frame: From baseline (T0) to end of trial (T3), assessed up to 63 days
|
Maximum handgrip strength measured using a handgrip dynamometer and expressed in kilograms (kg).
|
From baseline (T0) to end of trial (T3), assessed up to 63 days
|
|
Handgrip endurance
Time Frame: From baseline (T0) to end of trial (T3), assessed up to 63 days
|
Handgrip endurance measured using a handgrip dynamometer.
|
From baseline (T0) to end of trial (T3), assessed up to 63 days
|
|
ECOG Performance Status score
Time Frame: From baseline (T0) to end of trial (T3), assessed up to 63 days
|
Performance status assessed using the Eastern Cooperative Oncology Group (ECOG) Performance Status scale.
Scores range from 0 to 5, with higher scores indicating worse functional impairment
|
From baseline (T0) to end of trial (T3), assessed up to 63 days
|
|
Toxicity-free survival
Time Frame: From the first day of treatment to first toxicity or end of trial, assessed up to 63 days
|
Time from the first day of antineoplastic treatment to the first documented treatment-related adverse event, assessed according to CTCAE v5.0, expressed in days
|
From the first day of treatment to first toxicity or end of trial, assessed up to 63 days
|
|
Relative chemotherapy dose delivered
Time Frame: From treatment start to end of treatment, assessed up to 63 days
|
Total chemotherapy dose administered expressed as the percentage of the planned chemotherapy dose
|
From treatment start to end of treatment, assessed up to 63 days
|
|
Relative radiotherapy dose delivered
Time Frame: From treatment start to end of treatment, assessed up to 63 days
|
Total radiotherapy dose administered expressed as the percentage of the planned radiotherapy dose.
|
From treatment start to end of treatment, assessed up to 63 days
|
|
Relative immunotherapy dose delivered
Time Frame: From treatment start to end of treatment, assessed up to 63 days
|
Total immunotherapy dose administered expressed as the percentage of the planned immunotherapy dose.
|
From treatment start to end of treatment, assessed up to 63 days
|
|
Relative variation in treatment duration
Time Frame: From treatment start to end of treatment, assessed up to 63 days
|
Variation in actual treatment duration compared with planned treatment duration, expressed as a percentage
|
From treatment start to end of treatment, assessed up to 63 days
|
|
Participants completing the planned treatment schedule
Time Frame: From treatment start to end of treatment, assessed up to 63 days
|
Number of participants who complete the planned treatment schedule.
|
From treatment start to end of treatment, assessed up to 63 days
|
|
Participants requiring unplanned hospitalization
Time Frame: From treatment start to end of trial, assessed up to 63 days
|
Number of participants requiring at least 1 unplanned hospitalization during the study period.
|
From treatment start to end of trial, assessed up to 63 days
|
|
EORTC QLQ-C30 Global Health Status / Quality of Life score
Time Frame: At baseline (T0), during treatment, and at end of trial (T3), assessed up to 63 days
|
Self-perceived quality of life assessed using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 version 3.0 (EORTC QLQ-C30 v3.0), Global Health Status / Quality of Life scale.
Scores range from 0 to 100, with higher scores indicating better quality of life.
|
At baseline (T0), during treatment, and at end of trial (T3), assessed up to 63 days
|
|
International Physical Activity Questionnaire score
Time Frame: From baseline (T0) to end of trial (T3), assessed up to 63 days
|
Physical activity assessed using the International Physical Activity Questionnaire (IPAQ).
|
From baseline (T0) to end of trial (T3), assessed up to 63 days
|
|
Formula compliance
Time Frame: From the first day of treatment to Day 45, assessed up to 45 days
|
Compliance with the galenic immunonutrition formula, expressed as the percentage of prescribed daily servings recorded as consumed in the daily intake diary.
|
From the first day of treatment to Day 45, assessed up to 45 days
|
|
Change in circulating CCL2 concentration
Time Frame: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
Plasma CCL2 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).
|
From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
|
Change in circulating CCL4 concentration
Time Frame: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
Plasma CCL4 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).
|
From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
|
Change in circulating CCL22 concentration
Time Frame: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
Plasma CCL22 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).
|
From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
|
Change in circulating CXCL10 concentration
Time Frame: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
Plasma CXCL10 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).
|
From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
|
Change in circulating IFN-γ concentration
Time Frame: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
Plasma IFN-γ concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).
|
From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
|
Change in circulating IL-2 concentration
Time Frame: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
Plasma IL-2 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).
|
From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
|
Change in circulating IL-4 concentration
Time Frame: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
Plasma IL-4 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).
|
From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
|
Change in circulating IL-5 concentration
Time Frame: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
Plasma IL-5 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).
|
From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
|
Change in circulating IL-6 concentration
Time Frame: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
Plasma IL-6 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).
|
From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
|
Change in circulating IL-8 concentration
Time Frame: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
Plasma IL-8 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).
|
From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
|
Change in circulating IL-10 concentration
Time Frame: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
Plasma IL-10 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).
|
From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
|
Change in circulating IL-12 concentration
Time Frame: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
Plasma IL-12 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).
|
From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
|
Change in circulating IL-13 concentration
Time Frame: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
Plasma IL-13 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).
|
From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
|
Change in circulating IL-15 concentration
Time Frame: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
Plasma IL-15 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).
|
From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
|
Change in circulating TGF-β concentration
Time Frame: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
Plasma TGF-β concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).
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From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
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Change in circulating TNF-α concentration
Time Frame: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
Plasma TNF-α concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).
|
From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
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Change in C-reactive protein concentration
Time Frame: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
|
C-reactive protein concentration measured in peripheral blood
|
From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 006-FPO25
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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