- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02652715
Salvia Hispanica Seed in Reducing Risk of Disease Recurrence in Patients With Non-Hodgkin Lymphoma
A Pilot Feasibility Trial of the Tolerability of Oral Salvia Hispanica and Its Effect on Blood Fatty Acids and Stool Microbiome in Patients With Treated Non-Hodgkin Lymphoma
Study Overview
Status
Conditions
- Diffuse Large B-Cell Lymphoma
- Splenic Marginal Zone Lymphoma
- Mantle Cell Lymphoma
- Mycosis Fungoides
- Sezary Syndrome
- Lymphoplasmacytic Lymphoma
- Anaplastic Large Cell Lymphoma
- Blastic Plasmacytoid Dendritic Cell Neoplasm
- Primary Effusion Lymphoma
- Adult T-Cell Leukemia/Lymphoma
- Post-Transplant Lymphoproliferative Disorder
- Central Nervous System Lymphoma
- Angioimmunoblastic T-Cell Lymphoma
- Extranodal Marginal Zone Lymphoma of Mucosa-Associated Lymphoid Tissue
- Hepatosplenic T-Cell Lymphoma
- Nodal Marginal Zone Lymphoma
- Enteropathy-Associated T-Cell Lymphoma
- Mediastinal (Thymic) Large B-Cell Lymphoma
- Nasal Type Extranodal NK/T-Cell Lymphoma
- Peripheral T-Cell Lymphoma, Not Otherwise Specified
- Primary Cutaneous Anaplastic Large Cell Lymphoma
- Subcutaneous Panniculitis-Like T-Cell Lymphoma
- Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma
- Grade 1 Follicular Lymphoma
- Grade 2 Follicular Lymphoma
- Adult Nasal Type Extranodal NK/T-Cell Lymphoma
- T Lymphoblastic Leukemia/Lymphoma
- B Lymphoblastic Leukemia/Lymphoma
- Burkitt Leukemia
- Grade 3 Follicular Lymphoma
- Systemic Anaplastic Large Cell Lymphoma
- Transformed Recurrent Non-Hodgkin Lymphoma
Detailed Description
PRIMARY OBJECTIVES:
I. Assess if dietary supplementation with the functional food Salvia hispanica (SH) seed improves serum omega-3 (n-3) fatty acids (FA) levels in patients with non-Hodgkin lymphoma (NHL) who have recently completed chemotherapy.
SECONDARY OBJECTIVES:
I. Evaluate the safety and tolerability of patients taking 16 grams (g) (approximately 1 United States [US] tablespoon) of SH per day.
II. Evaluate the compliance of stool sample collection in lymphoma patients who have completed therapy and are in remission.
III. Evaluate if SH can exert measurable changes of the stool microbiome. IV. Evaluate if changes in n-3 levels and stool microbiome persist or resolve after participants are no longer taking SH.
OUTLINE:
Patients receive Salvia hispanica seed orally (PO) once daily (QD) for 12 weeks.
After completion of study, patients are followed up at 4 weeks.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Minnesota
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Rochester, Minnesota, United States, 55905
- Mayo Clinic
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Have a diagnosis of any type of NHL and =< 5 years from the last treatment
- In remission (complete remission [CR], partial remission [PR], or stable disease based on clinical, not necessarily radiologic, assessment) and currently being observed and with no current cytotoxic chemotherapy planned; patients may be on rituximab maintenance
- No international travel planned during the next 4 months
- Able to eat a full range of solid food and liquids and tolerate seeds/nuts
- Maintain a consistent general diet without significant variation
- Able to deliver four fresh (within 24 hours) stool samples to Mayo Clinic Rochester over a four month period
- Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0, 1, or 2
- Provide informed written consent
- Able to recollect dietary intake for the prior 24 hours in order to complete a one-day food record with assistance from a dietician at each study visit
- Willing to complete the food frequency questionnaire (FFQ) at baseline and at 16 week visits with assistance from a dietician
- Willing to be seen at baseline, 6 weeks, 12 weeks, and 16 weeks for the study time points
- Willing to provide blood and stool samples at baseline and study time points for correlative research purposes
Exclusion Criteria:
- Cannot eat normal table food by mouth; NOTE: patients with any form of feeding tube or a swallowing disorder are not eligible
- Have taken fish oil, another dedicated n-3 supplement, or SH seed from another source within the last 28 days; patients on multivitamins that contain n-3 are eligible
- Co-morbid systemic illnesses such as active infection or other severe concurrent disease which, in the judgment of the investigator, would make the patient inappropriate for entry into this study or interfere significantly with the proper assessment of safety and toxicity of the prescribed regimens; NOTE: patients with significant gut malabsorptive conditions (such as inflammatory bowel disease or others at the discretion of the investigator) will be excluded
- Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, uncontrolled cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
- Receiving any other investigational agent that would be considered as a treatment for the lymphoma; NOTE: rituximab maintenance and patients participating on Mayo Clinic vitamin D study are allowed
- Active other malignancy requiring treatment that would interfere with the assessments of this study
- Major surgery other than diagnostic surgery =< 4 weeks prior to registration
- On prophylactic antibiotics, such as trimethoprim-sulfamethoxazole for pneumocystis prophylaxis or post-transplant penicillin prophylaxis
- Have taken antibiotics =< 7 days prior to registration
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Basic science (Salvia hispanica seed)
Patients receive Salvia hispanica seed PO QD for 12 weeks.
|
Correlative studies
Ancillary studies
Other Names:
Ancillary studies
Given PO
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in improvement of n-3 serum alpha-linoleic acid levels
Time Frame: Baseline to up to 16 weeks
|
n-3 level will be evaluated as a continuous measure, where the median and range will be summarized at each time point.
Changes across time will be evaluated graphically.
Changes from baseline will be quantitatively summarized and will be evaluated using paired sample methods (paired sample t-test).
|
Baseline to up to 16 weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in n-3 levels after participants are no longer taking SH
Time Frame: From 12 weeks to up to 16 weeks
|
The evaluation of whether changes in n-3 levels persist or resolve after participants are no longer taking SH will be assessed using a paired t test comparing the mean values at 12 weeks to the mean values at 16 weeks.
Changes from week 12 to week 16 will also be calculated and the mean magnitude of change will be explored.
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From 12 weeks to up to 16 weeks
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Changes in stool microbiome after participants are no longer taking SH
Time Frame: From 12 weeks to up to 16 weeks
|
The evaluation of whether changes in stool microbiome persist or resolve after participants are no longer taking SH will be assessed using a paired t test comparing the mean values at 12 weeks to the mean values at 16 weeks.
Changes from week 12 to week 16 will also be calculated and the mean magnitude of change will be explored.
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From 12 weeks to up to 16 weeks
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Changes in stool microbiome after supplementation with SH, assessed by gene sequencing
Time Frame: Baseline to up to 16 weeks
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Patient's initial sample will provide a control to assess alterations in stool deoxyribonucleic acid (DNA) (reflecting stool bacterial populations) after supplementation with SH.
Measurable change will be assessed based on standardized methods.
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Baseline to up to 16 weeks
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Incidence of adverse events graded according to the National Cancer Institute Common Toxicity Criteria version 4.0
Time Frame: Up to 16 weeks
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Safety and tolerability will be assessed utilizing stool and symptom diaries.
The maximum grade for each type of adverse event will be recorded for each patient, and frequency tables will be reviewed to determine patterns.
The relationship of the adverse event(s) to the study treatment will be taken into consideration.
In addition, tolerability will be further assessed by evaluating the number of doses missed due to adverse events.
Reasons for missed doses will be summarized.
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Up to 16 weeks
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Patient compliance in stool sample collection
Time Frame: Up to 16 weeks
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Patient compliance in stool sample collection will be assessed by evaluating the percentage of patients who provide a sample at each time point.
The percentage of patients who provide samples for 0, 1, 2, 3, or all 4 time points will be calculated to determine the feasibility of requesting multiple samples on future studies.
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Up to 16 weeks
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Collaborators and Investigators
Sponsor
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Cardiovascular Diseases
- Vascular Diseases
- Skin Diseases
- Virus Diseases
- Infections
- Immune System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Lymphatic Diseases
- Immunoproliferative Disorders
- Hematologic Diseases
- Hemorrhagic Disorders
- Connective Tissue Diseases
- Hemostatic Disorders
- Paraproteinemias
- Blood Protein Disorders
- DNA Virus Infections
- Bacterial Infections and Mycoses
- Tumor Virus Infections
- Neoplasms, Plasma Cell
- Epstein-Barr Virus Infections
- Herpesviridae Infections
- Leukemia, B-Cell
- Lymphadenopathy
- Lymphoma, T-Cell, Cutaneous
- Lymphoma
- Lymphoma, Follicular
- Lymphoma, B-Cell
- Lymphoma, Large B-Cell, Diffuse
- Leukemia
- Lymphoma, Non-Hodgkin
- Mycoses
- Burkitt Lymphoma
- Lymphoma, Mantle-Cell
- Lymphoma, B-Cell, Marginal Zone
- Precursor Cell Lymphoblastic Leukemia-Lymphoma
- Waldenstrom Macroglobulinemia
- Leukemia, Lymphocytic, Chronic, B-Cell
- Leukemia, Lymphoid
- Lymphoma, T-Cell
- Lymphoma, T-Cell, Peripheral
- Leukemia, T-Cell
- Leukemia-Lymphoma, Adult T-Cell
- Mycosis Fungoides
- Sezary Syndrome
- Lymphoma, Large-Cell, Anaplastic
- Lymphoma, Extranodal NK-T-Cell
- Lymphoproliferative Disorders
- Immunoblastic Lymphadenopathy
- Panniculitis
- Enteropathy-Associated T-Cell Lymphoma
- Lymphoma, Primary Cutaneous Anaplastic Large Cell
- Lymphoma, Primary Effusion
Other Study ID Numbers
- LS1581 (Other Identifier: Mayo Clinic)
- P30CA015083 (U.S. NIH Grant/Contract)
- NCI-2015-02149 (Registry Identifier: CTRP (Clinical Trial Reporting Program))
- 15-006720
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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