- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04847973
Food As Medicine for Heart Failure (FAM-HF)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
We plan to conduct a single-center pilot trial to assess the tolerability, feasibility, and efficacy of providing medically-tailored meals to patients with heart failure with reduced ejection fraction and malnutrition. We hypothesize that a nutritionally complete meal plan, targeting 1.1-1.5 g/kg/day protein intake, will improve symptomatology, functional capacity, and serum biomarkers of heart failure in this patient population. We have two primary objectives for this pilot study: 1) confirm tolerability, feasibility, and efficacy of prescribing MTMs or oral protein supplementation and 2) measure changes in functional capacity, patient-reported health status, and biomarkers of nutritional status and heart failure over the course of the study period. For this proposed study, we will test the following elements of this central hypothesis with 2 aims:
Aim 1 Tolerability, feasibility, and efficacy of prescribing medically-tailored meals or protein supplementation: Tolerability will be assessed with the validated 28-item dietary satisfaction score (DSat-28). Efficacy will be assessed by improvement in patient-reported health status questionnaires and feasibility will be assessed by the macronutrient intakes achieved on facilitated food recalls.
Aim 2 Functional capacity and serum biomarkers of nutrition/heart failure: Determine whether medically tailored meals improve symptomatology, functional capacity, and serum biomarkers of nutrition and heart failure in patients with advanced heart failure.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Amanda Vest, MBBS MPH
- Phone Number: 3 617-636-8068
- Email: avest@tuftsmedicalcenter.org
Study Contact Backup
- Name: Michele Esposito, MD
- Email: mesposito@tuftsmedicalcenter.org
Study Locations
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Massachusetts
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Boston, Massachusetts, United States, 02111
- Tufts Medical Center
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Systolic heart failure (left ventricular ejection fraction </=40%), with New York Heart Association (NYHA) class II-III symptoms
- At least one prior hospitalization in the preceding 12 months
- Evidence of malnutrition on the Short Nutritional Assessment Questionnaire (SNAQ) screening tool for malnutrition (score of 2 or more)
- Have a fixed address within the Metro Boston region and availability of home refrigeration to accommodate the MTM deliveries
- Able and willing to sign study consent
- 18 years or above
- Not currently pregnant and not imminently planning a pregnancy
Exclusion Criteria:
- Prior heart transplantation or implantation of a left ventricular assist device
- Patients with a non-cardiac etiology for a skeletal muscle disorder e.g. muscular dystrophy, cancer
- Currently pregnant or planning to become pregnant
- Food allergy, aversion, or dietary preference that cannot be accommodated by Community Servings
- Systolic blood pressure at screening <90 mmHg, or heart rate >110 bpm
- Galactosemia
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: 12 weeks of medically-tailored meals (MTMs)
12 weeks of home-delivered medically-tailored meals (MTMs), prepared and delivered by the non-profit Community Servings.
The MTM has be developed specifically for patients with heart failure, with an approximate protein intake range of 1.1-1.5 g/kg body weight/day and a maximum of 2000 mg sodium/day.
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12 weeks of home-delivered MTMs, delivered weekly, containing food for 3 meals per day on 5 days of the week
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Experimental: 12 weeks of protein supplementation shakes
Participants will receive 1 bottle of Ensure Max Protein shake every day (any flavor option without caffeine, daily for 12 weeks) to take in addition to their standard diet, without MTM delivery.
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12 weeks of 1 bottle of Ensure Max Protein shake every day, in addition to partcipants' standard diet
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Kansas City Cardiomyopathy Questionnaire (KCCQ)
Time Frame: Change from start to end of 12-week MTM period
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Patient reported health measure (scale 0 to 100, higher indicates better health status)
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Change from start to end of 12-week MTM period
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Handgrip strength measurement in kg
Time Frame: Change from start to end of 12-week MTM period
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Upper extremity strength measured by dynamometer (higher kg achieved indicates greater strength)
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Change from start to end of 12-week MTM period
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Sit-to-stand test
Time Frame: Change from start to end of 12-week MTM period
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Lower extremity strength measure (lower time indicates greater strength)
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Change from start to end of 12-week MTM period
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6 minute walk test
Time Frame: Change from start to end of 12-week MTM period
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Strength and endurance measure
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Change from start to end of 12-week MTM period
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Diet Satisfaction scale (DSat-28)
Time Frame: Change from start to end of 12-week MTM period
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Dietary satisfaction measure
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Change from start to end of 12-week MTM period
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Short Nutritional Assessment Questionnaire (SNAQ)
Time Frame: Change from start to end of 12-week MTM period
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Appetite questionnaire (score ranges 0 to 7, >/=3 indicating a severe malnutrition risk)
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Change from start to end of 12-week MTM period
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Facilitated food recall
Time Frame: Change from start to end of 12-week MTM period
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3-day 24-hour facilitated food recall
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Change from start to end of 12-week MTM period
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Weight
Time Frame: Change from start to end of 12-week MTM period
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Subject's body weight, measured on standing scale
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Change from start to end of 12-week MTM period
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Amanda Vest, MBBS MPH, Tufts Medical Center
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 (Actual)
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
Other Study ID Numbers
- 00001214
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
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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