Impact of Ketogenic Diet on Tumor Microenvironment in Patients With Breast Cancer
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Joseph Terrones
- Telefonnummer: 210-450-5098
- E-mail: terronesj@uthscsa.edu
Undersøgelse Kontakt Backup
- Navn: Kayla Chamberlin, RN, BSN
- Telefonnummer: 210-450-5964
- E-mail: chamberlink@uthscsa.edu
Studiesteder
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Texas
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San Antonio, Texas, Forenede Stater, 78229
- Rekruttering
- Mays Cancer Center, UT Health San Antonio
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Kontakt:
- Joseph Terrones
- Telefonnummer: 210-450-5098
- E-mail: terronesj@uthscsa.edu
-
Kontakt:
- Kayla Chamberlin, RN, BSN
- E-mail: chamberlink@uthscsa.edu
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Be willing and able to provide consent for the study
- Age ≥ 18 on the day consent is obtained
- Eastern Cooperative Oncology Group (ECOG) score ≤ 2
- Patients must be postmenopausal the time of study entry
- Stage I or II breast cancer using Tumor, Nodes and Metastasis (TNM) stage groups per American Joint Committee on Cancer (AJCC) 8th edition
- Plan for upfront breast surgery with mastectomy or partial mastectomy and does not require pre-operative systemic therapy per standard of care
- Must have tissue available from initial breast biopsy performed per standard of care
- have the ability in the opinion of the investigator to adhere to a ketogenic diet and comply with study requirements such as ability to participate in telemedicine, utilize apps on a smart device, measure glucose/ketones at home, accurately log food intake and exercise, prepare food that is in line with ketogenic diet
Exclusion Criteria:
- Clinical indication for neoadjuvant therapy
- Partial mastectomy or mastectomy planned for less than 3 weeks from study entry
- Inability to comply with ketogenic diet
- Consistent use of ketogenic diet within past 3 months
- Participation in another diet program during study period
- Nonepithelial breast malignancy such as sarcoma or lymphoma
- Body Mass Index < 18.5
- Comorbidities and/or active or ongoing illness that in the opinion of the investigator will limit patient's ability to safely participate in study
- Type I diabetes
- Use of insulin or other oral hypoglycemic drugs for diabetes
Has had any of the following within the past 6 months
- Myocardial infarction or unstable angina
- Ventricular arrythmia
- Acute decompensated heart failure
- Cerebrovascular accident
- Hypertensive emergency
- Uncontrolled hypertension despite antihypertensive use
- End-stage renal, liver, or cardiac disease
- genetic disorders that affect lipid metabolism (example: pyruvate carboxylase deficiency, porphyria, primary carnitine deficiency, carnitine palmitoyltransferase I or II deficiency, carnitine translocase deficiency, beta-oxidation defects, among others)
- G6PD (glucose-6-phosphate dehydrogenase) deficiency
- Malabsorption syndromes (such as but not limited to inflammatory bowel disease, history of gastric sleeve, prior bowel resection)
- History of recurrent kidney stones or predisposition to kidney stones
- Triglycerides ≥ 500
- Has known psychiatric or substance use disorders that would interfere with participation in the study
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Grundvidenskab
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Ketogenic Diet Treatment arm
Patients with early-stage breast cancer will adhere to a ketogenic diet for 3 weeks prior to surgery.
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The ketogenic diet will be comprised of a low carbohydrate, high fat diet.
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change in tumor immune microenvironment
Tidsramme: Baseline to 3 weeks
|
Measurement of ratio of M1 and M2 machrophages in the tumor micorenvironment
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Baseline to 3 weeks
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
ketone level
Tidsramme: Baseline to 3 weeks
|
percent time serum ketones ≥ 0.5 mmol/L
|
Baseline to 3 weeks
|
|
EORTC QLQ-30 (European Organization for Research and Treatment of Cancer) QLQ-30 Quality of life Questionnaire version 3)
Tidsramme: Baseline to 3 weeks
|
A 30 item instrument used to assess some of the different aspects that define the quality of life of cancer patients.
The first 28 items are scored from 1=Not at all to 4=Very much and the last 2 items (reverse scored) rate overall quality of health and life from 1=Very poor to 7=Excellent.
Total scores can range from 30-126 with a higher score indicating a better quality of life.
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Baseline to 3 weeks
|
|
Fact B (The Functional Assessment of Cancer Therapy - Breast)
Tidsramme: Baseline to 3 weeks
|
The Functional Assessment of Cancer Therapy - Breast (FACT-B) is a 37-item with each item scored from 0=Not at all to 4=Very much.
The instrument is designed to measure five domains of HRQOL in breast cancer patients: Physical, social, emotional, functional well-being as well as a breast-cancer subscale (BCS) with total scores ranging from 0 to 148 (higher is better)
|
Baseline to 3 weeks
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Efterforskere
Efterforskere
- Ledende efterforsker: Saba Shaikh, MD, The University of Texas Health Science Center at San Antonio
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- CTMS# 25-0144
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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