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Trial Title: PROtein, Leucine and Vitamin D Supplementation In Patients With GYnecologic Cancer Receiving Platinum-based Chemotherapy

NCT ID: NCT06087783

Condition: Gynecologic Cancer

Study type: Interventional

Study phase: N/A

Overall status: Not yet recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Parallel Assignment

Intervention model description: Single-group intervention study compared to matched historical controls

Primary purpose: Treatment

Masking: Single (Outcomes Assessor)

Intervention:

Intervention type: Dietary Supplement
Intervention name: Experimental product - Fortifit® Powder
Description: Two servings (40 grams each) of powder (Fortifit®; Nutricia) which has to be dissolved in 125 ml of water. Per serving, 20 g whey protein, 3 g total leucine, 9 g carbohydrates, 3 g fat, 800 IU vitamin D, and a mixture of vitamins, minerals, and fibers.
Arm group label: Muscle-targeted nutritional support

Other name: Muscle-targeted nutritional support

Intervention type: Other
Intervention name: Standard of care
Description: Control group receiving no nutritional intervention or on-demand non muscle-targeted intervention such as nutritional counseling with or without oral nutritional supplement
Arm group label: Standard of care

Summary: Open clinical trial addressing the effect of a nutritional support based on whey proteins, leucine and vitamin D on muscle mass and multiple anticancer treatment-related endpoints in patients with gynecologic cancer receiving first-line platinum-based chemotherapy (adjuvant or curative). A comparison to matched historical controls will be performed to address potential evidence of efficacy to be investigated in a subsequent randomized trial.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - histologically confirmed diagnosis of gynecologic cancer (ovarian, uterine, cervical); - indication for a first-line chemotherapy (adjuvant or curative) with a platinum-based regimen to be used by investigator's choice within the framework of good clinical practice and in agreement with current Italian Association of Medical Oncology guidelines; - Eastern Cooperative Oncology Group (ECOG) performance status ≤2; - signed informed consent. Exclusion Criteria: - age <18 years - ECOG performance status >2 - indication to or ongoing artificial nutrition support - known kidney failure (previous glomerular filtration rate <30 ml/min); - known liver failure (Child B or C) - endocrine disorders associated with disorders of calcium metabolism (excluding osteoporosis) - decompensated diabetes - indications related to the study product: more than 10 µg (400 IU) of daily Vitamin D intake from medical sources More than 500 mg of daily calcium intake from medical sources; adherence to a high energy or high protein diet up or use of protein containing or amino acid containing nutritional supplements up to three months before starting the study. - known allergy to milk, milk products or other components of the proposed interventions - inclusion in other nutritional intervention trials - patients refusal

Gender: Female

Gender based: Yes

Gender description: Disease setting is gender-specific

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Start date: November 1, 2023

Completion date: November 30, 2025

Lead sponsor:
Agency: Fondazione IRCCS Policlinico San Matteo di Pavia
Agency class: Other

Source: Fondazione IRCCS Policlinico San Matteo di Pavia

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06087783

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