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Trial Title: Food for Thought - a Nutrition Intervention for Women Undergoing Active Treatment for Triple Negative Breast Cancer

NCT ID: NCT06582615

Condition: Anatomic Stage II Breast Cancer AJCC V8
Anatomic Stage III Breast Cancer AJCC V8
Triple-Negative Breast Carcinoma

Conditions: Official terms:
Breast Neoplasms
Triple Negative Breast Neoplasms

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Intervention model description: Parallel design with optional cross-over of the control group to the treatment group after 6-month follow-up.

Primary purpose: Supportive Care

Masking: None (Open Label)

Intervention:

Intervention type: Procedure
Intervention name: Biospecimen Collection
Description: Undergo dried blood spot collection
Arm group label: Arm I (MIND-TNBC counseling)
Arm group label: Arm II (general health recommendations counseling)

Other name: Biological Sample Collection

Other name: Biospecimen Collected

Other name: Specimen Collection

Intervention type: Procedure
Intervention name: Cognitive Assessment
Description: Ancillary studies
Arm group label: Arm I (MIND-TNBC counseling)
Arm group label: Arm II (general health recommendations counseling)

Intervention type: Other
Intervention name: Dietary Intervention
Description: Receive MIND counseling sessions
Arm group label: Arm I (MIND-TNBC counseling)

Other name: Dietary Modification

Other name: intervention, dietary

Other name: Nutrition Intervention

Other name: Nutrition Interventions

Other name: Nutritional Interventions

Intervention type: Other
Intervention name: Dietary Intervention
Description: Follow a personalized diet
Arm group label: Arm I (MIND-TNBC counseling)

Other name: Dietary Modification

Other name: intervention, dietary

Other name: Nutrition Intervention

Other name: Nutrition Interventions

Other name: Nutritional Interventions

Intervention type: Other
Intervention name: Dietary Intervention
Description: Receive general health recommendations counseling sessions
Arm group label: Arm II (general health recommendations counseling)

Other name: Dietary Modification

Other name: intervention, dietary

Other name: Nutrition Intervention

Other name: Nutrition Interventions

Other name: Nutritional Interventions

Intervention type: Other
Intervention name: Medical Device Usage and Evaluation
Description: Wear a Fitbit
Arm group label: Arm I (MIND-TNBC counseling)
Arm group label: Arm II (general health recommendations counseling)

Intervention type: Other
Intervention name: Questionnaire Administration
Description: Ancillary studies
Arm group label: Arm I (MIND-TNBC counseling)
Arm group label: Arm II (general health recommendations counseling)

Summary: The goal of this randomized clinical trial is to learn if a healthy eating pattern called the MIND eating plan can reduce cancer-related cognitive impairment (commonly called "chemobrain") and other symptoms commonly experienced by women with newly diagnosed stage II-III triple negative breast cancer as they go through chemotherapy. The symptoms that will be measured include changes in memory and mental function, fatigue, sleep quality, anxiety, and depression. Researchers will compare measures from women in the 12-week MIND eating plan virtual intervention to a general health coaching (GHC) virtual intervention to see if the MIND eating plan helps reduce symptoms. Women will be contacted for follow-up measures 6 months after the 12-week interventions. Women randomly assigned to the GHC at the beginning of the study will have the opportunity to complete the MIND intervention after the 6-month follow-up. All study sessions and measures are done remotely. Participants will: - Be randomized to MIND or GHC interventions - Complete all study measures remotely (by online questionnaires, virtual visits and mail ) - Attend 8 virtual sessions of about 15-60 minutes each over 12 weeks - Be sent some of the key foods in the MIND eating plan during the MIND intervention - Be contacted for follow-up measures 6 months after interventions

Detailed description: PRIMARY OBJECTIVES: I. Evaluate the efficacy of a remotely delivered, highly accessible, 3-month MIND diet intervention (MIND-Breast Cancer [BC]) versus (vs.) general health curriculum (GHC) control to reduce CRCI and associated neuropsychological symptoms in 60 racially and ethnically diverse women with clinical stage II-III TNBC. II. Evaluate the sustainability of dietary changes and outcome measures 6-months post-intervention. EXPLORATORY OBJECTIVE: I. Explore underlying mechanisms of the MIND-BC diet on CRCI and effects of early versus later participation in the dietary intervention. OUTLINE: Patients are randomized to 1 of 2 arms. ARM I: Patients receive MIND counseling sessions over 30-60 minutes weekly for 4 weeks then over 15 minutes biweekly for 4 sessions over 8 weeks and follow a personalized diet for 12 weeks. Patients also wear a Fitbit and undergo dried blood spot collection on study and during follow up. ARM II: Patients receive general health recommendations counseling sessions over 30-60 minutes weekly for 4 weeks then over 15 minutes biweekly for 4 sessions over 8 weeks. Patients also wear a Fitbit and undergo dried blood spot collection on study and during follow up. After 6 month follow-up, patients may receive the MIND counseling sessions as in Arm I. After completion of study intervention, patients are followed up at 6 months.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Age 40-65 years - Female with newly diagnosed stage II-III triple negative breast cancer - Within 3 weeks prior to starting neoadjuvant chemotherapy OR up to 6 months after starting neoadjuvant chemotherapy - Ability to access and use internet resources, including video calls using Zoom platform - English speaking Exclusion Criteria: - History of dementia, stroke, traumatic brain injury, brain metastasis or other conditions that could lead to cognitive impairment - Current healthy eating pattern reflected by high MIND diet score (e.g. > 8) - Unwilling/unable to eat > 2 types of MIND food (e.g. avoids > 2 categories or food groups such as leafy greens, olive oil and non-fried fish) - Currently pregnant - Unable to give informed consent

Gender: Female

Minimum age: 40 Years

Maximum age: 65 Years

Healthy volunteers: No

Locations:

Facility:
Name: Yale University

Address:
City: New Haven
Zip: 06519
Country: United States

Status: Recruiting

Contact:
Last name: Maryam Lustberg, MD, MPH

Phone: 203-200-2328
Email: maryam.lustberg@yale.edu

Facility:
Name: Ohio State University Comprehensive Cancer Center

Address:
City: Columbus
Zip: 43210
Country: United States

Status: Recruiting

Contact:
Last name: Tonya Orchard, PhD

Phone: 614-292-7241
Email: Orchard.6@osu.edu

Contact backup:
Last name: Tonya Orchard

Start date: October 28, 2024

Completion date: December 31, 2026

Lead sponsor:
Agency: Ohio State University Comprehensive Cancer Center
Agency class: Other

Collaborator:
Agency: American Institute for Cancer Research
Agency class: Other

Source: Ohio State University Comprehensive Cancer Center

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06582615
http://cancer.osu.edu

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