CClinicalTrials.gg
CompletedNCT00053053Updated Dec 8, 2016

Comparison of Nutritional Supplements in Preventing Weight Loss in Patients With Cancer

A Phase 3 interventional study of Juven and Non-Juven Supplement in Cachexia, Lymphoma and Lymphoproliferative Disorder, sponsored by Radiation Therapy Oncology Group. Completed at 250 sites in 2 countries. Open to participants aged 17 Years to 120 Years. Per ClinicalTrials.gov, last updated 2016-12-08.

Sponsored by Radiation Therapy Oncology Group · Phase 3, Interventional, and Supportive care

Phase
Phase 3
Study type
Interventional
Enrollment
472
Allocation
Randomized
Ages
17 Years to 120 Years
Sex
All
01

Study summary

RATIONALE: Nutritional supplements may help prevent loss of appetite, weight loss, and fatigue in patients with advanced cancer.

PURPOSE: Randomized phase III trial to compare the effectiveness of two nutritional supplements in preventing loss of appetite, weight loss, and fatigue in patients who have stage III or stage IV solid tumors.

Read the detailed description

OBJECTIVES:

  • Compare the change in lean body mass of patients treated with Juven® vs a non-Juven® supplement.
  • Compare the change in fatigue and quality of life of patients treated with these supplements.
  • Compare the results of plethysmography, bioimpedance, and skinfold measurement in patients treated with these supplements.
  • Compare the weight change in patients treated with these supplements.

OUTLINE: This is a randomized, double-blind, multicenter study. Patients are stratified according to primary disease site (lung vs others), concurrent chemotherapy (yes vs no), evidence of metastases (yes vs no), and degree of weight loss (2-5% vs 6-10%). Patients are randomized to 1 of 2 treatment arms.

  • Arm I: Patients receive oral Juven® supplement twice daily for 8 weeks.
  • Arm II: Patients receive oral non-Juven® supplement twice daily for 8 weeks. All patients undergo lean body mass measurement (to include multiple body composition and weight change) and fatigue and quality of life assessments at baseline and then at 4 and 8 weeks.

PROJECTED ACCRUAL: A total of 468 patients (234 per treatment arm) will be accrued for this study within 16 months.

02

Conditions studied

  • Cachexia
  • Lymphoma
  • Lymphoproliferative Disorder
  • Unspecified Adult Solid Tumor, Protocol Specific

Keywords

  • unspecified adult solid tumor, protocol specific
  • cachexia
  • recurrent adult diffuse large cell lymphoma
  • recurrent adult diffuse mixed cell lymphoma
  • recurrent adult diffuse small cleaved cell lymphoma
  • recurrent adult Hodgkin lymphoma
  • recurrent adult immunoblastic large cell lymphoma
  • recurrent adult lymphoblastic lymphoma
  • recurrent cutaneous T-cell non-Hodgkin lymphoma
  • recurrent grade 1 follicular lymphoma
  • recurrent grade 2 follicular lymphoma
  • recurrent grade 3 follicular lymphoma
  • recurrent mantle cell lymphoma
  • stage III adult diffuse large cell lymphoma
  • stage III adult diffuse mixed cell lymphoma
  • stage III adult diffuse small cleaved cell lymphoma
  • stage III adult Burkitt lymphoma
  • stage III adult Hodgkin lymphoma
  • stage III adult immunoblastic large cell lymphoma
  • stage III adult lymphoblastic lymphoma
  • stage III cutaneous T-cell non-Hodgkin lymphoma
  • stage III grade 1 follicular lymphoma
  • stage III grade 2 follicular lymphoma
  • stage III grade 3 follicular lymphoma
  • stage III mantle cell lymphoma
  • stage IV adult diffuse large cell lymphoma
  • stage IV adult diffuse mixed cell lymphoma
  • stage IV adult diffuse small cleaved cell lymphoma
  • stage IV adult Burkitt lymphoma
  • stage IV adult Hodgkin lymphoma
  • stage IV adult immunoblastic large cell lymphoma
  • stage IV adult lymphoblastic lymphoma
  • stage IV cutaneous T-cell non-Hodgkin lymphoma
  • stage IV grade 1 follicular lymphoma
  • stage IV grade 2 follicular lymphoma
  • stage IV grade 3 follicular lymphoma
  • stage IV mantle cell lymphoma
  • intraocular lymphoma
  • AIDS-related peripheral/systemic lymphoma
  • recurrent adult Burkitt lymphoma
  • anaplastic large cell lymphoma
  • post-transplant lymphoproliferative disorder
  • recurrent marginal zone lymphoma
  • recurrent small lymphocytic lymphoma
  • stage III small lymphocytic lymphoma
  • stage III marginal zone lymphoma
  • stage IV small lymphocytic lymphoma
  • stage IV marginal zone lymphoma
  • extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue
  • nodal marginal zone B-cell lymphoma
  • splenic marginal zone lymphoma
03

In context

Lymphoma

5,578 studies on the registry are indexed under Lymphoma; 825 are open to participants now.

This study's enrollment of 472 is above the median of 40 across 4,508 interventional studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

Radiation Therapy Oncology Group is the lead sponsor of 154 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
17 Years to 120 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed solid tumor or lymphoma with no leukemic aspect

    • Stage III or IV or any other stage associated with current metastatic disease at presentation
    • No primary or metastatic brain tumors
  • Weight loss of at least 2% but no more than 10% within the past 3 months
  • No ascites

PATIENT CHARACTERISTICS:

Age

  • 17 and over

Performance status

  • Zubrod 0-2

Life expectancy

  • At least 3 months

Hematopoietic

  • Not specified

Hepatic

  • Not specified

Renal

  • No hypercalcemia

Cardiovascular

  • No persistent moderate or severe peripheral edema
  • No uncontrolled congestive heart failure

Gastrointestinal

  • No enteric fistula
  • No concurrent intestinal obstruction

    • Prior intestinal obstruction allowed

Other

  • Not pregnant or nursing
  • Negative pregnancy test
  • No uncontrolled infections
  • No other serious medical illness
  • No metabolic disorder

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • Not specified

Chemotherapy

  • Concurrent chemotherapy allowed

Endocrine therapy

  • No dexamethasone as an appetite stimulant
  • Intermittent dexamethasone during concurrent chemotherapy allowed

Radiotherapy

  • Concurrent radiotherapy allowed

Surgery

  • At least 1 week since prior minor surgery
  • At least 3 weeks since prior major surgery

Other

  • At least 30 days since prior total parenteral nutrition
  • No concurrent parenteral feedings
  • No concurrent known appetite stimulants (e.g., megestrol or dronabinol)
  • No concurrent omega 3 fatty acids or their congeners (e.g., ProSure™)
  • No concurrent amino acid supplements
  • Concurrent use of other dietary supplements (e.g., Ensure® or Boost) is allowed
  • Concurrent enteral feedings via PEG or nasogastric tube are allowed
05

Study design

Phase
Phase 3
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
472 participants (actual)

Study arms

  • Experimental
    Juven supplement

    Juven nutritional supplement given twice a day for 8 weeks

    Dietary Supplement: Juven

  • Active comparator
    Non-Juven supplement

    Non-Juven nutritional supplement given twice a day for 8 weeks

    Dietary Supplement: Non-Juven Supplement

Interventions

  • Dietary supplementJuven
  • Dietary supplementNon-Juven Supplement
06

What researchers measure

Primary outcomes

  1. Lean body mass

    Time frame: Study entry to 8 weeks

Secondary outcomes

  1. Fatigue

    Time frame: Study entry to 8 weeks

  2. Quality of Life

    Time frame: Study entry to 8 weeks

  3. Body weight

    Time frame: Study entry to 8 weeks

  4. Correlation between change in lean body mass and body plethysmography, bioimpedance and skin-fold measurement

    Time frame: Study entry to 8 weeks

07

Study locations

250 sites
  • Comprehensive Cancer Center at University of Alabama at Birmingham
    Birmingham, Alabama 35294-3300, United States
  • Comprehensive Cancer Institute
    Huntsville, Alabama 35801, United States
  • MBCCOP - Gulf Coast
    Mobile, Alabama 36607, United States
  • Montgomery Cancer Center
    Montgomery, Alabama 36106-3657, United States
  • DCH Cancer Treatment Center
    Tuscaloosa, Alabama 35401, United States
  • Foundation for Cancer Research and Education
    Phoenix, Arizona 85013, United States
  • Providence Saint Joseph Medical Center - Burbank
    Burbank, California 91505, United States
  • Mount Diablo Regional Cancer Center
    Concord, California 94524-4110, United States
  • City of Hope Comprehensive Cancer Center
    Duarte, California 91010-3000, United States
  • California Cancer Center - Woodward Park Office
    Fresno, California 93720, United States
  • Saint Agnes Cancer Center
    Fresno, California 93720, United States
  • Sutter Health Western Division Cancer Research Group
    Greenbrae, California 94904, United States
  • Loma Linda University Cancer Institute at Loma Linda University Medical Center
    Loma Linda, California 92354, United States
  • Veterans Affairs Medical Center - Long Beach
    Long Beach, California 90822, United States
  • USC/Norris Comprehensive Cancer Center and Hospital
    Los Angeles, California 90033-0804, United States
  • Jonsson Comprehensive Cancer Center at UCLA
    Los Angeles, California 90095-1714, United States
  • CCOP - Bay Area Tumor Institute
    Oakland, California 94609-3305, United States
  • Huntington Cancer Center at Huntington Hospital
    Pasadena, California 91105, United States
  • Robert and Beverly Lewis Family Cancer Care Center at Pomona Valley Hospital Medical Center
    Pomona, California 91767, United States
  • Radiation Oncology Centers - Sacramento
    Sacramento, California 95815, United States
  • Radiation Medical Group, Incorporated
    San Diego, California 92101-1492, United States
  • Naval Medical Center - San Diego
    San Diego, California 92134-3202, United States
  • UCSF Comprehensive Cancer Center
    San Francisco, California 94115, United States
  • O'Connor Hospital
    San Jose, California 95128, United States
  • CCOP - Santa Rosa Memorial Hospital
    Santa Rosa, California 95403, United States
  • St. Joseph's Regional Cancer Center
    Stockton, California 95204, United States
  • Torrance Memorial Medical Center
    Torrance, California 90505, United States
  • General Robert Huyser Cancer Center at David Grant Medical Center
    Travis Air Force Base, California 94535, United States
  • Memorial Hospital Cancer Center
    Colorado Springs, Colorado 80909, United States
  • University of Colorado Cancer Center at University of Colorado Health Sciences Center
    Denver, Colorado 80010, United States
  • St. Mary's Regional Cancer Center at St. Mary's Hospital and Medical Center
    Grand Junction, Colorado 81502-1628, United States
  • Hospital of Saint Raphael
    New Haven, Connecticut 06511, United States
  • Yale Comprehensive Cancer Center
    New Haven, Connecticut 06520-8040, United States
  • CCOP - Christiana Care Health Services
    Newark, Delaware 19713, United States
  • Sibley Memorial Hospital
    Washington, District of Columbia 20016, United States
  • 21st Century Oncology - Fort Myers
    Fort Myers, Florida 33901-8082, United States
  • University of Florida Shands Cancer Center
    Gainesville, Florida 32610-0385, United States
  • Florida Radiation Oncology Group
    Jacksonville, Florida 32207, United States
  • Holmes Regional Medical Center
    Melbourne, Florida 32901-3276, United States
  • CCOP - Mount Sinai Medical Center
    Miami Beach, Florida 33140, United States
  • University of Miami Sylvester Comprehensive Cancer Center
    Miami, Florida 33136, United States
  • Baptist-South Miami Regional Cancer Program
    Miami, Florida 33176-2197, United States
  • Bay Medical Center
    Panama City, Florida 32401, United States
  • Gulf Coast Cancer Treatment Center
    Panama City, Florida 32405-4587, United States
  • Sarasota Radiation and Medical Oncology Center
    Sarasota, Florida 34233, United States
  • Tallahassee Memorial Hospital
    Tallahassee, Florida 32308, United States
  • H. Lee Moffitt Cancer Center and Research Institute at University of South Florida
    Tampa, Florida 33612-9497, United States
  • Winship Cancer Institute of Emory University
    Atlanta, Georgia 30322, United States
  • CCOP - Atlanta Regional
    Atlanta, Georgia 30342-1701, United States
  • John B. Amos Community Cancer Center
    Columbus, Georgia 31904, United States
  • Regional Radiation Oncology Center at Rome
    Rome, Georgia 30165, United States
  • MBCCOP - Hawaii
    Honolulu, Hawaii 96813, United States
  • Northwest Community Hospital
    Arlington Heights, Illinois 60005, United States
  • Robert H. Lurie Comprehensive Cancer Center at Northwestern University
    Chicago, Illinois 60611-3013, United States
  • CCOP - Central Illinois
    Decatur, Illinois 62526, United States
  • Ingalls Cancer Care Center at Ingalls Memorial Hospital
    Harvey, Illinois 60426, United States
  • Cardinal Bernardin Cancer Center at Loyola University Medical Center
    Maywood, Illinois 60153, United States
  • Lutheran General Cancer Care Center
    Park Ridge, Illinois 60068, United States
  • Methodist Medical Center of Illinois
    Peoria, Illinois 61636, United States
  • St. John's Cancer Center at St. John's Medical Center
    Anderson, Indiana 46016, United States
  • Bloomington Hospital
    Bloomington, Indiana 47402, United States
  • Veterans Affairs Medical Center - Indianapolis (Roudebush)
    Indianapolis, Indiana 46202, United States
  • Methodist Cancer Center at Methodist Hospital
    Indianapolis, Indiana 46206-1367, United States
  • Oncology Institute of Greater Lafayette
    Lafayette, Indiana 47904, United States
  • Cancer Center at Ball Memorial Hospital
    Muncie, Indiana 47303-3499, United States
  • CCOP - Northern Indiana CR Consortium
    South Bend, Indiana 46601, United States
  • Wendt Regional Cancer Center at Finley Hospital
    Dubuque, Iowa 52001, United States
  • Esther Marie Hatton Cancer Care Center at St. Elizabeth Medical Center
    Edgewood, Kentucky 41017, United States
  • Central Baptist Hospital
    Lexington, Kentucky 40503, United States
  • Cancer Center at Lexington Clinic
    Lexington, Kentucky 40504, United States
  • Markey Cancer Center at University of Kentucky Chandler Medical Center
    Lexington, Kentucky 40536-0293, United States
  • James Graham Brown Cancer Center at University of Louisville
    Louisville, Kentucky 40202, United States
  • Louisville Radiation Oncology Center at Caritas Regional Cancer Center
    Louisville, Kentucky 40215, United States
  • Merle M. Mahr Cancer Center at Regional Medical Center of Hopkins County
    Madisonville, Kentucky 42431, United States
  • Mary Bird Perkins Cancer Center - Baton Rouge
    Baton Rouge, Louisiana 70809-3482, United States
  • Tulane Cancer Center at Tulane University Hospital and Clinic
    New Orleans, Louisiana 70112-2699, United States
  • MBCCOP - LSU Health Sciences Center
    New Orleans, Louisiana 70112, United States
  • CCOP - Ochsner
    New Orleans, Louisiana 70121, United States
  • Maine Medical Center - Bramhall Campus
    Portland, Maine 04102, United States
  • DeCesaris Cancer Institute at Anne Arundel Medical Center
    Annapolis, Maryland 21401, United States
  • Greenebaum Cancer Center at University of Maryland Medical Center
    Baltimore, Maryland 21201, United States
  • Cancer Center at Greater Baltimore Medical Center
    Baltimore, Maryland 21204, United States
  • Harbor Hospital Center
    Baltimore, Maryland 21215-1290, United States
  • Alvin and Lois Lapidus Cancer Institute at Sinai Hospital
    Baltimore, Maryland 21215, United States
  • St. Agnes Cancer Center
    Baltimore, Maryland 21229, United States
  • Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
    Baltimore, Maryland 21231-2410, United States
  • Peninsula Regional Medical Center
    Salisbury, Maryland 21801, United States
  • Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute
    Boston, Massachusetts 02114, United States
  • Cancer Research Center at Boston Medical Center
    Boston, Massachusetts 02118, United States
  • Cape Cod Hospital
    Hyannis, Massachusetts 02601, United States
  • Veterans Affairs Medical Center - Boston (Jamaica Plain)
    Jamaica Plain, Massachusetts 02130, United States
  • NSMC Cancer Center - Peabody
    Peabody, Massachusetts 01960, United States
  • CCOP - Michigan Cancer Research Consortium
    Ann Arbor, Michigan 48106, United States
  • University of Michigan Comprehensive Cancer Center
    Ann Arbor, Michigan 48109-0010, United States
  • Barbara Ann Karmanos Cancer Institute
    Detroit, Michigan 48201, United States
  • Josephine Ford Cancer Center at Henry Ford Health System
    Detroit, Michigan 48202, United States
  • Great Lakes Cancer Institute at McLaren Regional Medical Center
    Flint, Michigan 48532-3685, United States
  • CCOP - Kalamazoo
    Kalamazoo, Michigan 49007-3731, United States
  • Upper Michigan Cancer Center at Marquette General Hospital
    Marquette, Michigan 49855, United States
  • MidMichigan Medical Center - Midland
    Midland, Michigan 48670, United States

Showing the first 100 of 250 sites across 2 countries.

08

References and documents

Publications

  • Berk L, James J, Schwartz A, Hug E, Mahadevan A, Samuels M, Kachnic L; RTOG. A randomized, double-blind, placebo-controlled trial of a beta-hydroxyl beta-methyl butyrate, glutamine, and arginine mixture for the treatment of cancer cachexia (RTOG 0122). Support Care Cancer. 2008 Oct;16(10):1179-88. doi: 10.1007/s00520-008-0403-7. Epub 2008 Feb 22. PubMed 18293016 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 8, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00053053
Lead sponsor
Radiation Therapy Oncology Group
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Jan 28, 2003
Start date
Dec 2002
Primary completion
Mar 2005
Completion
Feb 2009
Last update
Dec 8, 2016

Study contacts

Lawrence B. Berk, MD, PhD
study chair · CCOP - Columbus

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2013. You cannot join it, but the record below documents what was studied.

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