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TerminatedNCT01046383Updated Jan 21, 2015

Effect of IMN1207 Versus Casein on Weight Loss, Survival and Quality of Life in Non-small Cell Lung Cancer Patients

A Phase 3 interventional study of IMN1207 and Casein in NON-SMALL CELL LUNG CANCER, sponsored by Immunotec Inc.. Terminated at 5 sites in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-01-21.

Sponsored by Immunotec Inc. · Phase 3, Interventional, and Treatment

Why this study was terminated
Slower than anticipated recruitment
Phase
Phase 3
Study type
Interventional
Enrollment
16
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The primary aim of this IMN 1207 follow-up study is to confirm the effect of a cysteine-rich non-denatured whey protein isolate formulation IMN1207 (20g daily) versus casein (20 g daily) on the reversal of weight loss (cancer-related wasting) over a 40 week treatment period in non-small cell lung cancer patients with or without conventional therapy, i.e., chemotherapy or radiation. And to test the hypothesis that over a period of 66 weeks observation period which includes a 6 months follow-up period, increases the survival of these patients.

Read the detailed description

This new IMN 1207 study is a follow-up study to the first IMN 1207 trial which was sponsored by Immunotec Inc during the last 3 years. The study revealed that the cysteine-rich whey protein isolate formulation IMN 1207 caused a significant reversal of weight loss (P \<0.05) and a conspicuous increase in survival. The outcome of the first IMN 1207 study has been published in (Tozer RG, et al. Cysteine-Rich Protein Reverses Weight Loss in Lung Cancer Patients Receiving Chemotherapy or Radiotherapy. Antioxid Redox Signal. 2008 Feb; 10(2):395-402). PMID:18158761.

The purpose of this IMN 1207 follow-up study is to confirm the effect of a cysteine-rich non-denatured whey protein isolate formulation IMN1207 (20g daily) versus casein (20 g daily) on the reversal of weight loss (cancer-related wasting) over a 40 week treatment period in non-small cell lung cancer subjects with or without conventional therapy, i.e., chemotherapy or radiation. In addition, it is prospectively designed to test the hypothesis that, IMN1207 versus casein over a period of 66 weeks observation period which includes a 6 months follow-up period, increases the survival of these subjects. Also, the effect of IMN1207 on the quality of life in a defined subgroup of subjects will be determined.

02

Conditions studied

  • NON-SMALL CELL LUNG CANCER

Keywords

  • NON-SMALL CELL LUNG CANCER PATIENTS
  • WEIGHT LOSS
  • QUALITY OF LIFE
  • SURVIVAL
  • CHEMOTHERAPY
  • RADIOTHERAPY
  • SURGERY
  • CYSTEINE-RICH WHEY PROTEIN ISOLATE
  • IMN1207
  • CANCER-RELATED WASTING (CACHEXIA)
  • BODY WEIGHT
  • NUTRITIONAL PROTEIN SUPPLEMENT
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Non small cell lung cancer stage III or stage IV.
  • Karnofsky performance status greater or equal to 70%.
  • Expected participation in study for more than 3 months.
  • Involuntary decrease in body weight of more than 3% over the 1-5 months period immediately preceding study entry.
  • Age 18 or older.
  • Serum creatine less or equal to 3.0mg/dL or 265 µmol/L.
  • Total bilirubin in the normal range (0.2-1.2 mg/dL) SGPT equal to or less than 4 times the upper limit of normal.
  • Reliable contraception (ovariectomy, hysterectomy, tubuligation for at least six months, oral contraceptive, barrier method, etc.) for women of child bearing potential.

Exclusion criteria

Exclusion Criteria:

  • History of angioedema or allergic reactions to any compound employed in this study.
  • Pregnancy and lactating.
  • Uncontrolled metastatic brain tumors.
  • Milk protein intolerance.
  • Subjects currently using N-acetylcysteine, alpha-lipoic acid supplements, or dry whey protein supplements.
  • Presence of ascitis or edema according to principle investigator's clinical judgment.
  • Significant anemia, as defined by the requirement of treatment with EPO.
  • Subjects with either mild or soy allergy/intolerance.
04

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
16 participants (actual)

Study arms

  • Experimental
    IMN1207

    Dietary Supplement: IMN1207 Stratum A: CRP \<40 mg/L and WBC \< 11x109/L (i.e. subjects with relatively low levels of inflammation). Stratum B: CRP ≥ 40 mg/L and/or WBC ≥ 11x109/L (i.e. subjects with relatively high levels of inflammation.

    Dietary Supplement: IMN1207

  • Placebo comparator
    Casein

    Dietary Supplement: Casein. Stratum A: CRP \<40 mg/L and WBC \< 11x109/L (i.e. subjects with relatively low levels of inflammation). Stratum B: CRP ≥ 40 mg/L and/or WBC ≥ 11x109/L (i.e. subjects with relatively high levels of inflammation.

    Dietary Supplement: Casein

Interventions

  • Dietary supplementIMN1207

    20 grams of IMN1207 per day for 40 weeks.

  • Dietary supplementCasein

    20 grams of Casein per day for 40 weeks

05

What researchers measure

Primary outcomes

  1. The primary endpoint of the study is the % change in body weight in the IMN1207 group compared to casein over a 40 weeks treatment period.

    Time frame: 40 weeks

Secondary outcomes

  1. The survival/mortality over a 66 weeks observation period which includes a 6 months follow-up period

    Time frame: 66 weeks

  2. The change in hand grip force.

    Time frame: 40 weeks

  3. The change in Karnofsky performance status

    Time frame: 40 weeks

  4. The assessment of the McGill QOL and the modified Edmonton Symptom Assessment Scale (ESAS).

    Time frame: 40 weeks

  5. The 'repeated standing up/sitting down' test from the Simmonds Physical Performance assessment battery.

    Time frame: 40 weeks

  6. The change in the plasma concentration of C-reactive protein (CRP).

    Time frame: 40 weeks

  7. The change in lymphocyte counts.

    Time frame: 40 weeks

  8. The change in the dose of chemotherapy (percent) or discontinuation of chemotherapy or interruption of radiation in response to patients' cachexia.

    Time frame: 40 weeks

06

Study locations

5 sites
  • British Columbia Cancer Agency
    Vancouver, British Columbia V5Z 1L3, Canada
  • Juravinski Cancer Centre
    Hamilton, Ontario L8V 5C2, Canada
  • CHUM - Hopital Notre Dame
    Montreal, Quebec H2L 4M1, Canada
  • Jewish General Hospital
    Montreal, Quebec H3T 1E2, Canada
  • Allan Blair Cancer Centre
    Regina, Saskatchewan S4T 7T1, Canada
07

Registry details

Key details

Study ID
NCT01046383
Lead sponsor
Immunotec Inc.
Responsible party
Sponsor
First posted
Jan 12, 2010
Start date
Jun 2010
Primary completion
Jun 2012
Completion
Jun 2013
Last update
Jan 21, 2015

Oversight

Data monitoring committee
No
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