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CompletedNCT02065726Updated May 1, 2025

Whey Protein Supplementation in Cancer Patients

An interventional study of Whey protein and Nutritional counseling in Solid Tumors, sponsored by Fondazione IRCCS Policlinico San Matteo di Pavia. Completed at 1 site in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-05-01.

Sponsored by Fondazione IRCCS Policlinico San Matteo di Pavia · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
166
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

Nutritional derangements are very common in cancer patients and negatively affect survival, morbidity and quality of life. Intervention trials have demonstrated that nutritional counseling can improve energy balance, nutritional status and quality of life in patients undergoing chemo-radiotherapy. Oxidative stress plays a role in the tumor-cytotoxic effect of cancer chemotherapy and radiotherapy but may also play a role therapy-related adverse events such as an impairment of nutritional status and quality of life. The nutritional properties of whey protein have recently raised attention. In view of the high content in cysteine these proteins can positively stimulate the synthesis of glutathione which, in turn, could contribute to the modulation of whole-body and cellular redox state. However, evidence on the role of this dietary intervention in cancer patients is limited.

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Conditions studied

  • Solid Tumors
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In context

Lead sponsor

Fondazione IRCCS Policlinico San Matteo di Pavia is the lead sponsor of 255 studies on the registry; 113 are open to participants now.

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

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Who can participate

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

Inclusion criteria

  • Cancer patients (lung, gastric, pancreatic, breast, colon, esophageal)
  • Eastern Cooperative Oncology Group performance status ≤ 2
  • Weight loss >= 10% in the last 6 months
  • Chemotherapy
  • Written informed consent

Exclusion criteria

Exclusion Criteria:

  • Age \< 18 years
  • Ongoing artificial nutrition (enteral or parenteral)
  • Unavailability to planned measurements
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
166 participants (actual)

Study arms

  • Experimental
    Whey protein

    Nutritional counseling + 20 g (2 x 10 g) of whey proteins (Prother® - Spepharm Italy)

    Dietary Supplement: Whey protein

  • Active comparator
    Nutritional counseling

    Nutritional counseling

    Other: Nutritional counseling

Interventions

  • Dietary supplementWhey protein

    Nutritional counseling consists in a personalized dietary prescription and regular (monthly) dietetic advise by a registered dietician + 20 g (2 x 10 g) of whey proteins

    Also known as: Prother® (Spepharm Italy)

  • OtherNutritional counseling

    Nutritional counseling consists in a personalized dietary prescription and regular (monthly) dietetic advise by a registered dietician

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What researchers measure

Primary outcomes

  1. Body composition

    Change in phase angle assessed by bioelectrical impedance vectorial analysis (BIVA)

    Time frame: 3 months

Secondary outcomes

  1. Body composition

    Change in phase angle assessed by bioelectrical impedance vectorial analysis (BIVA)

    Time frame: 1 month

  2. Body weight

    Change in body weight during the study (at 1 month and 3 months)

    Time frame: 3 months

  3. Quality of life

    Change in quality of life during the study (at 1 month and 3 months) as assessed by the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire version 3.0 \[EORTC QLQ-C30\]

    Time frame: 3 months

  4. Handgrip strength

    Change in handgrip strength during the study (at 1 month and 3 months)

    Time frame: 3 months

Other outcomes

  1. Number of participants with treatment-related adverse events as assessed by CTCAE v4.0

    Number of participants with treatment-related adverse events as assessed by CTCAE v4.0

    Time frame: 3 months

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Study locations

1 site
  • Nutrition and Dietetics Service, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
    Pavia, 27100, Italy
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References and documents

Publications

  • Langius JA, Zandbergen MC, Eerenstein SE, van Tulder MW, Leemans CR, Kramer MH, Weijs PJ. Effect of nutritional interventions on nutritional status, quality of life and mortality in patients with head and neck cancer receiving (chemo)radiotherapy: a systematic review. Clin Nutr. 2013 Oct;32(5):671-8. doi: 10.1016/j.clnu.2013.06.012. Epub 2013 Jun 26. PubMed 23845384 ↗
  • Baldwin C, Spiro A, Ahern R, Emery PW. Oral nutritional interventions in malnourished patients with cancer: a systematic review and meta-analysis. J Natl Cancer Inst. 2012 Mar 7;104(5):371-85. doi: 10.1093/jnci/djr556. Epub 2012 Feb 15. PubMed 22345712 ↗
  • Bounous G. Whey protein concentrate (WPC) and glutathione modulation in cancer treatment. Anticancer Res. 2000 Nov-Dec;20(6C):4785-92. PubMed 11205219 ↗
  • Tozer RG, Tai P, Falconer W, Ducruet T, Karabadjian A, Bounous G, Molson JH, Droge W. Cysteine-rich protein reverses weight loss in lung cancer patients receiving chemotherapy or radiotherapy. Antioxid Redox Signal. 2008 Feb;10(2):395-402. doi: 10.1089/ars.2007.1919. PubMed 18158761 ↗
  • Cereda E, Turri A, Klersy C, Cappello S, Ferrari A, Filippi AR, Brugnatelli S, Caraccia M, Chiellino S, Borioli V, Monaco T, Stella GM, Arcaini L, Benazzo M, Grugnetti G, Pedrazzoli P, Caccialanza R. Whey protein isolate supplementation improves body composition, muscle strength, and treatment tolerance in malnourished advanced cancer patients undergoing chemotherapy. Cancer Med. 2019 Nov;8(16):6923-6932. doi: 10.1002/cam4.2517. Epub 2019 Sep 30. PubMed 31568698 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 1, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02065726
Lead sponsor
Fondazione IRCCS Policlinico San Matteo di Pavia
Collaborators
Norgine, Akern Srl
Responsible party
Emanuele Cereda (Physician, Fondazione IRCCS Policlinico San Matteo di Pavia) — Principal investigator
First posted
Feb 19, 2014
Start date
Feb 25, 2014
Primary completion
Jun 2018
Completion
Jun 2018
Last update
May 1, 2025

Study contacts

Emanuele Cereda, MD, PhD
principal investigator · 1Nutrition and Dietetics Service, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
Riccardo Caccialanza, MD
study director · 1Nutrition and Dietetics Service, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy

Oversight

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

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This study is completed, as verified in Jun 2018. You cannot join it, but the record below documents what was studied.

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