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TerminatedNCT02681601Updated Aug 3, 2022

Nutrition Support to Improve Outcomes in Patients With Unresectable Pancreatic Cancer

An interventional study of Nutrawell Powder and Diet Only in Cancer of Pancreas, sponsored by Jonsson Comprehensive Cancer Center. Terminated at 1 site in United States. Open to male participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2022-08-03.

Sponsored by Jonsson Comprehensive Cancer Center · Not applicable, Interventional, and Treatment

Why this study was terminated
low accrual
Phase
Not applicable
Study type
Interventional
Enrollment
2
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
Male
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Study summary

There are few well-designed studies evaluating the effect of nutrition support in patients with cancer cachexia. The aim of this study is to examine the effect of dietary prescription with and without nutrition supplementation in patients with unresectable pancreatic cancer on body weight, body composition, total calorie intake, quality of life and blood inflammatory markers.

Read the detailed description

A total of 60 subjects will be recruited from The University of California Los Angeles (UCLA) Hirshberg Pancreatic Cancer Center, print and/or radio advertisements, UCLA campus wide e-mail, and flyers posted on campus and in the community. Participants will be pre-screened over the telephone to determine eligibility. Eligible subjects will be asked to come to the Center for Human Nutrition for a Screening Visit.

At screening, informed consent and authorization will be reviewed and signed a medical history will be obtained. The subjects will be screened by medical history/physical exam, a fasting blood sample will be collected for a comprehensive metabolic panel, a complete blood count, chemistry and liver function tests.

Day 1 will be the first study day. Subjects will come to the UCLA Center for Human Nutrition in the fasting state and remain for approximately \~1 hour. The food intake record will be collected and entered into the Automated Self- Administered Food Recall (NIH ASA24). The vital signs, anthropometric assessments will be measured and quality of life questionnaire will be completed.

A fasting blood sample (20 ml) will be collected for metabolic panel and inflammatory markers. A 6-minute walk will be done at the research center.

Subjects will be evaluated by a registered dietitian and randomized to diet prescription (55% carbohydrate, 30% fat and 15% protein) vs. the same diet prescription including three servings of supplement powder and fish oil. The research dietitian will develop meal plans based on basal metabolic rate and physical activity. Subjects will be provided a pedometer to wear daily. Any subject in either group who develops symptoms of pancreatic insufficiency will be provided with pancreatic enzyme supplementation.

Day 28, 56, 84 and 112 will be follow-up visits. The same procedures will be performed as on day 1. Subjects will come to the UCLA Center for Human Nutrition in the fasting state and remain for approximately \~1 hour.

02

Conditions studied

  • Cancer of Pancreas

Keywords

  • Diet, Food, and Nutrition
03

In context

Pancreatic Neoplasms

3,235 studies on the registry are indexed under Pancreatic Neoplasms; 899 are open to participants now.

This study's enrollment of 2 is below the median of 46 across 2,424 interventional studies indexed under Pancreatic Neoplasms.

Browse Pancreatic Neoplasms studies →

Lead sponsor

Jonsson Comprehensive Cancer Center is the lead sponsor of 396 studies on the registry; 67 are open to participants now.

Of its 37 completed or terminated interventional studies of FDA-regulated products, 2 (5%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  • Unresectable pancreatic adenocarcinoma
  • Weight loss of greater than 5% in the previous 6 months
  • Life expectancy of greater than 3 months and a Karnofsky performance score of 60 or more.
  • Non-smokers

Exclusion criteria

Exclusion Criteria:

  • Chemotherapy other than gemcitabine
  • Radiotherapy, or surgical treatment in the previous month
  • Consumption of dietary supplements or medications such as steroids that could affect metabolism.
  • Presence of ascites
  • Liver function test > 2 standard deviation of upper limit
  • Chronic or acute renal insufficiency
  • Severe anemia with hemoglobin\<10
  • Uncontrolled pain
  • Uncontrolled nausea and vomiting
  • Participation in a therapeutic research study within 30 days of baseline
  • Diet restrictions including vegetarianism and veganism
  • Allergy or intolerance to fish and/or fish oil
05

Study design

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

Study arms

  • Active comparator
    Diet + Nutrawell Powder with Fish Oil

    Subjects will be evaluated by a registered dietitian with a diet prescription (55% carbohydrate, 30% fat and 15% protein) including Nutrawell powder with fish oil.

    Dietary Supplement: Nutrawell Powder · Dietary Supplement: OmegaRich fish oil supplement

  • Active comparator
    Dietary Intervention Only

    Subjects will be evaluated by a registered dietitian with a diet prescription (55% carbohydrate, 30% fat and 15% protein) not including servings of Nutrawell powder with fish oil.

    Other: Diet Only

Interventions

  • Dietary supplementNutrawell Powder

    The NutraWell nutrition powder will be provided by and distributed from New Health Nutraceuticals (Irvine, California - USA). Nutrawell is manufactured New Health Enterprises, Inc. The supplement sample will be stored at room temperature in the UCLA Center for Human Nutrition research unit. OmegaRich Contains high concentration and high purity of natural omega-3 polyunsaturated fatty acids: Eicosapenatenoic acid (EPA) and docosahexaenoic acid (DHA) from deep water fish. Enriched with natural vitamin E: d- tocopherol Triglyceride form (TG-form) of the raw fish oil ingredients. Each fish oil capsule contains 55% EPA and DHA with 330 mg EPA and 220 mg DHA.

  • OtherDiet Only

    Subjects will be evaluated by a registered dietitian and randomized to diet prescription (55% carbohydrate, 30% fat and 15% protein)

  • Dietary supplementOmegaRich fish oil supplement

    OmegaRich is manufactured New Health Enterprises, Inc. The supplement sample will be stored at room temperature in the UCLA Center for Human Nutrition research unit. OmegaRich Contains: high concentration and high purity of natural omega-3 polyunsaturated fatty acids: Eicosapenatenoic acid (EPA) and docosahexaenoic acid (DHA) from deep water fish. Enriched with natural vitamin E: d- tocopherol Triglyceride form (TG-form) of the raw fish oil ingredients. Each fish oil capsule contains 55% EPA and DHA with 330 mg EPA and 220 mg DHA.

06

What researchers measure

Primary outcomes

  1. Anthropometric measurement: Weight

    Weight in Kilograms

    Time frame: At each visit outlined for 3 months

  2. Anthropometric measurement: Body Composition

    Body Composition: kilogram weight of lean body mass

    Time frame: At each visit outlined for 3 months

Secondary outcomes

  1. Blood biochemistry

    complete blood count

    Time frame: At each visit outlined for 3 months

  2. Blood biochemistry

    Blood electrolytes

    Time frame: At each visit outlined for 3 months

  3. Blood biochemistry

    Liver function test

    Time frame: At each visit outlined for 3 months

  4. Blood biochemistry

    Lipid panel

    Time frame: At each visit outlined for 3 months

  5. Blood biochemistry

    Pancreatic tumor markers

    Time frame: At each visit outlined for 3 months

  6. Blood biochemistry

    Inflammatory markers

    Time frame: At each visit outlined for 3 months

  7. Physical activity

    All subjects will be provided a pedometer to record daily steps.

    Time frame: At each visit outlined for 3 months

  8. Physical activity

    A 6 minute walk will be done at each visit.

    Time frame: At each visit outlined for 3 months

  9. Physical activity

    Karnofsky performance score

    Time frame: At each visit outlined for 3 months

  10. Quality of life: General

    Measured with short form health survey (SF36)

    Time frame: At each visit outlined for 3 months

  11. Quality of life: Appetite

    Appetite will be measured on a numerical rating scale between 0 and 10, where 0 indicated absolutely no appetite and 10 indicated an extremely good appetite (Simons et al, 1996)

    Time frame: At each visit outlined for 3 months

07

Study locations

1 site
  • UCLA Department of Medicine Center for Human Nutrition
    Los Angeles, California 90095, United States
08

References and documents

Publications

  • Lillemoe KD. Palliative therapy for pancreatic cancer. Surg Oncol Clin N Am. 1998 Jan;7(1):199-216. PubMed 9443996 ↗
  • Capra S, Bauer J, Davidson W, Ash S. Nutritional therapy for cancer-induced weight loss. Nutr Clin Pract. 2002 Aug;17(4):210-3. doi: 10.1177/0115426502017004210. PubMed 16214989 ↗
  • Stratton RJ. Should food or supplements be used in the community for the treatment of disease-related malnutrition? Proc Nutr Soc. 2005 Aug;64(3):325-33. doi: 10.1079/pns2005439. PubMed 16048664 ↗
  • Fearon KC, Von Meyenfeldt MF, Moses AG, Van Geenen R, Roy A, Gouma DJ, Giacosa A, Van Gossum A, Bauer J, Barber MD, Aaronson NK, Voss AC, Tisdale MJ. Effect of a protein and energy dense N-3 fatty acid enriched oral supplement on loss of weight and lean tissue in cancer cachexia: a randomised double blind trial. Gut. 2003 Oct;52(10):1479-86. doi: 10.1136/gut.52.10.1479. PubMed 12970142 ↗
  • Cawood AL, Elia M, Stratton RJ. Systematic review and meta-analysis of the effects of high protein oral nutritional supplements. Ageing Res Rev. 2012 Apr;11(2):278-96. doi: 10.1016/j.arr.2011.12.008. Epub 2011 Dec 22. PubMed 22212388 ↗
  • Goldberg MF, Custis PH. Retinal and other manifestations of incontinentia pigmenti (Bloch-Sulzberger syndrome). Ophthalmology. 1993 Nov;100(11):1645-54. doi: 10.1016/s0161-6420(93)31422-3. PubMed 8233390 ↗
  • Kraft M, Kraft K, Gartner S, Mayerle J, Simon P, Weber E, Schutte K, Stieler J, Koula-Jenik H, Holzhauer P, Grober U, Engel G, Muller C, Feng YS, Aghdassi A, Nitsche C, Malfertheiner P, Patrzyk M, Kohlmann T, Lerch MM. L-Carnitine-supplementation in advanced pancreatic cancer (CARPAN)--a randomized multicentre trial. Nutr J. 2012 Jul 23;11:52. doi: 10.1186/1475-2891-11-52. PubMed 22824168 ↗
  • Donohoe CL, Ryan AM, Reynolds JV. Cancer cachexia: mechanisms and clinical implications. Gastroenterol Res Pract. 2011;2011:601434. doi: 10.1155/2011/601434. Epub 2011 Jun 13. PubMed 21760776 ↗
  • Kleponis J, Skelton R, Zheng L. Fueling the engine and releasing the break: combinational therapy of cancer vaccines and immune checkpoint inhibitors. Cancer Biol Med. 2015 Sep;12(3):201-8. doi: 10.7497/j.issn.2095-3941.2015.0046. PubMed 26487965 ↗
  • Simons JP, Aaronson NK, Vansteenkiste JF, ten Velde GP, Muller MJ, Drenth BM, Erdkamp FL, Cobben EG, Schoon EJ, Smeets JB, Schouten HC, Demedts M, Hillen HF, Blijham GH, Wouters EF. Effects of medroxyprogesterone acetate on appetite, weight, and quality of life in advanced-stage non-hormone-sensitive cancer: a placebo-controlled multicenter study. J Clin Oncol. 1996 Apr;14(4):1077-84. doi: 10.1200/JCO.1996.14.4.1077. PubMed 8648360 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 3, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02681601
Lead sponsor
Jonsson Comprehensive Cancer Center
Collaborators
Do Well Laboratories Inc., Hirshberg Foundation for Pancreatic Cancer Research
Responsible party
Sponsor
First posted
Feb 12, 2016
Start date
Jul 19, 2016
Primary completion
Oct 1, 2021
Completion
Oct 1, 2021
Last update
Aug 3, 2022

Study contacts

Zhaoping Li, MD, PhD
principal investigator · University of California, Los Angeles

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Oct 2021. You cannot join it, but the record below documents what was studied.

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