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RecruitingNCT05379712Updated Mar 28, 2025

Nutritional Supplementation in Head and Neck Cancers

A Phase 2 interventional study of Resource® Support Plus in Malnourishment, Nutritional Deficiency and Undernutrition, sponsored by AHS Cancer Control Alberta. Recruiting at 1 site in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-03-28.

Sponsored by AHS Cancer Control Alberta · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2024; still recruiting 1 year 11 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
81
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine whether multimodal nutrition therapy (primary nutrition intervention + adjuvant nutrition therapy) will support patients to optimize their total caloric intake during cancer treatment by measuring the difference in mean cumulative energy intake between the intervention and control group over the duration of cancer treatment.

Read the detailed description

This will be an randomized, open label, parallel assignment study during cancer treatment (Baseline - Week 7 for Primary endpoint) comparing multimodal oral nutrition therapy versus standard care. Starting at Week 8, all patients receive the intervention arm until study ends at Week 14. Patients in the intervention arm continue the intervention, patients on the standard care arm cross over to the intervention (deferred nutrition intervention).

The primary objective is to assess a multimodal nutrition therapy with two Medical Foods (primary nutrition intervention+ adjuvant nutrition therapy) with features adapted for patients with cancers of the head and neck receiving chemo-radiotherapy treatment, to maintain oral dietary intake during treatment.

02

Conditions studied

  • Malnourishment
  • Nutritional Deficiency
  • Undernutrition

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Keywords

  • Nutritional Support
  • Oral Nutritional Supplements
03

In context

Malnutrition

1,587 studies on the registry are indexed under Malnutrition; 237 are open to participants now.

This study's planned enrollment of 81 is close to the median of 90 across 1,134 interventional studies indexed under Malnutrition.

Browse Malnutrition studies →

Lead sponsor

AHS Cancer Control Alberta is the lead sponsor of 182 studies on the registry; 31 are open to participants now.

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

04

Who can participate

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

Inclusion criteria

  1. Patients must have the ability to read, understand, and sign an informed consent and must be willing to comply with study treatment and follow-up.
  2. Male or female
  3. ≥18 years of age
  4. Histopathologically confirmed primary squamous cell carcinoma of the oral cavity and oropharynx, larynx or hypopharynx, who have agreed to receive radical intent radiotherapy as primary treatment or adjuvant treatment post-surgery, with or without platinum chemotherapy
  5. Capable of volitional oral nutritional intake at baseline.
  6. A diagnostic CT image taken with a maximum of 30 days before initiation of radical intent radiotherapy. If the CT scan history in the patient's clinical record does not include a study within this window, a baseline non-contrast enhanced CT abdomen will be conducted.
  7. An Eastern Cooperative Oncology Group Performance Status of ≤ 2

Exclusion criteria

Exclusion Criteria:

  1. Fed by nasogastric tube, gastrostomy or total parenteral nutrition
  2. Cancer of the nasopharynx, thyroid or salivary gland
  3. Life expectancy \<6 months.
  4. A known hypersensitivity / allergy to the investigational product or to any ingredient in their formulations (e.g. Milk/Lactose, Fish).
  5. Enrolment in any other clinical protocol or investigational study with an interventional agent or assessments that may interfere with study procedures.
  6. Patients with untreated brain metastases (patients with previously resected and/or radiated brain metastases without neurologic symptoms are permitted).
  7. Poorly controlled chronic illnesses or other inflammatory diseases (e.g. COPD, uncontrolled non-insulin dependent diabetes, rheumatoid arthritis).
  8. In the investigators' opinion, patients who have medical conditions that could interfere with nutrient metabolism or absorption (e.g., short bowel syndrome, Crohn's disease, etc.)
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
81 participants (estimated)

Study arms

  • Experimental
    Multimodal Nutrition Therapy

    To assess a multimodal nutrition therapy (primary nutrition intervention+ adjuvant nutrition therapy) with features adapted for patients with cancers of the head and neck receiving chemo-radiotherapy treatment, to maintain oral dietary intake during treatment. The regimen consists of 2 medical foods, each taken on an unrestricted basis (as and when preferred by each patient). Resource® Support Plus, a nutritionally complete Medical Food specifically for the dietary management of oncology patients with (risk of) malnutrition. BOOST® Soothe, a Medical Food formulated as a clear oral nutritional supplement for cancer patients with sensory alterations or oral discomfort due to cancer treatments, in particular chemo- and/or radiotherapy.

    Other: Resource® Support Plus

  • No intervention
    Standard of Care

    In this setting patients rely on oral dietary intake. Ordinary, commercially available ingredients and food products are consumed. The standard of care includes weekly consultation with specialist oncology Registered Dietitian.

Interventions

  • OtherResource® Support Plus

    Nestlé Resource Support Plus® is a high energy- and protein-density Medical Food enriched with omega 3 polyunsaturated fatty acids. This is a nutritionally complete formula, in an easy to swallow, palatable, concentrated low volume, available in 2 flavours optimized for cancer patients undergoing chemotherapy and/or radiation in taste tests. It provides in a 125 mL serving: 250 kcal, 11.5 g protein and 0.95g of omega-3 fatty acid (eicosapentaenoic acid, EPA).

06

What researchers measure

Primary outcomes

  1. Change in mean cumulative energy intake

    Energy intake is calculated from a one-day diet record in which the patient lists the identity and quantity of all foods and beverages consumed in the designated 24 hour time period at the end of each week (Baseline - Week 14).

    Time frame: Up to 14 weeks

Secondary outcomes

  1. Change in mean cumulative protein take

    Energy intake is calculated from a one-day diet record in which the patient lists the identity and quantity of all foods and beverages consumed in the designated 24 hour time period at the end of each week (Baseline - Week 14)

    Time frame: Up to 14 Weeks

  2. Change in body weight (kg)

    Change in weight (kg) from the previous week.

    Time frame: Baseline-Week 14

  3. Change in Nutritional blood biomarkers

    A sample of blood will be collected for albumin, absolute neutrophil count, lymphocyte count, C-reactive protein, standard complete blood count-differential White Blood cell count and to measure serum CRP and albumin

    Time frame: Baseline measures will be compared to levels at weeks 7 and 14

  4. Head and Neck Symptom Checklist

    A survey tool for HNC patient self-assessment of the presence and degree of interference with eating, over the past 3 days, of 17 symptoms known to impact dietary intake. Scores range from 34 to 170 pts, where higher scores reflect a greater presence and interference with eating. Completed at weeks 0, 4, 7, 11, 14

    Time frame: Up to 14 weeks

  5. Taste and smell survey

    A survey tool for patient self-assessment of the presence, characterization and severity of taste and smell alterations. This tool yields a 'chemosensory complaint score' of up to 16 (greatest severity of taste and smell alterations). Completed at weeks 0, 4, 7, 11, 14.

    Time frame: Up to 14 weeks

  6. Medication use for pain

    Use of pain medication will be captured weekly by a one- day pain medication log.

    Time frame: Up to 14 weeks

  7. Percent oral intake from oral nutritional supplements

    The volume (mL) of study products consumed will be determined from the weekly one-day diet record.

    Time frame: Up to 14 weeks

  8. Product Sensory Assessment questionnaire

    A product evaluation form for the Medical Nutrition products will be used to evaluate product overall sensory assessment, including acceptance and perception of characteristic product attributes that influence overall sensory acceptance. Medical Nutrition sensory acceptance will be evaluated by "overall liking" on the 9-point hedonic scale (1= dislike extremely; 9 = like extremely). Completed at weeks 0, 2, 4, 6, 8, 10, 12, 14.

    Time frame: Up to 14 weeks

  9. Functional Assessment of Anorexia-Cachexia Treatment (FAACT) 5 Question Anorexia/Cachexia subscale (AC/S)

    The FAACT is a validated Quality of Life Scale to capture patient experience of cancer related cachexia - anorexia. Completed at weeks 0, 4, 7,11, 14

    Time frame: Up to 14 weeks

  10. Cumulative energy intake (kcal/kg BW)

    Energy intake is calculated from a one-day diet record in which the patient lists the identity and quantity of all foods and beverages consumed in the designated 24 hour time period at the end of each week (Baseline - Week 14)

    Time frame: Up to 14 weeks

  11. Cumulative protein take (g pro/kg BW)

    Protein intake is calculated from a one-day diet record in which the patient lists the identity and quantity of all foods and beverages consumed in the designated 24 hour time period at the end of each week (Baseline - Week 14)

    Time frame: Up to 14 weeks

  12. Change in computed-tomography (CT) defined skeletal muscle and fat mass)

    Imaging for body composition (muscle, fat)

    Time frame: Within 30 days prior to start of treatment, Week 14

  13. Tertiary hospital admission

    Review of patient medical records for instances of hospitalization with date(s) of admission falling between baseline and week 14 of study.

    Time frame: Up to 14 weeks

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 28, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05379712
Lead sponsor
AHS Cancer Control Alberta
Responsible party
Sponsor
First posted
May 18, 2022
Start date
Oct 25, 2024
Primary completion
Oct 2026 (estimated)
Completion
Oct 2026 (estimated)
Last update
Mar 28, 2025

Study contacts

Vickie Baracos
Contact
Vickie.Baracos@albertahealthservices.ca
780-432-8232
Vickie Baracos
principal investigator · Cross Cancer Institute, Alberta Health Services

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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