CClinicalTrials.gg
RecruitingNCT05968677Updated Mar 14, 2025

Effect of an Amino Acids and Flavonoids Containing FSMP on Chemotherapy Toxicity, Nutritional Status and Quality of Life in Breast Cancer Patients

An interventional study of FSMP and Nutritional counseling in Breast Cancer, sponsored by Flavolife Srl. Recruiting at 1 site in Italy. Open to female participants aged 50 Years to 70 Years. Per ClinicalTrials.gov, last updated 2025-03-14.

Sponsored by Flavolife Srl · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Primary completion was expected by Jan 2026, 9 months ago, but the record still lists the study as recruiting.
  • Started Aug 2023; still recruiting 3 years 2 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
50 Years to 70 Years
Sex
Female
01

Study summary

The goal of this clinical trial is to compare the effect of a Food for Special Medical Purposes (FSMP) mainly containing amino acids and flavonoids in combination with nutritional counseling, versus nutritional counseling alone, on chemotherapy toxicity, nutritional status and quality of life in patients with breast cancer.

The main questions it aims to answer are:

  • can this dietary supplementation affect the nutritional status of breast cancer patients?
  • can this dietary supplementation have any beneficial effect on chemotoxicity? Participants will be asked to undergo nutritional counseling and to take the study product every day for 12 weeks.

Researchers will compare a similar group of participants only receiving the nutritional counseling to see if any difference occurs.

Read the detailed description

Participants will be selected at the first oncological visit at the Outpatient Clinics or the Department of Medical Oncology of the IRCCS Policlinico San Matteo of Pavia. The doctor, evaluated the inclusion and exclusion criteria, will propose patient to participate in the study and, after obtaining informed consent, will proceed with enrollment. On the first day of chemotherapy, participants will undergo an oncological and nutritional examination, with collection of anthropometric data, assessment of body composition, assessment of quality of life through special validated questionnaires, blood sampling for blood chemistry tests and urine collection. Participants in the treated group will receive a supply of the FSMP to take home. At check-up visits, the participant's nutritional status and any adverse events will be assessed, other than adherence to treatment by delivery of empty product boxes and chemotherapy compliance. Blood chemistry tests will be repeated at 6 weeks after the first chemotherapy cycle and 3 weeks after the last chemotherapy cycle (follow-up period).

02

Conditions studied

  • Breast Cancer

Browse trials for

Keywords

  • breast cancer
  • flavonoids
  • aminoacids
  • nutrition
03

In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's planned enrollment of 60 is below the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

This is the only study on the registry with Flavolife Srl as lead sponsor.

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

04

Who can participate

Ages eligible
50 Years to 70 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Diagnosis of non-metastatic ductal breast cancer
  • Post-menopausal women
  • Chemotherapy with Doxorubicin or Epirubicin, with or without Cyclophosphamide, scheduled as adjuvant or neo-adjuvant
  • Written informed consent
  • Independent oral feeding
  • Must be able to carry out periodic visits

Exclusion criteria

Exclusion Criteria:

  • Artificial feeding
  • Eastern Cooperative Oncology Group (ECOG) performance status >2
  • Impossibility to take the foreseen measurements
  • Other tumor pathologies
  • Previous therapy with Doxorubicin or Epirubicin
  • Ongoing treatment with molecular targeted therapies
  • Previous chronic renal, hepatic or cardiac insufficiency
  • History of mental disorders
  • Known allergies or intolerances to any study product ingredient
  • Participation in other interventional clinical trials in the past three months
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    FSMP

    Nutritional counseling plus one sachet of the study product (6.5 g) per day, away from meals, starting the day after the first chemotherapy cycle until three weeks after the last chemotherapy cycle (for a total of 12 weeks)

    Dietary Supplement: FSMP · Other: Nutritional counseling

  • Other
    Control

    Nutritional counseling

    Other: Nutritional counseling

Interventions

  • Dietary supplementFSMP

    Food for Special Medical Purposes specifically formulated for the dietary management of malnourished patients following therapeutic treatments such as chemo and radiotherapy

  • OtherNutritional counseling

    Participant's nutritional status will be evaluated, anthropometric data will be collected (weight, height, BMI), body composition will be evaluated (FFMI, BIVA) and a food diary will be compiled

06

What researchers measure

Primary outcomes

  1. Mean change from baseline in High-Sensitivity Troponin Levels as a serological marker of chemotherapy cardiotoxicity

    The comparison of changes from baseline will be performed using a generalized linear regression model, adjusting for the baseline value of the biomarker. The difference in averages between groups and the relative range of confidence of 90 percent will be derived from the model

    Time frame: 0, 6, 12 weeks

Secondary outcomes

  1. Mean change from baseline in weight, Body Mass Index (BMI) and Fat Free Mass Index (FFMI)

    Participant's weight in kilograms and height in meters will be combined to report BMI and FFMI in kg/m\^2

    Time frame: 0, 3, 6, 9, 12 weeks

  2. Mean change from baseline in Phase Angle

    Participant's body composition will be evaluated through measurement of the phase angle which represents the relationship between resistance and capacitive reactance of the body and bioimpedance diagnostics

    Time frame: 0, 3, 6, 9, 12 weeks

  3. Mean change from baseline in Bioelectrical Impedance Vector Analysis (BIVA)

    Participant's water and nutritional status will be evaluated

    Time frame: 0, 3, 6, 9, 12 weeks

  4. Number of participants with treatment-related adverse events as assessed by CTCAE v5.0

    Proportion of participants with adverse events of any type and specifically haematological, cardiac, gastrointestinal, hepatobiliary, metabolic, psychiatric, renal and urinary types, distinguishing between grade 1-2, grade 3-4 and grade 5. Furthermore, the proportion of participants who discontinue chemotherapy treatment and the change in the number of participants who reduce their chemotherapy dose during the treatment

    Time frame: 3, 6, 9, 12 weeks

  5. Mean change from baseline in Interleukine-6 levels

    The comparison of changes from baseline will be performed using a generalized linear regression model, adjusting for the baseline value of the biomarker. The difference in averages between groups and the relative range of confidence of 90 percent will be derived from the model

    Time frame: 0, 6, 12 weeks

  6. Mean change from baseline Interleukine-1 beta levels

    The comparison of changes from baseline will be performed using a generalized linear regression model, adjusting for the baseline value of the biomarker. The difference in averages between groups and the relative range of confidence of 90 percent will be derived from the model

    Time frame: 0, 6, 12 weeks

  7. Mean change from baseline in C-reactive Protein levels

    The comparison of changes from baseline will be performed using a generalized linear regression model, adjusting for the baseline value of the biomarker. The difference in averages between groups and the relative range of confidence of 90 percent will be derived from the model

    Time frame: 0, 6, 12 weeks

  8. Participant's perception of her physical and mental state

    Comparison of the total average values resulting from the compilation of two validated oncological questionnaires, which include questions with scores from 1 to 4, where in general higher scores mean a worse outcome

    Time frame: 0, 12 weeks

07

Study locations

1 of 1 sites recruiting
  • IRCSS San Matteo University Hospital Foundation
    Pavia, Italy
    • Paolo Pedrazzoli, MD · Contact · p.pedrazzoli@smatteo.pv.it · +390382501659
    • Emanuele Cereda, MD · Contact · e.cereda@smatteo.pv.it
    • Paolo Pedrazzoli, MD · Principal investigator
    • Riccardo Caccialanza, MD · Sub investigator
    • Emanuele Cereda, MD · Sub investigator
    • Elisa Ferraris, MD · Sub investigator
    • Lorenzo Perrone, MD · Sub investigator
    • Valentina Da Prat, MD · Sub investigator
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 14, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05968677
Lead sponsor
Flavolife Srl
Responsible party
Sponsor
First posted
Aug 1, 2023
Start date
Aug 4, 2023
Primary completion
Jan 2026 (estimated)
Completion
Aug 2026 (estimated)
Last update
Mar 14, 2025

Study contacts

Paolo Pedrazzoli, MD
Contact
p.pedrazzoli@smatteo.pv.it
+390382501659
Emanuele Cereda, MD
Contact
e.cereda@smatteo.pv.it
Paolo Pedrazzoli, MD
principal investigator · Unit of Medical Oncology-IRCSS San Matteo University Hospital Foundation

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion