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RecruitingNCT07255066OPT-EPAUpdated Oct 20, 2026

Optimizing Patient Treatment With EPA-enriched Nutrition, a Randomised Control Trial

An interventional study of Fortimel Forticare Sensations in Malnutrition (Calorie), Colorectal Cancer and Lung Cancer, sponsored by University of Edinburgh. Recruiting at 4 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-20.

Sponsored by University of Edinburgh · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Started Apr 2026; still recruiting 7 months later.
Updated Oct 20, 2026Eligibility revisedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
118
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Malnutrition is a common and serious issue for people living with cancer. Many cancer patients experience weight loss, muscle weakness, and poor quality of life due to malnutrition. This can also reduce the success of cancer treatments, increase hospital visits, and add emotional distress for both patients and their loved ones.

Treating malnutrition through good nutritional care is increasingly recognised as an important part of cancer treatment. Leading experts recommend that all cancer patients be checked for signs of malnutrition and given personalised nutrition plans when necessary. While dietary counselling and oral nutritional supplements (ONS) are often used to help patients, there is still a need for better evidence to show how well these interventions work.

A key factor contributing to malnutrition in cancer patients is inflammation. Omega-3 fatty acids, (like those found in oily fish) are known for their anti-inflammatory properties. Some studies suggest that omega-3s may help cancer patients by reducing inflammation, keeping muscles strong, improving appetite, and enhancing overall well-being.

The OPT-EPA study will investigate whether a nutritional drink, called Fortimel Forticare Sensations (FFS), can improve nutritional status in patients with lung or colorectal cancer who are at risk of malnutrition. This drink is enriched with omega-3 fatty acids (Eicosapentanoic acid (EPA) and Docosahexaenoic acid (DHA)) and provides a high amount of protein and calories in a small volume, making it easier to consume, especially for patients with taste changes.

In this study, participants will be divided into two groups. The experimental group will receive dietary counselling and standard care along with FFS, the omega-3-enriched nutritional drink, while the other (control) group will receive dietary counselling and standard care, with supplements provided only if clinically necessary. Researchers will evaluate the impact on patients' nutritional status, body weight, muscle, inflammation levels, and quality of life.

Through the OPT-EPA study, researchers hope to gain clearer insights into whether omega-3-containing supplements can provide meaningful benefits for cancer patients. Ultimately, this could help improve the quality of care and outcomes for people facing cancer-related malnutrition.

02

Conditions studied

  • Malnutrition (Calorie)
  • Colorectal Cancer
  • Lung Cancer
03

In context

Malnutrition

1,277 studies on the registry are indexed under Malnutrition; 230 are open to participants now.

This study's planned enrollment of 118 is close to the median of 118 across 843 interventional studies indexed under Malnutrition.

Browse Malnutrition studies →

Lead sponsor

University of Edinburgh is the lead sponsor of 403 studies on the registry; 64 are open to participants now.

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

04

Who can participate

The criteria were revised on the registry on Oct 20, 2026. See what changed

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Participants with stage III-IV lung and/or colorectal cancer undergoing systemic anti-cancer treatment (SACT) or starting SACT within the next 4 weeks *with non-curative intent
  • Participants aged 18 or older
  • Participants at nutritional risk defined as a \<20 kg/m2 and/or over 5% weight loss in the previous 6 months**
  • Participants with systemic inflammation within 28 days of screening (CRP >10 mg/dL)
  • Participants with an -PS*** score of 0, 1 or 2
  • Participants willing and able to give written

Exclusion criteria

Exclusion Criteria:

  • Participants with a recent history of tumour resection (within 12 months)
  • Participants with severe renal or hepatic failure or an intolerance to any of the ingredients of the study product
  • Participants who are using dietary counselling, ONS or any form of artificial feeding at the time of recruitment
  • Unable to adhere to either arm of the trial and appropriate requirements
  • to ONS including a lactose intolerance
  • Females who are pregnant or of and not using adequate
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
118 participants (estimated)

Study arms

  • Experimental
    Dietary Counselling and EPA-enriched FFS (experimental ONS) and standard care

    Dietary Supplement: Fortimel Forticare Sensations

  • No intervention
    Dietary Counselling and standard care

Interventions

  • Dietary supplementFortimel Forticare Sensations

    An EPA-enriched experimental Oral Nutritional Supplement

06

What researchers measure

Primary outcomes

  1. Body Weight - light clothes, no shoes

    Time frame: From baseline to day 56

07

Study locations

3 of 4 sites recruiting
08

Updates

1 registry update since Sep 25, 2026
Eligibility
2 inclusion criteria edited; 1 exclusion criterion removed
What changed in the criteria
Inclusion criteria
  • EditedParticipants at nutritional risk defined as a BMI <20 kg/m2 and/or over 5% weight loss between 5-10% in the previous 6 months**
  • EditedParticipants with systemic inflammation within 28 days of screening (e.g. CRP >10 mg/dL)
Exclusion criteria
  • RemovedParticipants who have lost >10% body weight in the previous 6 months before baseline - observed or participant reported.
Oct 20, 2026
Show all 1 update
  1. Oct 20, 2026
    Eligibility 2 inclusion criteria edited; 1 exclusion criterion removed
    What changed in the criteria
    Inclusion criteria
    • EditedParticipants at nutritional risk defined as a BMI <20 kg/m2 and/or over 5% weight loss between 5-10% in the previous 6 months**
    • EditedParticipants with systemic inflammation within 28 days of screening (e.g. CRP >10 mg/dL)
    Exclusion criteria
    • RemovedParticipants who have lost >10% body weight in the previous 6 months before baseline - observed or participant reported.

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07255066
Collaborators
University of Southampton, Danone Global Research & Innovation Center, Edinburgh and Lothain Health Fund (Lothian Health Board)
Responsible party
Sponsor
First posted
Nov 28, 2025
Start date
Apr 1, 2026
Primary completion
Jan 2027 (estimated)
Completion
Jun 2027 (estimated)
Last update
Oct 20, 2026

Study contacts

Jessica Kelly
Contact
opt-epa@soton.ac.uk
+442380599247
Conni McCarthy
Contact
c.mccarthy@ed.ac.uk

Oversight

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

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