Diet in Altering Disease Progression in Patients With Prostate Cancer on Active Surveillance
The Men's Eating and Living (MEAL) Study: A Randomized Trial of Diet to Alter Disease Progression in Prostate Cancer Patients on Active Surveillance
2 other identifiers
interventional
478
1 country
180
Brief Summary
RATIONALE: Eating a diet high in vegetables may slow down disease progression in patients with prostate cancer. PURPOSE: This randomized clinical trial is studying how well diet works in altering disease progression in patients with prostate cancer on active surveillance.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3 prostate-cancer
Started Jan 2011
Typical duration for phase_3 prostate-cancer
180 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 9, 2010
CompletedFirst Posted
Study publicly available on registry
November 10, 2010
CompletedStudy Start
First participant enrolled
January 1, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 18, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
January 15, 2019
CompletedResults Posted
Study results publicly available
March 12, 2019
CompletedMarch 21, 2023
March 1, 2023
6.9 years
November 9, 2010
February 20, 2019
March 17, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Time to Progression
Time to progression (TTP) was defined as the length of time from the date of random assignment to progression; patients who died from any cause without experiencing disease progression were censored at the time of death. Disease progression is defined by (a) PSA doubling time (PSADT) less than 3 years, (b) PSA above 10 at any time, or (c) Gleason score on repeat biopsy ≥ 7 for men 70 years or younger and ≥ 4+3 = 7 for men older than 70 years. For the primary analysis, TTP was analyzed using the Kaplan-Meier method; the log-rank test was used to determine superiority of the intervention arm (Arm A: MEAL Program Intervention) compared with the control arm (Arm B: Prostate Cancer Foundation Booklet).
Up to 2 years
Secondary Outcomes (3)
Time to Treatment: Censoring Death, Progression or Last Follow-up as Measured by Number of Events Observed
Up to 2 years
Quality of Life (QOL) Was Measured Using Change From Baseline in Total Summary Score of Memorial Anxiety Scale for Prostate Cancer (MAX-PC) at Month 24
Up to 2 years
Total Vegetables (Servings Per Day) Evaluated at Baseline and Month 24 Based on Dietary Recall
Up to 2 years
Study Arms (2)
Arm A - MEAL Program Intervention
EXPERIMENTALPatients will receive dietary education and telephone counseling sessions over 24 months.
Arm B - Prostate Cancer Foundation Booklet
EXPERIMENTALPatients receive information about diet, nutrition, exercise and cancer. Patients also receive regularly scheduled newsletters.
Interventions
Eligibility Criteria
Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.
Sponsors & Collaborators
Study Sites (180)
Fairbanks Cancer Treatment Center at Fairbanks Memorial Hospital
Fairbanks, Alaska, 99701, United States
Mayo Clinic Scottsdale
Scottsdale, Arizona, 85259-5499, United States
Kaiser Permanente Medical Center - Bellflower
Bellflower, California, 90706, United States
California Cancer Care, Incorporated - Greenbrae
Greenbrae, California, 94904, United States
Rebecca and John Moores UCSD Cancer Center
La Jolla, California, 92093-0658, United States
Loma Linda University Cancer Institute at Loma Linda University Medical Center
Loma Linda, California, 92354, United States
Kaiser Permanente Medical Center - Los Angeles
Los Angeles, California, 90027, United States
Samuel Oschin Comprehensive Cancer Institute at Cedars-Sinai Medical Center
Los Angeles, California, 90048, United States
Kaiser Permanente Medical Center - Kaiser Foundation Hospital - San Diego
San Diego, California, 92120, United States
Naval Medical Center - San Diego
San Diego, California, 92134, United States
Veterans Affairs Medical Center - San Diego
San Diego, California, 92161, United States
UCSF Helen Diller Family Comprehensive Cancer Center
San Francisco, California, 94115, United States
Saint Helena Hospital
St. Helena, California, 94574, United States
University of Colorado Cancer Center at UC Health Sciences Center
Aurora, Colorado, 80045, United States
Poudre Valley Hospital
Fort Collins, Colorado, 80524, United States
Front Range Cancer Specialists
Fort Collins, Colorado, 80528, United States
Saint Francis/Mount Sinai Regional Cancer Center at Saint Francis Hospital and Medical Center
Hartford, Connecticut, 06105, United States
Middlesex Hospital Cancer Center
Middletown, Connecticut, 06457, United States
Tunnell Cancer Center at Beebe Medical Center
Lewes, Delaware, 19958, United States
CCOP - Christiana Care Health Services
Newark, Delaware, 19713, United States
Lakeland Regional Cancer Center at Lakeland Regional Medical Center
Lakeland, Florida, 33805, United States
Florida Hospital Cancer Institute at Florida Hospital Orlando
Orlando, Florida, 32803-1273, United States
Cleveland Clinic Florida - Weston
Weston, Florida, 33331, United States
Cancer Research Center of Hawaii
Honolulu, Hawaii, 96813, United States
OnCare Hawaii, Incorporated - Lusitana
Honolulu, Hawaii, 96813, United States
Queen's Cancer Institute at Queen's Medical Center
Honolulu, Hawaii, 96813, United States
Straub Clinic and Hospital, Incorporated
Honolulu, Hawaii, 96813, United States
OnCare Hawaii, Incorporated - Kuakini
Honolulu, Hawaii, 96817-3169, United States
Kapiolani Medical Center for Women and Children
Honolulu, Hawaii, 96826, United States
Castle Medical Center
Kailua, Hawaii, 96734, United States
Kauai Medical Clinic
Lihue, Hawaii, 96766, United States
Kapiolani Medical Center at Pali Momi
‘Aiea, Hawaii, 96701, United States
Oncare Hawaii, Incorporated - Pali Momi
‘Aiea, Hawaii, 96701, United States
Saint Alphonsus Cancer Care Center at Saint Alphonsus Regional Medical Center
Boise, Idaho, 83706, United States
St. Joseph Regional Medical Center
Lewiston, Idaho, 83501, United States
Idaho Urologic Institute, PA
Meridian, Idaho, 83642, United States
Resurrection Medical Center
Chicago, Illinois, 60631, United States
University of Chicago Cancer Research Center
Chicago, Illinois, 60637-1470, United States
Louis A. Weiss Memorial Hospital
Chicago, Illinois, 60640, United States
Veterans Affairs Medical Center - Hines
Hines, Illinois, 60141, United States
La Grange Memorial Hospital
La Grange, Illinois, 60525, United States
West Suburban Center for Cancer Care
River Forest, Illinois, 60305, United States
Bloomington Hospital Regional Cancer Institute
Bloomington, Indiana, 47403, United States
Elkhart Clinic, LLC
Elkhart, Indiana, 46514-2098, United States
Michiana Hematology-Oncology, PC - Elkhart
Elkhart, Indiana, 46514, United States
Elkhart General Hospital
Elkhart, Indiana, 46515, United States
Howard Community Hospital
Kokomo, Indiana, 46904, United States
Center for Cancer Therapy at LaPorte Hospital and Health Services
La Porte, Indiana, 46350, United States
Michiana Hematology-Oncology, PC - South Bend
Mishawaka, Indiana, 46545-1470, United States
Saint Joseph Regional Medical Center
Mishawaka, Indiana, 46545-1470, United States
Michiana Hematology Oncology PC - Plymouth
Plymouth, Indiana, 46563, United States
CCOP - Northern Indiana CR Consortium
South Bend, Indiana, 46601, United States
Memorial Hospital of South Bend
South Bend, Indiana, 46601, United States
Michiana Hematology Oncology PC - La Porte
Westville, Indiana, 46391, United States
McFarland Clinic, PC
Ames, Iowa, 50010, United States
Wendt Regional Cancer Center at Finley Hospital
Dubuque, Iowa, 52001, United States
Holden Comprehensive Cancer Center at University of Iowa
Iowa City, Iowa, 52242-1002, United States
Siouxland Hematology-Oncology Associates, LLP
Sioux City, Iowa, 51101, United States
Mercy Medical Center - Sioux City
Sioux City, Iowa, 51102, United States
St. Luke's Regional Medical Center
Sioux City, Iowa, 51104, United States
St. Rose Ambulatory and Surgery Center
Great Bend, Kansas, 67530, United States
Hays Medical Center
Hays, Kansas, 67601, United States
Hutchinson Hospital Corporation
Hutchinson, Kansas, 67502, United States
Kansas City Cancer Centers - West
Kansas City, Kansas, 66112, United States
Kansas Masonic Cancer Research Institute at the University of Kansas Medical Center
Kansas City, Kansas, 66160-7357, United States
Kansas City Cancer Centers - Southwest
Overland Park, Kansas, 66210, United States
Mount Carmel Regional Cancer Center
Pittsburg, Kansas, 66762, United States
Tammy Walker Cancer Center at Salina Regional Health Center
Salina, Kansas, 67401, United States
Kansas City Cancer Center - Shawnee Mission
Shawnee Mission, Kansas, 66204, United States
St. Francis Comprehensive Cancer Center
Topeka, Kansas, 66606, United States
Lucille P. Markey Cancer Center at University of Kentucky
Lexington, Kentucky, 40536-0093, United States
Mary Bird Perkins Cancer Center - Baton Rouge
Baton Rouge, Louisiana, 70809, United States
MBCCOP - LSU Health Sciences Center
New Orleans, Louisiana, 70112, United States
Medical Center of Louisiana - New Orleans
New Orleans, Louisiana, 70112, United States
Maine Medical Center - Bramhall Campus
Portland, Maine, 04102, United States
Maine Center for Cancer Medicine and Blood Disorders - Scarborough
Scarborough, Maine, 04074, United States
York Hospital's Oncology Treatment Center
York Village, Maine, 03909, United States
Walter Reed National Military Medical Center
Bethesda, Maryland, 20889-5600, United States
Union Hospital of Cecil County
Elkton, Maryland, 21921, United States
Saint Joseph Mercy Cancer Center
Ann Arbor, Michigan, 48106-0995, United States
CCOP - Michigan Cancer Research Consortium
Ann Arbor, Michigan, 48106, United States
Battle Creek Health System Cancer Care Center
Battle Creek, Michigan, 49017, United States
Mecosta County Medical Center
Big Rapids, Michigan, 49307, United States
Oakwood Cancer Center at Oakwood Hospital and Medical Center
Dearborn, Michigan, 48123-2500, United States
Genesys Hurley Cancer Institute
Flint, Michigan, 48503, United States
Hurley Medical Center
Flint, Michigan, 48503, United States
Genesys Regional Medical Center
Grand Blanc, Michigan, 48439, United States
Butterworth Hospital at Spectrum Health
Grand Rapids, Michigan, 49503, United States
CCOP - Grand Rapids
Grand Rapids, Michigan, 49503, United States
Lacks Cancer Center at Saint Mary's Health Care
Grand Rapids, Michigan, 49503, United States
Van Elslander Cancer Center at St. John Hospital and Medical Center
Grosse Pointe Woods, Michigan, 48236, United States
Foote Memorial Hospital
Jackson, Michigan, 49201, United States
Sparrow Regional Cancer Center
Lansing, Michigan, 48912-1811, United States
St. Mary Mercy Hospital
Livonia, Michigan, 48154, United States
Mercy General Health Partners
Muskegon, Michigan, 49444, United States
St. Joseph Mercy Oakland
Pontiac, Michigan, 48341-2985, United States
Mercy Regional Cancer Center at Mercy Hospital
Port Huron, Michigan, 48060, United States
Spectrum Health Reed City Hospital
Reed City, Michigan, 49677, United States
William Beaumont Hospital - Royal Oak Campus
Royal Oak, Michigan, 48073, United States
Seton Cancer Institute at Saint Mary's - Saginaw
Saginaw, Michigan, 48601, United States
Lakeland Regional Cancer Care Center - St. Joseph
Saint Joseph, Michigan, 49085, United States
Lakeside Cancer Specialists, PLLC
Saint Joseph, Michigan, 49085, United States
Munson Medical Center
Traverse City, Michigan, 49684, United States
St. John Macomb Hospital
Warren, Michigan, 48093, United States
Mayo Clinic Cancer Center
Rochester, Minnesota, 55905, United States
CentraCare Clinic - River Campus
Saint Cloud, Minnesota, 56303, United States
Coborn Cancer Center
Saint Cloud, Minnesota, 56303, United States
Adult and Pediatric Urology, PLLP
Sartell, Minnesota, 56377, United States
Truman Medical Center - Hospital Hill
Kansas City, Missouri, 64108, United States
Veterans Affairs Medical Center - Kansas City
Kansas City, Missouri, 64128, United States
Kansas City Cancer Centers - South
Kansas City, Missouri, 64131, United States
Kansas City Cancer Centers - North
Kansas City, Missouri, 64154, United States
Kansas City Cancer Centers - East
Lee's Summit, Missouri, 64064, United States
Siteman Cancer Center at Barnes-Jewish Hospital - Saint Louis
St Louis, Missouri, 63110, United States
CCOP - Montana Cancer Consortium
Billings, Montana, 59101, United States
St. Vincent Healthcare Cancer Care Services
Billings, Montana, 59101, United States
Hematology-Oncology Centers of the Northern Rockies - Billings
Billings, Montana, 59102, United States
Billings Clinic - Downtown
Billings, Montana, 59107-7000, United States
Bozeman Deaconess Cancer Center
Bozeman, Montana, 59715, United States
St. James Healthcare Cancer Care
Butte, Montana, 59701, United States
Benefis Sletten Cancer Institute
Great Falls, Montana, 59405, United States
Great Falls Clinic - Main Facility
Great Falls, Montana, 59405, United States
St. Peter's Hospital
Helena, Montana, 59601, United States
Kalispell Regional Medical Center
Kalispell, Montana, 59901, United States
Montana Cancer Specialists at Montana Cancer Center
Missoula, Montana, 59807-7877, United States
Montana Cancer Center at St. Patrick Hospital and Health Sciences Center
Missoula, Montana, 59807, United States
University Medical Center of Southern Nevada
Las Vegas, Nevada, 89102, United States
CCOP - Nevada Cancer Research Foundation
Las Vegas, Nevada, 89106, United States
Elliot Regional Cancer Center at Elliot Hospital
Manchester, New Hampshire, 03103, United States
Foundation Medical Partners
Nashua, New Hampshire, 03060, United States
Saint Clare's Hospital
Denville, New Jersey, 07834, United States
Dizzy Gillespie Cancer Institute at Englewood Hospital and Medical Center
Englewood, New Jersey, 07631, United States
Somerset Medical Center
Somerville, New Jersey, 08876, United States
Cancer Institute of New Jersey at Cooper - Voorhees
Voorhees Township, New Jersey, 08043, United States
Veterans Affairs Medical Center - Buffalo
Buffalo, New York, 14215, United States
Roswell Park Cancer Institute
Buffalo, New York, 14263-0001, United States
Monter Cancer Center of the North Shore-LIJ Health System
Lake Success, New York, 11042, United States
CCOP - North Shore University Hospital
Manhasset, New York, 11030, United States
Don Monti Comprehensive Cancer Center at North Shore University Hospital
Manhasset, New York, 11030, United States
Mount Kisco Medical Group, PC
Mount Kisco, New York, 10549-3417, United States
Long Island Jewish Medical Center
New Hyde Park, New York, 11040, United States
New York Weill Cornell Cancer Center at Cornell University
New York, New York, 10021, United States
James P. Wilmot Cancer Center at University of Rochester Medical Center
Rochester, New York, 14642, United States
Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill
Chapel Hill, North Carolina, 27599-7295, United States
Pardee Memorial Hospital
Hendersonville, North Carolina, 28791, United States
High Point Regional Hospital
High Point, North Carolina, 27261, United States
McDowell Cancer Center at Akron General Medical Center
Akron, Ohio, 44307, United States
Oklahoma University Cancer Institute
Oklahoma City, Oklahoma, 73104, United States
Bay Area Hospital
Coos Bay, Oregon, 97420, United States
Morgan Cancer Center at Lehigh Valley Hospital - Cedar Crest
Allentown, Pennsylvania, 18105, United States
Cancer Center at Phoenixville Hospital
Phoenixville, Pennsylvania, 19460, United States
Veterans Affairs Medical Center - San Antonio (Murphy)
San Antonio, Texas, 78209, United States
University of Texas Health Science Center at San Antonio
San Antonio, Texas, 78229-3900, United States
Cancer Therapy and Research Center
San Antonio, Texas, 78229, United States
University Hospital - San Antonio
San Antonio, Texas, 78229, United States
Huntsman Cancer Institute at University of Utah
Salt Lake City, Utah, 84112, United States
Auburn Regional Center for Cancer Care
Auburn, Washington, 98002, United States
Overlake Cancer Center at Overlake Hospital Medical Center
Bellevue, Washington, 98004, United States
Providence Centralia Hospital
Centralia, Washington, 98531-9027, United States
Providence Regional Cancer Partnership
Everett, Washington, 98201, United States
St. Francis Hospital
Federal Way, Washington, 98003, United States
Cascade Cancer Center at Evergreen Hospital Medical Center
Kirkland, Washington, 98033, United States
Seattle Cancer Care Alliance at EvergreenHealth
Kirkland, Washington, 98034, United States
Providence St. Peter Hospital Regional Cancer Center
Olympia, Washington, 98506-5166, United States
Good Samaritan Cancer Center
Puyallup, Washington, 98372, United States
CCOP - Virginia Mason Research Center
Seattle, Washington, 98101, United States
Virginia Mason Medical Center
Seattle, Washington, 98101, United States
Pacific Medical Center
Seattle, Washington, 98104, United States
Franciscan Cancer Center at St. Joseph Medical Center
Tacoma, Washington, 98405-3004, United States
Allenmore Hospital
Tacoma, Washington, 98405, United States
CCOP - Northwest
Tacoma, Washington, 98405, United States
MultiCare Regional Cancer Center at Tacoma General Hospital
Tacoma, Washington, 98405, United States
Madigan Army Medical Center - Tacoma
Tacoma, Washington, 98431, United States
St. Clare Hospital
Tacoma, Washington, 98499, United States
Gundersen Lutheran Center for Cancer and Blood
La Crosse, Wisconsin, 54601, United States
D.N. Greenwald Center
Mukwonago, Wisconsin, 53149, United States
Regional Cancer Center at Oconomowoc Memorial Hospital
Oconomowoc, Wisconsin, 53066, United States
Waukesha Memorial Hospital Regional Cancer Center
Waukesha, Wisconsin, 53188, United States
Rocky Mountain Oncology
Casper, Wyoming, 82609, United States
Welch Cancer Center at Sheridan Memorial Hospital
Sheridan, Wyoming, 82801, United States
Related Publications (1)
Parsons JK, Zahrieh D, Mohler JL, Paskett E, Hansel DE, Kibel AS, Liu H, Seisler DK, Natarajan L, White M, Hahn O, Taylor J, Hartman SJ, Stroup SP, Van Veldhuizen P, Hall L, Small EJ, Morris MJ, Pierce JP, Marshall J. Effect of a Behavioral Intervention to Increase Vegetable Consumption on Cancer Progression Among Men With Early-Stage Prostate Cancer: The MEAL Randomized Clinical Trial. JAMA. 2020 Jan 14;323(2):140-148. doi: 10.1001/jama.2019.20207.
PMID: 31935026DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- J. Kellogg Parsons, M.D., MHS
- Organization
- Moores Cancer Center
Study Officials
- STUDY CHAIR
J. Kellogg Parsons, MD, MHS
University of California, San Diego
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 9, 2010
First Posted
November 10, 2010
Study Start
January 1, 2011
Primary Completion
November 18, 2017
Study Completion
January 15, 2019
Last Updated
March 21, 2023
Results First Posted
March 12, 2019
Record last verified: 2023-03