NCT02135562

Brief Summary

This pilot clinical trial studies protein-sparing modified fast (PSMF) intervention for weight loss in obese endometrial cancer survivors. The PSMF is a diet that is very low in carbohydrates and calories, designed to induce fast, safe weight loss. The diet consists of only lean meats (beef, pork, poultry, and seafood) in amounts adequate to meet protein requirements based on the individual's body weight. The PSMF may help endometrial cancer survivors achieve significant weight loss, reduce the risk of chronic disease, and improve quality of life.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
11

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Aug 2014

Typical duration for not_applicable

Geographic Reach
1 country

2 active sites

Status
completed

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

May 8, 2014

Completed
4 days until next milestone

First Posted

Study publicly available on registry

May 12, 2014

Completed
3 months until next milestone

Study Start

First participant enrolled

August 8, 2014

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 19, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 19, 2017

Completed
Last Updated

September 20, 2017

Status Verified

September 1, 2017

Enrollment Period

2.7 years

First QC Date

May 8, 2014

Last Update Submit

September 18, 2017

Conditions

Keywords

endometrial cancersurvivorobesitydiethigh proteinprotein-sparing modified fast interventionPSMF

Outcome Measures

Primary Outcomes (2)

  • Mean Weight loss assessed with the digital scale

    Mean weight loss will be presented as mean total weight loss in kilograms from baseline

    Baseline up to 6 months

  • Mean Weight loss assessed with the digital scale

    Mean Weight loss will be presented as mean total weight loss in kilograms from baseline.

    Baseline up to 12 months

Secondary Outcomes (13)

  • Changes in levels of total cholesterol

    Baseline up to 6 months

  • Changes in levels of markers of inflammation (C-reactive protein)

    Up to 6 months

  • Changes in levels of glucose

    Up to 6 months

  • Number of drop-out participants

    Up to 6 months

  • Average percentage of positive urinary ketone tests as a marker of dietary adherence

    Up to 6 months

  • +8 more secondary outcomes

Study Arms (1)

Supportive Care (PSMF)

EXPERIMENTAL

Participants will take part in a Protein-Sparing Modified Fast (PSMF) Intervention for weight loss. Participants will undergo a dietary intervention high in protein for 6 weeks or until they have loss 15% of their body weight. This intervention will be followed by weight maintenance in which participants reintroduce non-starchy vegetables to their diet. At this time participants will also receive informational material and dietary education which teaches participants how to read nutrition labels and calculate carbohydrate loads in foods. Participants are given the Obesity and Weight-Loss Quality of Life Questionnaire to survey the impact of the intervention

Dietary Supplement: Dietary InterventionOther: Informational MaterialOther: Dietary EducationDietary Supplement: Weight MaintenanceOther: Average score of Obesity and Weight-Loss Quality of Life Questionnaire

Interventions

Dietary InterventionDIETARY_SUPPLEMENT

Follow the Protein-Sparing Modified Fast (PSMF) intervention. This diet has participants consume enough lean beef, pork, poultry, and seafood to provide 1.2 grams of protein per kilogram of their obesity adjusted ideal body weight.

Also known as: Dietary Modification, intervention, dietary
Supportive Care (PSMF)

Receive carbohydrate reintroduction handout

Supportive Care (PSMF)

Receive education on nutrition label reading for carbohydrates

Also known as: intervention, educational
Supportive Care (PSMF)
Weight MaintenanceDIETARY_SUPPLEMENT

weight maintenance diet consists of gradual addition of previously eliminated carbohydrate containing food groups to the high protein PSMF diet. During weight maintenance, consumption of non-starchy vegetables is unlimited

Supportive Care (PSMF)

Participants will take a tailored quality of life questionnaire. These scores will be averaged and a group mean reported. Higher scores indicate greater quality of life.

Supportive Care (PSMF)

Eligibility Criteria

Age18 Years - 70 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Previous diagnosis of endometrial cancer, successfully treated through surgery
  • Body mass index (BMI) \> 30 kg/m\^2
  • \> 8 weeks removed from surgery to treat endometrial cancer

You may not qualify if:

  • No previous diagnosis of endometrial cancer
  • BMI \< 30 kg/m\^2
  • Any history of cardiovascular, kidney, or liver disease
  • Using medication to treat diabetes
  • History of cardiac arrhythmias
  • Inability to comply with follow up regimen
  • Inability to read or speak English
  • Abstention from meat and other animal products

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Cleveland Medical Center, University Hospitals, Seidman Cancer Center, Case Comprehensive Cancer Center

Cleveland, Ohio, 44106-5065, United States

Location

MetroHealth Medical Center

Cleveland, Ohio, 44109, United States

Location

MeSH Terms

Conditions

Endometrial NeoplasmsObesity

Interventions

Diet TherapyNutrition AssessmentMethodsBody Weight Maintenance

Condition Hierarchy (Ancestors)

Uterine NeoplasmsGenital Neoplasms, FemaleUrogenital NeoplasmsNeoplasms by SiteNeoplasmsUterine DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital DiseasesOverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Nutrition TherapyTherapeuticsData CollectionEpidemiologic MethodsInvestigative TechniquesHealth Care Evaluation MechanismsQuality of Health CareHealth Care Quality, Access, and EvaluationEpidemiologic MeasurementsPublic HealthEnvironment and Public HealthBody WeightBody SizeGrowthGrowth and DevelopmentPhysiological Phenomena

Study Officials

  • Kimberly Resnick

    Case Comprehensive Cancer Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 8, 2014

First Posted

May 12, 2014

Study Start

August 8, 2014

Primary Completion

April 19, 2017

Study Completion

April 19, 2017

Last Updated

September 20, 2017

Record last verified: 2017-09

Locations