Fasting and Nutritional Therapy in Patients With Advanced Metastatic Prostate Cancer
Clinical Study on the Efficacy of Fasting and Nutritional Therapy as a Complementary Treatment of Advanced Metastatic Prostate Cancer Undergoing Chemotherapy - an Exploratory Randomized Controlled Trial
1 other identifier
interventional
49
1 country
1
Brief Summary
The aim of this trial is a first evaluation of the effectiveness of intermittent fasting as a supplementary therapy in patients with CRPC or hormone-sensitive prostate cancer with high metastatic load (1≥ visceral and ≥4 osseous metastases) in respect to quality of life, reduction of side effects and possible reduction in tumor progression.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Apr 2016
Longer than P75 for not_applicable
1 active site
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
February 9, 2016
CompletedFirst Posted
Study publicly available on registry
March 17, 2016
CompletedStudy Start
First participant enrolled
April 1, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2022
CompletedDecember 13, 2022
December 1, 2022
4.3 years
February 9, 2016
December 12, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
FACT-P/-Taxane/-An sum score
summarized change of FACT score from baseline to day 8 after each chemotherapy
Assessment day 0 (baseline) and 7 days after each of 6 chemotherapies (study weeks 1,4,7,10,13,16)
Secondary Outcomes (2)
FACT-P/-Taxane/-An sum score
Assessment day 0 (baseline) and 3 and 6 months after day 0
HADS
Assessment day 0 (baseline) and 7 days after each of 6 chemotherapies (study weeks 1,4,7,10,13,16) and after 3 and 6 months after study day 0
Other Outcomes (2)
Differential blood count
Assessment day 0 (baseline) and 7 days after each of 6 chemotherapies (study weeks 1,4,7,10,13,16) and after 3 and 6 months after study day 0
Intensity of chemotherapy- related side effects
Assessment day 0 (baseline) and 7 days after each of 6 chemotherapies (study weeks 1,4,7,10,13,16)
Study Arms (2)
Fasting
EXPERIMENTAL60h-modified fasting (36h before and 24h after chemotherapy)
Control
ACTIVE COMPARATORmediterranean diet
Interventions
Patients realize a 60h-modified fasting (36h before and 24h after chemotherapy) with a dietary energy supply 350-400kcal per day with fruit and vegetable juices or, if not feasible, an established fasting-mimicking diet of 600-800 kcal according to Longo et al. Between chemotherapy a Mediterranean diet with nutrition training individually and in small groups by trained nutritionists at the Study Centre will be practiced.
Participants of the control group will receive an individual nutrition training and in small groups according to the Mediterranean diet.
Eligibility Criteria
You may qualify if:
- Diagnosis of CRPC or hormone-sensitive prostate cancer with high metastatic load
- Cancer is treated to guidelines conventionally with chemotherapy or with a combination of hormone therapy and chemotherapy.
You may not qualify if:
- Underweight (BMI \<20 kg/m2) or actual weight decrease \>2 kg or \>5 kg in the last 1 or 3 months.
- Eating disorder
- Dementia
- Psychosis
- Terminal illness with a significant limitation of mobility and overall vitality
- Diabetes mellitus type 1
- Renal insufficiency stage \> 2, GFR \<60mlmin / 1.73 m2
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Charité Centrum Chirurgische Medizin, CC 8 Klinik für Urologie
Berlin, 12200, Germany
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Andreas Michalsen, Prof. Dr.
Charite Centrum Epidemiologie und Gesundheitsökonomie, CC1: Gesundheitswissenschaften
- PRINCIPAL INVESTIGATOR
Kurt Miller, Prof. Dr.
Charité Centrum Chirurgische Medizin, CC 8 Klinik für Urologie
- PRINCIPAL INVESTIGATOR
Ursula Steiner, Dr.
Charité Centrum Chirurgische Medizin, CC 8 Klinik für Urologie
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Prof. Dr.
Study Record Dates
First Submitted
February 9, 2016
First Posted
March 17, 2016
Study Start
April 1, 2016
Primary Completion
July 1, 2020
Study Completion
December 1, 2022
Last Updated
December 13, 2022
Record last verified: 2022-12