NCT03781778

Brief Summary

This phase II, randomized pilot trial studies the effect of the consumption of foods made with resistant starch compared to foods made with corn starch on biomarkers that may be related to colorectal cancer progression in stage I-III colorectal cancer survivors. Foods made with resistant starch may beneficially influence markers of inflammation, insulin resistance, and the composition of gut bacteria in colorectal cancer survivors.

Trial Health

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Trial Health Score

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

Enrollment
10

participants targeted

Target at below P25 for phase_2

Timeline
Completed

Started May 2019

Shorter than P25 for phase_2

Geographic Reach
1 country

1 active site

Status
terminated

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

December 14, 2018

Completed
6 days until next milestone

First Posted

Study publicly available on registry

December 20, 2018

Completed
5 months until next milestone

Study Start

First participant enrolled

May 7, 2019

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2020

Completed
1.2 years until next milestone

Results Posted

Study results publicly available

December 14, 2021

Completed
Last Updated

October 6, 2022

Status Verified

September 1, 2022

Enrollment Period

1.4 years

First QC Date

December 14, 2018

Results QC Date

September 28, 2021

Last Update Submit

September 9, 2022

Conditions

Keywords

Resistant StarchColorectal Cancer

Outcome Measures

Primary Outcomes (3)

  • Feasibility: Accrual

    The accrual rate will be estimated with number of participants at full enrollment at 12 months.

    Up to 12 months

  • Feasibility: Adherence

    The adherence endpoint pertains to adherence to the intervention and is defined as consuming 75% or more of study foods on 75% of days from baseline to 8 weeks.

    From start of intervention to ending intervention: up to 8 weeks

  • Feasibility: Retention

    The retention endpoint is defined as at least 80% of enrolled participants providing blood and stool samples at the week 8 timepoint.

    From start of intervention to the 8-week timepoint

Secondary Outcomes (4)

  • Variability of Biomarkers of Insulin Resistance and Inflammation (Adiponectin)

    Baseline to follow-up at week 8

  • Variability in Biomarkers of Insulin Resistance and Inflammation (C-reactive Protein, CRP)

    Baseline to follow-up at week 8

  • Variability in Gut Microbial Communities From Human Stool Samples - ALPHA DIVERSITY AND GENERA

    Baseline to follow-up at weeks 2 and 8

  • Variability in Gut Microbial Communities From Human Stool Samples -- BETA DIVERSITY

    Baseline to followup at weeks 2 and 8

Study Arms (2)

Group I (resistant starch foods)

EXPERIMENTAL

Patients eat a diet consisting of resistant starch foods daily for 8 weeks.

Other: Dietary Intervention (resistant starch)Other: Questionnaire Administration

Group II (foods with regular corn starch)

ACTIVE COMPARATOR

Patients eat a diet consisting of regular corn starch foods daily for 8 weeks.

Other: Dietary Intervention (regular starch)Other: Questionnaire Administration

Interventions

Eat foods with resistant starch

Also known as: Dietary Modification, intervention, dietary, Nutrition Intervention, Nutrition Interventions, Nutritional Interventions
Group I (resistant starch foods)

Eat foods with regular corn starch

Also known as: Dietary Modification, intervention, dietary, Nutrition Intervention, Nutrition Interventions, Nutritional Interventions
Group II (foods with regular corn starch)

Ancillary studies

Group I (resistant starch foods)Group II (foods with regular corn starch)

Eligibility Criteria

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

You may qualify if:

  • History of diagnosed American Joint Committee on Cancer (AJCC) stage I-III colorectal adenocarcinoma.
  • Completed all treatment of colorectal adenocarcinoma within past 4-36 months.
  • Current Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2 (per physician).
  • Ability to consent and follow study protocol.

You may not qualify if:

  • Active cancer.
  • Prior diagnosis of diabetes that is currently uncontrolled (defined as hemoglobin \[Hgb\] A1c \> 8.0).
  • Active inflammatory bowel disease (i.e., patients who are symptomatic despite medical therapy). This includes irritable bowel syndrome, Crohn's disease, or any other inflammatory bowel disorder.
  • Known food allergy/intolerances to wheat, gluten, dairy or eggs.
  • Use of antibiotic(s) within the last 3 months prior to enrollment.
  • Women who are pregnant and/or breastfeeding.
  • Current body mass index (BMI) \< 18.5 kg/m\^2.
  • Uncontrolled constipation.
  • Inability to speak and fully understand English.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Fred Hutch/University of Washington Cancer Consortium

Seattle, Washington, 98109, United States

Location

MeSH Terms

Conditions

Colonic NeoplasmsRectal NeoplasmsColorectal Neoplasms

Interventions

Diet TherapyResistant Starch

Condition Hierarchy (Ancestors)

Intestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesRectal Diseases

Intervention Hierarchy (Ancestors)

Nutrition TherapyTherapeuticsStarchGlucansBiopolymersPolymersMacromolecular SubstancesDietary FiberDietary CarbohydratesCarbohydratesPolysaccharidesFoodDiet, Food, and NutritionPhysiological PhenomenaFood and Beverages

Results Point of Contact

Title
Marian L. Neuhouser, PhD
Organization
Fred Hutchinson Cancer Research Center

Study Officials

  • Marian Neuhouser

    Fred Hutch/University of Washington Cancer Consortium

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Masking Details
Assignment to the active versus control group will be blinded using a computer program and will be designated as "diet A" and "diet B". Investigators will be unblinded once the study and data analyses have been completed.
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: Blinded, block randomization based on sex and BMI.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

December 14, 2018

First Posted

December 20, 2018

Study Start

May 7, 2019

Primary Completion

October 1, 2020

Study Completion

October 1, 2020

Last Updated

October 6, 2022

Results First Posted

December 14, 2021

Record last verified: 2022-09

Data Sharing

IPD Sharing
Will not share

Locations