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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00053053
Other study ID # RTOG-0122
Secondary ID CDR0000269100
Status Completed
Phase Phase 3
First received January 27, 2003
Last updated December 6, 2016
Start date December 2002
Est. completion date February 2009

Study information

Verified date October 2013
Source Radiation Therapy Oncology Group
Contact n/a
Is FDA regulated No
Health authority United States: Federal Government
Study type Interventional

Clinical Trial Summary

RATIONALE: Nutritional supplements may help prevent loss of appetite, weight loss, and fatigue in patients with advanced cancer.

PURPOSE: Randomized phase III trial to compare the effectiveness of two nutritional supplements in preventing loss of appetite, weight loss, and fatigue in patients who have stage III or stage IV solid tumors.


Description:

OBJECTIVES:

- Compare the change in lean body mass of patients treated with Juven® vs a non-Juven® supplement.

- Compare the change in fatigue and quality of life of patients treated with these supplements.

- Compare the results of plethysmography, bioimpedance, and skinfold measurement in patients treated with these supplements.

- Compare the weight change in patients treated with these supplements.

OUTLINE: This is a randomized, double-blind, multicenter study. Patients are stratified according to primary disease site (lung vs others), concurrent chemotherapy (yes vs no), evidence of metastases (yes vs no), and degree of weight loss (2-5% vs 6-10%). Patients are randomized to 1 of 2 treatment arms.

- Arm I: Patients receive oral Juven® supplement twice daily for 8 weeks.

- Arm II: Patients receive oral non-Juven® supplement twice daily for 8 weeks. All patients undergo lean body mass measurement (to include multiple body composition and weight change) and fatigue and quality of life assessments at baseline and then at 4 and 8 weeks.

PROJECTED ACCRUAL: A total of 468 patients (234 per treatment arm) will be accrued for this study within 16 months.


Recruitment information / eligibility

Status Completed
Enrollment 472
Est. completion date February 2009
Est. primary completion date March 2005
Accepts healthy volunteers No
Gender Both
Age group 17 Years to 120 Years
Eligibility DISEASE CHARACTERISTICS:

- Histologically or cytologically confirmed solid tumor or lymphoma with no leukemic aspect

- Stage III or IV or any other stage associated with current metastatic disease at presentation

- No primary or metastatic brain tumors

- Weight loss of at least 2% but no more than 10% within the past 3 months

- No ascites

PATIENT CHARACTERISTICS:

Age

- 17 and over

Performance status

- Zubrod 0-2

Life expectancy

- At least 3 months

Hematopoietic

- Not specified

Hepatic

- Not specified

Renal

- No hypercalcemia

Cardiovascular

- No persistent moderate or severe peripheral edema

- No uncontrolled congestive heart failure

Gastrointestinal

- No enteric fistula

- No concurrent intestinal obstruction

- Prior intestinal obstruction allowed

Other

- Not pregnant or nursing

- Negative pregnancy test

- No uncontrolled infections

- No other serious medical illness

- No metabolic disorder

PRIOR CONCURRENT THERAPY:

Biologic therapy

- Not specified

Chemotherapy

- Concurrent chemotherapy allowed

Endocrine therapy

- No dexamethasone as an appetite stimulant

- Intermittent dexamethasone during concurrent chemotherapy allowed

Radiotherapy

- Concurrent radiotherapy allowed

Surgery

- At least 1 week since prior minor surgery

- At least 3 weeks since prior major surgery

Other

- At least 30 days since prior total parenteral nutrition

- No concurrent parenteral feedings

- No concurrent known appetite stimulants (e.g., megestrol or dronabinol)

- No concurrent omega 3 fatty acids or their congeners (e.g., ProSure™)

- No concurrent amino acid supplements

- Concurrent use of other dietary supplements (e.g., Ensure® or Boost) is allowed

- Concurrent enteral feedings via PEG or nasogastric tube are allowed

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Supportive Care


Related Conditions & MeSH terms


Intervention

Dietary Supplement:
Juven

Non-Juven Supplement


Locations

Country Name City State
Canada Tom Baker Cancer Centre - Calgary Calgary Alberta
Canada Cross Cancer Institute Edmonton Alberta
Canada Nova Scotia Cancer Centre at Queen Elizabeth II Health Sciences Centre Halifax Nova Scotia
Canada Margaret and Charles Juravinski Cancer Centre Hamilton Ontario
Canada Cancer Centre of Southeastern Ontario Kingston Ontario
Canada London Regional Cancer Program at London Health Sciences Centre London Ontario
Canada Doctor Leon Richard Oncology Centre Moncton New Brunswick
Canada Centre Hospitalier de l'Universite de Montreal Montreal Quebec
Canada McGill Cancer Centre at McGill University Montreal Quebec
Canada Ottawa Hospital Regional Cancer Centre - General Campus Ottawa Ontario
Canada Centre Hospitalier Universitaire de Quebec Quebec City Quebec
Canada Allan Blair Cancer Centre at Pasqua Hospital Regina Saskatchewan
Canada Saint John Regional Hospital Saint John New Brunswick
Canada Saskatoon Cancer Centre Saskatoon Saskatchewan
Canada CHUS-Hopital Fleurimont Sherbrooke Quebec
Canada Newfoundland Cancer Treatment and Research Foundation St. Johns Newfoundland and Labrador
Canada Northeastern Ontario Regional Cancer Centre Sudbury Ontario
Canada Regional Cancer Care at Thunder Bay Regional Health Sciences Centre Thunder Bay Ontario
Canada Princess Margaret Hospital Toronto Ontario
Canada Toronto Sunnybrook Regional Cancer Centre Toronto Ontario
United States Abington Memorial Hospital Abington Pennsylvania
United States Akron City Hospital at Summa Health System Akron Ohio
United States McDowell Cancer Center at Akron General Medical Center Akron Ohio
United States Radiation Oncology Associates, PA Albuquerque New Mexico
United States John and Dorothy Morgan Cancer Center at Lehigh Valley Hospital Allentown Pennsylvania
United States Harrington Cancer Center Amarillo Texas
United States St. John's Cancer Center at St. John's Medical Center Anderson Indiana
United States CCOP - Michigan Cancer Research Consortium Ann Arbor Michigan
United States University of Michigan Comprehensive Cancer Center Ann Arbor Michigan
United States DeCesaris Cancer Institute at Anne Arundel Medical Center Annapolis Maryland
United States Arlington Cancer Center - Arlington Arlington Texas
United States Northwest Community Hospital Arlington Heights Illinois
United States CCOP - Atlanta Regional Atlanta Georgia
United States Winship Cancer Institute of Emory University Atlanta Georgia
United States Alvin and Lois Lapidus Cancer Institute at Sinai Hospital Baltimore Maryland
United States Cancer Center at Greater Baltimore Medical Center Baltimore Maryland
United States Greenebaum Cancer Center at University of Maryland Medical Center Baltimore Maryland
United States Harbor Hospital Center Baltimore Maryland
United States Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins Baltimore Maryland
United States St. Agnes Cancer Center Baltimore Maryland
United States Mary Bird Perkins Cancer Center - Baton Rouge Baton Rouge Louisiana
United States St. Luke's Hospital Cancer Center Bethlehem Pennsylvania
United States CCOP - Montana Cancer Consortium Billings Montana
United States Lourdes Regional Cancer Center Binghamton New York
United States Comprehensive Cancer Center at University of Alabama at Birmingham Birmingham Alabama
United States Bloomington Hospital Bloomington Indiana
United States Cancer Research Center at Boston Medical Center Boston Massachusetts
United States Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute Boston Massachusetts
United States New York Methodist Hospital Brooklyn New York
United States SUNY Downstate Medical Center Brooklyn New York
United States Providence Saint Joseph Medical Center - Burbank Burbank California
United States Vermont Cancer Center at University of Vermont Burlington Vermont
United States Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill Chapel Hill North Carolina
United States Cancer Center at the University of Virginia Charlottesville Virginia
United States Robert H. Lurie Comprehensive Cancer Center at Northwestern University Chicago Illinois
United States Cancer Center at Christ Hospital Cincinnati Ohio
United States Charles M. Barrett Cancer Center at University Hospital Cincinnati Ohio
United States Cleveland Clinic Taussig Cancer Center Cleveland Ohio
United States Ireland Cancer Center at University Hospitals of Cleveland and Case Western Reserve University Cleveland Ohio
United States Finger Lakes Radiation Oncology Center at Clifton Springs Hospital and clinic Clifton Springs New York
United States Memorial Hospital Cancer Center Colorado Springs Colorado
United States Ellis Fischel Cancer Center at University of Missouri - Columbia Columbia Missouri
United States Arthur G. James Cancer Hospital and Solove Research Institute at Ohio State University Columbus Ohio
United States CCOP - Columbus Columbus Ohio
United States John B. Amos Community Cancer Center Columbus Georgia
United States Batte Cancer Center at Northeast Medical Center Concord North Carolina
United States Mount Diablo Regional Cancer Center Concord California
United States Geisinger Medical Center Danville Pennsylvania
United States Mercy Fitzgerald Hospital Darby Pennsylvania
United States CCOP - Dayton Dayton Ohio
United States CCOP - Central Illinois Decatur Illinois
United States University of Colorado Cancer Center at University of Colorado Health Sciences Center Denver Colorado
United States Barbara Ann Karmanos Cancer Institute Detroit Michigan
United States Josephine Ford Cancer Center at Henry Ford Health System Detroit Michigan
United States Delaware County Regional Cancer Center at Delaware County Memorial Hospital Drexel Hill Pennsylvania
United States City of Hope Comprehensive Cancer Center Duarte California
United States Wendt Regional Cancer Center at Finley Hospital Dubuque Iowa
United States Veterans Affairs Medical Center - East Orange East Orange New Jersey
United States Dale and Frances Hughes Cancer Center at Pocono Medical Center East Stroudsburg Pennsylvania
United States CCOP - Syracuse Hematology-Oncology Associates of Central New York, P.C. East Syracuse New York
United States Esther Marie Hatton Cancer Care Center at St. Elizabeth Medical Center Edgewood Kentucky
United States John F. Kennedy Medical Center Edison New Jersey
United States Great Lakes Cancer Institute at McLaren Regional Medical Center Flint Michigan
United States 21st Century Oncology - Fort Myers Fort Myers Florida
United States California Cancer Center - Woodward Park Office Fresno California
United States Saint Agnes Cancer Center Fresno California
United States University of Florida Shands Cancer Center Gainesville Florida
United States University of Texas Medical Branch Galveston Texas
United States CCOP - Southeast Cancer Control Consortium Goldsboro North Carolina
United States St. Mary's Regional Cancer Center at St. Mary's Hospital and Medical Center Grand Junction Colorado
United States CCOP - St. Vincent Hospital Cancer Center, Green Bay Green Bay Wisconsin
United States St. Vincent Hospital Green Bay Wisconsin
United States Sutter Health Western Division Cancer Research Group Greenbrae California
United States CCOP - Greenville Greenville South Carolina
United States Leo W. Jenkins Cancer Center at Pitt County Memorial Hospital Greenville North Carolina
United States RMH Regional Cancer Center Harrisonburg Virginia
United States Ingalls Cancer Care Center at Ingalls Memorial Hospital Harvey Illinois
United States Penn State Cancer Institute at Milton S. Hershey Medical Center Hershey Pennsylvania
United States MBCCOP - Hawaii Honolulu Hawaii
United States M.D. Anderson Cancer Center at University of Texas Houston Texas
United States Comprehensive Cancer Institute Huntsville Alabama
United States Cape Cod Hospital Hyannis Massachusetts
United States Methodist Cancer Center at Methodist Hospital Indianapolis Indiana
United States Veterans Affairs Medical Center - Indianapolis (Roudebush) Indianapolis Indiana
United States West Tennessee Cancer Center at Jackson-Madison County General Hospital Jackson Tennessee
United States Florida Radiation Oncology Group Jacksonville Florida
United States Veterans Affairs Medical Center - Boston (Jamaica Plain) Jamaica Plain Massachusetts
United States CCOP - Kalamazoo Kalamazoo Michigan
United States CCOP - Kansas City Kansas City Missouri
United States Gundersen Lutheran Cancer Center at Gundersen Lutheran Medical Center La Crosse Wisconsin
United States Wilford Hall Medical Center Lackland Air Force Base Texas
United States Oncology Institute of Greater Lafayette Lafayette Indiana
United States CCOP - Southern Nevada Cancer Research Foundation Las Vegas Nevada
United States Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center Lebanon New Hampshire
United States Cancer Center at Lexington Clinic Lexington Kentucky
United States Central Baptist Hospital Lexington Kentucky
United States Markey Cancer Center at University of Kentucky Chandler Medical Center Lexington Kentucky
United States Loma Linda University Cancer Institute at Loma Linda University Medical Center Loma Linda California
United States Veterans Affairs Medical Center - Long Beach Long Beach California
United States Monmouth Medical Center Long Branch New Jersey
United States Jonsson Comprehensive Cancer Center at UCLA Los Angeles California
United States USC/Norris Comprehensive Cancer Center and Hospital Los Angeles California
United States James Graham Brown Cancer Center at University of Louisville Louisville Kentucky
United States Louisville Radiation Oncology Center at Caritas Regional Cancer Center Louisville Kentucky
United States Joe Arrington Cancer Research and Treatment Center Lubbock Texas
United States University of Wisconsin Comprehensive Cancer Center Madison Wisconsin
United States Merle M. Mahr Cancer Center at Regional Medical Center of Hopkins County Madisonville Kentucky
United States Elliot Regional Cancer Center Manchester New Hampshire
United States CCOP - North Shore University Hospital Manhasset New York
United States Upper Michigan Cancer Center at Marquette General Hospital Marquette Michigan
United States CCOP - Marshfield Clinic Research Foundation Marshfield Wisconsin
United States Marshfield Clinic - Marshfield Center Marshfield Wisconsin
United States Cardinal Bernardin Cancer Center at Loyola University Medical Center Maywood Illinois
United States Holmes Regional Medical Center Melbourne Florida
United States Community Memorial Hospital Menomonee Falls Wisconsin
United States Baptist-South Miami Regional Cancer Program Miami Florida
United States University of Miami Sylvester Comprehensive Cancer Center Miami Florida
United States CCOP - Mount Sinai Medical Center Miami Beach Florida
United States MidMichigan Medical Center - Midland Midland Michigan
United States Columbia St. Mary's - Columbia Campus Milwaukee Wisconsin
United States Veterans Affairs Medical Center - Milwaukee (Zablocki) Milwaukee Wisconsin
United States Vince Lombardi Cancer Clinic at St. Luke's Medical Center Milwaukee Wisconsin
United States Fairview University Medical Center - University Campus Minneapolis Minnesota
United States Trinity Cancer Care Center Minot North Dakota
United States MBCCOP - Gulf Coast Mobile Alabama
United States Montgomery Cancer Center Montgomery Alabama
United States Fox Chase Virtua Health Cancer Program - Marlton Mount Holly New Jersey
United States Cancer Center at Ball Memorial Hospital Muncie Indiana
United States Vanderbilt-Ingram Cancer Center at Vanderbilt Medical Center Nashville Tennessee
United States Cancer Institute of New Jersey at UMDNJ - Robert Wood Johnson Medical School New Brunswick New Jersey
United States Hospital of Saint Raphael New Haven Connecticut
United States Yale Comprehensive Cancer Center New Haven Connecticut
United States CCOP - Ochsner New Orleans Louisiana
United States MBCCOP - LSU Health Sciences Center New Orleans Louisiana
United States Tulane Cancer Center at Tulane University Hospital and Clinic New Orleans Louisiana
United States Beth Israel Medical Center - Philipps Ambulatory Care Center New York New York
United States Herbert Irving Comprehensive Cancer Center at Columbia University New York New York
United States Memorial Sloan-Kettering Cancer Center New York New York
United States CCOP - Christiana Care Health Services Newark Delaware
United States Newark Beth Israel Medical Center Newark New Jersey
United States CCOP - Bay Area Tumor Institute Oakland California
United States Frank C. Love Cancer Institute at St. Anthony Hospital Oklahoma City Oklahoma
United States Oklahoma University Medical Center Oklahoma City Oklahoma
United States CCOP - Missouri Valley Cancer Consortium Omaha Nebraska
United States Methodist Hospital Cancer Center at Nebraska Methodist Hospital - Omaha Omaha Nebraska
United States UNMC Eppley Cancer Center at the University of Nebraska Medical Center Omaha Nebraska
United States Bay Medical Center Panama City Florida
United States Gulf Coast Cancer Treatment Center Panama City Florida
United States Lutheran General Cancer Care Center Park Ridge Illinois
United States Parma Community General Hospital Parma Ohio
United States Huntington Cancer Center at Huntington Hospital Pasadena California
United States NSMC Cancer Center - Peabody Peabody Massachusetts
United States Methodist Medical Center of Illinois Peoria Illinois
United States Abramson Cancer Center of the University of Pennsylvania Philadelphia Pennsylvania
United States Albert Einstein Cancer Center Philadelphia Pennsylvania
United States Fox Chase Cancer Center Philadelphia Pennsylvania
United States Kimmel Cancer Center at Thomas Jefferson University - Philadelphia Philadelphia Pennsylvania
United States Foundation for Cancer Research and Education Phoenix Arizona
United States Allegheny Cancer Center at Allegheny General Hospital Pittsburgh Pennsylvania
United States Hillman Cancer Center at University of Pittsburgh Cancer Institute Pittsburgh Pennsylvania
United States Mercy Hospital of Pittsburgh Pittsburgh Pennsylvania
United States Western Pennsylvania Cancer Institute at Western Pennsylvania Hospital Pittsburgh Pennsylvania
United States Fitzpatrick Cancer Center at Champlain Valley Physicians Hospital Medical Center Plattsburgh New York
United States Atlantic City Medical Center - Mainland Division Pomona New Jersey
United States Robert and Beverly Lewis Family Cancer Care Center at Pomona Valley Hospital Medical Center Pomona California
United States CCOP - Columbia River Oncology Program Portland Oregon
United States Maine Medical Center - Bramhall Campus Portland Maine
United States Naval Medical Center - Portsmouth Portsmouth Virginia
United States University Medical Center at Princeton Princeton New Jersey
United States Roger Williams Medical Center Providence Rhode Island
United States Utah Valley Regional Medical Center - Provo Provo Utah
United States All Saints Cancer Center at All Saints Healthcare Racine Wisconsin
United States Rapid City Regional Hospital Rapid City South Dakota
United States Reading Hospital and Medical Center Reading Pennsylvania
United States Bon Secours Cancer Care at St. Mary's Hospital Richmond Virginia
United States Massey Cancer Center at Virginia Commonwealth University Richmond Virginia
United States Valley Hospital - Ridgewood Ridgewood New Jersey
United States James P. Wilmot Cancer Center at University of Rochester Medical Center Rochester New York
United States Mayo Clinic Cancer Center Rochester Minnesota
United States Regional Radiation Oncology Center at Rome Rome Georgia
United States CCOP - Beaumont Royal Oak Michigan
United States William Beaumont Hospital - Royal Oak Campus Royal Oak Michigan
United States Community Cancer Center at Rutland Regional Medical Center Rutland Vermont
United States Radiation Oncology Centers - Sacramento Sacramento California
United States Dixie Regional Medical Center Saint George Utah
United States Saint Louis University Cancer Center Saint Louis Missouri
United States CCOP - Metro-Minnesota Saint Louis Park Minnesota
United States Peninsula Regional Medical Center Salisbury Maryland
United States LDS Hospital Salt Lake City Utah
United States University of Utah Health Sciences Center Salt Lake City Utah
United States University of Texas Health Science Center at San Antonio San Antonio Texas
United States Naval Medical Center - San Diego San Diego California
United States Radiation Medical Group, Incorporated San Diego California
United States UCSF Comprehensive Cancer Center San Francisco California
United States O'Connor Hospital San Jose California
United States CCOP - Santa Rosa Memorial Hospital Santa Rosa California
United States Sarasota Radiation and Medical Oncology Center Sarasota Florida
United States Mercy Hospital Cancer Center - Scranton Scranton Pennsylvania
United States Cancer Institute at Virginia Mason Medical Center Seattle Washington
United States North Shore Radiation Oncology Setauket New York
United States CCOP - Northern Indiana CR Consortium South Bend Indiana
United States CCOP - Upstate Carolina Spartanburg South Carolina
United States Deaconess Medical Center Spokane Washington
United States CCOP - Cancer Research for the Ozarks Springfield Missouri
United States Siteman Cancer Center at Barnes-Jewish Hospital St. Louis Missouri
United States St. Joseph's Regional Cancer Center Stockton California
United States SUNY Upstate Medical University Hospital Syracuse New York
United States Tallahassee Memorial Hospital Tallahassee Florida
United States H. Lee Moffitt Cancer Center and Research Institute at University of South Florida Tampa Florida
United States CCOP - Scott and White Hospital Temple Texas
United States CCOP - Toledo Community Hospital Toledo Ohio
United States Community Medical Center Toms River New Jersey
United States Torrance Memorial Medical Center Torrance California
United States General Robert Huyser Cancer Center at David Grant Medical Center Travis Air Force Base California
United States Fox Chase Cancer Center at St. Francis Medical Center Trenton New Jersey
United States William Beaumont Hospital - Troy Campus Troy Michigan
United States CCOP - Oklahoma Tulsa Oklahoma
United States LaFortune Cancer Center at St. John Health System Tulsa Oklahoma
United States DCH Cancer Treatment Center Tuscaloosa Alabama
United States South Jersey Healthcare Regional Cancer Center Vineland New Jersey
United States Associated Radiologists, P.A. at Warren Radiation Therapy Center Warren New Jersey
United States Sibley Memorial Hospital Washington District of Columbia
United States Waukesha Memorial Hospital Regional Cancer Center Waukesha Wisconsin
United States Schiffler Cancer Center at Wheeling Hospital Wheeling West Virginia
United States Wilkes-Barre General Hospital Wilkes-Barre Pennsylvania
United States Comprehensive Cancer Center at Wake Forest University Winston-Salem North Carolina
United States CCOP - MainLine Health Wynnewood Pennsylvania
United States Yakima Valley Memorial Hospital Yakima Washington
United States Riverhill Radiation Oncology Yonkers New York
United States York Cancer Center at Wellspan Health York Pennsylvania

Sponsors (2)

Lead Sponsor Collaborator
Radiation Therapy Oncology Group National Cancer Institute (NCI)

Countries where clinical trial is conducted

United States,  Canada, 

References & Publications (1)

Berk L, James J, Schwartz A, Hug E, Mahadevan A, Samuels M, Kachnic L; RTOG.. A randomized, double-blind, placebo-controlled trial of a beta-hydroxyl beta-methyl butyrate, glutamine, and arginine mixture for the treatment of cancer cachexia (RTOG 0122). S — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Lean body mass Study entry to 8 weeks No
Secondary Fatigue Study entry to 8 weeks No
Secondary Quality of Life Study entry to 8 weeks No
Secondary Body weight Study entry to 8 weeks No
Secondary Correlation between change in lean body mass and body plethysmography, bioimpedance and skin-fold measurement Study entry to 8 weeks No
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