Prostate Cancer Clinical Trial
Official title:
The Effectiveness of a Low-Residue Diet on Diarrhea in Cancer Patients Receiving Pelvic Radiation Therapy
RATIONALE: Eating a diet low in residue (fiber, fat, and certain milk or vegetable products)
may help prevent or reduce diarrhea caused by pelvic radiation therapy.
PURPOSE: This randomized clinical trial is studying a low-residue diet to see how well it
works compared to no dietary intervention in treating diarrhea in patients who are undergoing
radiation therapy to the pelvis for uterine, cervical, or prostate cancer.
OBJECTIVES:
- Compare the nutritional status, Common Toxicity Criteria (CTC) score, and fecal
incontinence quality of life (FI-QOL) in patients with uterine, cervical, or prostate
cancer who are undergoing pelvic radiotherapy receiving a low-residue diet vs no dietary
intervention.
- Compare changes in the CTC score and FI-QOL in patients receiving a low-residue diet vs
no dietary intervention.
- Compare the efficacy, in terms of a lower CTC score or higher perceived FI-QOL, of a
low-residue diet vs no dietary intervention in these patients.
OUTLINE: This is a parallel, randomized, controlled, pilot study. Patients are stratified
according to cancer type. Patients are randomized to 1 of 2 treatment arms.
All patients are interviewed to obtain a baseline grade of diarrhea (according to NCI's
Common Toxicity Criteria [CTC] scale) and dietary history and measure Fecal Incontinence
Quality of Life (FI-QOL).
- Arm I (intervention): At the onset of diarrhea symptoms, patients are instructed to eat
a low-residue diet. Patients continue on this diet for 2-4 weeks. They are interviewed
weekly for up to 6 weeks to monitor dietary intake, bowel symptoms, diarrhea events,
FI-QOL, and changes in CTC scores.
- Arm II (control): Patients undergo no dietary intervention but are interviewed as in arm
I.
PROJECTED ACCRUAL: A total of 20 patients will be accrued for this study.
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