Malignant Neoplasm Clinical Trial
Official title:
Short-Term Fasting Prior to Systemic Chemotherapy: A Pilot Feasibility Study
This clinical trial studies short-term fasting before chemotherapy in treating patients with cancer. Fasting before chemotherapy may protect normal cells from the side effects of chemotherapy.
PRIMARY OBJECTIVES:
I. Assess the safety and feasibility of short-term fasting prior to administration of
chemotherapy.
SECONDARY OBJECTIVES:
I. Evaluate weight changes in patients who are exposed to short-term fasting prior to
chemotherapy.
II. Get a preliminary estimate of the longest feasible fasting period prior to chemotherapy.
III. Evaluate the toxicity profile of systemic chemotherapy treatment in patients who undergo
short-term fasting prior to treatment.
IV. Investigate changes in plasma glucose, insulin, Insulin-like growth factor 1 (IGF-1) and
IGF-1binding proteins (BP) in patients who undertake short-term fasting.
OUTLINE:
COHORT I: Patients fast 24 hours before day 1 of course 2 of chemotherapy. If fast is well
tolerated, patients may escalate fasting by 12 hours for each subsequent course of
chemotherapy for up to 3 courses in the absence of unacceptable toxicity.
COHORT II: Patients fast at the longest fasting regimen found to be safe and tolerable in
cohort I before day 1 of each course of course of chemotherapy for up to 4 courses in the
absence of unacceptable toxicity.
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