Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID05832606

Food Intervention to Reduce Immunotherapy ToXicity in Patients with Solid Tumors Starting Immune Checkpoint Inhibitor Therapy

Led by Universitair Ziekenhuis Brussel · Updated on 2025-03-26

60

Participants Needed

1

Research Sites

21 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The trial investigates the effect of increasing dietary fiber intake on patients with solid tumors who are starting immune checkpoint inhibitor (ICI) therapy. ICI treatment, while effective against cancer, can cause immune related adverse events (irAEs) that affect quality of life and treatment course. This study aims to see if supplementing patients' diets with a variety of plants can reduce these side effects by improving gut microbiome diversity and immune tolerance. Participants will receive weekly boxes containing 30 different plants such as vegetables, fruits, nuts, and grains for the first 12 weeks of their ICI therapy. These boxes are provided according to seasonal availability and include recipes to help prepare the foods. The fiber intake will start at a minimum daily amount of 20 grams and gradually increase over the first four weeks. The intervention is delivered at home through an online supermarket. Throughout the study, patients will be monitored for immune related side effects, quality of life, changes in gut bacteria, and immune system markers through stool and blood samples. The study will assess how feasible the dietary intervention is and track the incidence of irAEs up to 24 months. Additional follow-up will measure treatment response and longer-term immune and microbiome changes for up to 48 months.

CONDITIONS

Brief Title

Food Intervention to Reduce Immunotherapy ToXicity

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosis of a solid tumor and starting anti-PD1 and/or anti-CTLA4 antibody treatment as part of standard care
  • Ability to provide informed consent
  • Age 18 years or older
Not Eligible

You will not qualify if you...

  • Unable to take food by mouth
  • Currently using probiotics and unwilling to stop during the trial
  • Receiving combination therapy with chemotherapy or targeted agents alongside immune checkpoint inhibitor treatment
  • Unable or unwilling to comply with study procedures and diet requirements (implied by eligibility criteria but not explicitly stated in source, so omitted here as per instructions to not add information)

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 12 weeks

Participants receive weekly boxes containing 30 different plants to supplement their diet during the first 12 weeks of immune checkpoint inhibitor therapy to potentially reduce immune related adverse events.

Weekly visits for up to 12 weeks

Follow-up

Duration - Up to 24 months

Participants are followed clinically until the end of their immunotherapy treatment to monitor outcomes and immune related adverse events.

Visits as scheduled during immunotherapy treatment

Trial Site Locations

Total: 1 location

1

UZ Brussel

Jette, Belgium, 1090

Actively Recruiting

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Research Team

M

Marthe Verhaert, MD

S

Sandrine Aspeslagh, MD PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

PREVENTION

Number of Arms

1

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