Actively Recruiting

Phase 2
MALE
NCT05832086

Intermittent Fasting Using a Fasting-Mimicking Diet to Improve Prostate Cancer Control and Metabolic Outcomes

Led by Stephen Freedland · Updated on 2026-05-06

138

Participants Needed

3

Research Sites

289 weeks

Total Duration

On this page

Sponsors

S

Stephen Freedland

Lead Sponsor

N

National Cancer Institute (NCI)

Collaborating Sponsor

AI-Summary

What this Trial Is About

This is a Phase 2, randomized two-armed, multi-site study of 138 patients with metastatic castrate sensitive prostate adenocarcinoma. Patients will be randomized 1:1 to receive the fasting mimicking diet, or usual diet. All patients will receive standard of care treatment for their prostate cancer. The fasting mimicking diet will be consumed for 5 days per month for a total of 6 months and will be monitored by trained research dietitians. This study aims to examine the effects of a fasting mimicking diet (5 days per month eating L-Nutra products only for 6 months) vs. usual diet on response to cancer treatment of metastatic castrate sensitive prostate adenocarcinoma.

CONDITIONS

Official Title

Intermittent Fasting Using a Fasting-Mimicking Diet to Improve Prostate Cancer Control and Metabolic Outcomes

Who Can Participate

MALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Metastatic castrate sensitive prostate adenocarcinoma confirmed by biopsy and metastatic disease confirmed by biopsy or MRI scan
  • Men receiving or planning to start first-line intensified androgen deprivation therapy with abiraterone, apalutamide, enzalutamide, or darolutamide within 30 days of registration, with or without current or prior chemotherapy
  • Able to read, write, and understand English or Spanish and have telephone access for remote contact with the study dietitian
  • Provided written informed consent and able to comply with study requirements
Not Eligible

You will not qualify if you...

  • Allergies to any ingredients listed on the Xentigen Ingredient List
  • Men with diabetes not on stable antihyperglycemic medication doses for at least 6 months or without physician's consent to safely hold medication during fasting mimicking diet
  • Regularly practicing a fasting diet that may impact study participation as judged by the study physician
  • Significant co-morbidities such as cardiac, pulmonary, or liver disease, or ongoing alcohol/drug abuse that preclude enrollment
  • Body Mass Index (BMI) less than 20 kg/m2
  • Men actively trying to lose weight, on weight loss medications, or planning weight loss surgery in the next six months
  • Self-reported weight loss of 10% or more in the last 6 months

AI-Screening

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Trial Site Locations

Total: 3 locations

1

Beckman Research Institute of the City of Hope

Duarte, California, United States, 91010

Actively Recruiting

2

Cedars-Sinai Medical Center

Los Angeles, California, United States, 90048

Actively Recruiting

3

Duke University

Durham, North Carolina, United States, 27710

Actively Recruiting

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Research Team

C

Clinical Trial Recruitment Navigator

CONTACT

S

Stephen Freedland, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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