Study of a Modified Mediterranean Diet's Impact on Gut Bacteria and Clinical Outcomes in Patients with Metastatic Colorectal Cancer Receiving Chemotherapy
Led by Azienda Socio Sanitaria della Brianza · Updated on 2025-01-27
40
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1
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208 weeks
Total Duration
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A
Azienda Socio Sanitaria della Brianza
Lead Sponsor
U
University of Milano Bicocca
Collaborating Sponsor
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What this Trial Is About
Researchers are investigating how a Modified Mediterranean Diet affects the variety of bacteria in the intestines of patients with metastatic colorectal cancer who are receiving chemotherapy with or without biological agents. The study compares this diet's impact on gut microbiota to that of patients following a standard Western diet. It aims to explore how certain bacterial populations that support the intestinal barrier may be promoted by the Modified Mediterranean Diet and to assess how the microbiome influences disease progression, side effects, and quality of life.
The study includes a screening visit and baseline visit where nutritional status is assessed through exams, blood tests, and questionnaires. Patients meeting criteria are randomly assigned to either follow the Modified Mediterranean Diet (Arm A) or continue their usual diet (Arm B). Biological samples including stool are collected at baseline and about 45 days later. Follow-up visits occur every 15 to 21 days depending on treatment, with a radiological assessment about 90 days after baseline.
Participants will have their nutritional status, lifestyle, and microbiota evaluated through various measurements including bioimpedance and fecal samples. Researchers will monitor the impact of diet on intestinal bacteria at 45 days and review clinical progress and side effects. The study tracks outcomes related to microbiota changes and overall clinical condition during the treatment period.
CONDITIONS
Official Title
Study on the Impact of a Modified Mediterranean Diet, in Patients With Colorectal Cancer Undergoing Active Medical Oncology Treatment
Who Can Participate
Age: 18Years - 80Years
All Genders
Eligibility Criteria
You may qualify if you...
Eastern Cooperative Oncology Group performance status (ECOG) of 0 or 1
Age 18 years or older
Diagnosis of metastatic colorectal cancer confirmed by histology and imaging using RECIST 1:1 criteria
Receiving first-line chemotherapy treatment with or without biological agents (anti-EGFR, anti-VEGF)
Malnutrition Universal Screening Tool (MUST) score of 0 or 1
Signed written informed consent to participate
You will not qualify if you...
Previous oncological medical therapies
Need for parenteral or enteral nutrition
Malnutrition Universal Screening Tool (MUST) score greater than 2
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The Effects of a Modified Mediterranean Diet on Gut Microbiota and Chemotherapy Side Effects in Patients With Metastatic Colorectal Cancer Undergoing First-Line Chemotherapy With or Without Either Antiepidermal Growth Factor Receptor or Antivascular Endothelial Growth Factor Agent: Protocol for a Randomized Pilot Study in Italy.
Salvatore Artale, Francesca Filiali, Elena Beretta...