Actively Recruiting

Phase Not Applicable
Age: 18Years - 80Years
All Genders
ID06794931

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

Participants Needed

1

Research Sites

208 weeks

Total Duration

On this page

Sponsors

A

Azienda Socio Sanitaria della Brianza

Lead Sponsor

U

University of Milano Bicocca

Collaborating Sponsor

AI-Summary

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

Eligible

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
Not Eligible

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

AI-Screening

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Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

U.O. di Oncologia di Vimercate, ASST-Brianza

Vimercate, MB, Italy, 20871

Actively Recruiting

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Research Team

S

Salvatore Artale, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

SUPPORTIVE_CARE

Number of Arms

2

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Published Research Related To This Trial

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...

https://pubmed.ncbi.nlm.nih.gov/41236788