Ketogenic Diet With Chemoradiation for Lung Cancer (KETOLUNG)
This study investigates if using a very low carbohydrate diet during combined chemotherapy and radiation therapy is safe and if it can be tolerated by lung cancer patients.
Carcinoma, Non-Small-Cell Lung
Dietary Supplement: Ketogenic diet
|Study Design:||Allocation: Non-Randomized
Endpoint Classification: Safety Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
|Official Title:||A Phase I Trial of a Ketogenic Diet With Concurrent Chemoradiation for Non-small Cell Lung Cancer|
- Frequency of Adverse Events (Safety) [ Time Frame: Weekly for 8 weeks ] [ Designated as safety issue: Yes ]Categorize and quantify adverse events in subjects implementing a ketogenic diet while undergoing definitive chemoradiation therapy.
- Ketone levels [ Time Frame: Daily during treatment for 6 weeks ] [ Designated as safety issue: No ]Quantify blood ketone levels via both finger-stick prior to daily radiation therapy and weekly lab analysis while on a ketogenic diet. Radiation is administered Monday through Friday only.
- Blood glucose levels [ Time Frame: Daily during treatment for 6 weeks ] [ Designated as safety issue: Yes ]Quantify blood glucose levels via finger-stick prior to daily radiation therapy while on a ketogenic diet. Radiation therapy is administered Monday through Friday only.
- Oxidative stress parameters [ Time Frame: Weeks 1, 2, 3, 4, 5, and 6 of treatment and at 1 month follow-up ] [ Designated as safety issue: No ]Determine oxidative stress parameters in plasma and urine samples during the course of treatment.
- Progression Free Survival (months) [ Time Frame: Every 12 months for 60 months ] [ Designated as safety issue: Yes ]From date of treatment until the first date of documented progression or date of death, whichever comes first, assessed no less than every 12 months for the first 60 months post-therapy.
|Study Start Date:||July 2011|
|Estimated Study Completion Date:||July 2015|
|Estimated Primary Completion Date:||July 2013 (Final data collection date for primary outcome measure)|
Dietary Supplement: Ketogenic diet
Standard treatment for lung cancer includes chemotherapy concurrent with radiation therapy (chemoradiation).
This study is a phase I trial to determine the safety of dietary manipulation during chemoradiation for lung cancer. Specifically, pre-clinical data from mouse studies indicates a ketogenic diet increases tumor cell killing.
- Utilize a specialized ketogenic diet designed by bionutritional services of the clinical research unit. This diet begins 2 days before chemoradiation and continues through at least 5 weeks of chemoradiation.
- Have blood drawn for research purposes weekly to determine measurements of oxidative stress
- Have urine collected sporadically through the study to determine measurements of oxidative stress
- Keep a diary of concomitant medications, side effects, and blood sugars
- Have follow-up to monitor for outcomes and overall survival
|Contact: Jane Hershberger, RN, BSN||(319) email@example.com|
|Contact: Sandy Vollstedt, RN, BSN||(319) 353 firstname.lastname@example.org|
|United States, Iowa|
|Holden Comprehensive Cancer Center||Recruiting|
|Iowa City, Iowa, United States, 52242|
|Contact: Jane Hershberger, RN, BSN 319-384-7912 email@example.com|
|Contact: Sandy Vollstedt, RN, BSN (319) 353 7143 firstname.lastname@example.org|
|Principal Investigator: Sudershan K Bhatia, MD, MPH, PhD|
|Principal Investigator: Daniel J. Berg, MD|
|Principal Investigator: John M Buatti, MD|
|Principal Investigator: Douglas Spitz, PhD|
|Sub-Investigator: Bryan Allen, MD, PhD|
|Sub-Investigator: Melissa Fath, PhD|
|Sub-Investigator: Ahmad Wehbe, MD|
|Sub-Investigator: William Sivitz, MD|
|Sub-Investigator: Margaret Bayless, CDE CCRC RN|
|Sub-Investigator: Cathy Chenard, MS, RD, LD|
|Sub-Investigator: Mark Iannettoni, MD|
|Sub-Investigator: Kal Parekh, MD|
|Sub-Investigator: Robert J Robinson, MD|
|Principal Investigator:||Sudershan K. Bhatia, MD, MPH, PhD||The Department of Radiation Oncology, The University of Iowa|