DIetary REstriction as an Adjunct to Neoadjuvant ChemoTherapy for HER2 Negative Breast Cancer

NCT02126449 · Status: COMPLETED · Phase: PHASE2/PHASE3 · Type: INTERVENTIONAL · Enrollment: 131

Last updated 2019-10-24

No results posted yet for this study

Summary

Preclinical studies provide strong support for the concept that fasting evokes resistance to multiple forms of stress. Fasting reduces plasma levels of growth factors and modulates intracellular nutrient sensing systems, thereby diverting energy from growth to maintenance. Accordingly, the currently available preclinical evidence suggests that short-term fasting protects normal cells against the perils of chemotherapy. In contrast, cancer cells are not protected, as a result of their self-sufficiency in growth signals. This phenomenon is termed Differential Stress Resistance (DSR). DSR reduces the severity of toxic side-effects of chemotherapy and interestingly, it simultaneously renders cancer cells more vulnerable to chemotherapeutics. Importantly, extensive preclinical evidence and preliminary clinical data indicate that a specifically designed very low calorie, low amino acid substitution diet ("Fasting Mimicking Diet, FMD") has effects on cancer therapy that are very similar to those of fasting. This study aims to evaluate the impact of the FMD on tolerance to and efficacy of neoadjuvant chemotherapy in women with stage II or III breast cancer.

Conditions

  • Fasting Mimicking Diet
  • Breast Cancer
  • Neoadjuvant Chemotherapy
  • Pathological Complete Response

Interventions

OTHER

Fasting mimicking diet

Sponsors & Collaborators

  • Borstkanker Onderzoek Groep

    collaborator NETWORK
  • Pink Ribbon Inc.

    collaborator INDUSTRY
  • Amgen

    collaborator INDUSTRY
  • Leiden University Medical Center

    lead OTHER

Principal Investigators

  • Judith R Kroep, MD, PhD · Leiden University Medical Center

  • Hanno Pijl, MD PhD · Leiden University Medical Center

  • Koos JM van der Hoeven, MD PhD Ir · Leiden University Medical Center

Study Design

Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Model
PARALLEL

Eligibility

Min Age
18 Years
Max Age
70 Years
Sex
FEMALE
Healthy Volunteers
No

Timeline & Regulatory

Start
2014-02-28
Primary Completion
2018-11-30
Completion
2018-11-30

Countries

  • Netherlands

Study Locations

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Entities

Companies

Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT02126449 on ClinicalTrials.gov