Dietary Cysteine and Methionine Deprivation (CMD) in Glioma Patients
NCT07553520 · Status: WITHDRAWN · Phase: NA · Type: INTERVENTIONAL
Last updated 2026-04-28
Summary
This pilot study looks at how certain diet changes affect the body in patients with recurrent brain tumors (glioma) who are planning to have standard treatment like radiation or surgery. Up to 30 patients will be randomly assigned to either a regular diet or a special diet that limits two nutrients (cysteine and methionine) for 2, 4, or 7 days before their treatment.
Patients will be monitored for side effects using blood tests and questionnaires, and patients will keep a diary to track how well they follow the diet. Blood and urine samples will be used to see how the diet affects the body. Tumor samples (from surgery) will help researchers study how the cancer cells behave, and stool samples will be used to look at gut bacteria.
This is a randomized, blinded interventional pilot study to measure glutathione metabolite levels with a cysteine/methionine deprivation (CMD) diet in glioma patients. A menu of pre-prepared meals will be provided to subjects that consist of either a control diet or a CMD diet. The CMD diet will be implemented simultaneously in 2 cohorts of participants with recurrent glioma.
The primary objective will be to measure the metabolic state of glioblastome multiforme tumor cells through dietary restriction of the sulfur-containing amino acids (SAA), cysteine/cystine and methionine.
Patient from cohort A can later be included in Cohort B if applicable. Patients will be followed for progression free survival and overall survival for up to 1 year, or until they discontinue or are removed from the study for exploratory endpoints.
Conditions
- Glioblastoma Multiforme
- Recurrent Glioma
Interventions
- OTHER
-
Normal diet
Participants receive normal diet.
- OTHER
-
Cysteine/methionine deprivation (CMD) diet for 2 days
Participants receive cysteine/methionine deprivation (CMD) diet for 2 days.
- OTHER
-
Cysteine/methionine deprivation (CMD) diet for 4 days
receive cysteine/methionine deprivation (CMD) diet for 4 days.
Sponsors & Collaborators
-
UNC Lineberger Comprehensive Cancer Center
lead OTHER
Principal Investigators
-
Dominique Higgins, MD, PhD · UNC Lineberger Comprehensive Cancer Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-05-31
- Primary Completion
- 2028-07-31
- Completion
- 2028-07-31
Countries
- United States
Study Locations
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