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Fasting for Cancer Side Effect Reduction
N/A
Waitlist Available
Led By David I Quinn, MD
Research Sponsored by University of Southern California
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Age > 18 years
Histologically confirmed malignancy for which platinum-based chemotherapy on a 21 day cycle or 14 day cycle is being recommended
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 5 years
Awards & highlights
Study Summary
This trial is studying if fasting may reduce side effects from gemcitabine hydrochloride and cisplatin in patients with solid tumors.
Who is the study for?
This trial is for adults over 18 with advanced solid tumors who are recommended platinum-based chemotherapy. They must have adequate kidney function, an ECOG performance status of 0-1, and a BMI above 18.5. Women must not be pregnant and agree to use contraception. Exclusions include diabetes, recent unexplained weight loss, severe neuropathy or heart disease, certain medications that can't be stopped during fasting, or health issues making fasting dangerous.Check my eligibility
What is being tested?
The study examines if short-term fasting before receiving gemcitabine hydrochloride and cisplatin reduces side effects in patients with advanced tumors. Participants will either fast or follow a modified fast prior to chemotherapy to see if it impacts the treatment's toxicity.See study design
What are the potential side effects?
Potential side effects from the chemotherapy drugs may include nausea, vomiting, low blood cell counts leading to increased infection risk or bleeding problems, kidney damage, and nerve issues like numbness or tingling sensations.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am older than 18 years.
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My cancer is confirmed and I am recommended to have platinum-based chemotherapy every 2 or 3 weeks.
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My cancer is newly diagnosed and I am planning to undergo chemotherapy.
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My kidney function is within normal limits.
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I am fully active or can carry out light work.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ up to 5 years
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 5 years
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Identification of the longest duration of fasting which is safe
Secondary outcome measures
Changes in grp78 expression after fasting and after chemotherapy administration
Changes in plasma insulin, glucose, IGF1 and IGF binding protein (IGFBP) levels, and GRP78 expression in WBCs
Significant toxicity as assessed by CTCAE v3.0
Trial Design
4Treatment groups
Experimental Treatment
Group I: Group IV (Stage I of study)Experimental Treatment2 Interventions
Patients undergo a modified 48-hour fast with minimal caloric intake on day -2 and -1
Group II: Group III (Stage I of study)Experimental Treatment2 Interventions
Patients fast for 72 hours on days -3, -2, and -1
Group III: Group II (Stage I of study)Experimental Treatment2 Interventions
Patients fast for 48 hours on days -2 and -1
Group IV: Group I (Stage I of study)Experimental Treatment2 Interventions
Patients fast for 24 hours on day -1
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Who is running the clinical trial?
University of Southern CaliforniaLead Sponsor
905 Previous Clinical Trials
1,596,208 Total Patients Enrolled
1 Trials studying Fasting
24 Patients Enrolled for Fasting
David I Quinn, MDPrincipal InvestigatorUniversity of Southern California
3 Previous Clinical Trials
162 Total Patients Enrolled
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Eligibility Criteria:
This trial includes the following eligibility criteria:- I have not had any recent, unexplained weight loss that could be risky.I've had limited chemotherapy and none recently for my cancer stage.I do not have severe numbness or pain in my hands or feet.I take medications that cannot be stopped or must be taken with food.You have a body mass index (BMI) above 18.5.I finished my radiotherapy at least 2 weeks ago.My cancer can be measured and hasn't been treated with surgery or radiation yet.I am older than 18 years.My cancer is confirmed and I am recommended to have platinum-based chemotherapy every 2 or 3 weeks.My cancer is newly diagnosed and I am planning to undergo chemotherapy.My kidney function is within normal limits.I have a history of serious heart disease, but my heart function has been checked if needed.I have fainted from not eating enough or have a health condition that makes fasting unsafe.I have diabetes.I am fully active or can carry out light work.
Research Study Groups:
This trial has the following groups:- Group 1: Group IV (Stage I of study)
- Group 2: Group I (Stage I of study)
- Group 3: Group III (Stage I of study)
- Group 4: Group II (Stage I of study)
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
Are there currently opportunities for individuals to become involved in this trial?
"Reported on clinicaltrials.gov, the trial is no longer enrolling patients - it was first posted in July 2009 and has been edited as recently as November 2022. Fortunately, there are other studies that are actively looking for volunteers at this time."
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