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临床试验/NCT04073017
NCT04073017终止不适用

Proprietary Amino Acid-Based Medical Food (Enterade) in Carcinoid Syndrome and Non-Carcinoid Syndrome Neuroendocrine Tumor Patients With Quality of Life Limiting Bowel Frequency

Vanderbilt-Ingram Cancer Center2 个研究点 分布在 1 个国家目标入组 11 人开始时间: 2019年11月4日最近更新:
适应症

试验速览

阶段
不适用
状态
终止
入组人数
11
试验地点
2
主要终点
Change in bowel movement frequency

研究概览

简要总结

This is an open-label phase II basket study evaluating the ability of enterade® to reduce bowel frequency in neuroendocrine tumor (NET) patients with carcinoid syndrome and non-carcinoid syndrome.

详细描述

Primary Objective:

  • To assess the ability of enterade to reduce bowel movement frequency in NET patients with and without carcinoid syndrome.

Secondary Objectives:

  • To assess subject-reported health-related quality of life measures in subjects before and after compound administration.
  • To characterize the side effect profile and tolerability of the compound as measured by the number of total 8-oz enterade® bottles consumed throughout the trial.
  • To evaluate changes in serum electrolytes before and after administration of the compound.
  • To assess differences in intravenous fluid requirement and/or hospitalizations for dehydration in patients between observation period and active enterade® period.
  • To evaluate differences in utilization of standard-of-care anti-diarrheal medications in patients between observation period and enterade® period.
  • To compare subjective bloating and flatulence in patients before and after administration of the compound.
  • To evaluate changes in patient weight before and after administration of the compound.

Exploratory Objectives:

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Parallel
主要目的
Supportive Care
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Carcinoid syndrome:
  • Participants must have histopathologically confirmed neuroendocrine tumor with 4 or more bowel movements per day on standard anti-diarrheal regimen (which includes somatostatin analogs and/or Telotristat Ethyl). Additionally, a plasma 5-HIAA, or a urine 24-hour 5-HIAA or plasma secretory hormone levels (VIP, gastrin) above the upper limit of normal per reference lab. Patients may be grouped into this cohort based on a previous plasma 5-HIAA level though the final cohort determination will be made based upon the 5-HIAA level drawn during screening.
  • Non-Carcinoid Syndrome:
  • Participants who have histopathologically confirmed neuroendocrine tumor and have 4 or more bowel movements per day on standard anti-diarrheal regimen (which may or may not include somatostatin analogs), but do not have elevated results for one of the following: plasma 5-HIAA, or 24-hour urine 5-HIAA or other plasma secretory hormone levels (VIP, gastrin) above the upper limit of normal per reference lab. Patients may be grouped into this cohort based on a previous plasma 5-HIAA level though the final cohort determination will be made based upon the 5-HIAA level drawn during screening
  • ECOG performance status ≤ 2 (Karnofsky ≥60%)
  • Ability to tolerate thin liquids by mouth at the time of enrollment.
  • Ability to understand and the willingness to sign a written informed consent document.
  • Subject who are willing to take enterade® as instructed will be eligible.

排除标准

  • Known allergy to Stevia.
  • Uncontrolled intercurrent illness including, but not limited to, ongoing or active
  • Clostridium difficile infection or history of Clostridium difficile infection.
  • Participants with a history of inflammatory bowel disease, irritable bowel syndrome, bariatric surgery and/or Celiac disease.
  • Participants with psychiatric illness/social situations that would limit compliance with study requirements.
  • Patients who have had enterade® within the past 3 months.
  • Pregnant or breastfeeding women. The safety of enterade® has not been validated in this patient population.

结局指标

主要结局

Change in bowel movement frequency

时间窗: At 8 weeks

Changes in number of average daily bowel movements from baseline

次要结局

  • Tolerability of enterade®: number of enterade® drinks consumed(At 8 weeks)
  • Change in serum electrolytes (Chloride)(At 8 weeks)
  • Change in serum electrolytes (Phosphorous)(At 8 weeks)
  • Differences in bloating(At 8 weeks)
  • Health-Related Quality of Life: Functional Assessment of Chronic Illness Therapy for Patients with Diarrhea (FACIT-D) version 4.0(At 8 weeks)
  • Incidents adverse events(At 8 weeks)
  • Differences in use of standard-of-care anti-diarrhea medications(At 8 weeks)
  • Changes in weight(At 8 weeks)
  • Change in serum electrolytes (Sodium)(At 8 weeks)
  • Change in serum electrolytes (Potassium)(At 8 weeks)
  • Change in serum electrolytes (Magnesium)(At 8 weeks)
  • Differences in intravenous fluid requirements(At 8 weeks)
  • Differences in flatulence(At 8 weeks)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Satya Das

Sponsor Investigator

Vanderbilt-Ingram Cancer Center

研究点 (2)

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