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Recruiting Not applicable

Immunonutrition for Improving the Efficacy of Immunotherapy in Patients With Metastatic Non-small Cell Lung Cancer

NCT05384873 · tracked via the Priya Life Science Italy tracker
Phase
Not applicable
Started
2023-06-01
Last updated
2025-05-01

Condition(s) studied

Lung Cancer, Nonsmall Cell

Investigational drug(s) / intervention(s)

ImmunonutritionControl dietary intervention

Immunonutrition: In addition to nutritional counseling, patients will receive two servings of an oral high-calorie-high-protein nutritional liquid supplement enriched in immunonutrients (Oral Impact®). The intervention will start approximately two weeks before anticancer treatment initiation and will continue up to first disease re-assessment (12-14 weeks) and prolonged according to patient's needs

Control dietary intervention: Patients will receive nutritional counseling as standard of care. Nutritional counseling may comprise the use of oral nutritional supplements (ONS), which are usually prescribed when patients are unable to maintain satisfactory spontaneous food intake (less than 50% of the requirement for more than one week or only 50-75% of the requirement for more than two weeks). Therefore, in this arm the use of isonitrogenous standard blend ONS will be considered according to the regular assessment of food intake.

Study summary

The present study was designed to evaluate the efficacy of the early systematic provision of oral nutritional supplements enriched in immunonutrients in non-small lung cancer patients undergoing immunotherapy and receiving nutritional counseling

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * Confirmed histological diagnosis of metastatic non-small cell lung cancer (both squamous and non-squamous histology); * First-line treatment with immunotherapy (alone or in combination with chemotherapy) for metastatic disease by investigators' choice within the framework of good clinical practice and in agreement with current guidelines; * Will to participate by providing written informed consent; * Availability to administer oral supplements and immunotherapy with or without chemotherapy; * Eastern Cooperative Oncology Group Performance Status ≤ 2; * Life expectancy ≥ 6 months. Exclusion Criteria: * Age \< 18 years; * Inability to sign an informed consent; * Indication to or ongoing artificial nutrition support (totally compromised spontaneous food-intake) and incapacity or unavailability to consume oral nutritional supplements

Primary outcome measure(s)

  • Progression-Free Survival (PFS) — 12 months
    A progression-free survival rate at 12 months will be calculated, with patients categorized in a dichotomous manner as alive and progression-free or in progression or dead at 12 months.

Trial sites (1)

FacilityCityRegionStatus
Fondazione IRCCS Policlinico San Matteo Pavia Italy Recruiting
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT05384873 on ClinicalTrials.gov ↗ ← All trials in Italy