Comparison of Nutritional Supplements in Preventing Weight Loss in Patients With Cancer
Cachexia, Lymphoma, Lymphoproliferative Disorder
About this trial
This is an interventional supportive care trial for Cachexia focused on measuring unspecified adult solid tumor, protocol specific, cachexia, recurrent adult diffuse large cell lymphoma, recurrent adult diffuse mixed cell lymphoma, recurrent adult diffuse small cleaved cell lymphoma, recurrent adult Hodgkin lymphoma, recurrent adult immunoblastic large cell lymphoma, recurrent adult lymphoblastic lymphoma, recurrent cutaneous T-cell non-Hodgkin lymphoma, recurrent grade 1 follicular lymphoma, recurrent grade 2 follicular lymphoma, recurrent grade 3 follicular lymphoma, recurrent mantle cell lymphoma, stage III adult diffuse large cell lymphoma, stage III adult diffuse mixed cell lymphoma, stage III adult diffuse small cleaved cell lymphoma, stage III adult Burkitt lymphoma, stage III adult Hodgkin lymphoma, stage III adult immunoblastic large cell lymphoma, stage III adult lymphoblastic lymphoma, stage III cutaneous T-cell non-Hodgkin lymphoma, stage III grade 1 follicular lymphoma, stage III grade 2 follicular lymphoma, stage III grade 3 follicular lymphoma, stage III mantle cell lymphoma, stage IV adult diffuse large cell lymphoma, stage IV adult diffuse mixed cell lymphoma, stage IV adult diffuse small cleaved cell lymphoma, stage IV adult Burkitt lymphoma, stage IV adult Hodgkin lymphoma, stage IV adult immunoblastic large cell lymphoma, stage IV adult lymphoblastic lymphoma, stage IV cutaneous T-cell non-Hodgkin lymphoma, stage IV grade 1 follicular lymphoma, stage IV grade 2 follicular lymphoma, stage IV grade 3 follicular lymphoma, stage IV mantle cell lymphoma, intraocular lymphoma, AIDS-related peripheral/systemic lymphoma, recurrent adult Burkitt lymphoma, anaplastic large cell lymphoma, post-transplant lymphoproliferative disorder, recurrent marginal zone lymphoma, recurrent small lymphocytic lymphoma, stage III small lymphocytic lymphoma, stage III marginal zone lymphoma, stage IV small lymphocytic lymphoma, stage IV marginal zone lymphoma, extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue, nodal marginal zone B-cell lymphoma, splenic marginal zone lymphoma
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically or cytologically confirmed solid tumor or lymphoma with no leukemic aspect Stage III or IV or any other stage associated with current metastatic disease at presentation No primary or metastatic brain tumors Weight loss of at least 2% but no more than 10% within the past 3 months No ascites PATIENT CHARACTERISTICS: Age 17 and over Performance status Zubrod 0-2 Life expectancy At least 3 months Hematopoietic Not specified Hepatic Not specified Renal No hypercalcemia Cardiovascular No persistent moderate or severe peripheral edema No uncontrolled congestive heart failure Gastrointestinal No enteric fistula No concurrent intestinal obstruction Prior intestinal obstruction allowed Other Not pregnant or nursing Negative pregnancy test No uncontrolled infections No other serious medical illness No metabolic disorder PRIOR CONCURRENT THERAPY: Biologic therapy Not specified Chemotherapy Concurrent chemotherapy allowed Endocrine therapy No dexamethasone as an appetite stimulant Intermittent dexamethasone during concurrent chemotherapy allowed Radiotherapy Concurrent radiotherapy allowed Surgery At least 1 week since prior minor surgery At least 3 weeks since prior major surgery Other At least 30 days since prior total parenteral nutrition No concurrent parenteral feedings No concurrent known appetite stimulants (e.g., megestrol or dronabinol) No concurrent omega 3 fatty acids or their congeners (e.g., ProSure™) No concurrent amino acid supplements Concurrent use of other dietary supplements (e.g., Ensure® or Boost) is allowed Concurrent enteral feedings via PEG or nasogastric tube are allowed
Sites / Locations
- Comprehensive Cancer Center at University of Alabama at Birmingham
- Comprehensive Cancer Institute
- MBCCOP - Gulf Coast
- Montgomery Cancer Center
- DCH Cancer Treatment Center
- Foundation for Cancer Research and Education
- Providence Saint Joseph Medical Center - Burbank
- Mount Diablo Regional Cancer Center
- City of Hope Comprehensive Cancer Center
- California Cancer Center - Woodward Park Office
- Saint Agnes Cancer Center
- Sutter Health Western Division Cancer Research Group
- Loma Linda University Cancer Institute at Loma Linda University Medical Center
- Veterans Affairs Medical Center - Long Beach
- USC/Norris Comprehensive Cancer Center and Hospital
- Jonsson Comprehensive Cancer Center at UCLA
- CCOP - Bay Area Tumor Institute
- Huntington Cancer Center at Huntington Hospital
- Robert and Beverly Lewis Family Cancer Care Center at Pomona Valley Hospital Medical Center
- Radiation Oncology Centers - Sacramento
- Radiation Medical Group, Incorporated
- Naval Medical Center - San Diego
- UCSF Comprehensive Cancer Center
- O'Connor Hospital
- CCOP - Santa Rosa Memorial Hospital
- St. Joseph's Regional Cancer Center
- Torrance Memorial Medical Center
- General Robert Huyser Cancer Center at David Grant Medical Center
- Memorial Hospital Cancer Center
- University of Colorado Cancer Center at University of Colorado Health Sciences Center
- St. Mary's Regional Cancer Center at St. Mary's Hospital and Medical Center
- Hospital of Saint Raphael
- Yale Comprehensive Cancer Center
- CCOP - Christiana Care Health Services
- Sibley Memorial Hospital
- 21st Century Oncology - Fort Myers
- University of Florida Shands Cancer Center
- Florida Radiation Oncology Group
- Holmes Regional Medical Center
- CCOP - Mount Sinai Medical Center
- University of Miami Sylvester Comprehensive Cancer Center
- Baptist-South Miami Regional Cancer Program
- Bay Medical Center
- Gulf Coast Cancer Treatment Center
- Sarasota Radiation and Medical Oncology Center
- Tallahassee Memorial Hospital
- H. Lee Moffitt Cancer Center and Research Institute at University of South Florida
- Winship Cancer Institute of Emory University
- CCOP - Atlanta Regional
- John B. Amos Community Cancer Center
- Regional Radiation Oncology Center at Rome
- MBCCOP - Hawaii
- Northwest Community Hospital
- Robert H. Lurie Comprehensive Cancer Center at Northwestern University
- CCOP - Central Illinois
- Ingalls Cancer Care Center at Ingalls Memorial Hospital
- Cardinal Bernardin Cancer Center at Loyola University Medical Center
- Lutheran General Cancer Care Center
- Methodist Medical Center of Illinois
- St. John's Cancer Center at St. John's Medical Center
- Bloomington Hospital
- Veterans Affairs Medical Center - Indianapolis (Roudebush)
- Methodist Cancer Center at Methodist Hospital
- Oncology Institute of Greater Lafayette
- Cancer Center at Ball Memorial Hospital
- CCOP - Northern Indiana CR Consortium
- Wendt Regional Cancer Center at Finley Hospital
- Esther Marie Hatton Cancer Care Center at St. Elizabeth Medical Center
- Central Baptist Hospital
- Cancer Center at Lexington Clinic
- Markey Cancer Center at University of Kentucky Chandler Medical Center
- James Graham Brown Cancer Center at University of Louisville
- Louisville Radiation Oncology Center at Caritas Regional Cancer Center
- Merle M. Mahr Cancer Center at Regional Medical Center of Hopkins County
- Mary Bird Perkins Cancer Center - Baton Rouge
- Tulane Cancer Center at Tulane University Hospital and Clinic
- MBCCOP - LSU Health Sciences Center
- CCOP - Ochsner
- Maine Medical Center - Bramhall Campus
- DeCesaris Cancer Institute at Anne Arundel Medical Center
- Greenebaum Cancer Center at University of Maryland Medical Center
- Cancer Center at Greater Baltimore Medical Center
- Harbor Hospital Center
- Alvin and Lois Lapidus Cancer Institute at Sinai Hospital
- St. Agnes Cancer Center
- Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
- Peninsula Regional Medical Center
- Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute
- Cancer Research Center at Boston Medical Center
- Cape Cod Hospital
- Veterans Affairs Medical Center - Boston (Jamaica Plain)
- NSMC Cancer Center - Peabody
- CCOP - Michigan Cancer Research Consortium
- University of Michigan Comprehensive Cancer Center
- Barbara Ann Karmanos Cancer Institute
- Josephine Ford Cancer Center at Henry Ford Health System
- Great Lakes Cancer Institute at McLaren Regional Medical Center
- CCOP - Kalamazoo
- Upper Michigan Cancer Center at Marquette General Hospital
- MidMichigan Medical Center - Midland
- CCOP - Beaumont
- William Beaumont Hospital - Royal Oak Campus
- William Beaumont Hospital - Troy Campus
- Fairview University Medical Center - University Campus
- Mayo Clinic Cancer Center
- CCOP - Metro-Minnesota
- Ellis Fischel Cancer Center at University of Missouri - Columbia
- CCOP - Kansas City
- Saint Louis University Cancer Center
- CCOP - Cancer Research for the Ozarks
- Siteman Cancer Center at Barnes-Jewish Hospital
- CCOP - Montana Cancer Consortium
- CCOP - Missouri Valley Cancer Consortium
- Methodist Hospital Cancer Center at Nebraska Methodist Hospital - Omaha
- UNMC Eppley Cancer Center at the University of Nebraska Medical Center
- CCOP - Southern Nevada Cancer Research Foundation
- Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center
- Elliot Regional Cancer Center
- Veterans Affairs Medical Center - East Orange
- John F. Kennedy Medical Center
- Monmouth Medical Center
- Fox Chase Virtua Health Cancer Program - Marlton
- Cancer Institute of New Jersey at UMDNJ - Robert Wood Johnson Medical School
- Newark Beth Israel Medical Center
- Atlantic City Medical Center - Mainland Division
- University Medical Center at Princeton
- Valley Hospital - Ridgewood
- Community Medical Center
- Fox Chase Cancer Center at St. Francis Medical Center
- South Jersey Healthcare Regional Cancer Center
- Associated Radiologists, P.A. at Warren Radiation Therapy Center
- Radiation Oncology Associates, PA
- Lourdes Regional Cancer Center
- SUNY Downstate Medical Center
- New York Methodist Hospital
- Finger Lakes Radiation Oncology Center at Clifton Springs Hospital and clinic
- CCOP - Syracuse Hematology-Oncology Associates of Central New York, P.C.
- CCOP - North Shore University Hospital
- Beth Israel Medical Center - Philipps Ambulatory Care Center
- Memorial Sloan-Kettering Cancer Center
- Herbert Irving Comprehensive Cancer Center at Columbia University
- Fitzpatrick Cancer Center at Champlain Valley Physicians Hospital Medical Center
- James P. Wilmot Cancer Center at University of Rochester Medical Center
- North Shore Radiation Oncology
- SUNY Upstate Medical University Hospital
- Riverhill Radiation Oncology
- Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill
- Batte Cancer Center at Northeast Medical Center
- CCOP - Southeast Cancer Control Consortium
- Leo W. Jenkins Cancer Center at Pitt County Memorial Hospital
- Comprehensive Cancer Center at Wake Forest University
- Trinity Cancer Care Center
- McDowell Cancer Center at Akron General Medical Center
- Akron City Hospital at Summa Health System
- Cancer Center at Christ Hospital
- Charles M. Barrett Cancer Center at University Hospital
- Ireland Cancer Center at University Hospitals of Cleveland and Case Western Reserve University
- Cleveland Clinic Taussig Cancer Center
- CCOP - Columbus
- Arthur G. James Cancer Hospital and Solove Research Institute at Ohio State University
- CCOP - Dayton
- Parma Community General Hospital
- CCOP - Toledo Community Hospital
- Frank C. Love Cancer Institute at St. Anthony Hospital
- Oklahoma University Medical Center
- LaFortune Cancer Center at St. John Health System
- CCOP - Oklahoma
- CCOP - Columbia River Oncology Program
- Abington Memorial Hospital
- John and Dorothy Morgan Cancer Center at Lehigh Valley Hospital
- St. Luke's Hospital Cancer Center
- Geisinger Medical Center
- Mercy Fitzgerald Hospital
- Delaware County Regional Cancer Center at Delaware County Memorial Hospital
- Dale and Frances Hughes Cancer Center at Pocono Medical Center
- Penn State Cancer Institute at Milton S. Hershey Medical Center
- Abramson Cancer Center of the University of Pennsylvania
- Kimmel Cancer Center at Thomas Jefferson University - Philadelphia
- Fox Chase Cancer Center
- Albert Einstein Cancer Center
- Allegheny Cancer Center at Allegheny General Hospital
- Mercy Hospital of Pittsburgh
- Western Pennsylvania Cancer Institute at Western Pennsylvania Hospital
- Hillman Cancer Center at University of Pittsburgh Cancer Institute
- Reading Hospital and Medical Center
- Mercy Hospital Cancer Center - Scranton
- Wilkes-Barre General Hospital
- CCOP - MainLine Health
- York Cancer Center at Wellspan Health
- Roger Williams Medical Center
- CCOP - Greenville
- CCOP - Upstate Carolina
- Rapid City Regional Hospital
- West Tennessee Cancer Center at Jackson-Madison County General Hospital
- Vanderbilt-Ingram Cancer Center at Vanderbilt Medical Center
- Harrington Cancer Center
- Arlington Cancer Center - Arlington
- University of Texas Medical Branch
- M.D. Anderson Cancer Center at University of Texas
- Wilford Hall Medical Center
- Joe Arrington Cancer Research and Treatment Center
- University of Texas Health Science Center at San Antonio
- CCOP - Scott and White Hospital
- Utah Valley Regional Medical Center - Provo
- Dixie Regional Medical Center
- University of Utah Health Sciences Center
- LDS Hospital
- Vermont Cancer Center at University of Vermont
- Community Cancer Center at Rutland Regional Medical Center
- Cancer Center at the University of Virginia
- RMH Regional Cancer Center
- Naval Medical Center - Portsmouth
- Bon Secours Cancer Care at St. Mary's Hospital
- Massey Cancer Center at Virginia Commonwealth University
- Cancer Institute at Virginia Mason Medical Center
- Deaconess Medical Center
- Yakima Valley Memorial Hospital
- Schiffler Cancer Center at Wheeling Hospital
- CCOP - St. Vincent Hospital Cancer Center, Green Bay
- St. Vincent Hospital
- Gundersen Lutheran Cancer Center at Gundersen Lutheran Medical Center
- University of Wisconsin Comprehensive Cancer Center
- CCOP - Marshfield Clinic Research Foundation
- Marshfield Clinic - Marshfield Center
- Community Memorial Hospital
- Columbia St. Mary's - Columbia Campus
- Vince Lombardi Cancer Clinic at St. Luke's Medical Center
- Veterans Affairs Medical Center - Milwaukee (Zablocki)
- All Saints Cancer Center at All Saints Healthcare
- Waukesha Memorial Hospital Regional Cancer Center
- Tom Baker Cancer Centre - Calgary
- Cross Cancer Institute
- Doctor Leon Richard Oncology Centre
- Saint John Regional Hospital
- Newfoundland Cancer Treatment and Research Foundation
- Nova Scotia Cancer Centre at Queen Elizabeth II Health Sciences Centre
- Margaret and Charles Juravinski Cancer Centre
- Cancer Centre of Southeastern Ontario
- London Regional Cancer Program at London Health Sciences Centre
- Ottawa Hospital Regional Cancer Centre - General Campus
- Northeastern Ontario Regional Cancer Centre
- Regional Cancer Care at Thunder Bay Regional Health Sciences Centre
- Toronto Sunnybrook Regional Cancer Centre
- Princess Margaret Hospital
- Centre Hospitalier de l'Universite de Montreal
- McGill Cancer Centre at McGill University
- Centre Hospitalier Universitaire de Quebec
- CHUS-Hopital Fleurimont
- Allan Blair Cancer Centre at Pasqua Hospital
- Saskatoon Cancer Centre
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Juven supplement
Non-Juven supplement
Juven nutritional supplement given twice a day for 8 weeks
Non-Juven nutritional supplement given twice a day for 8 weeks