Evaluation of the Quality of Life of Patients With Metastatic Non-small Cell Lung Cancer With Supplementary Therapy With IGEN-0206
Primary Purpose
Quality of Life of Patients, Non-small Cell Lung Cancer Metastatic
Status
Completed
Phase
Not Applicable
Locations
Spain
Study Type
Interventional
Intervention
IGEN0206
Placebo
Sponsored by

About this trial
This is an interventional treatment trial for Quality of Life of Patients
Eligibility Criteria
Inclusion Criteria:
- Patient who has given informed consent in writing, stating that he / she understands the purpose of the study and the procedures it entails, and that he / she agrees to participate.
- Patient with metastatic non-small cell lung carcinoma confirmed by Pathology.
- Expected life expectancy exceeding 12 weeks.
- Age ≥18 years.
- Functional status of the ECOG 1-3.
- Patients who can consume at least 500 ml per day of the nutritional supplement, added to their diet.
- Patients who do not meet criteria for renal failure: the glomerular filtrate, calculated by local formula, must be ≥60 ml / min / 1.73m2.
- Patients who are willing to communicate the use of nutritional supplements, including oral supplements, vitamins and mineral supplements and / or any food supplement
- Patients who are willing to comply with the protocol procedures after having been thoroughly informed about the treatment, the procedures, reviewing the study methodology and signing the informed consent.
- They speak fluent Spanish in order to be able to complete the questionnaires of the study.
- Potentially fertile women must be negative in a serum pregnancy test performed within 7 days prior to entry into the study. Potentially fertile patients participating in this study should use effective contraceptive methods (eg, abstinence, intrauterine device, oral or injectable contraceptives, double-barrier method, or surgical sterilization) to prevent pregnancy, which they will begin to use as of signature of the informed consent document and whose use will continue until at least 13 weeks after the last dose of the study medication has been administered.
Exclusion Criteria:
- Women who are pregnant and / or breast-feeding.
- Persistence of the toxicity of a previous treatment (grade> 1 of the NCI-CTCAE v. 4.03); However, alopecia and sensory neuropathy of grade ≤ 2 are acceptable, as well as other side effects that do not endanger patient safety in the opinion of the researcher.
- Evidence of severe or uncontrolled systemic disease or concomitant process that, in the opinion of the investigator, makes the participation of the subject in the study inadvisable or compromises compliance with the protocol.
- Dementia or mental state significantly altered that could interfere in the understanding and granting of informed consent.
- Parkinson's disease
Sites / Locations
- Hospital Público Virgen de los Lirios
- Hospital General Universitario de Elche
- Hospital General Universitario de Elda
- Hospital Universitario Marqués de Valdecilla
- Complexo Hospitalario Universitario A Coruña
- Hospital del Henares
- Hospital Universitario Puerta de Hierro
- Hospital Universitario de Móstoles
- Hospital Universitario Infanta Sofía
- Complexo Hospitalario Universitario de Ourense
- Hospital Universitario Son Llatzer
- Hospital de Sagunto
- Hospital Universitario San Juan De Alicante
- Hospital Universitario Reina Sofía
- Hospital Lucus Augusti
- GenesisCare Madrid, Hospital La Milagrosa
- Hospital Sanitas La Zarzuela
- Hospital Universitario Infanta Leonor
- Hospital Universitario Fundación Jiménez Díaz
- Hospital Universitario La Paz
- Hospital Universitario Severo Ochoa
- Hospital Regional de Málaga
- Hospital Arnau de Vilanova
- Hospital Universitari i Politècnic La Fe
- Hospital Universitario Miguel Servet
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Placebo Comparator
No Intervention
Arm Label
IGEN-0206
Placebo
group C
Arm Description
a sachet after each meal, preferably (3 sachets per day)
a sachet after each meal, preferably (3 sachets per day)
standard treatment
Outcomes
Primary Outcome Measures
Impact of IGEN-0206 on quality of life in patients with metastatic lung cancer according to the EORTC QLQ-C30.
The QLQ-C30 is composed of both multi-item scales and single-item measures. These include five functional scales, three symptom scales, a global health status / QoL scale, and six single items.
Each of the multi-item scales includes a different set of items - no item occurs in more than one scale. All of the scales and single-item measures range in score from 0 to 100. A high scale score represents a higher response level. Thus a high score for a functional
Impact of IGEN-0206 on quality of life in patients with metastatic lung cancer according to the EORTC QLQ-L13
The QLQ-LC13 incorporates one multi-item scale to assess dyspnoea, and a series of single items assessing pain, coughing, sore mouth, dysphagia, peripheral neuropathy, alopecia, and haemoptysis.
All of the scales and single-item measures range in score from 0 to 100. A high score for the scales and single items represents a high level of symptomatology or problems
Secondary Outcome Measures
BMI
Compare clinical benefits in terms of body mass index (BMI) in the three treatment arms.
Changes in the microbiota
Compare changes in the microbiota profile in terms of microbiota metabolism (faecal samples) in the three treatment arms with proteomics and genomics methods.
Interleukin levels
To evaluate the changes in the inflammatory and immune response and to identify immunological biomarkers in the blood with predictive power and prognosis.
Cytokines levels
To evaluate the changes in the inflammatory and immune response and to identify immunological biomarkers in the blood with predictive power and prognosis.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04009122
Brief Title
Evaluation of the Quality of Life of Patients With Metastatic Non-small Cell Lung Cancer With Supplementary Therapy With IGEN-0206
Official Title
Evaluation of the Quality of Life of Patients With Metastatic Non-small Cell Lung Cancer With Supplementary Therapy With IGEN-0206
Study Type
Interventional
2. Study Status
Record Verification Date
May 2023
Overall Recruitment Status
Completed
Study Start Date
June 11, 2019 (Actual)
Primary Completion Date
December 14, 2022 (Actual)
Study Completion Date
December 14, 2022 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Igen BioLab SLU
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
A national, multicenter, blind, randomized study of three groups, designed to evaluate the impact on the quality of life of IGEN-0206 (IGEN-0206 is a nutritional product, a food) with nutritional support + standard treatment versus nutritional support + standard treatment versus standard treatment in patients with non-lung cancer metastatic microcytic.
The standard treatment can include any line of active treatment (chemotherapy, immunotherapy, biological therapies or targeted therapies), radiotherapy or nonspecific symptomatic treatment.
It will include 280 patients older than 18 years, who have a life expectancy of less than 9 months, who will receive or not active treatment.
After signing the informed consent and confirmation that the subject meets the eligibility criteria, those will be randomized (2: 2: 1 ratio) to receive treatment:
Group A (112 patients): patients will receive their standard treatment + nutritional support + IGEN-0206
Group B (112 patients): patients will receive their standard treatment + nutritional support + placebo.
Group C (56 patients): patients will receive standard treatment. The allocation will be random 2: 2: 1 and will be stratified according to ECOG 1 versus 2-3, type of oncological treatment (chemotherapy, immunotherapy and / or radiotherapy versus targeted therapies versus symptomatic treatment) and type of cancer (squamous versus not flaky).
The present study seeks to demonstrate that IGEN-0206 improves the quality of life and the nutritional status of patients with non-small cell lung cancer. If an improvement in the quality of life is achieved, this could impact on a reduction in the number of treatment delays / omissions, which could secondarily impact on a response and survival benefit (by improving the relative intensity of the active oncological treatment).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Quality of Life of Patients, Non-small Cell Lung Cancer Metastatic
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
266 (Actual)
8. Arms, Groups, and Interventions
Arm Title
IGEN-0206
Arm Type
Experimental
Arm Description
a sachet after each meal, preferably (3 sachets per day)
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
a sachet after each meal, preferably (3 sachets per day)
Arm Title
group C
Arm Type
No Intervention
Arm Description
standard treatment
Intervention Type
Dietary Supplement
Intervention Name(s)
IGEN0206
Intervention Description
Group A
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Group B
Primary Outcome Measure Information:
Title
Impact of IGEN-0206 on quality of life in patients with metastatic lung cancer according to the EORTC QLQ-C30.
Description
The QLQ-C30 is composed of both multi-item scales and single-item measures. These include five functional scales, three symptom scales, a global health status / QoL scale, and six single items.
Each of the multi-item scales includes a different set of items - no item occurs in more than one scale. All of the scales and single-item measures range in score from 0 to 100. A high scale score represents a higher response level. Thus a high score for a functional
Time Frame
52 weeks
Title
Impact of IGEN-0206 on quality of life in patients with metastatic lung cancer according to the EORTC QLQ-L13
Description
The QLQ-LC13 incorporates one multi-item scale to assess dyspnoea, and a series of single items assessing pain, coughing, sore mouth, dysphagia, peripheral neuropathy, alopecia, and haemoptysis.
All of the scales and single-item measures range in score from 0 to 100. A high score for the scales and single items represents a high level of symptomatology or problems
Time Frame
52 weeks
Secondary Outcome Measure Information:
Title
BMI
Description
Compare clinical benefits in terms of body mass index (BMI) in the three treatment arms.
Time Frame
52 weeks
Title
Changes in the microbiota
Description
Compare changes in the microbiota profile in terms of microbiota metabolism (faecal samples) in the three treatment arms with proteomics and genomics methods.
Time Frame
12 weeks
Title
Interleukin levels
Description
To evaluate the changes in the inflammatory and immune response and to identify immunological biomarkers in the blood with predictive power and prognosis.
Time Frame
52 weeks
Title
Cytokines levels
Description
To evaluate the changes in the inflammatory and immune response and to identify immunological biomarkers in the blood with predictive power and prognosis.
Time Frame
52 weeks
Other Pre-specified Outcome Measures:
Title
Number of Adverse events
Description
To compare adverse events (AEs) in the three treatment groups according to the Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 4.1.
Time Frame
52 weeks
Title
Progression-free survival
Description
Time from randomization until the progression of the disease or death from any cause is documented. To compare the efficacy in terms of response and survival among the three arms of the study.
Time Frame
52 weeks
Title
Overall survival
Description
Time elapsed from randomization until death is documented for any reason
Time Frame
52 weeks
Title
Objective response rate
Description
The sum of the complete and partial answers
Time Frame
52 weeks
Title
Disease control
Description
The sum of stable disease and partial / total response.
Time Frame
52 weeks
Title
Number of oncological treatment interruptions
Description
To assess tolerability in terms of interruptions or delays in active oncological treatment by adding IGEN-0206
Time Frame
52 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patient who has given informed consent in writing, stating that he / she understands the purpose of the study and the procedures it entails, and that he / she agrees to participate.
Patient with metastatic non-small cell lung carcinoma confirmed by Pathology.
Expected life expectancy exceeding 12 weeks.
Age ≥18 years.
Functional status of the ECOG 1-3.
Patients who can consume at least 500 ml per day of the nutritional supplement, added to their diet.
Patients who do not meet criteria for renal failure: the glomerular filtrate, calculated by local formula, must be ≥60 ml / min / 1.73m2.
Patients who are willing to communicate the use of nutritional supplements, including oral supplements, vitamins and mineral supplements and / or any food supplement
Patients who are willing to comply with the protocol procedures after having been thoroughly informed about the treatment, the procedures, reviewing the study methodology and signing the informed consent.
They speak fluent Spanish in order to be able to complete the questionnaires of the study.
Potentially fertile women must be negative in a serum pregnancy test performed within 7 days prior to entry into the study. Potentially fertile patients participating in this study should use effective contraceptive methods (eg, abstinence, intrauterine device, oral or injectable contraceptives, double-barrier method, or surgical sterilization) to prevent pregnancy, which they will begin to use as of signature of the informed consent document and whose use will continue until at least 13 weeks after the last dose of the study medication has been administered.
Exclusion Criteria:
Women who are pregnant and / or breast-feeding.
Persistence of the toxicity of a previous treatment (grade> 1 of the NCI-CTCAE v. 4.03); However, alopecia and sensory neuropathy of grade ≤ 2 are acceptable, as well as other side effects that do not endanger patient safety in the opinion of the researcher.
Evidence of severe or uncontrolled systemic disease or concomitant process that, in the opinion of the investigator, makes the participation of the subject in the study inadvisable or compromises compliance with the protocol.
Dementia or mental state significantly altered that could interfere in the understanding and granting of informed consent.
Parkinson's disease
Facility Information:
Facility Name
Hospital Público Virgen de los Lirios
City
Alcoi
State/Province
Alicante
ZIP/Postal Code
03804
Country
Spain
Facility Name
Hospital General Universitario de Elche
City
Elche
State/Province
Alicante
ZIP/Postal Code
03203
Country
Spain
Facility Name
Hospital General Universitario de Elda
City
Elda
State/Province
Alicante
ZIP/Postal Code
03600
Country
Spain
Facility Name
Hospital Universitario Marqués de Valdecilla
City
Santander
State/Province
Cantabria
ZIP/Postal Code
39008
Country
Spain
Facility Name
Complexo Hospitalario Universitario A Coruña
City
A Coruña
State/Province
La Coruña
ZIP/Postal Code
15006
Country
Spain
Facility Name
Hospital del Henares
City
Coslada
State/Province
Madrid
ZIP/Postal Code
28822
Country
Spain
Facility Name
Hospital Universitario Puerta de Hierro
City
Majadahonda
State/Province
Madrid
ZIP/Postal Code
28222
Country
Spain
Facility Name
Hospital Universitario de Móstoles
City
Móstoles
State/Province
Madrid
ZIP/Postal Code
28935
Country
Spain
Facility Name
Hospital Universitario Infanta Sofía
City
San Sebastián De Los Reyes
State/Province
Madrid
ZIP/Postal Code
28703
Country
Spain
Facility Name
Complexo Hospitalario Universitario de Ourense
City
Orense
State/Province
Ourense
ZIP/Postal Code
32005
Country
Spain
Facility Name
Hospital Universitario Son Llatzer
City
Palma De Mallorca
State/Province
Palma
ZIP/Postal Code
07198
Country
Spain
Facility Name
Hospital de Sagunto
City
Sagunto
State/Province
Valencia
ZIP/Postal Code
46520
Country
Spain
Facility Name
Hospital Universitario San Juan De Alicante
City
Alicante
ZIP/Postal Code
03550
Country
Spain
Facility Name
Hospital Universitario Reina Sofía
City
Córdoba
ZIP/Postal Code
14004
Country
Spain
Facility Name
Hospital Lucus Augusti
City
Lugo
ZIP/Postal Code
27003
Country
Spain
Facility Name
GenesisCare Madrid, Hospital La Milagrosa
City
Madrid
ZIP/Postal Code
28010
Country
Spain
Facility Name
Hospital Sanitas La Zarzuela
City
Madrid
ZIP/Postal Code
28023
Country
Spain
Facility Name
Hospital Universitario Infanta Leonor
City
Madrid
ZIP/Postal Code
28031
Country
Spain
Facility Name
Hospital Universitario Fundación Jiménez Díaz
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Facility Name
Hospital Universitario La Paz
City
Madrid
ZIP/Postal Code
28046
Country
Spain
Facility Name
Hospital Universitario Severo Ochoa
City
Madrid
ZIP/Postal Code
28914
Country
Spain
Facility Name
Hospital Regional de Málaga
City
Málaga
ZIP/Postal Code
29010
Country
Spain
Facility Name
Hospital Arnau de Vilanova
City
Valencia
ZIP/Postal Code
46015
Country
Spain
Facility Name
Hospital Universitari i Politècnic La Fe
City
Valencia
ZIP/Postal Code
46026
Country
Spain
Facility Name
Hospital Universitario Miguel Servet
City
Zaragoza
ZIP/Postal Code
50009
Country
Spain
12. IPD Sharing Statement
Plan to Share IPD
Undecided
IPD Sharing Plan Description
All collected IPD
Citations:
PubMed Identifier
11527672
Citation
Barber MD. Cancer cachexia and its treatment with fish-oil-enriched nutritional supplementation. Nutrition. 2001 Sep;17(9):751-5. doi: 10.1016/s0899-9007(01)00631-1.
Results Reference
background
PubMed Identifier
9607565
Citation
Bunn PA Jr, Kelly K. New chemotherapeutic agents prolong survival and improve quality of life in non-small cell lung cancer: a review of the literature and future directions. Clin Cancer Res. 1998 May;4(5):1087-100.
Results Reference
background
PubMed Identifier
20493771
Citation
Cappuzzo F, Ciuleanu T, Stelmakh L, Cicenas S, Szczesna A, Juhasz E, Esteban E, Molinier O, Brugger W, Melezinek I, Klingelschmitt G, Klughammer B, Giaccone G; SATURN investigators. Erlotinib as maintenance treatment in advanced non-small-cell lung cancer: a multicentre, randomised, placebo-controlled phase 3 study. Lancet Oncol. 2010 Jun;11(6):521-9. doi: 10.1016/S1470-2045(10)70112-1. Epub 2010 May 20.
Results Reference
background
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Evaluation of the Quality of Life of Patients With Metastatic Non-small Cell Lung Cancer With Supplementary Therapy With IGEN-0206
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