search
Back to results

A Study Evaluating a Proprietary Amino Acid Mixture (Enterade®) in Patients Receiving High-Dose Melphalan Conditioning Followed by Autologous Stem Cell Transplantation for Multiple Myeloma and Non-Hodgkin Lymphoma

Primary Purpose

Multiple Myeloma, Non-Hodgkin's Lymphoma

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Enterade
Placebo
Standard Supportive Care
Sponsored by
Dana-Farber Cancer Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Multiple Myeloma focused on measuring Stem Cell Transplant

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Participants must have histologically or cytologically confirmed Multiple Myeloma, or Non-Hodgkin Lymphoma and must be undergoing Melphalan conditioning for autologous HSCT.
  • Age equal or greater than 18 years old.
  • ECOG performance status ≤2 (Karnofsky ≥60%)
  • Participants must have adequate organ and marrow function to proceed to transplant.
  • Ability to tolerate thin liquids by mouth at the time of admission.
  • The effects of Enterade® on the developing human fetus are unknown. For this reason and other therapeutic agents used in this trial are known to be teratogenic, women of child-bearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) at the time of study entry and for the duration of study participation. Should a woman become pregnant or suspect she is pregnant while she or her partner is participating in this study, she should inform her treating physician immediately. Men treated or enrolled on this protocol must also agree to use adequate contraception prior to the study, for the duration of study participation, and 4 months after completion of the trial.
  • Ability to understand and the willingness to sign a written informed consent document.

Exclusion Criteria:

  • Participants who have had radiotherapy within 4 weeks prior to entering the study or those who have not recovered from adverse events due to chemotherapy agents administered during this time period.
  • Participants who are receiving any other investigational agents. Participants who are receiving standard of care induction therapy on a clinical trial may be eligible after discussion with the overall principal investigator.
  • Participants with known brain metastases should be excluded from this clinical trial because of their poor prognosis and because they often develop progressive neurologic dysfunction that would confound the evaluation of neurologic and other adverse events.
  • Known allergy to Stevia.
  • Participants receiving any medications or antibiotics to treat Clostridium difficile infection prior to the initiation of the study will be ineligible for this study.
  • Uncontrolled intercurrent illness including, but not limited to, ongoing or active Clostridium difficile infection or history of Clostridium difficile infection.
  • Participants with evidence of diarrhea as defined by three or more loose or liquid stools per day or loose watery stool (greater volume of stool), that occurs more frequently than usual and lasting for more than three days prior to admission, history of inflammatory bowel disease, irritable bowel syndrome, colectomy or bariatric surgery, Celiac disease.
  • Participants with psychiatric illness/social situations that would limit compliance with study requirements.
  • Pregnant and nursing women are excluded from this study because of teratogenicity and toxicity risks associated with the conditioning regimen for patients undergoing autologous HSCT.

Sites / Locations

  • Dana Farber Cancer Institute

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Enterade and Standard Supportive Care

Placebo and Standard Supportive Care

Arm Description

Two 8 oz. bottles of Enterade will be administered daily Enterade will be given orally from admission until day +14 or until discharge Standard Supportive Care will be administered according to institution's practice

Two 8 oz. bottles of Placebo will be administered daily Placebo will be given orally from admission until day +14 or until discharge Standard Supportive Care will be administered according to institution's practice

Outcomes

Primary Outcome Measures

Number of Participants With Grade 3 or Higher Diarrhea GI Toxicity
Evaluation will made using Fisher's exact test. Among 99 participants who received some intervention

Secondary Outcome Measures

Maximum Daily Stool Frequency
Percentage of Participants With Diarrhea on the Day of Maximum Daily Stool Frequency
Duration Of Hospitalization (Days) From Admission To Discharge
Percent Change in Weight From Baseline to Day 14
Median Amount Of Anti-Diarrheal Medications
the Tolerability of Enterade® as Measured by the Number of Compliant Patients
Calorie Consumption
Number of Participants With Fever or Neutropenia

Full Information

First Posted
September 26, 2016
Last Updated
June 7, 2022
Sponsor
Dana-Farber Cancer Institute
Collaborators
Entrinsic Health
search

1. Study Identification

Unique Protocol Identification Number
NCT02919670
Brief Title
A Study Evaluating a Proprietary Amino Acid Mixture (Enterade®) in Patients Receiving High-Dose Melphalan Conditioning Followed by Autologous Stem Cell Transplantation for Multiple Myeloma and Non-Hodgkin Lymphoma
Official Title
A Randomized Double-Blinded Phase 2 Study Evaluating a Proprietary Amino Acid Mixture (Enterade®) in Patients Receiving High-Dose Melphalan Conditioning Followed by Autologous Stem Cell Transplantation for Multiple Myeloma and Non-Hodgkin Lymphoma
Study Type
Interventional

2. Study Status

Record Verification Date
June 2022
Overall Recruitment Status
Completed
Study Start Date
October 2016 (undefined)
Primary Completion Date
May 2019 (Actual)
Study Completion Date
July 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Dana-Farber Cancer Institute
Collaborators
Entrinsic Health

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This research study is evaluating Enterade, a supplement, as a possible treatment for the side effects caused by Stem Cell Transplant. The following interventions will be involved in this study: Enterade plus standard supportive care Placebo plus standard supportive care. The placebo will be a mixture of water, electrolytes, and sweetener.
Detailed Description
This research study is a Phase II clinical trial. Phase II clinical trials test the safety and effectiveness of an investigational intervention to learn whether the intervention works in treating a specific disease, or in this case, the side effects from a standard treatment for Stem Cell Transplant side effect. "Investigational" means that the intervention is being studied. In this research study, the investigators are evaluating Enterade/Placebo plus standard supportive care for the treatment of the side effects caused by transplant. Enterade works by rehydrating the intestinal cells, thereby helping to restore normal bowel function. The ingredients in Enterade are generally recognized as safe by the Food and Drug Administration. This research study is hoping to learn if adding Enterade to the standard supportive care regimen for the participant transplant will help reduce the side effects from the transplant.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Myeloma, Non-Hodgkin's Lymphoma
Keywords
Stem Cell Transplant

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
114 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Enterade and Standard Supportive Care
Arm Type
Experimental
Arm Description
Two 8 oz. bottles of Enterade will be administered daily Enterade will be given orally from admission until day +14 or until discharge Standard Supportive Care will be administered according to institution's practice
Arm Title
Placebo and Standard Supportive Care
Arm Type
Placebo Comparator
Arm Description
Two 8 oz. bottles of Placebo will be administered daily Placebo will be given orally from admission until day +14 or until discharge Standard Supportive Care will be administered according to institution's practice
Intervention Type
Dietary Supplement
Intervention Name(s)
Enterade
Intervention Type
Dietary Supplement
Intervention Name(s)
Placebo
Intervention Type
Other
Intervention Name(s)
Standard Supportive Care
Primary Outcome Measure Information:
Title
Number of Participants With Grade 3 or Higher Diarrhea GI Toxicity
Description
Evaluation will made using Fisher's exact test. Among 99 participants who received some intervention
Time Frame
14 days
Secondary Outcome Measure Information:
Title
Maximum Daily Stool Frequency
Time Frame
14 days
Title
Percentage of Participants With Diarrhea on the Day of Maximum Daily Stool Frequency
Time Frame
14 days
Title
Duration Of Hospitalization (Days) From Admission To Discharge
Time Frame
Up to 45 days
Title
Percent Change in Weight From Baseline to Day 14
Time Frame
baseline and day 14
Title
Median Amount Of Anti-Diarrheal Medications
Time Frame
14 days
Title
the Tolerability of Enterade® as Measured by the Number of Compliant Patients
Time Frame
14 days
Title
Calorie Consumption
Time Frame
14 days
Title
Number of Participants With Fever or Neutropenia
Time Frame
14 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participants must have histologically or cytologically confirmed Multiple Myeloma, or Non-Hodgkin Lymphoma and must be undergoing Melphalan conditioning for autologous HSCT. Age equal or greater than 18 years old. ECOG performance status ≤2 (Karnofsky ≥60%) Participants must have adequate organ and marrow function to proceed to transplant. Ability to tolerate thin liquids by mouth at the time of admission. The effects of Enterade® on the developing human fetus are unknown. For this reason and other therapeutic agents used in this trial are known to be teratogenic, women of child-bearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) at the time of study entry and for the duration of study participation. Should a woman become pregnant or suspect she is pregnant while she or her partner is participating in this study, she should inform her treating physician immediately. Men treated or enrolled on this protocol must also agree to use adequate contraception prior to the study, for the duration of study participation, and 4 months after completion of the trial. Ability to understand and the willingness to sign a written informed consent document. Exclusion Criteria: Participants who have had radiotherapy within 4 weeks prior to entering the study or those who have not recovered from adverse events due to chemotherapy agents administered during this time period. Participants who are receiving any other investigational agents. Participants who are receiving standard of care induction therapy on a clinical trial may be eligible after discussion with the overall principal investigator. Participants with known brain metastases should be excluded from this clinical trial because of their poor prognosis and because they often develop progressive neurologic dysfunction that would confound the evaluation of neurologic and other adverse events. Known allergy to Stevia. Participants receiving any medications or antibiotics to treat Clostridium difficile infection prior to the initiation of the study will be ineligible for this study. Uncontrolled intercurrent illness including, but not limited to, ongoing or active Clostridium difficile infection or history of Clostridium difficile infection. Participants with evidence of diarrhea as defined by three or more loose or liquid stools per day or loose watery stool (greater volume of stool), that occurs more frequently than usual and lasting for more than three days prior to admission, history of inflammatory bowel disease, irritable bowel syndrome, colectomy or bariatric surgery, Celiac disease. Participants with psychiatric illness/social situations that would limit compliance with study requirements. Pregnant and nursing women are excluded from this study because of teratogenicity and toxicity risks associated with the conditioning regimen for patients undergoing autologous HSCT.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mahasweta Gooptu, MD
Organizational Affiliation
Dana-Farber Cancer Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
Dana Farber Cancer Institute
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study Evaluating a Proprietary Amino Acid Mixture (Enterade®) in Patients Receiving High-Dose Melphalan Conditioning Followed by Autologous Stem Cell Transplantation for Multiple Myeloma and Non-Hodgkin Lymphoma

We'll reach out to this number within 24 hrs