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NCT07722806Pas encore en recrutement

A Nutrition and Exercise Program With Olanzapine Compared to Olanzapine Alone: A Trial in Patients With Advanced Tumors

Résumé

Cancer patients have a higher risk of malnutrition because of their illness and treatments. This can lead to weight loss, weak muscles, less effective cancer therapy, or stronger side effects. This research project looks at whether adding a combined nutrition and exercise program to the standard treatment for appetite loss (olanzapine) can improve the quality of life for patients with cancer, compared to taking olanzapine alone. In this study, patients are randomly split into two groups. The program group gets advice from nutrition experts and physiotherapists. They also receive a nutritional supplement containing whey protein, leucine, and HMB (substances that help protect muscles). The control group continues their usual cancer treatment without the extra nutrition and exercise program. Both groups receive olanzapine as part of their standard care to treat loss of appetite, and both keep a diary to track their progress. Information will be collected at the start of the study, as well as after 6, 12, and 24 weeks. Nutritional advice and exercise are safe, easy-to-use steps that can help patients with cancer, especially when done together.

Critères d'inclusion

• Age ≥18 years • Metastatic or locally advanced solid tumors, excluding lymphoma, not eligible for curative treatment • VAS score ≤70 for appetite, as defined for anorexia in oncology patients (olanzapine is prescribed according to clinical guidelines as part of standard care) • WHO-PS of ≤3 • Ability to participate in physical exercise, as judged by the treating oncologist • Anticipated life expectancy of at least six months • Willingness to provide written informed consent

Critères d'exclusion

• Pregnancy or breastfeeding • Parkinson's disease, known risk for narrow-angle glaucoma, or any other contraindication to olanzapine, as judged by the treating oncologist • Alcohol consumption \>2 units/d • Use of Olanzapine for any indication for more than four days per month • Current use of any antipsychotic or antidepressant medication • Recent use of systemic corticosteroids (prednisolone ≥10 mg/d or equivalent) for more than seven days within the past four weeks • Presence of ascites at time of enrolment • Concurrent radiotherapy to the esophagus • Intake of products with added high-dose BCAA (branched-chain amino acids, total ≥3 g/d) within the past month • Tube feeding and/or parenteral nutrition within the previous month (excluding ONS (oral nutritional supplements) • History of ileus within the past month • Allergy to milk protein • Inability to comprehend trial information due to language barriers, cognitive or psychological limitations, or disease-related factors

Contacts

Les coordonnées de l'équipe de l'essai s'affichent sur demande.

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Statut
Pas encore en recrutement
Phase
Phase 2
Type d'étude
Interventionnelle
Pays
Suisse
Promoteur
Kantonsspital Winterthur KSW(Autre)
N° de protocole
2026-00199
Pathologies
Cancer, Advanced Solid Tumors, Malnutrition
Interventions
Comportemental, Complément alimentaire

Traitements évalués

  • Standardized nutritional program
  • standardized exercize program
  • Whey protein supplement with added leucine and β-hydroxy-β-methylbutyrate (HMB)

Collaborateurs

Krebsforschung Schweiz, Bern, Switzerland, Sponser Sport Food AG, HOCH Health Ostschweiz, Kantonsspital St. Gallen

Lieux · 1

  • Winterthur, SuisseKantonsspital WinterthurRecrutement pas encore ouvert dans ce centre

Au total, dans le monde, le seul centre listé au registre est prévu ; le recrutement n'est pas encore ouvert.

Statut par centre selon le registre ClinicalTrials.gov (dernière mise à jour publiée : 27 juillet 2026).

Ce statut peut avoir changé et ne dit rien de votre éligibilité : avant toute démarche, vérifiez avec votre oncologue ou le centre.

Voir aussi

Autres versions

Ces résultats sont indicatifs et ne remplacent pas un avis médical — à discuter avec votre médecin.