About this trial
The HEXCARE-PDAC study is a Phase III, randomized, double-blind, controlled, multicenter trial evaluating the effectiveness of a cancer-specific oral nutritional supplement in preserving skeletal muscle mass and improving chemotherapy tolerance in adults with non-metastatic pancreatic ductal adenocarcinoma (PDAC) receiving neoadjuvant FOLFIRINOX-based chemotherapy. The study aims to determine whether targeted nutritional intervention can mitigate cancer-associated muscle loss and improve treatment delivery and clinical outcomes in patients with PDAC
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients with pancreatic ductal adenocarcinoma (PDAC) who are scheduled to be treated with (modified) FOLFIRINOX* chemotherapy (* or NALIRIFOX if that becomes the standard of care during the study per recognized (inter)national guidelines) as first therapy after initial diagnosis of PDAC
ECOG performance score 0 or 1
Age 18 years or above
Written informed consent
Disqualifiers
Patients with metastatic PDAC (i.e. confirmed distant metastases or otherwise confirmed by local practice)
Patients who received prior treatment for PDAC
Life expectancy < 3 months
Clinically significant dysphagia, gastrointestinal obstruction or any other condition preventing adequate oral intake to reasonably comply with the protocol recommendation of taking 2 servings of study product per day in the opinion of the Investigator
Trial design
Parallel
Treatments tested in this trial
A novel cancer-specific high energy high protein medical nutrition solution
Dietary supplementDietary Supplement
A commercially available isocaloric isonitrogenous medical nutritional solution.
Dietary supplementDietary Supplement
Treatment groups
Trial outcomes
Primary outcomes
Skeletal Muscle Index
The primary outcome parameter is the difference between test and control group in the mean change from baseline to the end of neoadjuvant chemotherapy in skeletal muscle mass, expressed as skeletal muscle index (SMI) \[cm2/m2\] as measured with a CT scan on the third lumbar vertebra (L3) level as skeletal muscle area (SMA) \[cm2\] corrected for height \[m\].
Secondary outcomes
Cumulative Relative Dose Intensity
The key secondary outcome parameter is the difference between test and control group in the mean Cumulative Relative Dose Intensity (cRDI) of FOLFIRINOX or mFOLFIRINOX assessed at the end of neoadjuvant chemotherapy \[%\].
Locations
Sponsors and contacts
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