Fred Hutchinson Cancer Center
This clinical trial examines sustained oral fiber supplementation for patients undergoing treatment for hematological malignancies. Patients undergoing cancer treatment, including donor stem cell transplantation often develop oral and gastrointestinal damage from chemotherapy, radiotherapy, or graft-versus-host disease. Oral fiber nutrition support may improve overall nutrition, support a normal gut microbiome (bacteria that live in the gut) and/or improve gut function in patients undergoing treatment for hematological malignancies.
OUTLINE: Current study design: Patients receive fiber supplementation orally (PO) or enterally starting 14 to 5 days prior to standard of care treatment and continuing until day 42 post-treatment. Patients who are not able to receive sufficient nutrition by mouth may receive parenteral nutrition or enteral nutrition by feeding tube from the hospital. Patients may undergo blood sample collection throughout the study. Previous study design: Before this study was amended in January 2024, patients were randomized to 1 of 2 arms. Previous Arm I: Patients received enteral nutrition via nasoenteri…
Inclusion Criteria: * Able to provide written informed consent prior to initiation of any study procedures * Any diagnosed hematological malignancy * At least 18 years of age * Planned treatment at Fred Hutchinson Cancer Center and/or University of Washington Medical Center Exclusion Criteria: * Major psychiatric diagnosis that impairs cognitive functioning or is not controlled at the time of the approach, as judged by the patient's medical team * Pregnant or breastfeeding. Pregnancy test is obtained as part of pre-transplant evaluation in women of child-bearing potential at arrival to tran…
Given enteral nutrition via nasoenteric feeding
Given standard of care, which may be parenteral nutrition
Ancillary studies
Receive fiber supplementation orally or enterally
Undergo collection of blood and stool samples
Ancillary studies
Ancillary studies
Arctuva estimate
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