Prostate CancerPhase 3NCT01238172
Diet in Altering Disease Progression in Patients With Prostate Cancer on Active Surveillance
A Phase 3 study testing dietary education and counseling and prostate cancer foundation booklet in people with Prostate Cancer, run by Alliance for Clinical Trials in Oncology at 180 sites in United States.
Trial summary
RATIONALE: Eating a diet high in vegetables may slow down disease progression in patients with prostate cancer. PURPOSE: This randomized clinical trial is studying how well diet works in altering disease progression in patients with prostate cancer on active surveillance. Read more about this study
- Who is it for?
- Ages 50 to 80 years, men only
- Conditions the study is for
- Prostate Cancer
- What is being tested?
- dietary education and counseling and prostate cancer foundation booklet
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 478 participants
- Where
- 180 sitesUnited States
- Study dates
- Jan 2011to 15 Jan 2019
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 50 to 80 years
- Men only
- No healthy volunteers
- Adult, Older adult
Preregistration Eligibility:
- Histologic Documentation:
- The initial biopsy showing diagnosis of prostate cancer should be used for the purposes of determining eligibility.
- However, if a subsequent biopsy performed before patient enrollment shows that the patient is ineligible, he may not be enrolled to the study.
- Eligible patients must meet all of the following criteria:
- Biopsy-proven (consisting of ≥ 10 tissue cores) adenocarcinoma of the prostate diagnosed within 24 months prior to pre-registration
- < 25% of biopsy tissue cores positive for cancer
- ≤ 50% of any one biopsy tissue core positive for cancer
- Clinical stage ≤ T2a
- Patients who have prostate cancer with distant metastases are not eligible
- NOTE: If a patient undergoes a transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH), and prostate cancer is diagnosed incidentally from the TURP specimen, eligibility for CALGB 70807 cannot be determined from the TURP specimen. However, if the patient subsequently undergoes a minimum 10-core prostate biopsy within 2 years of prostate cancer diagnosis from the TURP, and prostate cancer is detected in the biopsy specimen and meets the requirements above, the patient is eligible for this study. If prostate cancer is not detected in the biopsy specimen, the patient is not eligible.
- Prior Treatment: Patients who have had prior treatment for prostate cancer by surgery, irradiation, local ablative (i.e. cryosurgery or high-intensity focused ultrasound) or androgen deprivation therapy are not eligible.
- Patients who have had a history of non-cutaneous malignancy (other than nonmelanoma skin cancer) in the previous 5 years are not eligible.
- Language: Patients must be able to read and comprehend English language text and be able to understand spoken English over the phone.
- Life expectancy of at least 3 years
- Patients who are currently taking vitamin supplements including lycopene and beta-carotene are eligible.
- Patients receiving treatment with 5-alpha reductase inhibitors (e.g., finasteride, dutasteride) within 90 days prior to preregistration are not eligible. Treatment with these agents during the protocol intervention is not permitted.
- Patients who are currently taking coumadin are not eligible.
- Participants will be men aged 50 to 80 years.
- For men ≤ 70 years, biopsy Gleason score ≤ 6; for men > 70 years, biopsy Gleason score ≤ (3 + 4) = 7.
- Required Initial Laboratory Values:
- Serum PSA < 10 ng/mL
- NOTE: Baseline PSA for determination of eligibility must be measured after discontinuation of any 5-alpha reductase inhibitors.
Registration Eligibility:
- Successful completion of three 24-hour dietary recalls during the run-in period.
- Patients consuming ≥ 6 servings per day of fruits and vegetables (not including juices), as determined by the run-in dietary recalls are not eligible.
Trial locations and contacts
180 sites in 1 country.
180 sites in 1 country
United States180 sites
Kapiolani Medical Center at Pali Momi
‘Aiea, Hawaii, 96701
Oncare Hawaii, Incorporated - Pali Momi
‘Aiea, Hawaii, 96701
McDowell Cancer Center at Akron General Medical Center
Akron, Ohio, 44307
Morgan Cancer Center at Lehigh Valley Hospital - Cedar Crest
Allentown, Pennsylvania, 18105
McFarland Clinic, PC
Ames, Iowa, 50010
Saint Joseph Mercy Cancer Center
Ann Arbor, Michigan, 48106-0995
CCOP - Michigan Cancer Research Consortium
Ann Arbor, Michigan, 48106
Auburn Regional Center for Cancer Care
Auburn, Washington, 98002
University of Colorado Cancer Center at UC Health Sciences Center
Aurora, Colorado, 80045
Mary Bird Perkins Cancer Center - Baton Rouge
Baton Rouge, Louisiana, 70809
Battle Creek Health System Cancer Care Center
Battle Creek, Michigan, 49017
Overlake Cancer Center at Overlake Hospital Medical Center
Bellevue, Washington, 98004
Kaiser Permanente Medical Center - Bellflower
Bellflower, California, 90706
Walter Reed National Military Medical Center
Bethesda, Maryland, 20889-5600
Mecosta County Medical Center
Big Rapids, Michigan, 49307
CCOP - Montana Cancer Consortium
Billings, Montana, 59101
St. Vincent Healthcare Cancer Care Services
Billings, Montana, 59101
Hematology-Oncology Centers of the Northern Rockies - Billings
Billings, Montana, 59102
Billings Clinic - Downtown
Billings, Montana, 59107-7000
Bloomington Hospital Regional Cancer Institute
Bloomington, Indiana, 47403
Saint Alphonsus Cancer Care Center at Saint Alphonsus Regional Medical Center
Boise, Idaho, 83706
Bozeman Deaconess Cancer Center
Bozeman, Montana, 59715
Veterans Affairs Medical Center - Buffalo
Buffalo, New York, 14215
Roswell Park Cancer Institute
Buffalo, New York, 14263-0001
St. James Healthcare Cancer Care
Butte, Montana, 59701
Rocky Mountain Oncology
Casper, Wyoming, 82609
Providence Centralia Hospital
Centralia, Washington, 98531-9027
Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill
Chapel Hill, North Carolina, 27599-7295
Resurrection Medical Center
Chicago, Illinois, 60631
University of Chicago Cancer Research Center
Chicago, Illinois, 60637-1470
Louis A. Weiss Memorial Hospital
Chicago, Illinois, 60640
Bay Area Hospital
Coos Bay, Oregon, 97420
Oakwood Cancer Center at Oakwood Hospital and Medical Center
Dearborn, Michigan, 48123-2500
Saint Clare's Hospital
Denville, New Jersey, 07834
Wendt Regional Cancer Center at Finley Hospital
Dubuque, Iowa, 52001
Elkhart Clinic, LLC
Elkhart, Indiana, 46514-2098
Michiana Hematology-Oncology, PC - Elkhart
Elkhart, Indiana, 46514
Elkhart General Hospital
Elkhart, Indiana, 46515
Union Hospital of Cecil County
Elkton, Maryland, 21921
Dizzy Gillespie Cancer Institute at Englewood Hospital and Medical Center
Englewood, New Jersey, 07631
Providence Regional Cancer Partnership
Everett, Washington, 98201
Fairbanks Cancer Treatment Center at Fairbanks Memorial Hospital
Fairbanks, Alaska, 99701
St. Francis Hospital
Federal Way, Washington, 98003
Genesys Hurley Cancer Institute
Flint, Michigan, 48503
Hurley Medical Center
Flint, Michigan, 48503
Poudre Valley Hospital
Fort Collins, Colorado, 80524
Front Range Cancer Specialists
Fort Collins, Colorado, 80528
Genesys Regional Medical Center
Grand Blanc, Michigan, 48439
Butterworth Hospital at Spectrum Health
Grand Rapids, Michigan, 49503
CCOP - Grand Rapids
Grand Rapids, Michigan, 49503
Lacks Cancer Center at Saint Mary's Health Care
Grand Rapids, Michigan, 49503
St. Rose Ambulatory and Surgery Center
Great Bend, Kansas, 67530
Benefis Sletten Cancer Institute
Great Falls, Montana, 59405
Great Falls Clinic - Main Facility
Great Falls, Montana, 59405
California Cancer Care, Incorporated - Greenbrae
Greenbrae, California, 94904
Van Elslander Cancer Center at St. John Hospital and Medical Center
Grosse Pointe Woods, Michigan, 48236
Saint Francis/Mount Sinai Regional Cancer Center at Saint Francis Hospital and Medical Center
Hartford, Connecticut, 06105
Hays Medical Center
Hays, Kansas, 67601
St. Peter's Hospital
Helena, Montana, 59601
Pardee Memorial Hospital
Hendersonville, North Carolina, 28791
High Point Regional Hospital
High Point, North Carolina, 27261
Veterans Affairs Medical Center - Hines
Hines, Illinois, 60141
Cancer Research Center of Hawaii
Honolulu, Hawaii, 96813
OnCare Hawaii, Incorporated - Lusitana
Honolulu, Hawaii, 96813
Queen's Cancer Institute at Queen's Medical Center
Honolulu, Hawaii, 96813
Straub Clinic and Hospital, Incorporated
Honolulu, Hawaii, 96813
OnCare Hawaii, Incorporated - Kuakini
Honolulu, Hawaii, 96817-3169
Kapiolani Medical Center for Women and Children
Honolulu, Hawaii, 96826
Hutchinson Hospital Corporation
Hutchinson, Kansas, 67502
Holden Comprehensive Cancer Center at University of Iowa
Iowa City, Iowa, 52242-1002
Foote Memorial Hospital
Jackson, Michigan, 49201
Castle Medical Center
Kailua, Hawaii, 96734
Kalispell Regional Medical Center
Kalispell, Montana, 59901
Kansas City Cancer Centers - West
Kansas City, Kansas, 66112
Kansas Masonic Cancer Research Institute at the University of Kansas Medical Center
Kansas City, Kansas, 66160-7357
Truman Medical Center - Hospital Hill
Kansas City, Missouri, 64108
Veterans Affairs Medical Center - Kansas City
Kansas City, Missouri, 64128
Kansas City Cancer Centers - South
Kansas City, Missouri, 64131
Kansas City Cancer Centers - North
Kansas City, Missouri, 64154
Cascade Cancer Center at Evergreen Hospital Medical Center
Kirkland, Washington, 98033
Seattle Cancer Care Alliance at EvergreenHealth
Kirkland, Washington, 98034
Howard Community Hospital
Kokomo, Indiana, 46904
Gundersen Lutheran Center for Cancer and Blood
La Crosse, Wisconsin, 54601
La Grange Memorial Hospital
La Grange, Illinois, 60525
Rebecca and John Moores UCSD Cancer Center
La Jolla, California, 92093-0658
Center for Cancer Therapy at LaPorte Hospital and Health Services
La Porte, Indiana, 46350
Monter Cancer Center of the North Shore-LIJ Health System
Lake Success, New York, 11042
Lakeland Regional Cancer Center at Lakeland Regional Medical Center
Lakeland, Florida, 33805
Sparrow Regional Cancer Center
Lansing, Michigan, 48912-1811
University Medical Center of Southern Nevada
Las Vegas, Nevada, 89102
CCOP - Nevada Cancer Research Foundation
Las Vegas, Nevada, 89106
Kansas City Cancer Centers - East
Lee's Summit, Missouri, 64064
Tunnell Cancer Center at Beebe Medical Center
Lewes, Delaware, 19958
St. Joseph Regional Medical Center
Lewiston, Idaho, 83501
Lucille P. Markey Cancer Center at University of Kentucky
Lexington, Kentucky, 40536-0093
Kauai Medical Clinic
Lihue, Hawaii, 96766
St. Mary Mercy Hospital
Livonia, Michigan, 48154
Loma Linda University Cancer Institute at Loma Linda University Medical Center
Loma Linda, California, 92354
Kaiser Permanente Medical Center - Los Angeles
Los Angeles, California, 90027
Samuel Oschin Comprehensive Cancer Institute at Cedars-Sinai Medical Center
Los Angeles, California, 90048
Elliot Regional Cancer Center at Elliot Hospital
Manchester, New Hampshire, 03103
CCOP - North Shore University Hospital
Manhasset, New York, 11030
Don Monti Comprehensive Cancer Center at North Shore University Hospital
Manhasset, New York, 11030
Idaho Urologic Institute, PA
Meridian, Idaho, 83642
Middlesex Hospital Cancer Center
Middletown, Connecticut, 06457
Michiana Hematology-Oncology, PC - South Bend
Mishawaka, Indiana, 46545-1470
Saint Joseph Regional Medical Center
Mishawaka, Indiana, 46545-1470
Montana Cancer Specialists at Montana Cancer Center
Missoula, Montana, 59807-7877
Montana Cancer Center at St. Patrick Hospital and Health Sciences Center
Missoula, Montana, 59807
Mount Kisco Medical Group, PC
Mount Kisco, New York, 10549-3417
D.N. Greenwald Center
Mukwonago, Wisconsin, 53149
Mercy General Health Partners
Muskegon, Michigan, 49444
Foundation Medical Partners
Nashua, New Hampshire, 03060
Long Island Jewish Medical Center
New Hyde Park, New York, 11040
MBCCOP - LSU Health Sciences Center
New Orleans, Louisiana, 70112
Medical Center of Louisiana - New Orleans
New Orleans, Louisiana, 70112
New York Weill Cornell Cancer Center at Cornell University
New York, New York, 10021
CCOP - Christiana Care Health Services
Newark, Delaware, 19713
Regional Cancer Center at Oconomowoc Memorial Hospital
Oconomowoc, Wisconsin, 53066
Oklahoma University Cancer Institute
Oklahoma City, Oklahoma, 73104
Providence St. Peter Hospital Regional Cancer Center
Olympia, Washington, 98506-5166
Florida Hospital Cancer Institute at Florida Hospital Orlando
Orlando, Florida, 32803-1273
Kansas City Cancer Centers - Southwest
Overland Park, Kansas, 66210
Cancer Center at Phoenixville Hospital
Phoenixville, Pennsylvania, 19460
Mount Carmel Regional Cancer Center
Pittsburg, Kansas, 66762
Michiana Hematology Oncology PC - Plymouth
Plymouth, Indiana, 46563
St. Joseph Mercy Oakland
Pontiac, Michigan, 48341-2985
Mercy Regional Cancer Center at Mercy Hospital
Port Huron, Michigan, 48060
Maine Medical Center - Bramhall Campus
Portland, Maine, 04102
Good Samaritan Cancer Center
Puyallup, Washington, 98372
Spectrum Health Reed City Hospital
Reed City, Michigan, 49677
West Suburban Center for Cancer Care
River Forest, Illinois, 60305
Mayo Clinic Cancer Center
Rochester, Minnesota, 55905
James P. Wilmot Cancer Center at University of Rochester Medical Center
Rochester, New York, 14642
William Beaumont Hospital - Royal Oak Campus
Royal Oak, Michigan, 48073
Seton Cancer Institute at Saint Mary's - Saginaw
Saginaw, Michigan, 48601
CentraCare Clinic - River Campus
Saint Cloud, Minnesota, 56303
Coborn Cancer Center
Saint Cloud, Minnesota, 56303
Lakeland Regional Cancer Care Center - St. Joseph
Saint Joseph, Michigan, 49085
Lakeside Cancer Specialists, PLLC
Saint Joseph, Michigan, 49085
Tammy Walker Cancer Center at Salina Regional Health Center
Salina, Kansas, 67401
Huntsman Cancer Institute at University of Utah
Salt Lake City, Utah, 84112
Veterans Affairs Medical Center - San Antonio (Murphy)
San Antonio, Texas, 78209
University of Texas Health Science Center at San Antonio
San Antonio, Texas, 78229-3900
Cancer Therapy and Research Center
San Antonio, Texas, 78229
University Hospital - San Antonio
San Antonio, Texas, 78229
Kaiser Permanente Medical Center - Kaiser Foundation Hospital - San Diego
San Diego, California, 92120
Naval Medical Center - San Diego
San Diego, California, 92134
Veterans Affairs Medical Center - San Diego
San Diego, California, 92161
UCSF Helen Diller Family Comprehensive Cancer Center
San Francisco, California, 94115
Adult and Pediatric Urology, PLLP
Sartell, Minnesota, 56377
Maine Center for Cancer Medicine and Blood Disorders - Scarborough
Scarborough, Maine, 04074
Mayo Clinic Scottsdale
Scottsdale, Arizona, 85259-5499
CCOP - Virginia Mason Research Center
Seattle, Washington, 98101
Virginia Mason Medical Center
Seattle, Washington, 98101
Pacific Medical Center
Seattle, Washington, 98104
Kansas City Cancer Center - Shawnee Mission
Shawnee Mission, Kansas, 66204
Welch Cancer Center at Sheridan Memorial Hospital
Sheridan, Wyoming, 82801
Siouxland Hematology-Oncology Associates, LLP
Sioux City, Iowa, 51101
Mercy Medical Center - Sioux City
Sioux City, Iowa, 51102
St. Luke's Regional Medical Center
Sioux City, Iowa, 51104
Somerset Medical Center
Somerville, New Jersey, 08876
CCOP - Northern Indiana CR Consortium
South Bend, Indiana, 46601
Memorial Hospital of South Bend
South Bend, Indiana, 46601
Siteman Cancer Center at Barnes-Jewish Hospital - Saint Louis
St Louis, Missouri, 63110
Saint Helena Hospital
St. Helena, California, 94574
Franciscan Cancer Center at St. Joseph Medical Center
Tacoma, Washington, 98405-3004
Allenmore Hospital
Tacoma, Washington, 98405
CCOP - Northwest
Tacoma, Washington, 98405
MultiCare Regional Cancer Center at Tacoma General Hospital
Tacoma, Washington, 98405
Madigan Army Medical Center - Tacoma
Tacoma, Washington, 98431
St. Clare Hospital
Tacoma, Washington, 98499
St. Francis Comprehensive Cancer Center
Topeka, Kansas, 66606
Munson Medical Center
Traverse City, Michigan, 49684
Cancer Institute of New Jersey at Cooper - Voorhees
Voorhees Township, New Jersey, 08043
St. John Macomb Hospital
Warren, Michigan, 48093
Waukesha Memorial Hospital Regional Cancer Center
Waukesha, Wisconsin, 53188
Cleveland Clinic Florida - Weston
Weston, Florida, 33331
Michiana Hematology Oncology PC - La Porte
Westville, Indiana, 46391
York Hospital's Oncology Treatment Center
York Village, Maine, 03909
About this study
Official title: The Men's Eating and Living (MEAL) Study: A Randomized Trial of Diet to Alter Disease Progression in Prostate Cancer Patients on Active Surveillance
RATIONALE: Eating a diet high in vegetables may slow down disease progression in patients with prostate cancer.
PURPOSE: This randomized clinical trial is studying how well diet works in altering disease progression in patients with prostate cancer on active surveillance.
Read the detailed description
CALGB 70807 is a randomized, phase III clinical trial designed to test this practical, diet-based intervention for prostate cancer in a broader clinical setting. Patients on AS will be randomized either to an intervention of centralized, telephone-based dietary counseling and structured dietary education or to a comparison control condition in which they receive the Prostate Cancer Foundation booklet. Study endpoints will include disease progression, incidence of treatment, and health-related quality of life.
OBJECTIVES:
Primary
- To determine if a telephone-based dietary intervention compared to no intervention will decrease clinical progression in AS patients.
Secondary
- To compare the incidence of active treatment (surgery, irradiation, local ablation, or androgen deprivation) in AS patients receiving dietary intervention compared to no intervention.
- To compare prostate cancer-related anxiety in AS patients receiving dietary intervention compared to no intervention.
- To compare health-related quality of life in AS patients receiving dietary intervention compared to no intervention.
OUTLINE: This is a multicenter study. Patients are stratified according to age (≤ 70 years vs > 70 years), race (black or african american vs other), and baseline prostate biopsy (0-12 months before registration vs > 12-24 months before registration). Patients are randomized to 1 of 2 treatment arms. Please see the arms section for more information.
- Conditions
- Prostate Cancer
- Being tested
- dietary education and counseling, prostate cancer foundation booklet
- Keywords
- stage I prostate cancer, stage IIB prostate cancer, stage IIA prostate cancer, adenocarcinoma of the prostate
- Medical subject headings
- Prostatic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
dietary education and counselingOther
prostate cancer foundation bookletOther
| Study group | Role | What they receive |
|---|---|---|
| Arm A - MEAL Program Intervention | Experimental | Patients will receive dietary education and telephone counseling sessions over 24 months. Receives: Other: dietary education and counseling |
| Arm B - Prostate Cancer Foundation Booklet | Experimental | Patients receive information about diet, nutrition, exercise and cancer. Patients also receive regularly scheduled newsletters. Receives: Other: prostate cancer foundation booklet |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time to Progression
Time to progression (TTP) was defined as the length of time from the date of random assignment to progression; patients who died from any cause without experiencing disease progression were censored at the time of death. Disease progression is defined by (a) PSA doubling time (PSADT) less than 3 years, (b) PSA above 10 at any time, or (c) Gleason score on repeat biopsy ≥ 7 for men 70 years or younger and ≥ 4+3 = 7 for men older than 70 years. For the primary analysis, TTP was analyzed using the Kaplan-Meier method; the log-rank test was used to determine superiority of the intervention arm (Arm A: MEAL Program Intervention) compared with the control arm (Arm B: Prostate Cancer Foundation Booklet).
Measured: Up to 2 years
Secondary outcomes (3)
Time to Treatment: Censoring Death, Progression or Last Follow-up as Measured by Number of Events Observed
Time to treatment was analyzed by the Kaplan-Meier method. For this analysis, patients who did not withdrawal from the study to pursue treatment were censored at the time of clinical progression, death, or their last follow-up visit, whichever occurred first. The number of patients who observed an event (treatment) are summarized below.
Measured: Up to 2 years
Quality of Life (QOL) Was Measured Using Change From Baseline in Total Summary Score of Memorial Anxiety Scale for Prostate Cancer (MAX-PC) at Month 24
Quality of Life (QOL) was measured using Observed Total Summary Score of Memorial Anxiety Scale for Prostate Cancer [MAX-PC] at Month 24 on a 0-108 scale, with lower scores corresponding to worse overall QOL and higher scores corresponding to better overall QOL. MAX-PC is a prostate cancer-specific measure to assess patient anxiety due to prostate cancer, PSA tests and fears of recurrence. Change from baseline to month-24 was calculated by subtracting the baseline scores from the scores at month-24. Higher scores on MAX-PC indicate better QOL
Measured: Up to 2 years
Total Vegetables (Servings Per Day) Evaluated at Baseline and Month 24 Based on Dietary Recall
At baseline and 24 months, participant diet including total vegetables (servings/day) was measured with a series of three separate interviews at each time point, on three-randomly selected days in a single week, using the Nutrition Data Systems for Research (NDS-R, current version 2010, University of Minnesota Nutrition Coordinating Center, University of Minnesota, Minneapolis, MN) software and nutrient database. Total vegetables were measured as the number of servings per day (range: ≥ 0), where higher values correspond to more servings per day. The within-participant change from baseline at 24 months was calculated by subtracting the baseline number of servings per day from the number of servings per day at month 24; positive values correspond to increased consumption of total vegetables.
Measured: Up to 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Nov 2010 (estimated)
- Study startJan 2011
- Primary completion18 Nov 2017
- Study completion15 Jan 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Prostate CancerStudies of the same condition, open and under way.
- More trials run by Alliance for Clinical Trials in OncologyThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 478 participants (actual)
Sponsor and investigators
- Lead sponsor
- Alliance for Clinical Trials in Oncology
- Sponsor type
- University, hospital or other
- Collaborators
- National Cancer Institute (NCI)
- Responsible party
- Sponsor
- Investigators
- J. Kellogg Parsons, MD, MHS, Study chair, University of California, San Diego
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01238172
- Sponsor's protocol ID
- CALGB-70807
- Other IDs
- CALGB-70807, CDR0000687958
- Status last verified
- Mar 2023
- First submitted
- 9 Nov 2010
- Last updated
- 21 Mar 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Parsons JK, Zahrieh D, Mohler JL, Paskett E, Hansel DE, Kibel AS, Liu H, Seisler DK, Natarajan L, White M, Hahn O, Taylor J, Hartman SJ, Stroup SP, Van Veldhuizen P, Hall L, Small EJ, Morris MJ, Pierce JP, Marshall J. Effect of a Behavioral Intervention to Increase Vegetable Consumption on Cancer Progression Among Men With Early-Stage Prostate Cancer: The MEAL Randomized Clinical Trial. JAMA. 2020 Jan 14;323(2):140-148. doi: 10.1001/jama.2019.20207.
PubMed 31935026
Study at a glance
From the registry record, last updated by the sponsor on 21 Mar 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Men's Eating and Living (MEAL) Study: A Randomized Trial of Diet to Alter Disease Progression in Prostate Cancer Patients on Active Surveillance
- ClinicalTrials.gov ID
- NCT01238172
- Acronym / sponsor ID
- CALGB-70807
- Conditions
- Prostate Cancer
- Keywords
- stage I prostate cancer, stage IIB prostate cancer, stage IIA prostate cancer, adenocarcinoma of the prostate
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 478 participants (actual)
- Lead sponsor
- Alliance for Clinical Trials in OncologyUniversity, hospital or other
- Collaborators
- National Cancer Institute (NCI)
- Study start
- Jan 2011 (actual)
- Primary completion
- 18 Nov 2017 (actual)
- Study completion
- 15 Jan 2019 (actual)
- First posted
- 10 Nov 2010 (estimated)
- Results
- Posted 12 Mar 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
RATIONALE: Eating a diet high in vegetables may slow down disease progression in patients with prostate cancer.
PURPOSE: This randomized clinical trial is studying how well diet works in altering disease progression in patients with prostate cancer on active surveillance.
Detailed description
CALGB 70807 is a randomized, phase III clinical trial designed to test this practical, diet-based intervention for prostate cancer in a broader clinical setting. Patients on AS will be randomized either to an intervention of centralized, telephone-based dietary counseling and structured dietary education or to a comparison control condition in which they receive the Prostate Cancer Foundation booklet. Study endpoints will include disease progression, incidence of treatment, and health-related quality of life.
OBJECTIVES:
Primary
- To determine if a telephone-based dietary intervention compared to no intervention will decrease clinical progression in AS patients.
Secondary
- To compare the incidence of active treatment (surgery, irradiation, local ablation, or androgen deprivation) in AS patients receiving dietary intervention compared to no intervention.
- To compare prostate cancer-related anxiety in AS patients receiving dietary intervention compared to no intervention.
- To compare health-related quality of life in AS patients receiving dietary intervention compared to no intervention.
OUTLINE: This is a multicenter study. Patients are stratified according to age (≤ 70 years vs > 70 years), race (black or african american vs other), and baseline prostate biopsy (0-12 months before registration vs > 12-24 months before registration). Patients are randomized to 1 of 2 treatment arms. Please see the arms section for more information.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm A - MEAL Program Intervention | Experimental | Other: dietary education and counselingPatients will receive dietary education and telephone counseling sessions over 24 months. |
| Arm B - Prostate Cancer Foundation Booklet | Experimental | Other: prostate cancer foundation bookletPatients receive information about diet, nutrition, exercise and cancer. Patients also receive regularly scheduled newsletters. |
Who may qualify
- Ages
- 50 to 80 years
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| dietary education and counseling | Other | Arm A - MEAL Program Intervention |
| prostate cancer foundation booklet | Other | Arm B - Prostate Cancer Foundation Booklet |
Primary outcome
Time to Progression
Time frame: Up to 2 years
Time to progression (TTP) was defined as the length of time from the date of random assignment to progression; patients who died from any cause without experiencing disease progression were censored at the time of death. Disease progression is defined by (a) PSA doubling time (PSADT) less than 3 years, (b) PSA above 10 at any time, or (c) Gleason score on repeat biopsy ≥ 7 for men 70 years or younger and ≥ 4+3 = 7 for men older than 70 years. For the primary analysis, TTP was analyzed using the Kaplan-Meier method; the log-rank test was used to determine superiority of the intervention arm (Arm A: MEAL Program Intervention) compared with the control arm (Arm B: Prostate Cancer Foundation Booklet).
3 secondary outcomes
Time to Treatment: Censoring Death, Progression or Last Follow-up as Measured by Number of Events Observed
Time frame: Up to 2 years
Quality of Life (QOL) Was Measured Using Change From Baseline in Total Summary Score of Memorial Anxiety Scale for Prostate Cancer (MAX-PC) at Month 24
Time frame: Up to 2 years
Total Vegetables (Servings Per Day) Evaluated at Baseline and Month 24 Based on Dietary Recall
Time frame: Up to 2 years
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Mar 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 31935026Parsons JK, Zahrieh D, Mohler JL, Paskett E, Hansel DE, Kibel AS, Liu H, Seisler DK, Natarajan L, White M, Hahn O, Taylor J, Hartman SJ, Stroup SP, Van Veldhuizen P, Hall L, Small EJ, Morris MJ, Pierce JP, Marshall J. Effect of a Behavioral Intervention to Increase Vegetable Consumption on Cancer Progression Among Men With Early-Stage Prostate Cancer: The MEAL Randomized Clinical Trial. JAMA. 2020 Jan 14;323(2):140-148. doi: 10.1001/jama.2019.20207.
- Data Available: Select individual patient-level data from this trial can be requested from the NCTN/NCORP Data ArchiveLink provided by the sponsor.
Related trials for Prostate Cancer
Active, not recruiting
Streamlined Geriatric and Oncological Evaluation Based On IC Technology
Breast Cancer, Comorbidities and Coexisting Conditions
Active, not recruitingObservational study
MRI Fusion Biopsy vs. Micro-Ultrasound Guided Biopsy
Prostate Cancer
Enrolling by invitationObservational study
Natural History Study of Early Life Exposures in Agriculture (ELEA)
Prostate Cancer, Leukemia
Not yet recruitingPhase 1/2
STAR0602 With Nivolumab in Non Small Cell Lung Cancer and in Metastatic Castrate-Resistant Prostate Cancer, and STAR0602 Alone in Thymic Carcinoma
NSCLC, Non-Small Cell Lung Cancer
Recruiting
Rehabilitation and Sex Therapy to Optimize Recovery After Prostate Cancer Treatment
Prostate Cancer, Urinary Incontinence
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
J. Kellogg Parsons, MD, MHS study chair
University of California, San Diego
180 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing dietary education and counseling and prostate cancer foundation booklet in people with Prostate Cancer, run by Alliance for Clinical Trials in Oncology at 180 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 21 Mar 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 180 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 12 Mar 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Time to Progression (time frame: Up to 2 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01238172, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Mar 2023.