AzTrials
AzTrials

Head and Neck Squamous Cell CarcinomaGALENOS 2NCT07514754

Galenos 2 Immunonutrition in Head and Neck, Lung, and Rectal Cancer Patients

A study testing Galenic Immunonutrition Formula in people with Head and Neck Squamous Cell Carcinoma and Locally Advanced Rectal Cancer, run by Fondazione del Piemonte per l'Oncologia at 1 site in Italy.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

GALENOS 2 is a single-arm, single-center, phase II interventional study designed to evaluate the effects of a galenic immunonutrition dietary supplement in patients with head and neck squamous cell carcinoma, locally advanced rectal cancer, or lung cancer undergoing standard antineoplastic treatment. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Galenic Immunonutrition Formula
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
52 participants
Where
1 siteItaly
Study dates
3 Oct 2025to 30 Dec 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Written informed consent to study procedures
  • Male or female, age greater than 18 years
  • Histological or cytological documentation of head and neck squamous cell carcinoma, locally advanced rectal cancer, or lung cancer candidate for immunotherapy, chemotherapy, and/or radiotherapy according to standard clinical practice
  • ECOG Performance Status score less than 2
  • Adequate kidney, liver, and bone marrow function
  • Ability to understand, sign informed consent, and comply with study procedures

Who cannot join

  • Incomplete recovery from surgery before starting antineoplastic treatment
  • Other progressing malignancy or malignancy requiring active treatment within the last 3 years, except localized basal cell carcinoma, localized squamous cell carcinoma of the skin, or cervical carcinoma in situ
  • Active infection requiring systemic antibiotic therapy
  • Serious or unstable medical conditions, psychiatric disorders, or substance abuse interfering with study compliance
  • Receipt of any live vaccine within 30 days before study treatment
  • Active cardiac pacing/pacing implants/neurostimulators/hearing system not compatible with bioimpedance analysis
  • Edema and/or ascites not compatible with body weight evaluation and bioimpedance analysis
  • Enteral or parenteral nutritional support at baseline

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Valentina Casalone, MD contact

0119933844 ext. +39

valentina.casalone@ircc.it

Italy1 site, 1 recruiting
  • Fondazione del Piemonte per l'Oncologia- IRCCS Istituto di Candiolo, Candiolo, Turin 10060

    Candiolo, Torino (TO), 10060

    Valentina Casalone, 0119933844 ext. +39, valentina.casalone@ircc.it

    Recruiting

Other trials in Italy

About this study

Official title: Use of an Immunonutrition Galenic Formulation in Head and Neck, Lung and Rectal Cancer Patients During Antineoplastic Treatments: A Prospective Study

GALENOS 2 is a single-arm, single-center, phase II interventional study designed to evaluate the effects of a galenic immunonutrition dietary supplement in patients with head and neck squamous cell carcinoma, locally advanced rectal cancer, or lung cancer undergoing standard antineoplastic treatment. The study aims to assess whether the formula may reduce treatment-related toxicity and improve treatment compliance, using patients from the GALENOS 1 observational study as the control group for comparison

Read the detailed description

This prospective interventional study will enroll adult patients with head and neck squamous cell carcinoma, locally advanced rectal cancer, or lung cancer who are candidates for standard chemoradiotherapy, chemotherapy, radiotherapy, or immunotherapy according to clinical practice. All enrolled participants will receive a galenic immunonutrition formula twice daily starting on the first day of antineoplastic treatment and continuing for up to 45 days, in addition to standard nutritional counseling and routine oncologic care. The study will prospectively assess treatment-related toxicity, nutritional status, body composition, muscle function, cytokine profiles, quality of life, physical activity, treatment adherence/tolerance, and compliance with the galenic formula. Outcomes in GALENOS 2 will be compared with matched or pooled control patients from the GALENOS 1 observational study

Being tested
Galenic Immunonutrition Formula
Keywords
Immunonutrition, Head and Neck Squamous Cell Carcinoma, Locally Advanced Rectal Cancer, Lung Cancer, Treatment Toxicity, Supportive Care, Body Composition, Nutritional Status, Cytokines, Quality of Life
Medical subject headings
Squamous Cell Carcinoma of Head and Neck, Lung Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Galenic Immunonutrition FormulaDietary supplement

    The investigational galenic immunonutrition formula is a jelly-based oral supplement formulated with arginine, brewer's yeast, omega-3 powder, olive oil, soy lecithin, glycerol, animal gelatine, purified water, citrate components, and flavoring, with sugar-containing or sweetener-containing versions and peach or lemon flavor options. Participants will receive two servings per day starting on the first day of antineoplastic treatment and continuing for up to 45 days. The product will be prepared and supplied free of charge by the Hospital Pharmacy of FPO-IRCCS Candiolo

Study groups in NCT07514754
Study groupRoleWhat they receive
Experimental: Galenic Immunonutrition FormulaExperimentalParticipants with head and neck squamous cell carcinoma, locally advanced rectal cancer, or lung cancer undergoing standard antineoplastic treatment will receive the galenic immunonutrition formula twice daily from treatment start for a maximum of 45 days, alongside routine nutritional counseling and standard clinical management
Receives: Dietary Supplement: Galenic Immunonutrition Formula

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Participants with at least 1 Grade 3 or higher treatment-related adverse event

    Number of participants with at least 1 treatment-related adverse event of Grade 3 or higher, assessed according to Common Terminology Criteria for Adverse Events version 5.0 (CTCAE v5.0)

    Measured: From the first day of antineoplastic treatment to end of trial, assessed up to 63 days

Secondary outcomes (43)
  1. Body weight

    Body weight measured in kilograms (kg)

    Measured: From baseline (T0) to end of trial (T3), assessed up to 63 days

  2. Body mass index

    Body mass index calculated as body weight in kilograms divided by height in meters squared (kg/m²)

    Measured: From baseline (T0) to end of trial (T3), assessed up to 63 days

  3. Daily oral energy intake

    Average daily oral energy intake assessed from food record and expressed in kilocalories per day (kcal/day).

    Measured: From baseline (T0) to end of trial (T3), assessed up to 63 days

  4. Nutritional Risk Screening 2002 score

    Nutritional risk assessed using the Nutritional Risk Screening 2002 (NRS-2002). Total score ranges from 0 to 7, with higher scores indicating greater nutritional risk and worse nutritional status

    Measured: From baseline (T0) to end of trial (T3), assessed up to 63 days

  5. Prognostic Nutritional Index

    Prognostic Nutritional Index (PNI). Higher values indicate better nutritional and immunologic status

    Measured: From baseline (T0) to end of trial (T3), assessed up to 63 days

  6. Participants requiring additional nutritional support

    Number of participants requiring additional oral, enteral, or parenteral nutritional support during the study period

    Measured: From the first day of treatment to end of trial, assessed up to 63 days

  7. Skeletal muscle mass

    Skeletal muscle mass measured by bioimpedance analysis and expressed in kilograms (kg)

    Measured: From baseline (T0) to end of trial (T3), assessed up to 63 days

  8. Fat-free mass

    Fat-free mass measured by bioimpedance analysis and expressed in kilograms (kg).

    Measured: From baseline (T0) to end of trial (T3), assessed up to 63 days

  9. Body cell mass

    Body cell mass measured by bioimpedance analysis and expressed in kilograms (kg).

    Measured: From baseline (T0) to end of trial (T3), assessed up to 63 days

  10. Fat mass

    Fat mass measured by bioimpedance analysis and expressed in kilograms (kg).

    Measured: From baseline (T0) to end of trial (T3), assessed up to 63 days

  11. Total body water

    Total body water measured by bioimpedance analysis and expressed in liters (L)

    Measured: From baseline (T0) to end of trial (T3), assessed up to 63 days

  12. Skeletal muscle index

    Skeletal muscle index measured by bioimpedance analysis and expressed in kg/m²

    Measured: From baseline (T0) to end of trial (T3), assessed up to 63 days

  13. Phase angle

    Phase angle measured by bioimpedance analysis and expressed in degrees. Higher values generally indicate better cellular integrity

    Measured: From baseline (T0) to end of trial (T3), assessed up to 63 days

  14. Handgrip strength

    Maximum handgrip strength measured using a handgrip dynamometer and expressed in kilograms (kg).

    Measured: From baseline (T0) to end of trial (T3), assessed up to 63 days

  15. Handgrip endurance

    Handgrip endurance measured using a handgrip dynamometer.

    Measured: From baseline (T0) to end of trial (T3), assessed up to 63 days

  16. ECOG Performance Status score

    Performance status assessed using the Eastern Cooperative Oncology Group (ECOG) Performance Status scale. Scores range from 0 to 5, with higher scores indicating worse functional impairment

    Measured: From baseline (T0) to end of trial (T3), assessed up to 63 days

  17. Toxicity-free survival

    Time from the first day of antineoplastic treatment to the first documented treatment-related adverse event, assessed according to CTCAE v5.0, expressed in days

    Measured: From the first day of treatment to first toxicity or end of trial, assessed up to 63 days

  18. Relative chemotherapy dose delivered

    Total chemotherapy dose administered expressed as the percentage of the planned chemotherapy dose

    Measured: From treatment start to end of treatment, assessed up to 63 days

  19. Relative radiotherapy dose delivered

    Total radiotherapy dose administered expressed as the percentage of the planned radiotherapy dose.

    Measured: From treatment start to end of treatment, assessed up to 63 days

  20. Relative immunotherapy dose delivered

    Total immunotherapy dose administered expressed as the percentage of the planned immunotherapy dose.

    Measured: From treatment start to end of treatment, assessed up to 63 days

  21. Relative variation in treatment duration

    Variation in actual treatment duration compared with planned treatment duration, expressed as a percentage

    Measured: From treatment start to end of treatment, assessed up to 63 days

  22. Participants completing the planned treatment schedule

    Number of participants who complete the planned treatment schedule.

    Measured: From treatment start to end of treatment, assessed up to 63 days

  23. Participants requiring unplanned hospitalization

    Number of participants requiring at least 1 unplanned hospitalization during the study period.

    Measured: From treatment start to end of trial, assessed up to 63 days

  24. EORTC QLQ-C30 Global Health Status / Quality of Life score

    Self-perceived quality of life assessed using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 version 3.0 (EORTC QLQ-C30 v3.0), Global Health Status / Quality of Life scale. Scores range from 0 to 100, with higher scores indicating better quality of life.

    Measured: At baseline (T0), during treatment, and at end of trial (T3), assessed up to 63 days

  25. International Physical Activity Questionnaire score

    Physical activity assessed using the International Physical Activity Questionnaire (IPAQ).

    Measured: From baseline (T0) to end of trial (T3), assessed up to 63 days

  26. Formula compliance

    Compliance with the galenic immunonutrition formula, expressed as the percentage of prescribed daily servings recorded as consumed in the daily intake diary.

    Measured: From the first day of treatment to Day 45, assessed up to 45 days

  27. Change in circulating CCL2 concentration

    Plasma CCL2 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).

    Measured: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort

  28. Change in circulating CCL4 concentration

    Plasma CCL4 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).

    Measured: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort

  29. Change in circulating CCL22 concentration

    Plasma CCL22 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).

    Measured: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort

  30. Change in circulating CXCL10 concentration

    Plasma CXCL10 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).

    Measured: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort

  31. Change in circulating IFN-γ concentration

    Plasma IFN-γ concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).

    Measured: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort

  32. Change in circulating IL-2 concentration

    Plasma IL-2 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).

    Measured: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort

  33. Change in circulating IL-4 concentration

    Plasma IL-4 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).

    Measured: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort

  34. Change in circulating IL-5 concentration

    Plasma IL-5 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).

    Measured: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort

  35. Change in circulating IL-6 concentration

    Plasma IL-6 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).

    Measured: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort

  36. Change in circulating IL-8 concentration

    Plasma IL-8 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).

    Measured: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort

  37. Change in circulating IL-10 concentration

    Plasma IL-10 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).

    Measured: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort

  38. Change in circulating IL-12 concentration

    Plasma IL-12 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).

    Measured: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort

  39. Change in circulating IL-13 concentration

    Plasma IL-13 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).

    Measured: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort

  40. Change in circulating IL-15 concentration

    Plasma IL-15 concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).

    Measured: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort

  41. Change in circulating TGF-β concentration

    Plasma TGF-β concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).

    Measured: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort

  42. Change in circulating TNF-α concentration

    Plasma TNF-α concentration measured using the Simple Plex system and expressed in picograms per milliliter (pg/mL).

    Measured: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort

  43. Change in C-reactive protein concentration

    C-reactive protein concentration measured in peripheral blood

    Measured: From baseline (T0) to end of treatment blood sampling, assessed up to 42 days for HNSCC and lung cohorts and up to 31 days for LARC cohort

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Apr 2026
  2. Study start3 Oct 2025
  3. Primary completion30 Jul 2027 (estimated)
  4. Study completion30 Dec 2027 (estimated)

Resources

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 N/A
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Model description
All enrolled participants will receive the galenic immunonutrition formula in addition to standard nutritional care and standard oncologic treatment. Outcomes will be compared with control patients from the GALENOS 1 observational study using matching or pooling methods
Masking
None (open label)
Enrolment
52 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07514754
Sponsor's protocol ID
006-FPO25
Acronym
GALENOS 2
Status last verified
Mar 2026
First submitted
31 Mar 2026
Last updated
7 Apr 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Galenic Immunonutrition Formula in people with Head and Neck Squamous Cell Carcinoma and Locally Advanced Rectal Cancer, run by Fondazione del Piemonte per l'Oncologia at 1 site in Italy.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 8 exclusion criteria. 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: looking for participants now, as of the sponsor's last update on 7 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Italy. 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.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Valentina Casalone, MD (0119933844 ext. +39, valentina.casalone@ircc.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Participants with at least 1 Grade 3 or higher treatment-related adverse event (time frame: From the first day of antineoplastic treatment to end of trial, assessed up to 63 days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 7 Apr 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in