[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100584991":3},{"organization":4,"armGroups":7,"interventions":18,"overallOfficials":17,"centralContacts":24,"locations":30,"responsibleParty":46,"collaborators":17,"id":50,"slug":51,"hasResults":52,"nctId":53,"briefTitle":54,"officialTitle":55,"acronym":17,"eligibilityCriteria":56,"healthyVolunteers":52,"sex":57,"minAge":58,"maxAge":59,"enrollmentInfo":60,"targetDuration":17,"studyType":63,"phases":64,"briefSummary":67,"conditions":68,"keywords":72,"overallStatus":77,"whyStopped":17,"lastUpdateSubmitDate":78,"lastUpdatePostDateStruct":79,"startDateStruct":82,"completionDateStruct":84,"leadSponsor":86,"locationsCount":87},{"fullName":5,"class":6},"Rabin Medical Center","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Ketogenic Diet (KD) Group: A high-fat, low-carb diet (intermittent schedule: 2 weeks on,1 week off))","EXPERIMENTAL","Seven days (±2 days) before first dose of immunotherapy, patients will receive instructions to follow KD. The KD composition: 5-10% of the calories from carbohydrate, 20-30% protein and 60-70% fat. No calorie restriction will be applied, and patients will be instructed to eat to satiety. Supplemental MCT (medium chain triglyceride) oil or \u002Fand ketocal powder (Nutricia) will be added at the dietician's discretion in order to promote ketone production. During the period off the KD, the participants will be instructed to gradually follow standard diet composition (50-60% of the calories from carbohydrate, 15-20% protein and 20-30% fat). Diet protocol will be given to the patient along with specific menu suggestions for each individual.",[13],"Dietary Supplement: Ketogenic diet",{"label":15,"type":16,"description":17,"interventionNames":17},"Standard Diet (SD) Group: A typical diet with no major changes.","NO_INTERVENTION",null,[19],{"type":20,"name":21,"description":22,"armGroupLabels":23,"otherNames":17},"DIETARY_SUPPLEMENT","Ketogenic diet","Ketogenic Diet as an Adjunct to Immunotherapy: Unlike many trials focused on chemotherapy or targeted therapies, this study specifically investigates the synergistic effects of the ketogenic diet with immune checkpoint inhibitors (ICIs), a promising approach for enhancing immunotherapy efficacy. The diet's high-fat, low-carbohydrate regimen is designed to shift metabolism towards ketone bodies and fatty acid utilization, potentially modulating immune responses and tumor immunogenicity in a way that standard diets do not.",[9],[25],{"name":26,"role":27,"phone":28,"phoneExt":17,"email":29},"Keren Porper, M.Sc","CONTACT","97239377990","kerenporper83@gmail.com",[31],{"facility":5,"status":17,"city":32,"state":17,"zip":17,"country":33,"countryCode":34,"cosmosGeoPoint":35,"geoPoint":40,"contacts":41},"Petah Tikva","Israel","IL",{"type":36,"coordinates":37},"Point",[38,39],34.88747,32.08707,{"lat":39,"lon":38},[42],{"name":43,"role":27,"phone":44,"phoneExt":17,"email":45},"Meital Buskila","97239377218","meitalbu2@clalit.org.il",{"type":47,"investigatorFullName":48,"investigatorTitle":49,"investigatorAffiliation":5,"oldNameTitle":17,"oldOrganization":17},"PRINCIPAL_INVESTIGATOR","Gal Markel","MD Ph.D. MBA, Deputy Director of Rabin Medical Center, and Director of Davidoff Center Rabin Medical Center, Full Professor of Clinical Microbiology & Immunology at the Sackler Faculty of Medicine, Tel Aviv University.","100584991","phase-1-single-center-trial-on-ketogenic-diet-and-immunotherapy-in-advanced-cancer-this-study-evaluates-the-safety-and-effects-of-a-ketogenic-diet-kd-combined-with-immunotherapy-in-adults-with-advanced-melanoma-cscc-or-rcc-100584991",false,"NCT06896552","Single-Center Trial on Ketogenic Diet and Immunotherapy in Advanced Cancer This Study Evaluates the Safety and Effects of a Ketogenic Diet (KD) Combined With Immunotherapy in Adults With Advanced Melanoma, cSCC, or RCC.","Investigating the Effect of Ketogenic Diet on Immunological Parameters in Advanced Cancer Patients Undergoing Immunotherapy","Inclusion Criteria:\n\n* • Males and females, age \\>= 18 years\n\n  * Patients with a histologically confirmed melanoma or cSCC or RCC receiving first line treatment with combination nivolumab and ipilimumab \u002Frelatlimab or single agent ipilimumab, nivolumab, pembrolizumab, Cemiplimab.\n  * Able to read, understand, and provide written informed consent\n  * Willing and able to complete all study-specific procedures and visits\n  * Patients with Eastern Cooperative Oncology Group (ECOG) performance status ≤2.\n  * Blood tests:\n\n    * Creatinine (Cr) \\\u003C 1.5 mg\u002FdL.\n    * Magnesium normal range ( 1.5 -2,6 mg\u002FdL)\n    * Liver function tests (LFTs) 2.5x upper limit of normal (ULN).\n    * Neutrophils ≥ 1,000\u002Fmm3, platelets ≥ 50,000\u002Fmm3, Hb\\>8 g\u002FdL\n    * Women of childbearing potential must have a negative β-HCG pregnancy test documented within 1 week of registration.\n\nExclusion Criteria:\n\n* • Individuals \\\u003C 18 years of age\n\n  * Unable or unwilling to provide consent\n  * Other active malignancy (other than adequately treated and cured basal or squamous cell skin cancer, curatively treated in situ disease, or any other cancer from which the patient has been disease free \\>=2 years)\n  * Currently consuming a low-carbohydrate (\\\u003C 130 g\u002Fday) or KD or done so in the last 6-months\n  * Patients currently participating in an interventional or therapeutic clinical trial involving the use of active anti-cancer therapy.\n  * Active autoimmune diseases requiring active Immune suppressive medications\n  * Systemic steroid therapy, excluding for replacement due to adrenal insufficiency\n  * Major surgery within last 3 months\n  * BMI \\\u003C18 or \\>35\n  * Medical contraindications to the intervention diet as determined by the treating physician.\n  * Self-reported major dietary restrictions related to the intervention such as irritable bowel syndrome (IBS).\n  * Patients with a history or active eating disorder\n  * Uncontrolled Diabetes mellitus or patients receiving insulin\n  * Known diagnosis of HIV\n  * Known active hepatitis B or hepatitis C\n  * Known inborn errors of lipid metabolism\n  * Sever or uncontrolled Hyperlipidemia (total cholesterol over 400 mg \u002F dL, low-density lipoprotein (LDL) above 300 mg \u002F dL, triglycerides over 500 mg \u002F dl.).\n  * Pregnant or lactating.\n  * Patients who have undergone a transplant","ALL","18 Years","100 Years",{"count":61,"type":62},60,"ESTIMATED","INTERVENTIONAL",[65,66],"PHASE1","PHASE2","This clinical trial aims to evaluate whether a ketogenic diet (KD), when combined with immunotherapy, can improve immune function and treatment outcomes in patients with advanced melanoma, cutaneous squamous cell carcinoma (cSCC), or renal cell carcinoma (RCC).\n\nWhy Is This Study Important? Immunotherapy is a promising cancer treatment, but not all patients respond well. Research suggests that diet, particularly a high-fat, low-carbohydrate ketogenic diet, may help boost the immune system and make treatments more effective.\n\nWhat Will This Study Examine?\n\nResearchers want to understand:\n\nIs the ketogenic diet well-tolerated for cancer patients? Does the diet improve immune responses and treatment effectiveness?\n\nHow Will the Study Work?\n\nParticipants will be placed into one of two groups:\n\nKetogenic Diet (KD) Group: A structured high-fat, low-carb diet (intermittent schedule: 2 weeks on, 1 week off).\n\nStandard Diet (SD) Group: A typical diet with no major changes. Throughout the study, a dietitian will closely support and guide you. Both groups will continue their standard immunotherapy treatment.\n\nWhat Will Participants Do? Write their food intake three times a week to help assess dietary adherence Follow their assigned diet for 10 weeks Have weekly check-ins with a dietitian (in-person at the hospital or via phone) Have weekly blood glucose and ketone level checks using a home device. Provide monthly blood samples to measure immune response during routine immunotherapy infusions Provide stool samples for gut microbiome analysis at the start and end of the study Measure Monthly Weight, body composition, and resting calorie burn Complete quality-of-life questionnaires\n\nWhat Are the Potential Benefits? Improved response to immunotherapy Better understanding of how diet influences cancer treatment Potential for a new supportive strategy for cancer care\n\nThis study may help uncover ways to enhance cancer treatment through personalized nutrition.",[69,70,71],"Cancer","Immunotherapy","Ketogenic Diet",[73,74,71,75,76],"Metastatic Melanoma","Renal Cell Carcinoma","Dietary Intervention and Immunotherapy","Ketogenic diet (KD) and cancer treatment","NOT_YET_RECRUITING","2025-03-19",{"date":80,"type":81},"2025-03-26","ACTUAL",{"date":83,"type":62},"2025-04",{"date":85,"type":62},"2027-04",{"name":5,"class":6},1]