Neoplasms

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Digestive System Diseases

Mouth and Tooth Diseases

Head and Neck Neoplasms

Mucositis

Gastroenteritis

Gastrointestinal Diseases

Mouth Diseases

Stomatognathic Diseases

Amino Acids

All Drugs and Chemicals

Glutamine

Group of participants given the experimental WFI along with standard cancer treatment.

A combination of honey, glutamine, probiotics, and butter was administered to participants undergoing cancer.

Whole Food Intervention

Miles H Hassell, MD

This is a study to see if a Whole Food Intervention (WFI) consisting of yogurt, butter, honey, vanilla, and glutamine will lower the frequency or severity of mucositis in head and neck cancer patients undergoing standard treatment.

The proposal is a one center, open label, randomized pilot study to evaluate the safety, tolerability and compliance of a Whole Food Intervention with Standard of Care for patients with head \& neck cancer. The primary objectives are:

1. To determine whether patients will use a Whole Food Intervention 4-6 times daily, and
2. To determine whether the Whole Food Intervention will reduce the incidence of grade 2 or greater mucositis from 75% historically seen to 25% .
3. To determine whether Whole Food Intervention will reduce the incidence of treatment breaks from \>19% to \< 10% (see section 9 for comments)

This Whole Food Intervention will be taken by mouth before the start of radiation therapy, with or without chemotherapy and for the entire treatment therapy.

Mucositis-related pain and reduction of oral intake will be quantified by using validated assessment tools. Weight loss or gain, diarrhea, constipation or no change in bowel function and the use of conventional medication for radiation-induced mucositis will be recorded. Chart review and patient questionnaires will be used to establish whether a treatment break or dose reduction for radiation of chemotherapy was required due to radiation mucositis-related symptoms. Complete Chemistry Profile and Complete Blood Count will be extracted from the patients' medical oncologist's or radiation oncologist's records. The patient will continue to use standard mucositis therapies if desired as prescribed by the treating oncology physician.

The Whole Food Intervention consists of yogurt, butter, honey, vanilla, and glutamine with 3 portioning cups, equal to approximately 12 ounces, taken daily before starting radiation therapy. A questionnaire will be used to record symptoms and doses taken. The patient will continue to use standard mucositis therapies as prescribed by the treating oncology physician.

The Effects of Whole Food Intervention on Mucositis in Patients Treated for Head and Neck Cancer

The Effects of Whole Food Intervention on Mucositis in Patients Being Treated for Head and Neck Cancer With Radiation With or Without Chemotherapy

Estimated portion consumption on a daily basis was obtained to determine if the WFI could be tolerated by participants.

Mucositis grade was calculated using established criteria.

To determine whether Whole Food Intervention will reduce the incidence of treatment breaks from ≥19% to ≤10%.

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
The Effects of Whole Food Intervention on Mucositis in Patients Treated for Head and Neck Cancer	NCT02575313	Mucositis	Whole Food Inte...	18 Years -	Providence Health & Services
The Effects of Whole Food Intervention on Mucositis in Patients Treated for Head and Neck Cancer	NCT02575313	Mucositis	Whole Food Inte...	18 Years -	Providence Health & Services

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