Clinical trial · Interventional
Fasting-Mimicking Diet as an Adjunct to Neoadjuvant Chemotherapy for Hormone-Receptor-Positive Breast Cancer
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
This is a phase II, Single-Arm Clinical Study evaluating the efficacy and safety of a fasting-mimicking diet (FMD) combined with neoadjuvant chemotherapy in patients with ER-positive, HER2-negative breast cancer. Participants will be assigned to Intervention group: 4-day FMD cycles (827± 100kcal/day on Day 1, 637± 100kcal/day on Days 2-4) synchronized with T-EC chemotherapy. The primary endpoint is pathological complete response (pCR) rate. Secondary endpoints include metabolic changes, immune markers, quality of life, and safety (CTCAE v5.0). A total patients will be enrolled to detect a 15% pCR improvement (25% vs. 10%, α=0.05, power=80%).
Conditions
Conditions (3)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Breast Cancer | Malignant Breast Neoplasm | CURATED_EXACT | 0.92 |
| Fasting-Mimicking Diet | — | UNRESOLVED | — |
| Neoadjuvant Chemotherapy | — | UNRESOLVED | — |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Fasting-mimicking diet (FMD) Group | Dietary Supplement | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- FMD Group
- interventionNames
- Dietary Supplement: Fasting-mimicking diet (FMD) Group
Primary outcomes (1)
- measure
- Pathological complete response (pCR) rate
- timeFrame
- lmmediately after surgery
- description
- The primary study endpoint of this trial was pCR, as defined as the absence of residual invasive disease on evaluation of surgical breast specimen and surgically-resected lymph nodes (i.e. ypT0/Tis ypN0)
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
- Maximum age
- 75 Years
Show eligibility criteria text
Inclusion Criteria: * Histologically confirmed ER-positive , HER2-negative invasive ductal carcinoma meeting at least one of the following:1)T1c-T2 N1 with histological grade 2 (ER 1-10%) or grade 3. 2)N2-N3 or grade 3 and/or Ki67 ≥40%. 3)T3-T4 * Age 18-75 years at enrollment * Body mass index (BMI) ≥18.5 kg/m² * Adequate hematological function:1)White blood cell count\>3.0×10⁹/L.2)Absolute neutrophil count ≥1.5×10⁹/L.3)Platelets ≥100×10⁹/L. * Adequate organ function:1)Total bilirubin ≤1.5 × upper limit of normal (ULN).2)ALT/AST ≤2.5 × ULN. 3)Alkaline phosphatase ≤5 × ULN.4)Creatinine clearance ≥50 mL/min-1) * ECOG performance status 0-2 * Willing and able to provide written informed consent Exclusion Criteria: * Prior history of any malignancy (including contralateral breast cancer) * Received any prior neoadjuvant chemotherapy cycle for current diagnosis * Uncontrolled endocrine disorders:1)Diabetes mellitus requiring insulin or oral hypoglycemics.2)Hyper/hypothyroidism requiring medication * Active autoimmune disease requiring systemic immunosuppressants * Current use of antipsychotic medications * Known hypersensitivity to FMD components (e.g., soy protein, milk protein, nuts) * Pregnancy or lactation.
References
Publications (0)
Data not yet available