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NCT04847973Completed

Food As Medicine for Heart Failure

Source: ClinicalTrials.gov · Last updated 19 Mar 2024

Brief summary (registry, in English)

Malnutrition and unintentional weight loss are highly prevalent among patients with heart failure (HF), with approximately 50% of patients with heart failure meeting malnutrition criteria. Poor dietary quality and micronutrient deficiencies are associated with higher rates of HF hospitalization and mortality. Therefore nutritional interventions to improve dietary quality and prevent malnutrition development may represent an effective strategy to improve HF-related health status and survival outcomes. To date, there are no large clinical trials investigating the efficacy of 'food as medicine' to improve morbidity and mortality for patients with heart failure with reduced ejection fraction (HFrEF). The investigators plan to conduct a single-center, randomized pilot trial to assess the tolerability, feasibility, and efficacy of providing medically-tailored meals (MTMs) or protein supplementation shakes to patients with HFrEF and malnutrition. The investigators hypothesize that home delivery of MTMs or protein supplementation shakes will be feasible, well-tolerated and achieve a high degree of satisfaction for patients with HFrEF. The current pilot phase is a single arm non-randomized study. An initial phase has delivered a 12-week MTM dietary intervention. The MTMs are designed, prepared and delivered by our community based organized partner, Community Servings. A second phase will deliver a 12-week protein supplementation shake intervention, with 1 bottle to be consumed daily in addition to the participants' standard home diet. The investigators will measure HF-related health status, functional capacity, and biomarkers of heart failure and nutritional status before and after each study phase. The proposed study will facilitate a larger future randomized trial of nutritional intervention for patients with HFrEF and malnutrition, powered to examine the impact on HF hospitalizations and mortality.

Status (registry)
Completed
Study type
Interventional
Enrollment
6 (actual)
First submitted
7 Apr 2021
Start date
16 Apr 2021
Primary completion date
31 Dec 2023
Lead sponsor
Tufts Medical Center
NCT number
NCT04847973

What you commit to

  • Study type: Interventional
  • Participants enrolled: 6
  • From 16 Apr 2021 to the primary completion date, 31 Dec 2023
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Prior heart transplantation or implantation of a left ventricular assist device

Other illness

  • Patients with a non-cardiac etiology for a skeletal muscle disorder e.g. muscular dystrophy, cancer
  • Food allergy, aversion, or dietary preference that cannot be accommodated by Community Servings
  • Systolic blood pressure at screening \<90 mmHg, or heart rate \>110 bpm

Other

  • Currently pregnant or planning to become pregnant
  • Galactosemia

Who the study is looking for

  • Systolic heart failure (left ventricular ejection fraction \</=40%), with New York Heart Association (NYHA) class II-III symptoms
  • At least one prior hospitalization in the preceding 12 months
  • Evidence of malnutrition on the Short Nutritional Assessment Questionnaire (SNAQ) screening tool for malnutrition (score of 2 or more)
  • Have a fixed address within the Metro Boston region and availability of home refrigeration to accommodate the MTM deliveries
  • Able and willing to sign study consent
  • 18 years or above
  • Not currently pregnant and not imminently planning a pregnancy

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Tufts Medical Center
Coordinator of this site? Confirm its status
BostonUnited StatesUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.