Evidence map›Paper›PMID 40973844›Full record

Trial reportThe oncologist2025

Effect of a whole food plant-based dietary intervention on cancer progression and inflammatory markers.

Katherine K S Rieth, Erin Campbell, Luke J Peppone, Colleen Netherby-Winslow, Eva Culakova, Jeremy McGuire, Hongying Sun, Thomas Campbell

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The oncologist, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Katherine K S RiethDepartment of Otolaryngology-Head and Neck Surgery, University of Rochester Medical Center, Rochester, NY 14623, United States.ORCID 0000-0001-6444-6456
Erin CampbellDepartment of Public Health Sciences, University of Rochester Medical Center, Rochester, NY 14623, United States.
Luke J PepponeDepartment of Public Health Sciences, University of Rochester Medical Center, Rochester, NY 14623, United States.
Colleen Netherby-WinslowDepartment of Public Health Sciences, University of Rochester Medical Center, Rochester, NY 14623, United States.
Eva CulakovaDepartment of Public Health Sciences, University of Rochester Medical Center, Rochester, NY 14623, United States.
Jeremy McGuireDepartment of Public Health Sciences, University of Rochester Medical Center, Rochester, NY 14623, United States.
Hongying SunDepartment of Public Health Sciences, University of Rochester Medical Center, Rochester, NY 14623, United States.
Thomas CampbellDepartment of Public Health Sciences, University of Rochester Medical Center, Rochester, NY 14623, United States.

Funding

URCC NCORP Research BaseUG1CA189961 · NCI · UNIVERSITY OF ROCHESTER · PI Michelle C Janelsins, KAREN M. MUSTIAN · 2014 to 2026
$67.7M
University of Rochester Wilmot Cancer Institute Support GrantP30CA272302 · NCI · UNIVERSITY OF ROCHESTER · PI JONATHAN W FRIEDBERG · 2025 to 2026
$6.4M
Clinical and Translational Cancer Control Research Training ProgramT32CA102618 · NCI · UNIVERSITY OF ROCHESTER · PI Michelle C Janelsins, Gary R Morrow · 2019 to 2026
$2.7M
NCI NIH HHS P30 CA272302NCI NIH HHS T32 CA102618NCI NIH HHS UG1 CA189961US National Institutes of Health National Cancer Institute UG1-CA189961
6 · The paper itself

Abstract

introductionPersistent inflammation and features of the tumor microenvironment are linked to poorer prognosis in breast cancer. This study examined the effects of a whole food, plant-based (WFPB) diet on serum biomarkers of proliferation, apoptosis, angiogenesis, and inflammation in women with metastatic breast cancer.

methodsWomen with stage 4 breast cancer undergoing treatment were randomized to either a WFPB diet (n = 20) or usual care (n = 10) for 8 weeks. Blood samples collected at baseline, 4, and 8 weeks were analyzed for disease progression and inflammation markers, including IL-1β, IL-6, IL-8, IL-12, MCP-1, PDGF-AB/BB, FGF-2, MIF, sFasL, TNF-α, TRAIL, CA15-3, HGF, leptin, VEGF-A, VEGF-C, VEGF-D, and angiopoietin-2. Data were evaluated using t-tests, ANCOVA, and Pearson's correlations.

resultsWhile no statistically significant between-group differences were found-likely due to the small control group-several within-group changes were observed in the WFPB group. TNF-α decreased significantly by week 8 (P < .05), as did leptin at both weeks 4 and 8 (P < .001). Novel findings include significant decline in CA15-3 and VEGF-C levels by week 8 (both P < .05). CA15-3 positively correlated with sFasL (R = 0.72, P < .001), TRAIL (R = 0.58, P < .05), and TNF-α (R = 0.52, P < .01).

conclusionThis randomized trial is among the first to assess dietary intervention effects on progression-related biomarkers in metastatic breast cancer. The WFPB diet was associated with reductions in inflammatory and tumor markers, suggesting potential to reduce inflammation and slow disease progression. Further research is warranted.

Indexed as

Biomarkers, TumorBreast NeoplasmsInflammationAdultAgedDisease ProgressionFemaleHumansMiddle AgedBiomarkers, Tumordietary interventioninflammationmetastatic breast cancerplant-based diettumor biomarkers

Identifiers

PMID40973844
PMCPMC12578507

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.