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. Author manuscript; available in PMC: 2017 Dec 1.
Published in final edited form as: Cancer Discov. 2016 Nov 21;6(12):1315–1333. doi: 10.1158/2159-8290.CD-16-0615

Table 1.

Main characteristics of dietary interventions under clinical investigation

Dietary
intervention
Metabolic effects Potential clinical
effects
Risks and
limitations
Ongoing trials
Short-term fasting
(STF)
  • -

    reduced glycemia

  • -

    reduced insulinemia

  • -

    reduced IGF-1

  • -

    increased ketones

  • -

    reduced side effects from CT

  • -

    inhibition of tumor cell proliferation

  • -

    apoptosis induction

  • -

    synergistic with CT

  • -

    poor tolerability

  • -

    weight loss

  • -

    increased amino acid concentration

Ketogenic diets
  • -

    reduced glycemia

  • -

    reduced insulinemia

  • -

    increased ketones

  • -

    increased IGF-1 (if hyperproteic)

  • -

    inhibition of tumor cell proliferation

  • -

    apoptosis induction

  • -

    synergistic with CT

  • -

    poor palatability

Fasting-mimicking
diet (FMD)
  • -

    reduced glycemia

  • -

    reduced insulinemia

  • -

    reduced IGF-1

  • -

    increased ketones

  • -

    reduced side effects from CT

  • -

    apoptosis induction

  • -

    inhibition of tumor cell proliferation

  • -

    synergistic with CT

  • -

    poor palatability

  • -

    HER2-negative breast tumors (neoadjuvant): NCT02126449