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出境医 / 临床实验 / Preoperative High Protein vs Immunodiet in Surgical Cancer Patients (Preop immuno)

Preoperative High Protein vs Immunodiet in Surgical Cancer Patients (Preop immuno)

Study Description
Brief Summary:
Immunomodulating nutrition is supposed to reduce the number of complications and the legnth of the hospital stay during the postoperative period in patients after major gastrointestinal surgery. The aim of the study is to assess the clinical effect of immunomodulating oral nutrition in patients undergoing resection for gastrointestinal cancer in the group of well-nourished patients.

Condition or disease Intervention/treatment Phase
General Surgery Cancer of Colon Drug: IMPACT Drug: resource protein Phase 4

Detailed Description:
Between March 1, 2019, and December 31, 2020, a group of 300 well-nourished patients will be enrolled to the study and randomly assigned two one of two groups: A-high protein oral supplements (ONS) and B- immunomodulating ONS. The study is designed to test the hypothesis that immunonutrition and reduce the incidence of infectious complications after upper gastrointestinal surgery; the secondary objective of the study was to evaluate the effect of nutritional intervention on overall morbidity and mortality rates, and hospital stay.
Study Design
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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 300 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: randomized controlled trial
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Preoperative Use of the High Protein ONS vs Immunoenhancing ONS in Gastrointestinal Cancer Patients Undergoing Surgery
Actual Study Start Date : April 1, 2019
Actual Primary Completion Date : December 31, 2020
Estimated Study Completion Date : March 31, 2021
Arms and Interventions
Arm Intervention/treatment
Active Comparator: High Protein
Provision of 400 ml per day of high protein oral nutritional supplements
Drug: resource protein
Administration of oral high-protein oral supplement

Experimental: Immuno ONS
Provision of 400 ml per day of immunostimulating oral nutritional supplements
Drug: IMPACT
Administration of oral immunostimulating oral supplement

Outcome Measures
Primary Outcome Measures :
  1. Infectious complications [ Time Frame: 6 months ]
    Number and type of infectious complications


Secondary Outcome Measures :
  1. Surgical complications [ Time Frame: 6 months ]
    Number and type of surgical complications

  2. Length of stay [ Time Frame: 14 days ]
    Hospital length of stay


Eligibility Criteria
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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • resectable GI cancer
  • written consent

Exclusion Criteria:

  • inoperable GI cancer
  • known allergy to the drug
Contacts and Locations

Contacts
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Contact: Stanislaw Klek, PhD +48604293566 klek@poczta.onet.pl
Contact: Eliza Kowalczyk +48124446526 eliza.kowalczyk@szpitalskawina.pl

Locations
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Poland
Stanley Dudrick's Memorial Hospital Recruiting
Skawina, Poland, 32-050
Contact: Stanislaw Klek, Assoc. Prof.    +48604293566    klek@poczta.onet.pl   
Principal Investigator: Stanislaw Klek, Assoc. Prof.         
Sponsors and Collaborators
Stanley Dudrick's Memorial Hospital
Investigators
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Study Director: Stanislaw Klek Stanley Dudrick's Memorial Hospital
Tracking Information
First Submitted Date  ICMJE June 5, 2019
First Posted Date  ICMJE June 10, 2019
Last Update Posted Date March 30, 2021
Actual Study Start Date  ICMJE April 1, 2019
Actual Primary Completion Date December 31, 2020   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: June 7, 2019)
Infectious complications [ Time Frame: 6 months ]
Number and type of infectious complications
Original Primary Outcome Measures  ICMJE Same as current
Change History
Current Secondary Outcome Measures  ICMJE
 (submitted: June 7, 2019)
  • Surgical complications [ Time Frame: 6 months ]
    Number and type of surgical complications
  • Length of stay [ Time Frame: 14 days ]
    Hospital length of stay
Original Secondary Outcome Measures  ICMJE Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE Preoperative High Protein vs Immunodiet in Surgical Cancer Patients
Official Title  ICMJE Preoperative Use of the High Protein ONS vs Immunoenhancing ONS in Gastrointestinal Cancer Patients Undergoing Surgery
Brief Summary Immunomodulating nutrition is supposed to reduce the number of complications and the legnth of the hospital stay during the postoperative period in patients after major gastrointestinal surgery. The aim of the study is to assess the clinical effect of immunomodulating oral nutrition in patients undergoing resection for gastrointestinal cancer in the group of well-nourished patients.
Detailed Description Between March 1, 2019, and December 31, 2020, a group of 300 well-nourished patients will be enrolled to the study and randomly assigned two one of two groups: A-high protein oral supplements (ONS) and B- immunomodulating ONS. The study is designed to test the hypothesis that immunonutrition and reduce the incidence of infectious complications after upper gastrointestinal surgery; the secondary objective of the study was to evaluate the effect of nutritional intervention on overall morbidity and mortality rates, and hospital stay.
Study Type  ICMJE Interventional
Study Phase  ICMJE Phase 4
Study Design  ICMJE Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description:
randomized controlled trial
Masking: None (Open Label)
Primary Purpose: Prevention
Condition  ICMJE
  • General Surgery
  • Cancer of Colon
Intervention  ICMJE
  • Drug: IMPACT
    Administration of oral immunostimulating oral supplement
  • Drug: resource protein
    Administration of oral high-protein oral supplement
Study Arms  ICMJE
  • Active Comparator: High Protein
    Provision of 400 ml per day of high protein oral nutritional supplements
    Intervention: Drug: resource protein
  • Experimental: Immuno ONS
    Provision of 400 ml per day of immunostimulating oral nutritional supplements
    Intervention: Drug: IMPACT
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Recruiting
Estimated Enrollment  ICMJE
 (submitted: June 7, 2019)
300
Original Estimated Enrollment  ICMJE Same as current
Estimated Study Completion Date  ICMJE March 31, 2021
Actual Primary Completion Date December 31, 2020   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • resectable GI cancer
  • written consent

Exclusion Criteria:

  • inoperable GI cancer
  • known allergy to the drug
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE No
Contacts  ICMJE
Contact: Stanislaw Klek, PhD +48604293566 klek@poczta.onet.pl
Contact: Eliza Kowalczyk +48124446526 eliza.kowalczyk@szpitalskawina.pl
Listed Location Countries  ICMJE Poland
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT03980704
Other Study ID Numbers  ICMJE Imm1
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE
Plan to Share IPD: No
Responsible Party Stanislaw Klek, Stanley Dudrick's Memorial Hospital
Study Sponsor  ICMJE Stanley Dudrick's Memorial Hospital
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Study Director: Stanislaw Klek Stanley Dudrick's Memorial Hospital
PRS Account Stanley Dudrick's Memorial Hospital
Verification Date March 2021

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP