Effects of Preoperative Immunonutrition in Patients Undergoing Pancreaticoduodenectomy

NCT ID: NCT01256034

Last Updated: 2012-10-23

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-05-31

Study Completion Date

2012-03-31

Brief Summary

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The purpose of this study is to determine whether preoperative immunonutrition is effective on infectious complication and Th1/Th2 differentiation in patients with pancreaticoduodenectomy.

Detailed Description

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The investigators reported that preoperative immunonutrition improve the incidence of postoperative infectious complication in patients after pancreaticoduodenectomy, and modulation of Th1/Th2 differentiation may play important roles in this effect.

Object of this study is to investigate the effects preoperative immunonutrition on incidence of postoperative infectious complication, and Th1/Th2 balance after pancreaticoduodenectomy.

Conditions

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Pancreatic Cancer Bile Duct Cancer

Keywords

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immunonutrition pancreaticoduodenectomy Th1 Th2

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Group A

preoperative immunonutrition

Group Type ACTIVE_COMPARATOR

Oral IMPACT

Intervention Type DIETARY_SUPPLEMENT

oral supplementation for 5 days (1L/day) before surgery of a formula enriched with arginine, omega-3 fatty acids, and RNA

Group B

ordinary diet

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Oral IMPACT

oral supplementation for 5 days (1L/day) before surgery of a formula enriched with arginine, omega-3 fatty acids, and RNA

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Oral IMPACT; Ajinomoto Pharma Co., Ltd, Tokyo, Japan

Eligibility Criteria

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Inclusion Criteria

* patients underwent pancreaticoduodenectomy

Exclusion Criteria

* age younger than 18 years
* ongoing infection
* gastrointestinal obstruction
* respiratory dysfunction
* cardiac dysfunction
* hepatic dysfunction
* renal failure
* history of recent immunosuppressive or immunological diseases
* preoperative evidence of widespread metastatic disease
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chiba University

OTHER

Sponsor Role lead

Responsible Party

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Katsunori Furukawa

MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Katsunori Furukawa, MD

Role: STUDY_DIRECTOR

Chiba University

Locations

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Chiba University

Chiba, Chiba, Japan

Site Status

Countries

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Japan

References

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Aida T, Furukawa K, Suzuki D, Shimizu H, Yoshidome H, Ohtsuka M, Kato A, Yoshitomi H, Miyazaki M. Preoperative immunonutrition decreases postoperative complications by modulating prostaglandin E2 production and T-cell differentiation in patients undergoing pancreatoduodenectomy. Surgery. 2014 Jan;155(1):124-33. doi: 10.1016/j.surg.2013.05.040. Epub 2013 Oct 25.

Reference Type DERIVED
PMID: 24589090 (View on PubMed)

Other Identifiers

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furukawa2009

Identifier Type: -

Identifier Source: org_study_id