Impact of Immunonutrition on the Patients With Cystic Fibrosis

NCT ID: NCT02048592

Last Updated: 2014-01-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-30

Study Completion Date

2014-12-31

Brief Summary

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The primary objectives:

To evaluate the effect of immunonutrition on the adult patient suffering from cystic fibrosis

1. Safety of immunonutrition
2. The effect of immunonutrition on parameters of oxidative stress
3. The effect of immunonutrition on the inflammatory parameters
4. The effect of immunonutrition on nutrition status

Hypothesis

The high oxidative stress is present in patients with cystic fibrosis. Immunonutrition has been shown to positively modulate oxidative stress in the different clinical setting however it has not yet been evaluated inpatients with cystic fibrosis who frequently need some support by means of enteral nutrition. We anticipate that the substitution of routine enteral nutrition by immunonutrition will result in improving of oxidative stress parameters.

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Detailed Description

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Method Crossover open study will take 16 weeks. The patients eligible for the study according to inclusion and exclusion criteria are going to be divided into 2 groups after signing the informed consent. In both groups their nutrition status, humoral and cellular immunity, respiratory system function and parameters of oxidative stress will be evaluated before entering the intervention.

Afterwards the patients are going to be divided into one group who will receive nutrition support using immunonutrition for the next 8 weeks while the second one will continue with their nutrition support using routine sipping support with no immunonutrition. According to our hypothesis oxidative stress parameters will improve in the group of patients on immunonutrition comparing to the other group. Afterwards the patients will change their nutrition support for another 8 weeks. The patients who took immunonutrition in the first half of study will switch back to routine sipping support and contrary the patients who were in the first part of study on routine sipping will take immunonutrition. After the end of this period of study we expect the return of oxidative stress parameters to the baseline values in the group of patients who took immunonutrition in the first half of study but who were returned to routine nutrition support and contrary the improvement of oxidative stress parameters in the patients who started to take immunonutrition in the second half of study.

The total energy support will be identical in both periods for each individual patient. After the first 8 weeks and after the completion of study the same examination are going to be evaluate as it was on the entrance to study.

Statistical analysis: means, SD, t-test, chi square test, Mann Whitney test, linear correlation and multilinear analysis

Conditions

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Cystic Fibrosis Malnutrition Oxidative Stress

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Impact-Nutridrink

The first arm will be given immunonutrition -Impact- for 8 weeks, afterwards the patients will return to their previous nutrition support for another 8 weeks. We expect the improvement of oxidative stress parameters after 8 weeks of immunonutriton and return to baseline values when immunonutrition is stopped

Group Type ACTIVE_COMPARATOR

Impact-Nutridrink

Intervention Type DIETARY_SUPPLEMENT

IMPACT (immunonutrition) will be given in the first 8 weeks. Afterwards the patients will be returned to their previous nutrition support \|(Nutridrink) for another 8 weeks.

Nutridrink-Impact

The second group will be given their previous nutrition support (Nutridrink) for 8 weeks, afterwards the patients will be switched to immunonutrition- Impact- for another 8 weeks. In this group of patients we do not expect any change of oxidative stress parameters after the first 8 weeks. The improvement is expected at the end of the second half of study.

Group Type ACTIVE_COMPARATOR

Nutridrink-Impact

Intervention Type DIETARY_SUPPLEMENT

In this group of patients - the study starts with period of 8 weeks with no change of previous nutrition support (Nutridrink). After 8 weeks the laboratory results will be examined ant the patients will switch to immunonutrition (Impact) for another 8 weeks. After the laboratory examination including oxidative stress parameters will be evaluated.

Interventions

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Impact-Nutridrink

IMPACT (immunonutrition) will be given in the first 8 weeks. Afterwards the patients will be returned to their previous nutrition support \|(Nutridrink) for another 8 weeks.

Intervention Type DIETARY_SUPPLEMENT

Nutridrink-Impact

In this group of patients - the study starts with period of 8 weeks with no change of previous nutrition support (Nutridrink). After 8 weeks the laboratory results will be examined ant the patients will switch to immunonutrition (Impact) for another 8 weeks. After the laboratory examination including oxidative stress parameters will be evaluated.

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Impact is brand name of oral nutrition produced by Nestle-Switzerland. It improves immune system Nutridrink is brand name of oral nutrition produced by company Nutricia (Denmark) with no effect on immune system. Impact- brand name for immunonutrition - company Nestle Switzerland Nutridrink- nutrition of company Nutriticia (Denmark)- with no immune response

Eligibility Criteria

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Inclusion Criteria

* Cystic fibrosis
* adult, elder 18 years
* enteral nutrition at least for the last 12 monthes

Exclusion Criteria

* patient waiting for lung transplant
* patients with another life limiting disease-e.g. cancers
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Motol

OTHER

Sponsor Role lead

Responsible Party

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Ondrej Hloch MD

Dpt. of of Internal Medicine, 2nd Medical School of Charles Universty and University Hospital Moto

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ondrej Hloch, MD

Role: PRINCIPAL_INVESTIGATOR

Faculty hospital Motol

Jiri Charvat, MD

Role: STUDY_CHAIR

Faculty hospital Motol

Milan Kvapil, MD

Role: STUDY_DIRECTOR

Faculty hospital Motol

Locations

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Faculty hospital Motol

Prague, , Czechia

Site Status RECRUITING

Countries

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Czechia

Central Contacts

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Ondrej Hloch, MD

Role: CONTACT

+420224434098

Jiri Charvat, MD

Role: CONTACT

+420224434051

Facility Contacts

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Libor Fila, MD

Role: primary

+420224436630

Other Identifiers

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EK-942/13

Identifier Type: OTHER

Identifier Source: secondary_id

FN Motol-project 6008

Identifier Type: -

Identifier Source: org_study_id

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