Routine Post-Operative Supplemental Nutrition

NCT ID: NCT02297607

Last Updated: 2020-08-27

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

TERMINATED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-11-30

Study Completion Date

2019-05-31

Brief Summary

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Patients undergoing an esophagectomy will be randomized to receive either (1) routine post-operative tube feeding for 1 month post-operative or (2) usual practice, which is tube feeding to continue in the hospital until the patient is taking adequate nutrition by mouth at POD#8, or upon discharge.

Specific Aim 1 is to determine the occurrence of common complications and readmissions post-operatively between the two patient groups. The investigators hypothesize that routine use of tube feeding may reduce the occurrence of post-operative complications.

Specific Aim 2 is to determine if routine dietary supplementation with enteral tube affects recovery and QOL after esophagectomy. The investigators hypothesize that routine post-operative supplementation will enhance patients recovery and QOL.

For esophagectomy specifically, there is very limited literature evaluating the complication rate and QOL associated with the length of post-operative tube feeding and adequate nutritional requirements. Small randomized studies have not shown a benefit to routine tube feeding, although the numbers were very small, ranging from 12-70 per group. The investigators will randomize 200 patients for the purpose of this study.

Detailed Description

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Conditions

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Esophageal Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Tube Feeding

Study subjects will continue to receive tube feedings (for at least 50% of caloric need) for 1-month post-operatively.

Group Type EXPERIMENTAL

Tube Feeding

Intervention Type DIETARY_SUPPLEMENT

Standard of Care

Tube feeding to continue in the hospital until the patient is taking adequate nutrition by mouth at post-op day #8, or upon discharge,

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Tube Feeding

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Boost Ensure Nutren 1.0 Osmolite Replete

Eligibility Criteria

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Inclusion Criteria

* Patients undergoing an elective esophagectomy
* Jejunal feeding tube placed at the time of surgery

Exclusion Criteria

* Emergent esophagectomy procedure
* Inability to provide informed consent or to complete testing or data collection
* Unwillingness to be randomized
* Tube feeding dependent on discharge
Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Michigan

OTHER

Sponsor Role lead

Responsible Party

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Philip W. Carrott, Jr.

Assistant Professor of Thoracic Surgery, Medical School

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Philip W Carrott, MD

Role: PRINCIPAL_INVESTIGATOR

University of Michigan

Locations

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University of Michigan Health System

Ann Arbor, Michigan, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Informed Consent Form

View Document

Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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HUM00091994

Identifier Type: -

Identifier Source: org_study_id

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