Postoperative Enteral Immunonutrition in Gastric Cancer

NCT ID: NCT02647476

Last Updated: 2019-02-27

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

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

98 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-11-30

Study Completion Date

2015-10-31

Brief Summary

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Immunomodulating enteral nutrition in the perioperative period may reduce postoperative complications in cancer patients. Little is known if this effect translates to the better survival.

The aim of study was to assess the impact of postoperative immunomodulating enteral nutrition on postoperative complications and survival of gastric cancer patients.

The group of 98 gastric cancer patients were randomly assigned for postoperative immunomodulating enteral nutrition n=44 (Reconvan ,Fresenius Kabi), or standard enteral nutrition n=54 (Peptisorb, Nutricia). Postoperative complications, mortality, 6-month, 1-year and 5-year survival were analyzed.

Detailed Description

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Treatment of gastric cancer often requires major surgery and carries the risk of postoperative complications and fatal outcomes. Mortality rates after gastrectomy due to gastric cancer have been reported as 2-5%, while the incidence of postoperative complications was 10 to over 40%.

Immunomodulating enteral nutrition in the perioperative period may reduce postoperative complications in cancer patients. Little is known if this effect translates to the better survival.

The aim of study was to assess the impact of postoperative immunomodulating enteral nutrition on postoperative complications and survival of gastric cancer patients.

The group of 98 gastric cancer patients were randomly assigned for postoperative immunomodulating enteral nutrition n=44 or standard enteral nutrition n=54. Following the initial randomization, the patients received either standard nutrition (oligopeptide, low-fat, isocaloric, non-residue diet - Peptisorb, Nutricia) or immunomodulating nutrition (protein rich, isocaloric, no-residue diet including arginine, glutamines and omega-3 fatty acids - Reconvan, Fresenius Kabi). Postoperative complications, mortality, 6-month, 1-year and 5-year survival were analyzed.

Conditions

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Gastric Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Study group

Immunomodulating nutrition (Reconvan)

Group Type EXPERIMENTAL

Immunomodulating nutrition (Reconvan)

Intervention Type DIETARY_SUPPLEMENT

protein rich, isocaloric, no-residue diet including arginine, glutamines and omega-3 fatty acids - Reconvan, Fresenius Kabi

Control group

Standard nutrition (Peptisorb)

Group Type ACTIVE_COMPARATOR

Standard nutrition (Peptisorb)

Intervention Type DIETARY_SUPPLEMENT

oligopeptide, low-fat, isocaloric, non-residue diet

Interventions

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Immunomodulating nutrition (Reconvan)

protein rich, isocaloric, no-residue diet including arginine, glutamines and omega-3 fatty acids - Reconvan, Fresenius Kabi

Intervention Type DIETARY_SUPPLEMENT

Standard nutrition (Peptisorb)

oligopeptide, low-fat, isocaloric, non-residue diet

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* gastric cancer confirmed in histopathological examination
* elective operation due to gastric cancer
* informed consent signed
* age \> 18 years
* normal nutritional status or mild to moderate malnutrition

Exclusion Criteria

* severe malnutrition which required parenteral nutrition
* urgent operation
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Jagiellonian University

OTHER

Sponsor Role lead

Responsible Party

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Radoslaw Pach, MD, Ph D

Assisstant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Radosław Pach, MD PhD

Role: STUDY_CHAIR

1st Dept. of General Surgery, Jagiellonian University

Locations

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1st Department of General Surgery

Krakow, Malopolska, Poland

Site Status

Countries

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Poland

References

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Scislo L, Pach R, Nowak A, Walewska E, Gadek M, Brandt P, Puto G, Szczepanik AM, Kulig J. The Impact of Postoperative Enteral Immunonutrition on Postoperative Complications and Survival in Gastric Cancer Patients - Randomized Clinical Trial. Nutr Cancer. 2018 Apr;70(3):453-459. doi: 10.1080/01635581.2018.1445770. Epub 2018 Mar 13.

Reference Type RESULT
PMID: 29533110 (View on PubMed)

Related Links

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https://doi.org/10.1016/j.pan.2018.09.008

LInk to full text of the article with results summary

Other Identifiers

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KBET/91/L/2004

Identifier Type: -

Identifier Source: org_study_id

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