Prophylactic Early PN in HPT/BMT

NCT ID: NCT03083327

Last Updated: 2021-04-28

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

NA

Total Enrollment

408 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-11-23

Study Completion Date

2022-05-01

Brief Summary

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Supplemental prophylactic early parenteral nutrition will be commenced 1 day prior to conditioning chemoradiotherapy in patients who are not already malnourished. Supplemental parenteral nutrition continues throughout conditioning chemoradiotherapy and stem cell transplant.

Detailed Description

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A standard parenteral nutrition solution will be used. The parenteral nutrition solution will be given once daily, and infused intravenously. The standard parenteral nutrition solution will contain approximately 40 grams of amino acids/L, 40 g lipids/L and 100g dextrose/L). Nutritional targets will be measured using indirect Calorimetry where available, or calculated via the Harris Benedict or Schofield equations. The dose of parenteral nutrition administered will be determined by the treating dietitian, treating physician or treating research team. The parenteral nutrition dose given will be individualised considering the patients clinical condition and body weight. The dose of supplemental parenteral nutrition will be dependent on the total calories also received from oral and/or enteral nutrition intake.

Supplemental parenteral nutrition will be discontinued when a patient is well enough to be discharged from hospital or when the patients attending clinician determines a central line is no longer needed for standard care. There is no maximum duration of supplemental parenteral nutrition..

Adherence to the study intervention will be monitored via medical chart reviews during site monitoring visits, and data queries on individual patient case report form documentation.

Conditions

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Hematologic Neoplasms

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors
Assessment of bone marrow biopsy to determine transplant success will be undertaken independent of the knowledge of treatment assignment.

Study Groups

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Standard Care

The control group in this study is pragmatic standard nutrition care. Currently after a bone marrow transplant in Australia, patients are normally fed orally for as long as possible. If oral intake fails to provide sufficient calories for a period of two to three days, enteral or parenteral nutrition may be provided.

Group Type ACTIVE_COMPARATOR

Pragmatic standard care.

Intervention Type OTHER

Nutrition support will be provided as per usual care.

Early supplemental parenteral nutrition

Supplemental prophylactic early parenteral nutrition will be commenced 1 day prior to conditioning chemoradiotherapy in patients who are not already malnourished. Supplemental parenteral nutrition continues throughout conditioning chemoradiotherapy and stem cell transplant.

The dose of supplemental parenteral nutrition will be dependent on the total calories also received from oral and/or enteral nutrition intake.

Group Type ACTIVE_COMPARATOR

Parenteral nutrition.

Intervention Type DIETARY_SUPPLEMENT

Nutrition support will be provides as per usual, but oral and enteral intake will be topped up with a standard parenteral nutrition solution. The standard parenteral nutrition solution will contain approximately 40 grams of amino acids/L, 40 g lipids/L and 100g dextrose/L).

Pragmatic standard care.

Intervention Type OTHER

Nutrition support will be provided as per usual care.

Interventions

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Parenteral nutrition.

Nutrition support will be provides as per usual, but oral and enteral intake will be topped up with a standard parenteral nutrition solution. The standard parenteral nutrition solution will contain approximately 40 grams of amino acids/L, 40 g lipids/L and 100g dextrose/L).

Intervention Type DIETARY_SUPPLEMENT

Pragmatic standard care.

Nutrition support will be provided as per usual care.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients who are about to commence conditioning chemoradiotherapy for allogeneic haematopoietic progenitor/stem cell transplantation, who have a haematological malignancy, who are not meeting 80% of their Caloric needs via oral or enteral intakes, and who are not malnourished.

Exclusion Criteria

* Patients who are already receiving parenteral nutrition at time of screening.
* Patients with a documented licensing contraindication to parenteral nutrition.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Australasian Bone Marrow Transplant Recipient Registry

UNKNOWN

Sponsor Role collaborator

University of Roma La Sapienza

OTHER

Sponsor Role collaborator

Northern Clinical School Intensive Care Research Unit, University of Sydney

UNKNOWN

Sponsor Role collaborator

University of Sydney

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gordon S Doig, PhD

Role: PRINCIPAL_INVESTIGATOR

Northern Clinical School Intensive Care Research Unit, University of Sydney

Locations

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Royal North Shore Hospital

Sydney, New South Wales, Australia

Site Status RECRUITING

Royal Adelaide Hospital

Adelaide, South Australia, Australia

Site Status RECRUITING

Christchurch Hospital, CDHB

Christchurch, , New Zealand

Site Status RECRUITING

Countries

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Australia New Zealand

Central Contacts

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Gordon S Doig, PhD

Role: CONTACT

+61294632600

Fiona Simpson, PhD

Role: CONTACT

+61294632600

Facility Contacts

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Site Investigator

Role: primary

Site Investigator

Role: primary

Site Investigator

Role: primary

Other Identifiers

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ACTRN12615001329550

Identifier Type: REGISTRY

Identifier Source: secondary_id

U1111-1194-5952

Identifier Type: OTHER

Identifier Source: secondary_id

NHMRC APP1108301

Identifier Type: -

Identifier Source: org_study_id

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