Effect of a Hyperproteic Hyperenergetic Enteral Formula on Body Composition and VEGF in AML During Hospital Stay

NCT ID: NCT04240600

Last Updated: 2020-09-03

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

74 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-12-01

Study Completion Date

2021-12-01

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

A randomized controlled clinical trial in two groups of supplementation with high protein enteral formula and a normocaloric enteral formula in two groups of 37 patients .

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Patients with acute myeloid leukemia have a high risk of suffering sarcopenia, which decreases the oncology therapy clinical response, functional ability and quality of life. Chemotherapy is used in these patients, some of them inhibit angiogenesis and act in an important way in physiological processes of muscle anabolism. The vascular endothelial growth factor (VEGF) and its receptors (VEGFR) play a crucial role in both normal and malignant angiogenesis. Activation of the VEGF pathway leads to endothelial cell activation, proliferation and survival.

The objective of this study is to compare the effect of the use of a high protein, high energy enteral with omega 3 formula (Supportan DKN) against a standard enteral formula (Fresubin® Original DRINK) on body composition, days of hospital stay, quality of life, associated muscular strength with levels of VEGF in patients with acute myeloid leukemia during induction chemotherapy.

An open clinical trial was designed, in which a group of patients will receive, as part of their nutritional requirements a hyperproteic hyperenergetic enteral formula versus standard formula during the 21 days of the first cycle of antineoplastic treatment. We will measure body composition, muscle strength and serum concentrations of VEGFR in both groups to be able to compare its effect.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Acute Myeloid Leukemia, Adult

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

A randomized clinical trial study
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Hyperproteic, hypercaloric formula

Each patient will receive 2 bottles per day of Supportan DKN during the hospital stay (nutritional contribution: 600 kcal and 40 g of protein).

Group Type EXPERIMENTAL

Experimental group

Intervention Type DIETARY_SUPPLEMENT

2 cans or bottles (200ml)per day, orally

Standard formula

Each patient will receive 2 cans or bottles per day of Fresubin® Original DRINK (nutritional contribution: 474.2 kcal and 17.6 g of protein).

Group Type ACTIVE_COMPARATOR

Control group

Intervention Type DIETARY_SUPPLEMENT

2 cans or bottles (200ml)per day, orally

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Experimental group

2 cans or bottles (200ml)per day, orally

Intervention Type DIETARY_SUPPLEMENT

Control group

2 cans or bottles (200ml)per day, orally

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Supportan DKN Fresubin® Original DRINK

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Adult patients with a confirmed diagnosis of AML
* Tolerance to oral feeding
* Induction Chemotherapy
* Patients with nutritional risk of positive malnutrition (Score +3 NRS).
* Candidates to receive enteral nutrition, as well as chemotherapy according to medical indications.
* Life expectancy greater than a week and with the possibility of starting oncological treatment. Have informed consent obtained by the patient prior to randomization

Exclusion Criteria

* Geriatric patients (\> 60 years)
* Patients with acute gastrointestinal bleeding, ileus and shock
* History of recurrence of neoplasm
* Renal failure
* Atrophy of the gastrointestinal mucosa
* Central nervous system disease,
* impaired cardiac function.

Elimination criteria:

Lack of follow up Incomplete data. Insufficient amount of genetic material to perform the determination of the VEGF material.

Absence of the determination of the levels of VEGF prior to the start of oncological therapy.
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Fresenius Kabi

INDUSTRY

Sponsor Role collaborator

Hospital General de Mexico

OTHER_GOV

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Dr. Vanessa Fuchs Tarlovsky

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Vanessa Fuchs Tarlovsky, PhD

Role: STUDY_DIRECTOR

Hospital General de México

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Vannesa Fuchs Tarlovsky

Mexico City, , Mexico

Site Status RECRUITING

Hospital General de México

Mexico City, , Mexico

Site Status NOT_YET_RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

Mexico

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Vanessa Fuchs Tarlovsky, PhD

Role: CONTACT

+52 27 89 20 00 ext. 1453

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Monica P Bejarano, MSc

Role: primary

+525527027026

Vanessa Fuchs, PhD

Role: primary

551 85331635

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

DI/19/11/03/017

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Enteral Nutrition in Cancer Patients
NCT01304446 COMPLETED PHASE4
Enteral Nutrition in Cancer Patient
NCT01302509 COMPLETED PHASE4
Postoperative Electrical Muscle Stimulation Two
NCT06964438 NOT_YET_RECRUITING NA