Perioperative Oral Nutrition Supplementation in Malnourished Surgical Cancer Patients

NCT ID: NCT04400552

Last Updated: 2021-08-25

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

NA

Total Enrollment

91 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-12-26

Study Completion Date

2021-06-30

Brief Summary

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The aim of this study is to evaluate the effectiveness of perioperative oral nutrition supplementation (ONS) on nutritional status in malnourished cancer patients undergoing elective surgery.

The hypothesis is pre-operative ONS feeding in malnourished surgical cancer patients is effective on improving nutritional status. An extended period of 3 months post-operative ONS feeding is effective on improving nutritional status as compared to ONS feeding post-operatively during hospital stay only. Perioperative feeding is effective on improving secondary outcomes such as sleep quality, post-operative complications and length of hospital stay.

Detailed Description

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The main objective of this study is to evaluate the effectiveness of perioperative oral nutrition supplementation (ONS) on nutritional status in malnourished cancer patients undergoing elective surgery.

The specific objectives are:

1. To evaluate the baseline nutritional status of cancer patients undergoing elective surgery
2. To evaluate the effectiveness of pre-operative ONS feeding on nutritional status in malnourished surgical cancer patients
3. To evaluate the effectiveness of an extended 3 months post-operative ONS feeding after discharge versus ONS feeding only post-operatively during hospital on nutritional status
4. To evaluate secondary outcomes of perioperative feeding such as sleep quality, post-operative complications and length of hospital stay

Study Design: This is a randomised-controlled-open label-parallel group(s)-trial which will be conducted on malnourished cancer patients undergoing elective surgery.

Study duration: The participation duration for each participant is 4 months. The completion of the study will take around 30 months.

Conditions

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Cancer of Breast Cancer Colon

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized controlled trial
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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ONS Pre-op + ONS Post-op

Oral nutrition supplementation (ONS) pre-operatively and post-operatively up to being discharged from hospital

Group Type ACTIVE_COMPARATOR

ONS Pre-op + ONS Post-op

Intervention Type DIETARY_SUPPLEMENT

Participants will consume the oral nutrition supplementation (ONS) in addition to normal diet for 14 days pre-operatively and post-operatively up to participants being discharged from the hospital.

ONS Pre-op + ONS Post-op + ONS Post-op 3 months

Oral nutrition supplementation (ONS) pre-operatively, post-operatively up to being discharged from hospital and an extended oral nutrition supplementation post-operatively up to 3 months

Group Type ACTIVE_COMPARATOR

ONS Pre-op + ONS Post-op + ONS Post-op 3 months

Intervention Type DIETARY_SUPPLEMENT

Participants will consume the oral nutrition supplementation (ONS) in addition to normal diet for 14 days pre-operatively, post-operatively up to participants being discharged from the hospital and an extended oral nutrition supplementation post-operatively up to 3 months.

Usual intake Pre-op + ONS Post-op

Follow a meal plan of 2000 kcal / day using conventional foods and oral nutrition supplementation (ONS) post-operatively up to being discharged from hospital

Group Type ACTIVE_COMPARATOR

Usual intake Pre-op + ONS Post-op

Intervention Type DIETARY_SUPPLEMENT

Participants will follow a meal plan of 2000 kcal / day using conventional foods for 14 days pre-operatively and consume oral nutrition supplementation (ONS) in addition to normal diet post-operatively up to participants being discharged from the hospital

Interventions

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ONS Pre-op + ONS Post-op

Participants will consume the oral nutrition supplementation (ONS) in addition to normal diet for 14 days pre-operatively and post-operatively up to participants being discharged from the hospital.

Intervention Type DIETARY_SUPPLEMENT

ONS Pre-op + ONS Post-op + ONS Post-op 3 months

Participants will consume the oral nutrition supplementation (ONS) in addition to normal diet for 14 days pre-operatively, post-operatively up to participants being discharged from the hospital and an extended oral nutrition supplementation post-operatively up to 3 months.

Intervention Type DIETARY_SUPPLEMENT

Usual intake Pre-op + ONS Post-op

Participants will follow a meal plan of 2000 kcal / day using conventional foods for 14 days pre-operatively and consume oral nutrition supplementation (ONS) in addition to normal diet post-operatively up to participants being discharged from the hospital

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Male or female from all ethnicity
* 25 to 65 years
* BMI not less than 18.0 kg/m²
* Cancer patients who are confirmed with elective surgery whose co-morbidities are stabilized based on the ASA Physical Status Classification System ASA Class 1 and 2
* Fulfil at least two characteristics of AND/ ASPEN Diagnosis of Malnutrition These characteristics are insufficient energy intake, weight loss, loss of muscle mass, loss of subcutaneous fat, localized or generalized fluid accumulation and diminished functional status as measured by handgrip strength.

Exclusion Criteria

* Patients who require enteral or parenteral feeding
* Pregnant or lactating
* On chemotherapy or radiotherapy
* Total gastrectomy or ileostomy
* Metastasized cancer, upper gastrointestinal cancer, terminal diseases, decompensated liver or renal disease, major concurrent metabolic problem such as uncontrolled diabetes, dementia
* On regular steroids prescription
Minimum Eligible Age

25 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kotra Pharma (M) Sdn Bhd

UNKNOWN

Sponsor Role collaborator

IMU University, Malaysia

OTHER

Sponsor Role lead

Responsible Party

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Winnie Chee

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Winnie SS Chee, PhD

Role: PRINCIPAL_INVESTIGATOR

IMU University, Malaysia

Locations

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International Medical University

Kuala Lumpur, , Malaysia

Site Status

Countries

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Malaysia

References

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Wong TX, Chen ST, Ong SH, Shyam S, Kandasami P, Chee WSS. Study protocol for an open labelled randomised controlled trial of perioperative oral nutrition supplement in breast and colorectal cancer patients undergoing elective surgery. Trials. 2021 Nov 3;22(1):767. doi: 10.1186/s13063-021-05716-5.

Reference Type DERIVED
PMID: 34732233 (View on PubMed)

Other Identifiers

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IMU R204/2017

Identifier Type: -

Identifier Source: org_study_id

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