To Test the Food for Special Medical Purpose in Perioperative Patients With Gastrointestinal Cancer

NCT ID: NCT05606848

Last Updated: 2024-07-01

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

RECRUITING

Clinical Phase

NA

Total Enrollment

350 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-11-30

Study Completion Date

2025-03-31

Brief Summary

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This is a prospective, randomized, open label, active-controlled, multi-centre, non-inferiority clinical trial. Aim of the study is to evaluate the efficacy and safety of Fresubin Support Drink in patients with gastrointestinal cancer undergoing surgical resection during the perioperative period.

Detailed Description

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This is a prospective, randomized, open label, active-controlled, multi-centre, non-inferiority clinical trial. The IMP includes study product and control product. The study product will be Fresubin Support Drink (FSMP), the control product will be Enteral Nutrition Emulsion(TPF-T) . Not exceed 350 patients will be randomly assigned to the Fresubin Support Drink (FSMP) group or Enteral Nutrition Emulsion(TPF-T) group at a ratio of 1:1.

Prealbumin, albumin, C-reactive protein (CRP), immunology parameters, vital signs, nutrition and safety-related laboratory parameters, compliance, and Adverse Events (AEs) will be evaluated in this study.

Conditions

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Gastrointestinal Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Control product

Nutrition Emulsion (TPF-T) is a tumor-specific enteral nutrition therapy

Group Type ACTIVE_COMPARATOR

Nutrition Emulsion (TPF-T)

Intervention Type OTHER

All patients will be randomized to receive the FSMP or control product.

* Before the surgery: Patients daily intake control product with recommended energy.
* 1-8 days after surgery: Patients gradually increase control product intake to reach the recommended energy.

Study prodcut

Foods for special medical purposes \[FSMP\] for patients with tumors

Group Type EXPERIMENTAL

Foods for special medical purposes [FSMP] for patients with tumors

Intervention Type OTHER

All patients will be randomized to receive the FSMP or control product.

* Before the surgery: Patients daily intake FSMP with recommended energy.
* 1-8 days after surgery: Patients gradually increase FSMP intake to reach the recommended energy.

Interventions

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Nutrition Emulsion (TPF-T)

All patients will be randomized to receive the FSMP or control product.

* Before the surgery: Patients daily intake control product with recommended energy.
* 1-8 days after surgery: Patients gradually increase control product intake to reach the recommended energy.

Intervention Type OTHER

Foods for special medical purposes [FSMP] for patients with tumors

All patients will be randomized to receive the FSMP or control product.

* Before the surgery: Patients daily intake FSMP with recommended energy.
* 1-8 days after surgery: Patients gradually increase FSMP intake to reach the recommended energy.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Agreed to participate in the study with signed ICF;
2. Age 18-75 years;
3. Patient has gastrointestinal cancer confirmed by histological or imagological method and scheduled for resection via open or laparoscopic surgery;
4. Radiotherapy and/or Chemotherapy was not performed within 2 weeks before screening;
5. Hemoglobin ≥ 90 g/L
6. Albumin ≥ 2.5 g/dL
7. BMI ≥18.5 and ≤29 kg/m2;
8. ECOG Performance status 0-2 preoperatively;
9. Expected survival time \>6 months.

Exclusion Criteria

1. Contraindication or intolerance against EN, e.g., acute gastrointestinal bleeding, ileus (Grade≥3 NCI-CTCAE v 5.0);
2. Any congenital defect of amino acid or carbohydrate metabolism, such as phenylalaninemia, galactosaemia;
3. Conditions requiring emergency surgery;
4. Conditions other than cancer and surgery that can be associated with loss of body weight e.g. serious active clinical infections (\> Grade 2, NCI-CTCAE 5.0), including active tuberculosis, or self-reported HIV infection or active hepatitis B or C;
5. Known treatment refractory metabolic disease (e.g., poorly-controlled diabetes mellitus or fasting blood glucose≥ 10mmol/L, hyperthyroidism, hypothyroidism, metabolic acidosis);
6. Cardiac dysfunction (New York Heart Association Functional Class \> III);
7. Severe hepatic dysfunction associated with significant increase of AST or ALT \> 5 ULN or bilirubin \> 3 ULN;
8. Severe renal dysfunction associated with serum creatinine concentration \> 1.5 ULN and/or required dialysis;
9. Active treatment refractory bleeding;
10. Other malignancies in the last 3 years (except for successfully treated in situ basocellular skin or in situ cervical uterine tumours);
11. Known disease that could seriously affect the digestion and absorption of the IMPs;
12. History of drug or alcohol abuse within 6 months prior to screening;
13. Current use of medication or nutritional supplements containing more than 500 mg of EPA+DHA/day or fish oil capsules/ supplements containing more than 500 mg EPA + DHA/day at screening;
14. Current use of muscle growth supporting substances (e.g., anabolics) at screening;
15. Planned chemotherapy, radiotherapy or immunotherapy during the first 12 days following the surgical tumor resection;
16. Transfusion of blood products within 1 week before screening;
17. Known allergy to contents of the study product or control product;
18. Pregnancy or lactation;
19. Participation in another clinical study with an investigational drug, FSMP or an investigational medical device one month prior to start of study or planned participation in another clinical trial as specified before during the course of the study period;
20. Patient who is unable to understand the spoken and written information or not willing or not able to comply with scheduled visits and the requirements of the study protocol;
21. Considered not suitable for study participation by the investigator
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fresenius Kabi Sino-Swed Pharmaceutical Corp. Ltd

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Hanping Shi, MD

Role: PRINCIPAL_INVESTIGATOR

Capital Medical University Affiliated Beijing Shijitan Hospital

Locations

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Beijing Hospital

Beijing, , China

Site Status RECRUITING

Beijing Cancer Hospital

Beijing, , China

Site Status RECRUITING

Capital Medical University Affiliated Beijing Shijitan Hospital

Beijing, , China

Site Status RECRUITING

Peking University People's Hospital

Beijing, , China

Site Status RECRUITING

Xiangya Hospital Central South University

Changsha, , China

Site Status RECRUITING

The First Affiliated Hospital Of Guangzhou Medical University

Guangzhou, , China

Site Status RECRUITING

Nanfang Hospital

Guanzhou, , China

Site Status RECRUITING

Yunnan Cancer Hospital(The affiliated hospital of Kunming medical university)

Kunming, , China

Site Status RECRUITING

Jiangsu Province Hospital of Chinese Medicine

Nanjing, , China

Site Status RECRUITING

The Affiliated Hospital of Qingdao University

Qingdao, , China

Site Status RECRUITING

The Fourth Hospital of Hebei Medical University (Hebei Tumor Hospital)

Shijia Zhuang, , China

Site Status RECRUITING

The First Affiliated Hospital of SOOCHOW University

Suzhou, , China

Site Status RECRUITING

The Central Hospital of Wuhan

Wuhan, , China

Site Status RECRUITING

Union hospital tongji medical college huazhong university of science and technology

Wuhan, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Haiwei Li

Role: CONTACT

+86 10 56632760

Facility Contacts

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Qi An

Role: primary

Ziyu Li

Role: primary

010-88121122

Hanping Shi, Doctor

Role: primary

010-63925588

Bin Liang

Role: primary

010-88326666

Zhikang Chen

Role: primary

0731-89753999

Jiongqiang Huang

Role: primary

(8620) 83062114

Jiang Yu

Role: primary

020-61641888

Qing Li

Role: backup

Youguo Dai

Role: primary

0871-68185656

Zhiwei Jiang

Role: primary

025-86617141

Yanbing Zhou

Role: primary

0532-96166

Yong Li

Role: primary

0311 - 86095588

Lei Qin

Role: primary

0512-65223637

Li Zhou

Role: backup

Hui Wang

Role: primary

027-82811080

Kaixiong Tao

Role: primary

027-85726114

Other Identifiers

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SUPE-001-CEN

Identifier Type: -

Identifier Source: org_study_id

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