Effects of Perioperative Immunonutrition in Patients With Head and Neck Cancer

NCT ID: NCT06318221

Last Updated: 2024-03-19

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

34 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-05-01

Study Completion Date

2021-02-01

Brief Summary

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A prospective randomized controlled study compared the effects of perioperative immunonutrition and standard enteral nutrition (EN) on postoperative short-term outcomes of patients with head and neck (HNC).

Five days before surgery and the postoperative day 10, immunonutrition support was given to the intervention group (n=17), and standard EN support was given to the control group (n=17). Body analyses were made, food consumption records were taken, NRS-2002 and quality of life scales were applied, and biochemical parameters were recorded.

Detailed Description

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Conditions

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Head and Neck Cancer Nutrition, Healthy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Patients were classified according to tumor location (oral cavity, oropharynx, larynx or hypopharynx) and body weight loss, approximately equally in both groups. Accordingly, patients were randomly assigned (by computer) into either the immunonutrition (intervention group) or standard EN (control group) groups.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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immunonutrition (intervention group)

Immunonutrition enteral products was given to the patients in the intervention group

Group Type EXPERIMENTAL

Experimental (Immunonutrition) Group

Intervention Type DIETARY_SUPPLEMENT

Immunonutrition was given to the patients in the intervention group and ready-to-use liquid in addition to their normal nutrition 5 days before the operation. The patients were instructed to consume three enteral products per day as taken between meals.

In the postoperative period, feeding was started in the first 24 hours with the NG tube placed during the operation. The ready-to-use immunonutrition product was given to the patients in the intervention group.

standard (control group)

Standard enteral products was given to patients in the control group.

Group Type ACTIVE_COMPARATOR

Active Comparator Group ( Standard enteral nutrition)

Intervention Type DIETARY_SUPPLEMENT

Standard enteral nutrition was given to patients in the control group in addition to their normal nutrition 5 days before the operation. The patients were instructed to consume three enteral products per day between meals.

In the postoperative period, feeding was started in the first 24 hours with the NG tube placed during the operation. Liquid standard enteral nutrition was given to the patients in the control group.

Interventions

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Experimental (Immunonutrition) Group

Immunonutrition was given to the patients in the intervention group and ready-to-use liquid in addition to their normal nutrition 5 days before the operation. The patients were instructed to consume three enteral products per day as taken between meals.

In the postoperative period, feeding was started in the first 24 hours with the NG tube placed during the operation. The ready-to-use immunonutrition product was given to the patients in the intervention group.

Intervention Type DIETARY_SUPPLEMENT

Active Comparator Group ( Standard enteral nutrition)

Standard enteral nutrition was given to patients in the control group in addition to their normal nutrition 5 days before the operation. The patients were instructed to consume three enteral products per day between meals.

In the postoperative period, feeding was started in the first 24 hours with the NG tube placed during the operation. Liquid standard enteral nutrition was given to the patients in the control group.

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of squamous cell carcinoma of the oral cavity, oropharynx, larynx or hypopharynx who will undergo surgery,
* who agree to receive standard EN or immunonutrition before surgery,
* those between the ages of 18-75,
* those with normal hematopoietic (absolute neutrophil count \>1.8x109/L, hemoglobin level ≥9 g/dL) hepatic and renal function

Exclusion Criteria

* Patients receiving neoadjuvant chemotherapy or radiotherapy to the head and neck region;
* Received EN support before the study
* have an active infection, any autoimmune, renal or hepatic disease, malabsorption, type 1 diabetes or mental illness
* taking vitamin-mineral supplements and immunosuppressive treatment,
* Morbidly obese (BMI ≥40 kg/m2), HIV positive, pregnant and breastfeeding individuals
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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TC Erciyes University

OTHER

Sponsor Role lead

Responsible Party

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Eda Başmısırlı

Asst. Prof. Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Erciyes University

Talas, Kayseri, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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06156930

Identifier Type: -

Identifier Source: org_study_id

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