Oral Immunonutrition Therapy to Reduce Acute Toxicity After Neoadjuvant Chemoradiotherapy Pancreatic Cancer Patients

NCT ID: NCT06736678

Last Updated: 2024-12-17

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

98 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-26

Study Completion Date

2025-09-30

Brief Summary

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A prospective, single-arm clinical trial is conducted to investigate the role of oral immunonutrion in reducing acute toxicity after neoadjuvant chemoradiotherapy among pancreatic cancer patients.

Detailed Description

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Pancreatic cancer has a poor prognosis for its high malignancy. Radical surgical resection is an effective means for prolonging survival. However, only a few patients can be directly treated with surgical resection. Neoadjuvant therapy can reduce the tumor size, improve the relationship between the tumor and adjacent blood vessels,to gain surgical opportunities and prolonging patients' survival.

Nutritional treatment of cancer has been valued by more and more researchers. As an important branch of nutrition therapy, immunonutrition plays an important role in regulating the immune. Studies have shown that immunonutrition can reduce antitumor treatment related toxicity among patients with head and neck cancer, esophageal cancer. At present, most studies on immunonutrition therapy focus on perioperative patients, and there is no study on patients with pancreatic cancer undergoing radiotherapy.

This prospective, single-arm clinical trial aimed to explore the efficacy and safety of oral immunonutrition therapy in reducing acute toxicity after neoadjuvant chemoradiotherapy among pancreatic cancer patients. A total of 98 pancreatic cancer patients will be enrolled. All of the patients will receive oral immunonutrition therapy for 6 weeks from one week before radiotherapy. The total follow time is 4 months.

Conditions

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Pancreatic Cancer Neoadjuvant Chemoradiotherapy Immunonutrition

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Intervention group

Group Type EXPERIMENTAL

Oral Immunonutrition

Intervention Type DIETARY_SUPPLEMENT

Patients receive enteral immunonutrition, Oral Impact® Nestle for 6 weeks from one week before radiotherapy;

Interventions

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Oral Immunonutrition

Patients receive enteral immunonutrition, Oral Impact® Nestle for 6 weeks from one week before radiotherapy;

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* 1\. Pathologically confirmed pancreatic ductal epithelial malignant tumors;
* 2\. Resectable pancreatic cancer treated with neoadjuvant chemoradiotherapy, or nonresectable locally advanced pancreatic cancer treated with neoadjuvant or radical chemoradiotherapy;
* 3.Nutritional Risk Screening 2002 (NRS2002) ≥3 and Patient-Generated Subjective Global Assessment (PG-SGA) performance status B;
* 4\. Age 18 years and older;
* 5\. Eastern Cooperative Oncology Group (ECOG) performance status 0-1;
* 6\. Expected survival time more than 3 months;
* 7\. History of antineoplastic therapy;

Exclusion Criteria

* 1\. Known allergy or intolerance to any component of investigational Oral Immunonutrition;
* 2\. History of Oral Immunonutrition use within one month prior to enrollment;
* 3\. Tumor compresses the major duodenal papilla, and /or appeared jaundice, acute pancreatitis;
* 4\. Patients with contraindications for antineoplastic therapy, such as coronary heart disease, cerebral infarction, cerebral hemorrhage or other serious diseases;
* 5\. Liver, kidney and blood coagulation function failure;
* 6\. Patients with hemopathy;
* 7\. Patients with active infections;
* 8\. Patients with other primary tumor;
* 9\. Patients with other medical diseases that seriously affected nutritional status;
* 10.Subjects deemed by the investigator have other factors that may be ineligible for enrollment;
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sun Yat-sen University

OTHER

Sponsor Role lead

Responsible Party

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WeiWei Xiao

Chief physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Weiwei Xiao

Role: PRINCIPAL_INVESTIGATOR

Sun Yat-sen University

Locations

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Sun Yat-sen University Cancer Center

Guangzhou, Guangdong, China

Site Status RECRUITING

Sun Yat-sen University Cancer Center

Guangzhou, Guangdong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Weiwei Xiao

Role: CONTACT

Phone: +86 020 8734 0951

Email: [email protected]

Liping Chen

Role: CONTACT

Phone: +86 020 87340767

Email: [email protected]

Facility Contacts

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WeiWei xiao

Role: primary

Weiwei Xiao, Doctor

Role: primary

Weiwei Xiao, Doctor

Role: backup

Other Identifiers

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B2023-360-01

Identifier Type: -

Identifier Source: org_study_id