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Parenteral Nutrition in Patients With Biliopancreatic Mass Lesions


2012-06


2014-02


2014-02


100

Study Overview

Parenteral Nutrition in Patients With Biliopancreatic Mass Lesions

Patients with biliopancreatic tumors are at risk for malnutrition and have to undergo many procedures for diagnostic workup that require fasting periods. In a prospective randomized monocentric study we evaluate the effect of additional parenteral nutrition on weight loss, nutritional status, quality of life and length of hospital stay.

Patients with pancreatic and biliary tract cancer suffer from weight loss, malnutrition and cachexia. These factors are associated with poor prognosis, reduction in quality of life and a higher risk of complications during treatment. Moreover, patients undergo fasting periods during their diagnostic work-up at hospital that worsens malnutrition. This is a prospective randomized monocentric study to investigate, whether parenteral nutritional supplementation may have an impact on weight loss, nutritional status, quality of life and length of hospital stay in patients with tumors of the pancreas or biliary tract. Patients either receive 1 l Olimel peri 2.5 %® (Baxter Germany GmbH Medication Delivery, Unterschleißheim, Germany containing 700 kcal, 25.3 g protein, 30.0 g fat and 75.0 g glucose) on fasting days or 1 l of isotonic fluid (E153, Berlin-Chemie AG, Berlin, Germany) in the control group. A hospital stay of at least three days is required. Patients are assessed for anthropometric measurements, bioelectrical impedance analysis, quality of life and length of hospital stay.

  • Weight Loss
  • Pancreatic Cancer
  • Biliary Tract Cancer
  • DIETARY_SUPPLEMENT: Olimel Peri 2.5% ®
  • DIETARY_SUPPLEMENT: Isotonic fluid (E153)
  • BB61/12

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2016-01-28  

N/A  

2016-01-28  

2016-01-28  

N/A  

2016-02-01  

2016-02-01  

N/A  

2016-01  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Supportive Care


Allocation:
Randomized


Interventional Model:
Parallel


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
ACTIVE_COMPARATOR: Parenteral nutrition

Active Comparator: Olimel peri 2.5% ® 1l/d (700 kcal/d) (Baxter GmbH, Unterschleißheim, Germany)

DIETARY_SUPPLEMENT: Olimel Peri 2.5% ®

  • During hospital stay patients received 1 l Olimel peri 2.5 %® containing 700 kcal (25.3 g protein, 30.0 g fat and 75.0 g glucose) daily by intravenous route.
PLACEBO_COMPARATOR: Isotonic fluid

Isotonic fluid 1l/d (E153, Berlin-Chemie AG, Berlin, Germany)

DIETARY_SUPPLEMENT: Isotonic fluid (E153)

  • Controls received 1l of isotonic fluid daily by intravenous route.
Primary Outcome MeasuresMeasure DescriptionTime Frame
Weight lossInfluence of Olimel Peri 2.%% ® on body weight≥ 3 days
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Nutritional statusBioelectrical analysis (BIA) was performed. BCM/ECM index, phase angle, body fat were measured.≥ 3 days
Quality of lifeQuality of life was determined using the European EORTC QLQ-C30 form.≥ 3 days
Length of hospital stayLength of hospital stay was calculated in days.≥ 3 days

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:

  • Hospitalization for suspected biliopancreatic mass lesion
  • Consent to participate to the study

  • Exclusion Criteria:

  • Liver cirrhosis (Child-Pugh B and C)
  • Heart or renal failure (grade III or more)
  • Dementia
  • Pregnancy
  • Hospital stay less than 3 days

Collaborators and Investigators

This is where you will find people and organizations involved with this study.


    • PRINCIPAL_INVESTIGATOR: Markus M Lerch, MD, Department of Medicine A, University Medicine Greifswald

    Publications

    The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

    General Publications

    • Kruger J, Meffert PJ, Vogt LJ, Gartner S, Steveling A, Kraft M, Mayerle J, Lerch MM, Aghdassi AA. Early Parenteral Nutrition in Patients with Biliopancreatic Mass Lesions, a Prospective, Randomized Intervention Trial. PLoS One. 2016 Nov 18;11(11):e0166513. doi: 10.1371/journal.pone.0166513. eCollection 2016.