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Prevention of Cancer-associated Malnutrition Through Oral Nutritional Supplements


2015-01


2016-01


2016-01


80

Study Overview

Prevention of Cancer-associated Malnutrition Through Oral Nutritional Supplements

The aim of the randomized controlled study is to determine effects of an adjusted amount of oral nutritional supplements on the quality of life, the nutritional status, side effects, and response to therapy, in patients with pancreatic and hepatocellular carcinoma receiving palliative therapy.

Cancer is often associated with malnutrition and weight loss. The occurence of malnutrition during the course of the disease depends on the type, extent, and therapy of the tumor. Pancreatic cancer patients and patients with hepatocellular carcinoma are particularly at risk of developing a pronounced weight loss. Cancer-related malnutrition has negative impact on the response to therapy, survival, quality of life, and the infection rate of patients, resulting in prolonged hospital stays and higher costs for health care. Maintaining or optimizing the quality of life in patients receiving palliative therapy has priority. Since a poor nutritional status affects the quality of life, patients might benefit from the use of an adjusted amount of oral nutritional supplements. To determine the effects of oral nutritional supplements, a controlled randomized study will be conducted.

  • Cancer
  • DIETARY_SUPPLEMENT: Oral nutritional supplement
  • ZEM_Minigrad_TN

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

2014-11-07  

N/A  

2014-12-08  

2014-12-08  

N/A  

2014-12-09  

2014-12-09  

N/A  

2014-11  

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:
Prevention


Allocation:
Randomized


Interventional Model:
Parallel


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: Intervention

Patient group which takes daily an adjusted amount of oral nutritional supplements through an intervention period of three months

DIETARY_SUPPLEMENT: Oral nutritional supplement

  • Beginning with the start of palliative therapy, depending on the nutritional status, one, two, or three cans per day are ingested during a period of three months.
NO_INTERVENTION: Control

Patients group which takes no oral nutritional supplements

Primary Outcome MeasuresMeasure DescriptionTime Frame
Change in health-related quality of lifeHealth-related quality of life is assessed by using the standardized questionnaire "Short Form-36 Health Survey" (SF36).Every four weeks for a period of three months and after six months
Change in disease-related quality of lifeDisease-related quality of life is assessed by using the standardized questionnaire "Functional Assessment of Cancer Therapy - Hepatobiliary questionaire" (FACT-Hep).Every four weeks for a period of three months and after six months
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Body mass index (BMI)To calculate the BMI, weight and height are measured.Every four weeks for a period of three months and after six months
Body compositionTo measure the body composition, a bioelectrical impedance analysis (BIA) is carried out. The phase angle and the extracellular cell mass/body cell mass ratio (ECM/BCM ratio) is evaluated.Every four weeks for a period of three months and after six months
Grip strength [lb]To measure the grip strength, a hydraulic force measuring device is used.Every four weeks for a period of three months and after six months
Score (points) of nutritional risk screeningPatients are screened with the Nutritional Risk Screening 2002 (NRS 2002)Every four weeks for a period of three months and after six months
Laboratory parametersAlbumin, C-reactive protein (CRP), Ferritin are measured to assess the nutritional and protein status as well as the disease activityEvery four weeks for a period of three months and after six months

Contacts and Locations

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

Study Contact

Name: Stephan C. Bischoff, MD, Prof.

Phone Number: 0049 711 45924101

Email: bischoff.stephan@uni-hohenheim.de

Study Contact Backup

Name: Janna Jayme

Phone Number:

Email: janna.jayme@uni-hohenheim.de

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:

  • assured diagnosis of pancreatic cancer/hepatocellular carcinoma, not treatable with curative intent
  • palliative systemic therapy of pancreatic cancer respectively palliative therapy of hepatocellular carcinoma with Sorafenib or TACE (transarterial chemoembolization)
  • written informed consent prior to inclusion

  • Exclusion Criteria:

  • prefinal phase with an estimated life expectancy of less than three months
  • nutritional support through tube feeding or a central venous catheter
  • serious malassimilation (assessed by anamnesis)
  • Eastern Cooperative Oncology Group (ECOG) Performance Status ≥ 2
  • hepatic encephalopathy ≥ degree 2

Collaborators and Investigators

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

  • University Hospital Tuebingen

  • PRINCIPAL_INVESTIGATOR: Stephan C. Bischoff, MD, Prof., Department of Nutritional Medicine, University of Hohenheim, Stuttgart, Germany

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

No publications available