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Food for Special Medical Purpose in Patients With Digestive Tract Tumor

Primary Purpose

Gastrointestinal Cancer

Status
Recruiting
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
Experimental Product
Control Product
Sponsored by
Abbott Nutrition
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Gastrointestinal Cancer

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Participant is male or female, between 18 and 75 years old, female participant is non-pregnant or non- lactating, at least 6 weeks postpartum
  • Participants with digestive tract tumors diagnosed by histological method or radiological diagnosis and scheduled to undergo surgical resection
  • Participant with NRS-2002 score ≥3
  • Participant is willing to comply with the study protocol, able and willing to consume study product according to the protocol
  • Participants with Body Mass Index 18.5 - 30 kg/m2
  • Participant has voluntarily signed and dated an informed consent form (ICF), approved by an Institutional Review Board (IRB) / Independent Ethics Committee (IEC) prior to any participation in the study

Exclusion Criteria:

  • Participant has an expected life expectancy < 3 months
  • Participant has contraindications to enteral nutrition (such as active gastrointestinal hemorrhage, bowel obstruction, decompensated short bowel syndrome, high flow intestinal fistula, severe intraperitoneal infection, severe gastrointestinal emptying disorder, unstable vital signs, dyscoagulation, severe nausea, vomiting and/or uncontrolled diarrhea/steatorrhoea) that in the opinion of the study physician cannot be corrected
  • Participant had plasma infused, RBC infused, albumin infused, amino acid infused or undergone radiotherapy and/or chemotherapy within 1 week before screening
  • Participant with serum Albumin <2.5g/dl at the time of the screening
  • Participant has moderate to severe anemia, i.e. Hgb < 90g / L
  • Patients who plan to receive endoscopic tumor resection or / and palliative surgery
  • Participant has renal dysfunction (serum creatinine > 2 times the upper limit of normal (ULN))
  • Participant has liver insufficiency [serum alanine transaminase (ALT) and/or aspartate transaminase (AST) > 2 times the ULN or severe cholestasis (conjugated bilirubin > 2 times the ULN)]
  • Participant has severe cardiac insufficiency (e.g., Severe arrhythmia or atrial fibrillation; myocardial ischemia or stent surgery with unstable cardiac function within 3 months prior to screening visit )
  • Participant states that he/she has had a significant cardiovascular and cerebrovascular event (e.g., myocardial infarction, stroke) within six months prior to screening visit; or stated history of congestive heart failure
  • Participant with type I diabetes, or type II diabetes with fasting blood glucose ≥8mmol/L
  • Participant has history of significant neurological or psychiatric disorder
  • Participant has history of alcoholism, drug abuse or other conditions that may interfere with study product consumption or compliance with study protocol procedures
  • Participant has a known history of allergy or intolerance to any ingredient in the investigational products
  • Participant is currently undergoing tumor immunotherapy taking medications/substances that could profoundly modulate appetite, metabolism or inflammatory level

    1. Appetite enhancers, pregnancy promoters, steroids (nasal inhalation, topical and optical steroids are acceptable);
    2. Anti-inflammatory fat emulsions or other oral nutritional supplementations/drugs containing Omega-3 fatty acids, protein, glutamine, or arginine.
    3. Dexamethasone, growth hormone or other drugs affecting metabolism;
  • Participant is currently undergoing tumor immunotherapy or taking medications/substances that could profoundly modulate immune function, such as PD1 or PDL1 inhibitors; CTLA-4 inhibitor; Thymosin; Azathioprine; Cyclosporine; Tacrolimus; Tumor necrosis factor antagonist; Lentinan; immune-modulating Chinese medicine
  • Participant with active tuberculosis and HIV infection
  • Participant participated in any clinical trial within four weeks prior to the screening visit.

Sites / Locations

  • Beijing HospitalRecruiting
  • Peking Union Medical College HospitalRecruiting
  • Cancer Hospital Chinese Academy of Medical SciencesRecruiting
  • Peking University People's HospitalRecruiting
  • Beijing Cancer HospitalRecruiting
  • Beijing Tsinghua Changgung HospitalRecruiting
  • The Six Afffilated Hospital Sun Yat-sen UniversityRecruiting
  • The Affiliated Hospital of Qingdao UniversityRecruiting
  • Zhongshan Hospital Affiliated to Shanghai Fudan University
  • Renji Hospital Shanghai Jiaotong University School of Medicine

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Experimental Product

Control Product

Arm Description

Food for Special Medical Purpose (FSMP) is a special medical food for patients with tumors

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

Outcomes

Primary Outcome Measures

Serum Pre-Albumin
Change in pre-albumin

Secondary Outcome Measures

Serum Albumin
Change in albumin
Weight
Change in weight
Nutritional Risk Screening (NRS) 2002
NRS-2002 scored from 0 Low Risk to 7 High Risk

Full Information

First Posted
February 15, 2022
Last Updated
May 18, 2023
Sponsor
Abbott Nutrition
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1. Study Identification

Unique Protocol Identification Number
NCT05301556
Brief Title
Food for Special Medical Purpose in Patients With Digestive Tract Tumor
Official Title
Effect of a Food for Special Medical Purpose (FSMP) Product During the Perioperative Period in Patients With Digestive Tract Tumor
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
June 24, 2022 (Actual)
Primary Completion Date
August 2023 (Anticipated)
Study Completion Date
August 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Abbott Nutrition

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a prospective, randomized, controlled, unblinded, parallel, multicenter, and non-inferiority study to demonstrate the safety and efficacy of a Food for Special Medical Purpose product (FSMP) in participants with digestive tract tumor undergoing surgical resection during the perioperative period.
Detailed Description
This is a prospective, randomized, controlled, unblinded, parallel, and multicenter, and non-inferiority study to demonstrate the safety and efficacy of a FSMP in participants with digestive tract tumor undergoing surgical resection during the perioperative period. Half of the participants will receive FSMP, the other half will receive Enteral Nutrition Emulsion (TPF-T) as an active control. 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, to demonstrate its parity with TPF-T on efficacy and safety.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Gastrointestinal Cancer

7. Study Design

Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
320 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Experimental Product
Arm Type
Experimental
Arm Description
Food for Special Medical Purpose (FSMP) is a special medical food for patients with tumors
Arm Title
Control Product
Arm Type
Active Comparator
Arm Description
Nutrition Emulsion (TPF-T) TPF-T is a tumor-specific enteral nutrition therapy
Intervention Type
Other
Intervention Name(s)
Experimental Product
Intervention Description
Before the surgery: FSMP provides daily target energy needed by participants 1-2 days after surgery: Start FSMP and advance as tolerated to achieve 20% of the daily target energy needed by participants 3rd-5th day after surgery: Gradually increase FSMP intake every day as tolerated to provide 30-80% of the daily target energy needed by participants 6th to 11th day after surgery. FSMP provides daily target energy needed by participants
Intervention Type
Other
Intervention Name(s)
Control Product
Intervention Description
Before surgery: TPF-T provides daily target energy needed by participants 1-2 days after surgery: Start TPF-T and advance as tolerated to achieve 20% of the daily target energy needed by participants 3rd-5th day after surgery: Gradually increase TPF-T intake every day as tolerated to provide 30-80% of the daily target energy needed by participants 6th to 11th day after surgery. TPF-T provides daily target energy needed by participants
Primary Outcome Measure Information:
Title
Serum Pre-Albumin
Description
Change in pre-albumin
Time Frame
Baseline to Post Op Day (POD) 9
Secondary Outcome Measure Information:
Title
Serum Albumin
Description
Change in albumin
Time Frame
Baseline to Post Op Day (POD) 9
Title
Weight
Description
Change in weight
Time Frame
Baseline to Post Op Day (POD) 9
Title
Nutritional Risk Screening (NRS) 2002
Description
NRS-2002 scored from 0 Low Risk to 7 High Risk
Time Frame
Baseline to Post Op Day (POD) 9
Other Pre-specified Outcome Measures:
Title
C-reactive Protein (CRP)
Description
Change in CRP
Time Frame
Baseline to Post Op Day (POD) 9
Title
Length of hospital stay
Description
Days stay in hospital
Time Frame
From Date of Admission until Date of Discharge, typically up to 14 days
Title
Hand Grip Strength
Description
Measured in kg
Time Frame
Baseline to Post Op Day (POD) 9
Title
Eastern Cooperative Oncology Group (ECOG) Performance Status
Description
Healthcare Professional assessed score with range from 0 to 5; higher scores indicate worsening functional status
Time Frame
Baseline to Post Op Day (POD) 9
Title
Product Intake
Description
Daily volume of study product consumed
Time Frame
Baseline to Post Op Day (POD) 9
Title
Adverse Events
Description
Reported adverse events for assessment of safety and tolerability
Time Frame
Baseline to Post Op Day (POD) 9

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participant is male or female, between 18 and 75 years old, female participant is non-pregnant or non- lactating, at least 6 weeks postpartum Participants with digestive tract tumors diagnosed by histological method or radiological diagnosis and scheduled to undergo surgical resection Participant with NRS-2002 score ≥3 Participant is willing to comply with the study protocol, able and willing to consume study product according to the protocol Participants with Body Mass Index 18.5 - 30 kg/m2 Participant has voluntarily signed and dated an informed consent form (ICF), approved by an Institutional Review Board (IRB) / Independent Ethics Committee (IEC) prior to any participation in the study Exclusion Criteria: Participant has an expected life expectancy < 3 months Participant has contraindications to enteral nutrition (such as active gastrointestinal hemorrhage, bowel obstruction, decompensated short bowel syndrome, high flow intestinal fistula, severe intraperitoneal infection, severe gastrointestinal emptying disorder, unstable vital signs, dyscoagulation, severe nausea, vomiting and/or uncontrolled diarrhea/steatorrhoea) that in the opinion of the study physician cannot be corrected Participant used parenteral nutrition or had plasma infused, RBC infused, albumin infused, amino acid infused or undergone radiotherapy and/or chemotherapy within 1 week before screening Participant with serum Albumin <2.5g/dl at the time of the screening Participant has moderate to severe anemia, i.e. Hgb < 90g / L Patients who plan to receive endoscopic tumor resection or / and palliative surgery Participant has renal dysfunction (serum creatinine > 2 times the upper limit of normal (ULN)) Participant has liver insufficiency [serum alanine transaminase (ALT) and/or aspartate transaminase (AST) > 2 times the ULN or severe cholestasis (conjugated bilirubin > 2 times the ULN)] Participant has severe cardiac insufficiency (e.g., Severe arrhythmia or atrial fibrillation; myocardial ischemia or stent surgery with unstable cardiac function within 3 months prior to screening visit ) Participant states that he/she has had a significant cardiovascular and cerebrovascular event (e.g., myocardial infarction, stroke) within six months prior to screening visit; or stated history of congestive heart failure Participant with type I diabetes, or type II diabetes with fasting blood glucose ≥8mmol/L Participant has history of significant neurological or psychiatric disorder Participant has history of alcoholism, drug abuse or other conditions that may interfere with study product consumption or compliance with study protocol procedures Participant has a known history of allergy or intolerance to any ingredient in the investigational products Participant is currently undergoing tumor immunotherapy taking medications/substances that could profoundly modulate appetite, metabolism or inflammatory level Appetite enhancers, pregnancy promoters, steroids (nasal inhalation, topical and optical steroids are acceptable); Anti-inflammatory fat emulsions or other oral nutritional supplementations/drugs containing Omega-3 fatty acids, protein, glutamine, or arginine. Dexamethasone, growth hormone or other drugs affecting metabolism; Participant is currently undergoing tumor immunotherapy or taking medications/substances that could profoundly modulate immune function, such as PD1 or PDL1 inhibitors; CTLA-4 inhibitor; Thymosin; Azathioprine; Cyclosporine; Tacrolimus; Tumor necrosis factor antagonist; Lentinan; immune-modulating Chinese medicine Participant with active tuberculosis and HIV infection Participant participated in any clinical trial within four weeks prior to the screening visit.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Kristen S DeLuca, MS, RDN, LDN
Phone
16145653522
Email
kristen.deluca@abbott.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Fei Li, PhD
Organizational Affiliation
Abbott Nutrition
Official's Role
Study Chair
Facility Information:
Facility Name
Beijing Hospital
City
Beijing
ZIP/Postal Code
100005
Country
China
Individual Site Status
Recruiting
Facility Name
Peking Union Medical College Hospital
City
Beijing
ZIP/Postal Code
100005
Country
China
Individual Site Status
Recruiting
Facility Name
Cancer Hospital Chinese Academy of Medical Sciences
City
Beijing
ZIP/Postal Code
100021
Country
China
Individual Site Status
Recruiting
Facility Name
Peking University People's Hospital
City
Beijing
ZIP/Postal Code
100044
Country
China
Individual Site Status
Recruiting
Facility Name
Beijing Cancer Hospital
City
Beijing
ZIP/Postal Code
100142
Country
China
Individual Site Status
Recruiting
Facility Name
Beijing Tsinghua Changgung Hospital
City
Beijing
ZIP/Postal Code
102218
Country
China
Individual Site Status
Recruiting
Facility Name
The Six Afffilated Hospital Sun Yat-sen University
City
Guangzhou
ZIP/Postal Code
510665
Country
China
Individual Site Status
Recruiting
Facility Name
The Affiliated Hospital of Qingdao University
City
Qingdao
ZIP/Postal Code
266003
Country
China
Individual Site Status
Recruiting
Facility Name
Zhongshan Hospital Affiliated to Shanghai Fudan University
City
Shanghai
ZIP/Postal Code
200031
Country
China
Individual Site Status
Not yet recruiting
Facility Name
Renji Hospital Shanghai Jiaotong University School of Medicine
City
Shanghai
ZIP/Postal Code
200127
Country
China
Individual Site Status
Not yet recruiting

12. IPD Sharing Statement

Plan to Share IPD
No

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Food for Special Medical Purpose in Patients With Digestive Tract Tumor

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