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Evidence of CholecystectomyPhase 3laparoscopyNCT02555020

Effect of Preoperative Oral Carbohydrates on Quality of Recovery

A Phase 3 study testing Allocated to Carbohydrated group and Allocated to MN NPO group, in people with Evidence of Cholecystectomy, run by Yonsei University.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Carbohydrate loading is an important component of enhanced recovery pathways. Preoperative carbohydrate treatments have been widely adopted as part of enhanced recovery after surgery (ERAS) or fast-track surgery protocols. Read more about this study

Who is it for?
Ages 20 to 70 years
Conditions the study is for
Evidence of Cholecystectomy
What is being tested?
Allocated to Carbohydrated group and Allocated to MN NPO group,
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
153 participants
Where
No sites listed yet
Study dates
Sep 2015to 23 Dec 2016
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • ASA (I/II)
  • Laparoscopic cholecystectomy.
  • KAROFSKY PERFORMANCE SCALE >70,
  • No history of major operation

Who cannot join

  • DM patients
  • GE reflux Hx patients.
  • No- compliance,
  • Previous Abdominal Surgery History

About this study

Official title: Effect of Preoperative Oral Carbohydrates on Quality of Recovery: Randomized Controlled Trial

Carbohydrate loading is an important component of enhanced recovery pathways. Preoperative carbohydrate treatments have been widely adopted as part of enhanced recovery after surgery (ERAS) or fast-track surgery protocols. Although fast-track surgery protocols have been widely investigated and have been shown to be associated with improved postoperative outcomes, some individual constituents of these protocols, including preoperative carbohydrate treatment, have not been subject to such robust analysis.To assess the effects of preoperative carbohydrate treatment, compared with placebo or preoperative fasting, on postoperative recovery and insulin resistance in adult patients undergoing elective surgery.

Read the detailed description

Patients received 400 mL of oral isotonic glucose (No NPO®, Daesang, Korea) 12 hours before anesthesia and 400 mL 2 hours before. CHL composition was standard: 12.5 g of carbohydrate per 100 mL, 12% monosaccharide, 12% disaccharide, 76% polysaccharide, 250 mOsm/kg and 50 kcal.

Being tested
Allocated to Carbohydrated group, Allocated to Placebo group, Allocated to MN NPO group,

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Allocated to Carbohydrated groupDietary supplement

    Patients received 400 mL of oral isotonic glucose (No NPO®, Daesang, Korea) 12 hours before anesthesia and 400 mL 2 hours before. CHL composition was standard: 12.5 g of carbohydrate per 100 mL, 12% monosaccharide, 12% disaccharide, 76% polysaccharide, 250 mOsm/kg and 50 kcal.

  • Allocated to Placebo groupDietary supplement

    Patients received 400 mL of oral free water (Placebo) 12 hours before anesthesia and 400 mL 2 hours before.

  • Allocated to MN NPO group,Dietary supplement

    Patients received NPO from MN.

Study groups in NCT02555020
Study groupRoleWhat they receive
Allocated to MN NPO group,Experimental1. Patients was administered in hospital 2. Randomization 3. Patient was allocated to MN group 4. Patients were NPO from mid night (MN) to Surgery
Receives: Dietary Supplement: Allocated to MN NPO group,
Allocated to Placebo groupPlacebo comparator1. Patients was administered in hospital 2. Randomization 3. Patient was allocated to Placebo group 4. Patients received 400 mL of water 12 hours before anesthesia and 400 mL 2 hours before anesthesia.
Receives: Dietary Supplement: Allocated to Placebo group
Allocated to Carbohydrated groupActive comparator1. Patients was administered in hospital 2. Randomization 3. Patient was allocated to Carbohydrated group 4. Patients received 400 mL of oral isotonic glucose (No NPO®, Daesang, Korea) 12 hours before anesthesia and 400 mL 2 hours before. CHL composition was standard: 12.5 g of carbohydrate per 100 mL, 12% monosaccharide, 12% disaccharide, 76% polysaccharide, 250 mOsm/kg and 50 kcal.
Receives: Dietary Supplement: Allocated to Carbohydrated group

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Quality of Recovery score using the QoR-40 Questionnaire

    We check the QoR-40 Questionnaire at discharge day

    Measured: We check the QoR-40 at POD1 after cholecystectomy , an expected average 3days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Sep 2015 (estimated)
  2. Study startSep 2015
  3. Primary completion22 Dec 2016
  4. Study completion23 Dec 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
153 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02555020
Sponsor's protocol ID
3-2015-0158
Acronym
laparoscopy
Status last verified
Sep 2017
First submitted
11 Sep 2015
Last updated
18 Sep 2017
Results posted
No
Data monitoring committee
Yes

Publications

  • Lee JS, Song Y, Kim JY, Park JS, Yoon DS. Effects of Preoperative Oral Carbohydrates on Quality of Recovery in Laparoscopic Cholecystectomy: A Randomized, Double Blind, Placebo-Controlled Trial. World J Surg. 2018 Oct;42(10):3150-3157. doi: 10.1007/s00268-018-4717-4.

    PubMed 29915988

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Allocated to Carbohydrated group and Allocated to MN NPO group, in people with Evidence of Cholecystectomy, run by Yonsei University.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 18 Sep 2017. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Quality of Recovery score using the QoR-40 Questionnaire (time frame: We check the QoR-40 at POD1 after cholecystectomy , an expected average 3days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02555020, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Sep 2017.

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