Gastrointestinal CancerNCT03665714
Effects of Immunonutrition (Impact Oral®) in Patients Undergoing Surgery for Gastrointestinal Cancer
A study testing Impact Oral and Enteral Nutrition Emulsion(TPF-T) in people with Gastrointestinal Cancer, run by Société des Produits Nestlé (SPN) at 1 site in China.
Trial summary
This study will evaluate the efficacy and safety of Impact Oral in Patients undergoing Surgery for Gastrointestinal Cancer, half of the participants will receive Impact Oral nutrition therapy, the other half will receive Enteral Nutrition Emulsion(TPF-T) therapy. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Gastrointestinal Cancer
- What is being tested?
- Impact Oral and Enteral Nutrition Emulsion(TPF-T)
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 308 participants
- Where
- 1 siteChina
- Study dates
- 23 Oct 2018to 31 Oct 2020
- Phase
- Interventional
- 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 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients with upper or lower gastrointestinal cancer confirmed by histological method and scheduled for radical resection via open or laparoscopic surgery plus gastrointestinal reconstruction. Radiotherapy and/or Chemotherapy was not performed within 2 weeks before screening.
- Age18-75 years old (include 18 and 75 years old).
- Body Mass Index 18.5-28kg/m2 (include 18.5 and28kg/m2).
- Life expectancy more than 3 months.
- Plasma haemoglobin ≥ 90g/l.
- Plasma albumin ≥2.5 g/dl.
- No blood product infused within 1 week prior to screening.
- Patients are informed for consent, and agreed to participate in the study and sign the informed consent.
Who cannot join
- Severe concomitant clinical conditions that could jeopardize the trial performance and follow-up.
- Past history of gastrointestinal surgery or other treatment of digestive tract, and affect the nutrient absorption
- Female patient who is pregnant or lactating woman.
- Patient undergoing minor gastrointestinal cancer surgery such as confirmatory biopsy or endoscopy. Patient that has endoscopic tumour resection is also excluded.
- Patient is not allowed any oral or enteral intake in the pre-operative phase of the study.
- Having participated in another interventional clinical trial including those related to nutritional support within 4 weeks prior to the patient enrollment.
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- Other malignancies in the last 5 years (except for successfully treated in situ basocellular skin and in situ cervical uterine tumours).
- Patient who is not willing and not able to comply with scheduled visits and the requirements of the study protocol.
- Planned chemotherapy, radiotherapy or immunotherapy during the first 7 days following the surgical tumour resection.
- Patient with liver and kidney dysfunction (alanine aminotransferase ALT ≥ 2 times the upper limit of normal; total bilirubin TBIL ≥ 2 times the upper limit of normal; creatinine Cr ≥ 2 times the upper limit of normal).
- Known to have diabetes or fasting blood glucose≥ 10mmol/L.
- Known to have hyperthreosis or hypothyreosis
- Patient currently treated with Omega-3 fatty acid-containing fat emulsion, glutamine, thymosin, hormone, thyroxine, growth hormone, anti-TNF biological.
- Known to have allergic history to any component of the investigational product.
- Uncontrolled psychological disease.
Trial locations and contacts
1 site in 1 country.
China1 site
Peiking Union Medical College Hospital
Beijing, Beijing Municipality, 100730
About this study
This study will evaluate the efficacy and safety of Impact Oral in Patients undergoing Surgery for Gastrointestinal Cancer, half of the participants will receive Impact Oral nutrition therapy, the other half will receive Enteral Nutrition Emulsion(TPF-T) therapy.
Read the detailed description
The present protocol describes a randomized, active-controlled, open labelled study in which either IMPACT Oral or Enteral Nutrition Emulsion(TPF-T) will be given to surgical patients for 5 days before surgery and 7 days after surgery. Both of the study products include immunonutrition, but the nutrient proportion is different.
Prealbumin, C-reaction protein (CRP), Albumin,immunology parameters, the results of physical examination, vital signs, relevant nutrition- and safety-related laboratory parameters and the number, severity, seriousness, relatedness and outcome of Adverse Events (AEs) will be evaluated in this study.
- Conditions
- Gastrointestinal Cancer
- Being tested
- Impact Oral, Enteral Nutrition Emulsion(TPF-T)
- Medical subject headings
- Gastrointestinal Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Impact OralOther
Impact Oral belongs to Food for Special Medical Purpose (FSMP) according to China registration regulation, including Omega-3 fatty acids, Arginine and Nucleotides immunonutrition.
Enteral Nutrition Emulsion(TPF-T)Other
Also called Changnei Yingyang Ruji(TPF-T)
TPF-T
| Study group | Role | What they receive |
|---|---|---|
| Impact Oral | Experimental | Preoperatively:
1 bottle each time (250ml/bottle), 3 times per day, equivalent to approximately 1060.5kcal per day.
Postoperatively:
1. Patient should receive:
* 1 bottle (250 ml each) per day of test product on D 1 and D 2 post surgery, corresponding to 353.5Kcal.
* 2 bottles (250 ml each) per day of test product on D 3 and D 4 post surgery, corresponding to 707Kcal.
* 3 bottles (250 ml each) per day of test product on D 5, D 6 and D 7 post surgery, corresponding to 1060.5 kcal.
2. At the discretion of the authorized investigator/nutritionist, the amount of study products, can be increased to meet the daily caloric goal: 1500Kcal. Receives: Other: Impact Oral; Other: Enteral Nutrition Emulsion(TPF-T) |
| Enteral nutrition Emulsion(TPF-T) | Active comparator | Preoperatively:
272ml each time, 3 times per day, equivalent to approximately 1060.5kcal per day.
Postoperatively:
1. Patient should receive:
* 272ml of control product on D 1 and D 2 post surgery, corresponding to 353.5Kcal.
* 544ml of control product on D 3 and D 4 post surgery, corresponding to 707Kcal.
* 816ml of control product on D 5, D 6 and D 7 post surgery, corresponding to 1060.5 kcal.
2. At the discretion of the authorized investigator/nutritionist, the amount of study products, can be increased to meet the daily caloric goal: 1500Kcal. Receives: Other: Impact Oral; Other: Enteral Nutrition Emulsion(TPF-T) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change of Serum Prealbumin level
The change of serum prealbumin level on Day 8 after surgery compared with baseline (before study products treatment).
Measured: Change measures at baseline and Day 8 after surgery
Secondary outcomes (6)
Change of Serum Prealbumin level
Prealbumin at baseline and Day -1 before the day of surgery, and Day1 and Day 3 after the day of surgery.
Measured: Change measures at baseline and Day -1(before surgery) and Day1, Day3 after surgery
Change of Albumin
Albumin at baseline, Day-1 before the day of surgery, and on Day 1, 3 and 8 after the day of surgery.
Measured: Change measures at baseline, Day -1(before surgery),Day 1, 3, 8(after surgery)
Change of C-reactive protein
C-reactive protein at baseline, Day -1 before the day of surgery, and on Day 1, 3,8 after the day of surgery.
Measured: Change measures at baseline, Day -1(before surgery),Day1, 3, 8(after surgery)
Change of Interleukin-6 (IL-6)
Interleukin-6 (IL-6) at baseline, Day -1 before the day of surgery, and on Day1, 3 and 8 after the day of surgery
Measured: Change measures at baseline, Day -1(before surgery), Day 1, 3, 8(after surgery)
Change of CD4+/CD8+
CD4+/CD8+ at baseline, Day-1 before the day of surgery, and on Day1, 3, 8 after the day of surgery(selected sites)
Measured: Change measures at baseline, Day -1(before surgery), Day1, 3, 8(after surgery)
Incidence of postoperative Infections
Incidence of postoperative infections up to Day 8 after surgery
Measured: up to Day 8 after surgery
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Sep 2018
- Study start23 Oct 2018
- Primary completion21 Sep 2020
- Study completion31 Oct 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Gastrointestinal CancerStudies of the same condition, open and under way.
- More trials run by Société des Produits Nestlé (SPN)The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 308 participants (actual)
Sponsor and investigators
- Lead sponsor
- Société des Produits Nestlé (SPN)
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Jianchun Yu, MD, Principal investigator, Peiking Union Medical College HospitalGang Xiao, MD, Principal investigator, Beijing HospitalYingjiang Ye, MD, Principal investigator, Peiking University People's HospitalBaogui Wang, MD, Principal investigator, Tianjin Tumor Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03665714
- Sponsor's protocol ID
- 17.01. CN. NHS
- Status last verified
- Sep 2020
- First submitted
- 7 Sep 2018
- Last updated
- 21 Dec 2020
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 21 Dec 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Immunonutrition (Impact Oral®) in Patients Undergoing Surgery for Gastrointestinal Cancer
- ClinicalTrials.gov ID
- NCT03665714
- Acronym / sponsor ID
- 17.01. CN. NHS
- Conditions
- Gastrointestinal Cancer
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 308 participants (actual)
- Lead sponsor
- Société des Produits Nestlé (SPN)Industry (pharma, biotech, devices)
- Study start
- 23 Oct 2018 (actual)
- Primary completion
- 21 Sep 2020 (actual)
- Study completion
- 31 Oct 2020 (actual)
- First posted
- 11 Sep 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will evaluate the efficacy and safety of Impact Oral in Patients undergoing Surgery for Gastrointestinal Cancer, half of the participants will receive Impact Oral nutrition therapy, the other half will receive Enteral Nutrition Emulsion(TPF-T) therapy.
Detailed description
The present protocol describes a randomized, active-controlled, open labelled study in which either IMPACT Oral or Enteral Nutrition Emulsion(TPF-T) will be given to surgical patients for 5 days before surgery and 7 days after surgery. Both of the study products include immunonutrition, but the nutrient proportion is different.
Prealbumin, C-reaction protein (CRP), Albumin,immunology parameters, the results of physical examination, vital signs, relevant nutrition- and safety-related laboratory parameters and the number, severity, seriousness, relatedness and outcome of Adverse Events (AEs) will be evaluated in this study.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Impact Oral | Experimental | Other: Impact Oral, Other: Enteral Nutrition Emulsion(TPF-T)Preoperatively: 1 bottle each time (250ml/bottle), 3 times per day, equivalent to approximately 1060.5kcal per day. Postoperatively: 1. Patient should receive: * 1 bottle (250 ml each) per day of test product on D 1 and D 2 post surgery, corresponding to 353.5Kcal. * 2 bottles (250 ml each) per day of test product on D 3 and D 4 post surgery, corresponding to 707Kcal. * 3 bottles (250 ml each) per day of test product on D 5, D 6 and D 7 post surgery, corresponding to 1060.5 kcal. 2. At the discretion of the authorized investigator/nutritionist, the amount of study products, can be increased to meet the daily caloric goal: 1500Kcal. |
| Enteral nutrition Emulsion(TPF-T) | Active comparator | Other: Impact Oral, Other: Enteral Nutrition Emulsion(TPF-T)Preoperatively: 272ml each time, 3 times per day, equivalent to approximately 1060.5kcal per day. Postoperatively: 1. Patient should receive: * 272ml of control product on D 1 and D 2 post surgery, corresponding to 353.5Kcal. * 544ml of control product on D 3 and D 4 post surgery, corresponding to 707Kcal. * 816ml of control product on D 5, D 6 and D 7 post surgery, corresponding to 1060.5 kcal. 2. At the discretion of the authorized investigator/nutritionist, the amount of study products, can be increased to meet the daily caloric goal: 1500Kcal. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Patients with upper or lower gastrointestinal cancer confirmed by histological method and scheduled for radical resection via open or laparoscopic surgery plus gastrointestinal reconstruction. Radiotherapy and/or Chemotherapy was not performed within 2 weeks before screening.
- Age18-75 years old (include 18 and 75 years old).
- Body Mass Index 18.5-28kg/m2 (include 18.5 and28kg/m2).
- Life expectancy more than 3 months.
- Plasma haemoglobin ≥ 90g/l.
Key exclusion criteria (15 listed)
- Severe concomitant clinical conditions that could jeopardize the trial performance and follow-up.
- Past history of gastrointestinal surgery or other treatment of digestive tract, and affect the nutrient absorption
- Female patient who is pregnant or lactating woman.
- Patient undergoing minor gastrointestinal cancer surgery such as confirmatory biopsy or endoscopy. Patient that has endoscopic tumour resection is also excluded.
- Patient is not allowed any oral or enteral intake in the pre-operative phase of the study.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Impact OralImpact Oral belongs to Food for Special Medical Purpose (FSMP) according to China registration regulation, including Omega-3 fatty acids, Arginine and Nucleotides immunonutrition. | Other | Enteral nutrition Emulsion(TPF-T), Impact Oral |
| Enteral Nutrition Emulsion(TPF-T)Also: Changnei Yingyang Ruji(TPF-T)TPF-T | Other | Enteral nutrition Emulsion(TPF-T), Impact Oral |
Primary outcome
Change of Serum Prealbumin level
Time frame: Change measures at baseline and Day 8 after surgery
The change of serum prealbumin level on Day 8 after surgery compared with baseline (before study products treatment).
6 secondary outcomes
Change of Serum Prealbumin level
Time frame: Change measures at baseline and Day -1(before surgery) and Day1, Day3 after surgery
Change of Albumin
Time frame: Change measures at baseline, Day -1(before surgery),Day 1, 3, 8(after surgery)
Change of C-reactive protein
Time frame: Change measures at baseline, Day -1(before surgery),Day1, 3, 8(after surgery)
Change of Interleukin-6 (IL-6)
Time frame: Change measures at baseline, Day -1(before surgery), Day 1, 3, 8(after surgery)
Change of CD4+/CD8+
Time frame: Change measures at baseline, Day -1(before surgery), Day1, 3, 8(after surgery)
Incidence of postoperative Infections
Time frame: up to Day 8 after surgery
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Dec 2020.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jianchun Yu, MD principal investigator
Peiking Union Medical College Hospital
Gang Xiao, MD principal investigator
Beijing Hospital
Yingjiang Ye, MD principal investigator
Peiking University People's Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Impact Oral and Enteral Nutrition Emulsion(TPF-T) in people with Gastrointestinal Cancer, run by Société des Produits Nestlé (SPN) at 1 site in China.
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 8 inclusion and 15 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 21 Dec 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
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?
Change of Serum Prealbumin level (time frame: Change measures at baseline and Day 8 after surgery). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 21 Dec 2020; AzTrials last refreshed its copy on 7 Nov 2026.