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Risk of MalnutritionPAVOSNCT07399886

Plant-based Versus Animal-based Oral Nutritional Supplements

A study testing Fresubin Plant-based drink vanilla© and Fresubin Yodrink raspberry© in people with Risk of Malnutrition, run by Radboud University Medical Center at 2 sites in Netherlands.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Background information: Many people who are admitted to the hospital are at risk of malnutrition. In some patient groups, this can be as high as 40%. When someone is not eating enough, the dietitian often recommends oral nutritional supplements (ONS). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Risk of Malnutrition
What is being tested?
Fresubin Plant-based drink vanilla© and Fresubin Yodrink raspberry©
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
2 sitesNetherlands
Study dates
10 Nov 2025to 1 Nov 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Clinical patients with cancer and lung diseases, cardiology patients, patients with cardiothoracic surgery, and orthopaedic patients age ≥18 years, and treated at Radboudumc or Maastricht UMC+.
  • Patients who have been advised at least 2 bottles of ONS daily based on a high risk of malnutrition (MUST≥2, PG-SGA-SF≥ 9) and/or by the dietitians expertise.
  • Written informed consent (IC)

Who cannot join

  • Patients who are or become dependent on tube or parenteral nutrition
  • Patients where life-extending therapy is no longer possible
  • Unable to follow up study instructions
  • Lactose intolerance
  • Soy allergy/intolerance
  • Vegan diet

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Sandra Beijer, PhD contact

+31 6 11 15 61 04

sandra.beijer@mumc.nl

Netherlands2 sites, 2 recruiting
  • Maastricht University Medical Center

    Maastricht, Limburg, 6229 HX

    Maud Reintjes, MSc, +31650155752, maud.reintjes@mumc.nl

    Sandra Beijer, PhD, +31611156104, sandra.beijer@mumc.nl

    Recruiting
  • Radboud university medical center

    Nijmegen, Gelderland, 6525 GA

    Manon van den Berg, PhD, +31 6 12 44 00 88, manon.vandenberg@radboudumc.nl

    Maud Reintjes, MSc

    Recruiting

Other trials in Netherlands

About this study

Official title: PlAnt Vs Animal Based Oral Nutritional Supplements: Patients' Opinions and Nutritional Outcomes: A Multicenter Pilot Feasibility Study

Background information:

Many people who are admitted to the hospital are at risk of malnutrition. In some patient groups, this can be as high as 40%. When someone is not eating enough, the dietitian often recommends oral nutritional supplements (ONS). These are energy- and protein-rich drinks that help patients get enough nutrition. They can reduce complications, lower the chance of being readmitted to the hospital, and help improve body weight and physical functioning.

Read more

In the Netherlands, the Ministry of Health and the Dutch Federation of University Medical Centers have signed the Green Deal "Working together on sustainable care." One of the goals is to make healthcare greener and climate-neutral by 2026. This also applies to medical and non-medical nutrition, including ONS.

Because of this, there is increasing attention on developing ONS that contain more plant-based proteins, which may be more sustainable.

What do will the investigators find out?

It is unknown how plant-based ONS work when patients use them for a longer period of time. For example:

  • Do they help patients get enough energy and protein?
  • What are the effects on physical and clinical outcomes? Before a large study with many patients is started, it is important to first test whether this type of research is feasible.

Feasibility in terms of

  • Recruitment rate
  • Drop-out rate
  • Adherence to the ONS advice
  • Study measurements (succesfull vs unsuccesfull measurements)

To answer these questions, a smaller pilot study will be conducted in which plant-based ONS will be compared to animal-based ONS.

What does this study look like?

Inclusion criteria:

Patients from the departments of medical oncology, lung diseases, cardiology, cardiothoracic surgery, and orthopedics at Maastricht UMC+ and Radboudumc. These are patients who are currently not eating enough.

These patients receive advice from the dietitian to take at least two bottles of ONS per day. If they want to participate in the study, they will be randomly assigned to one of two products:

  • Animal-based (milk protein): Fresubin YoDrink Raspberry©
  • Plant-based (soy protein): Fresubin Plant-Based Drink Vanilla©

Measurements will be performed at the start of the study and again after three months. In the meantime, the researcher will contact the patient twice by phone to ask how things are going.

Read the detailed description

Measurements that are being performed:

  • weight and height
  • fat- and muscle mass with the BIA
  • muscle thickness with the lumify ultrasound
  • handgrip strength
  • physical performance tests (SPPB, TUG)
  • questionnaires (about quality of life, habitual physical activity, and nutritional status)
  • 3-day food diary

This will be performed at the start and after three months. In the mean time the patients will register their real intake of the ONS in a logbook every day. The amount of the ONS that the patients will drink in the mean time depends on the amount that the dieititan advices (usual care).

After one month and after two months the researcher will contact the patient and ask if there are any changes in their food intake, their weight, the advice of the dietitian, what they think of the ONS, discuss the logbook and they can ask their questions about the study. After three months the measurements will be performed again. Besides, an interview will be conducted about their experiences and perspectives of the ONS.

Being tested
Fresubin Plant-based drink vanilla©, Fresubin Yodrink raspberry©
Keywords
plant-based ONS, animal-based ONS, Risk of malnutrition, pilot feasibility, hospitalized patients, oral nutritional drinks, plant protein, sustainability, medical nutrition

What participants receive

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

  • Fresubin Plant-based drink vanilla©Dietary supplement

    Patients will receive plant-based oral nutritional supplements (ONS). The amount of bottles ONS a day, will be based on their nutritional intake versus requirements by a dietitian. This is usual care, only the sort of ONS differs from normal care.

  • Fresubin Yodrink raspberry©Dietary supplement

    Patients will receive animal-based oral nutritional supplements (ONS). The amount of bottles ONS a day, will be based on their nutritional intake versus requirements by a dietitian. This is usual care, only the sort of ONS differs from normal care.

Study groups in NCT07399886
Study groupRoleWhat they receive
Plant-based ONSExperimentalIn this arm, patients who are advised, as part of usual care, to use at least two bottles of oral nutritional supplements (ONS) per day are randomized to the plant-based group. Participants receive plant-based ONS, with the daily amount prescribed by the dietitian according to usual care.
Receives: Dietary Supplement: Fresubin Plant-based drink vanilla©
Animal-based ONSExperimentalIn this arm, patients who are advised, as part of usual care, to use at least two bottles of oral nutritional supplements (ONS) per day are randomized to the animal-based group. Participants receive animal-based ONS, with the daily amount prescribed by the dietitian according to usual care.
Receives: Dietary Supplement: Fresubin Yodrink raspberry©

What is being measured

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

  1. Feasibility of a multicenter RNIT study, assessed by recruitment rate defined as the percentage of patients who participated versus total numer of eligible patients.

    Recruitment rate, defined as the proportion of patients who participate relative to the total number of eligible patients who are approached for participation.

    The recruitment rate will be calculated as the number of included participants divided by the number of approached eligible patients and will be reported as a percentage.

    Measured: From enrollment to the end of the study (three months after inclusion)

  2. Feasibility of a multicenter RNIT study, assessed by drop-out rate, percentage of participants who discontinue the study.

    Drop-out rate is defined as the percentage of participants who discontinue the study, the timing of drop-out, and the reported reasons for drop-out.

    Measured: From enrollment to end of study (three months after inclusion)

  3. Feasibility of a multicenter RNIT study, assessed by adherence to oral nutritional supplements (ONS). Percentage of the prescribed ONS intake that is acutally consumed over the study period.

    Adherence feasibility will be assessed using a daily logbook in which participants record the amount of oral nutritional supplements (ONS) consumed each day relative to the prescribed amount. Adherence will be calculated as the percentage of the prescribed ONS intake that is actually consumed over the study period.

    Measured: From enrollment to the end of the study (three months after inclusion)

  4. Feasibility of study measurements, percentage of successfully completed study measurements.

    Feasibility of study measurements will be assessed by the percentage of successfully completed study measurements and the reported reasons for unsuccessful measurements.

    Measured: From enrollment to the end of the study (three months after inclusion)

Secondary outcomes (25)
  1. Energy intake (kcal/day) assessed by self-administered 3-day food diary

    Energy intake will be assessed using a self-administered 3-day food diary and calculated as the average daily energy intake in kilocalories using the Evry software.

    Measured: At the start of the study (directly after inclusion) and three months after inclusion

  2. Protein intake (g/day) assessed by self-administered 3-day food diary

    Protein intake will be assessed using a self-administered 3-day food diary and calculated as the average daily protein intake in grams using the Evry software.

    Measured: At the start of the study (directly after inclusion) and three months after inclusion

  3. Protein intake (g/kg/day) assessed by self-administered 3-day food diary

    Protein intake relative to body weight will be assessed using a self-administered 3-day food diary and calculated in grams per kilogram per day using the Evry software.

    Measured: At the start of the study (directly after inclusion) and three months after inclusion

  4. Protein intake (g/kg fat free mass/day) assessed by self-administered 3-day food diary

    Protein intake relative to kg fat free mass will be assessed using a self-administered 3-day food diary and calculated in grams per kilogram fat free mass per day using the Evry software.

    Measured: At the start of the study (directly after inclusion) and three months after inclusion

  5. Body weight (kg)

    At the start of the study (directly after inclusion) and three months after inclusion

    Measured: At the start of the study (directly after inclusion) and three months after inclusion

  6. Body height (cm)

    Body height will be measured in centimeters using a stadiometer.

    Measured: At the start of the study (directly after inclusion) and three months after inclusion

  7. Body mass Index (BMI, kg/m²)

    BMI will be calculated from measured body weight and height and reported in kg/m².

    Measured: At the start of the study (directly after inclusion) and three months after inclusion

  8. Nutritional status score (PG-SGA, points)

    Nutritional status will be assessed using the Patient-Generated Subjective Global Assessment (PG-SGA) and reported as total points. The score from the questionnaire indicates the risk of malnutrition. • 0-3 = low risk

    • 4-8 points = moderate risk
    • 9 or more points = high risk Minimum score 0, maximum score 36

    Measured: At the start of the study (directly after inclusion) and three months after inclusion

  9. Fat mass (kg) assessed by bioelectrical impedance analysis

    Fat mass will be measured using bioelectrical impedance analysis and reported in kilograms.

    Measured: At the start of the study (directly after inclusion) and three months after inclusion

  10. Fat-free mass (kg) assessed by bioelectrical impedance analysis

    Fat-free mass will be measured using bioelectrical impedance analysis and reported in kilograms.

    Measured: At the start of the study (directly after inclusion) and three months after inclusion

  11. Muscle thickness of biceps branchii (cm) assessed by ultrasound

    Muscle thickness of the biceps branchii will be measured using ultrasound and reported in centimeters.

    Measured: At the start of the study (directly after inclusion) and three months after inclusion

  12. Muscle thickness of vastus intermedius (cm) assessed by ultrasound

    Muscle thickness of the vastus intermedius will be measured using ultrasound and reported in centimeters.

    Measured: At the start of the study (directly after inclusion) and three months after inclusion

  13. Muscle thickness of rectus femoris (cm) assessed by ultrasound

    Muscle thickness of the rectus femoris will be measured using ultrasound and reported in centimeters.

    Measured: At the start of the study (directly after inclusion) and three months after inclusion

  14. Handgrip strength (kg) assessed by a hand dynamometer

    Handgrip strength will be measured using a hand dynamometer and reported in kilograms.

    Measured: At the start of the study (directly after inclusion) and three months after inclusion

  15. Physical activity level (minutes/week) assessed by SQUASH questionnaire

    Physical activity will be assessed using the Short Questionnaire to Assess Health-Enhancing Physical Activity (SQUASH) and reported as minutes of activity per week. It measures the total time spent moving in four domains: commuting, work/school, household and leisure time (including sport). The higher the total number of minutes (in combination with the intensity), the more active the person is.

    Measured: At the start of the study (directly after inclusion) and three months after inclusion

  16. Physical performance assessed with Short Physical Performance Battery (SPPB) total score (points)

    Physical performance will be assessed using the Short Physical Performance Battery and reported as total points. Minimum amount of points = 0, maximum amount of points = 12. A higher score means better mobility and independence.

    Measured: At the start of the study (directly after inclusion) and three months after inclusion

  17. Physical performance will be assessed with the Timed Up and Go test (seconds)

    Physical performance will be assessed using the Timed Up and Go test and reported in seconds. Score < 20 sec: the patient walks independently and safely.

    Score > 30 sec: assistance with walking is required. The shorter the time, the better the mobility.

    Measured: At the start of the study (directly after inclusion) and three months after inclusion

  18. Length of hospital stay (days)

    Length of hospital stay will be recorded in days from admission to discharge.

    Measured: Between enrollment and the end of the study (three months after inclusion)

  19. Hospital readmissions within 3 months (number)

    Readmissions will be recorded as the number of hospital readmissions within three months after inclusion.

    Measured: Between enrollment and the end of the study (three months after inclusion)

  20. Complications assessed by type and severity within 3 months

    Complications occurring within three months after inclusion will be recorded by type (e.g., infection, cardiac event, surgical complication) and severity using PRO-CTCAE Measurement System. Each complication will be reported per patient, and descriptive statistics will be used to summarize the frequency and severity.

    Measured: Between enrollment and the end of the study (three months after inclusion)

  21. Mortality within 3 months (yes/no)

    Mortality will be recorded as all-cause mortality within three months after inclusion.

    Measured: Between enrollment and the end of the study (three months after inclusion)

  22. Global health status (quality of life) score (0-100) assessed by EORTC QLQ-C30

    Global health status will be assessed using the EORTC QLQ-C30 questionnaire and reported on a 0-100 scale, with higher scores indicating better global health.

    score of 0 = very bad global health status score of 100 = excellent global health status

    Measured: At the start of the study (directly after inclusion) and three months after inclusion

  23. Physical functioning (quality of life) score (0-100) assessed by EORTC QLQ-C30

    Physical functioning will be assessed using the EORTC QLQ-C30 questionnaire and reported on a 0-100 scale, with higher scores indicating better physical functioning.

    score of 0 = very bad physical functioning score of 100 = excellent physical functioning

    Measured: At the start of the study (directly after inclusion) and three months after inclusion

  24. Fatigue score (quality of life) score (0-100) assessed by EORTC QLQ-C30

    Fatigue will be assessed using the EORTC QLQ-C30 questionnaire and reported on a 0-100 scale, with higher scores indicating more fatigue.

    score of 0 = Not fatigue at all score of 100 = extremely fatigue

    Measured: At the start of the study (directly after inclusion) and three months after inclusion

  25. Patient satisfaction of the oral nutritonal supplement (ONS) (qualitative) assessed by semi-structured interview

    Patient satisfaction with long-term use of ONS will be assessed using semi-structured interviews. Responses will be reported descriptively.

    Measured: After three months. Or if they stop earlier with the ONS, then directly after they stopped.

Timeline

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

  1. First posted10 Feb 2026
  2. Study start10 Nov 2025
  3. Primary completion1 Sep 2026 (estimated)
  4. Study completion1 Nov 2026 (estimated)

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 N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Patients that would get the advice of a dietitian to use two bottles of ONS a day will be eligible. So this is just part of the usual care. The amount ONS they will use during the study is also part of the usual care. So only the type of ONS will be determined by the study.
Masking
None (open label)
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07399886
Sponsor's protocol ID
2025-17931
Other IDs
FreP-001-IEN, 2025
Acronym
PAVOS
Status last verified
Dec 2025
First submitted
18 Dec 2025
Last updated
11 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Patients will be asked in the informed consent form whether they agree to the possibility that their measurement data may be shared anonymously for future research. If the patient provides consent and the data are relevant to other studies, these anonymized data may be made available to other researchers.

Questions about this trial

What is this clinical trial studying?

A study testing Fresubin Plant-based drink vanilla© and Fresubin Yodrink raspberry© in people with Risk of Malnutrition, run by Radboud University Medical Center at 2 sites in Netherlands.

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 3 inclusion and 6 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: looking for participants now, as of the sponsor's last update on 11 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Netherlands. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Manon van den Berg, PhD (+31 6 12 44 00 88, manon.vandenberg@radboudumc.nl), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Feasibility of a multicenter RNIT study, assessed by recruitment rate defined as the percentage of patients who participated versus total numer of eligible patients. (time frame: From enrollment to the end of the study (three months after inclusion)). The study lists 4 primary outcomes in all. 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 11 Aug 2026; AzTrials last refreshed its copy on 31 Oct 2026.

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