- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06039306
Perioperative Immunonutrition Under Enhanced Recovery After Surgery (PING-ERAS)
Perioperative Immunonutrition Among Gynecological Cancer Patients Under Enhanced Recovery After Surgery
The goal of this clinical trial is to compare the effect of perioperative immunonutrition supplement in gynecologic cancer patients. The main questions it aims to answer are:
- is there any difference in the nutritional outcomes and functional outcomes between intervention and conventional groups?
- is there any difference in the post-surgical outcomes between intervention and conventional groups?
Participants (intervention) will be provided the immunonutrition supplement before and after operation.
Researchers will compare intervention group with conventional group to see if there is any difference in postoperative outcomes.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: ChiouYi Ho
- Phone Number: 3404 0388925555
- Email: agneshcy0326@gmail.com
Study Contact Backup
- Name: Zulfitri 'Azuan Mat Daud
- Email: zulfitri@upm.edu.my
Study Locations
-
-
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Putrajaya, Malaysia, 62250
- Institut Kanser Negara (National Cancer Institute)
-
Contact:
- ChiouYi Ho
- Phone Number: 3404 0127603622
- Email: agneshcy0326@gmail.com
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Those who diagnosed with GC
- Candidates for elective operation treatments
Exclusion Criteria:
- Those are involved gastrointestinal tract (complication)
- Those are diagnosed with GC (metastasis)
- Allergy to milk/soy/whey protein
- Participate in other intervention study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: intervention
Participants will be given 2 servings immunonutrition daily for five (5) days before tentative elective surgery.
ERAS protocol will implement and continued 2 servings of immunonutrition for post-operative seven (7) days.
|
Participant will prescribed with 2 servings of immunonutrition supplement 5 days before surgery and 7 days after surgery
|
No Intervention: conventional
Participants will be on usual diet intake before tentative elective surgery.
ERAS protocol will implement and will be prescribed 2 servings of polymeric formula daily only if unable to finish 75% of the diet served in ward.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
daily energy and protein intake
Time Frame: 1 month
|
24-hours diet recall
|
1 month
|
body composition
Time Frame: 1 month
|
body composition analyzer; weight in kg; fat free mass in kg; fat mass in kg; muscle mass in kg; height in meter
|
1 month
|
immunoglobulin level
Time Frame: 1 month
|
Concentration of immunoglobulin G; Concentration of immunoglobulin A; Concentration of immunoglobulin M
|
1 month
|
C-reactive protein
Time Frame: 1 month
|
Concentration of C-reactive protein
|
1 month
|
postoperative outcomes
Time Frame: 1 months
|
length of hospitalization
|
1 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Functional status
Time Frame: 1 month
|
handgrip strength in kg via Jammar dynamometer
|
1 month
|
stress level
Time Frame: 1 month
|
questionnaire 10-item perceived stress scale (PSS-10) form
|
1 month
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: ChiouYi Ho, National Cancer Institute, Malaysia
Publications and helpful links
General Publications
- Arends J, Bachmann P, Baracos V, Barthelemy N, Bertz H, Bozzetti F, Fearon K, Hutterer E, Isenring E, Kaasa S, Krznaric Z, Laird B, Larsson M, Laviano A, Muhlebach S, Muscaritoli M, Oldervoll L, Ravasco P, Solheim T, Strasser F, de van der Schueren M, Preiser JC. ESPEN guidelines on nutrition in cancer patients. Clin Nutr. 2017 Feb;36(1):11-48. doi: 10.1016/j.clnu.2016.07.015. Epub 2016 Aug 6.
- Hertlein L, Zeder-Goss C, Furst S, Bayer D, Trillsch F, Czogalla B, Mahner S, Burges A, Rittler P. Peri-operative oral immunonutrition in malnourished ovarian cancer patients assessed by the nutritional risk screening. Arch Gynecol Obstet. 2018 Jun;297(6):1533-1538. doi: 10.1007/s00404-018-4759-8. Epub 2018 Apr 5.
- Abeles A, Kwasnicki RM, Darzi A. Enhanced recovery after surgery: Current research insights and future direction. World J Gastrointest Surg. 2017 Feb 27;9(2):37-45. doi: 10.4240/wjgs.v9.i2.37.
- Ho CY, Ibrahim Z, Abu Zaid Z, Mat Daud ZA, Mohd Yusop NB, Mohd Abas MN, Omar J. Postoperative Dietary Intake Achievement: A Secondary Analysis of a Randomized Controlled Trial. Nutrients. 2022 Jan 5;14(1):222. doi: 10.3390/nu14010222.
- Yi HC, Ibrahim Z, Abu Zaid Z, Mat Daud Z', Md Yusop NB, Omar J, Mohd Abas MN, Abdul Rahman Z, Jamhuri N. Impact of Enhanced Recovery after Surgery with Preoperative Whey Protein-Infused Carbohydrate Loading and Postoperative Early Oral Feeding among Surgical Gynecologic Cancer Patients: An Open-Labelled Randomized Controlled Trial. Nutrients. 2020 Jan 20;12(1):264. doi: 10.3390/nu12010264.
- Mudge LA, Watson DI, Smithers BM, Isenring EA, Smith L, Jamieson GG; Australian Immunonutrition Study Group. Multicentre factorial randomized clinical trial of perioperative immunonutrition versus standard nutrition for patients undergoing surgical resection of oesophageal cancer. Br J Surg. 2018 Sep;105(10):1262-1272. doi: 10.1002/bjs.10923. Epub 2018 Jul 12.
- Di Renzo L, De Lorenzo A, Fontanari M, Gualtieri P, Monsignore D, Schifano G, Alfano V, Marchetti M; SIERR. Immunonutrients involved in the regulation of the inflammatory and oxidative processes: implication for gamete competence. J Assist Reprod Genet. 2022 Apr;39(4):817-846. doi: 10.1007/s10815-022-02472-6. Epub 2022 Mar 30.
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- RSCH ID-22-04215-WHE
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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