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Randomized Double Blinded Trial to Investigate Effects of an Enteral Nutritional Supplement Enriched With Eicosapentaenoic Acid on Body Composition,Complications,Stress Response,Immune Function & Quality of Life in After Esophagectomy


Phase 4
18 Years
80 Years
Open (Enrolling)
Both
Esophageal Cancer

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Trial Information

Randomized Double Blinded Trial to Investigate Effects of an Enteral Nutritional Supplement Enriched With Eicosapentaenoic Acid on Body Composition,Complications,Stress Response,Immune Function & Quality of Life in After Esophagectomy


Title A double blinded randomized controlled trial to investigate the effects of an enteral
nutritional supplement enriched with Eicosapentaenoic acid on long term nutritional status
post operatively specifically the maintenance of lean body mass, and its potential impact on
quality of life as well as examining the stress response and immune function and in patients
undergoing surgical treatment of esophageal cancer.

Investigational medicinal Product(s):

Prosure (Abbott Laboratories)

Comparator:

Ensure Plus (Abbott Laboratories)

Study Objectives To examine whether prolonged supplementation with a nutritional supplement
enriched with Eicosapentaenoic acid is superior to standard nutritional products in terms of
promoting anabolism and improving quality of life in patients undergoing surgical treatment
of esophageal cancer.

Study Design - Prospective randomized controlled trial.

Primary Endpoints:

- Quality of life Scores using EORTC Questionnaires

- Nutritional status on day 21 post oesophagectomy and/or total gastrectomy(specifically
lean body mass) and at out patient follow up

Secondary Endpoints:

- Effects on the immuno-inflammatory response to surgery

- Post operative Clinical outcome including SIRS, sepsis and organ failure


Inclusion Criteria:



- Adult (male & female) patients >18 years with resectable esophageal cancer

Exclusion Criteria:

- Patients with metastatic disease,

- Non-operable cases,

- Patients requiring chemotherapy/radiotherapy early following surgery,

- Patients with known immunological disorder,

- Emergency esophagectomy cases,

- Patients with cardiac, liver or renal failure,

- Active small intestinal disease eg Crohns disease,

- Allergy to any of the ingredients,

- Uncontrollable Diabetes,

- Use of medications known to affect eicosanoid metabolism in two weeks prior to trial,

- Use of fish oil/n-3 fatty acids,

- Drug Abuse,

- Unable to take preparation for 5 days preoperatively,

- Pregnant women,

- Cessation of enteral feeding for longer than 3 consecutive days post operatively for
medical/surgical reasons (e.g. Chyle leaks).

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment

Outcome Measure:

Preservation of body compostition after surgery

Outcome Time Frame:

2 months

Safety Issue:

No

Principal Investigator

Laura A Healy, BSc RD

Investigator Role:

Principal Investigator

Investigator Affiliation:

St. James's Hospital, Dublin 8, Ireland

Authority:

Ireland: Irish Medicines Board

Study ID:

900/429/1

NCT ID:

NCT00790140

Start Date:

July 2005

Completion Date:

July 2010

Related Keywords:

  • Esophageal Cancer
  • Esophageal Cancer
  • esophagectomy
  • enteral feeding
  • body composition
  • immunology
  • Esophageal Diseases
  • Esophageal Neoplasms
  • Gastrointestinal Neoplasms

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