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Influence of an Oral Nutritional Supplement Rich in Omega-3 Fatty Acids on Functional State and Quality of Life in Malnourished Patients With Gastroenterological Tumors

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00168987
Recruitment Status : Completed
First Posted : September 15, 2005
Last Update Posted : May 9, 2008
Pfrimmer Nutricia GmbH, Erlangen , Germany
Information provided by:
Charite University, Berlin, Germany

Brief Summary:

Malnutrition is a frequent symptom of various malignant diseases and is frequently observed in patients with gastrointestinal tumors. Eicosapentanoic acid (EPA) has been introduced as specific and anticatabolic acting substrate in cancer patients. Only few randomized trials are available which investigated the effect of EPA in form of an EPA-enriched, protein- and energy-dense oral nutritional supplement mostly in patients with pancreatic carcinoma.

Therefore, the effect of an EPA-rich oral nutritional supplement for two months on functional state and quality of life in patients with other gastroenterological tumors and weight loss is investigated in this randomized prospective trial.

Condition or disease Intervention/treatment Phase
Colorectal Neoplasms Hepatocellular Carcinoma Cholangiocarcinoma Drug: oral nutritional supplement rich in eicosapentanoic acid Phase 4

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 30 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Pilot Study: Randomized Controlled Trial on the Influence of an Oral Nutritional Supplement Rich in Omega-3 Fatty Acids on Functional State and Quality of Life in Malnourished Patients With Gastroenterological Tumors
Study Start Date : January 2005
Actual Primary Completion Date : November 2006
Actual Study Completion Date : June 2007

Resource links provided by the National Library of Medicine

Primary Outcome Measures :
  1. improvement of muscle function (hand grip strength, respiratory muscle function) at two months
  2. improvement of cognitive function at two months
  3. improvement of quality of life at two months

Secondary Outcome Measures :
  1. tolerance of the oral nutritional supplement
  2. improvement of nutritional state (body weight, muscle mass, body cell mass, phase angle, serum albumin)

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • malignant disease: colorectal neoplasm, hepatocellular carcinoma, cholangiocarcinoma
  • palliative treatment of malignant disease: UICC stage >1
  • impaired nutritional state: weight loss > 5% body weight in the preceding 6 months or subjective global assessment grade B (moderately malnourished) or grade C (severely malnourished)
  • informed written consent

Exclusion Criteria:

  • age < 18 years
  • pregnancy
  • exclusive enteral or parenteral nutrition
  • taking of eicosapentanoic acid in form of fish oil capsules
  • contraindications for oral nutrition (i.e. ileus, uncontrollable vomiting)
  • terminal stage of disease with a life expectancy < 3 months
  • missing or withdrawn consent
  • simultaneous participation in another trial

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00168987

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Charite University Hospital
Berlin, Germany, 10117
Sponsors and Collaborators
Charite University, Berlin, Germany
Pfrimmer Nutricia GmbH, Erlangen , Germany
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Principal Investigator: Matthias Pirlich, MD Charite University Hospital, Dept. of Gastroenterology, Hepatology and Endocrinology
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Responsible Party: Dr. Matthias Pirlich, Charite University, Berlin, Germany Identifier: NCT00168987    
Other Study ID Numbers: EA1/174/05
First Posted: September 15, 2005    Key Record Dates
Last Update Posted: May 9, 2008
Last Verified: May 2008
Keywords provided by Charite University, Berlin, Germany:
oral nutritional supplement
eicosapentanoic acid
gastroenterological tumors
muscle function
quality of life
body composition
Additional relevant MeSH terms:
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Carcinoma, Hepatocellular
Colorectal Neoplasms
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Liver Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Digestive System Diseases
Liver Diseases
Intestinal Neoplasms
Gastrointestinal Neoplasms
Gastrointestinal Diseases
Colonic Diseases
Intestinal Diseases
Rectal Diseases