UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000007814
Receipt number R000009206
Scientific Title Feasibility study to evaluate the efficacy of elemental diet in metastatic or advanced gastric cancer patients treated with chemotherapy.
Date of disclosure of the study information 2012/05/02
Last modified on 2017/11/06 15:37:16

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Basic information

Public title

Feasibility study to evaluate the efficacy of elemental diet in metastatic or advanced gastric cancer patients treated with chemotherapy.

Acronym

HGCSG1202

Scientific Title

Feasibility study to evaluate the efficacy of elemental diet in metastatic or advanced gastric cancer patients treated with chemotherapy.

Scientific Title:Acronym

HGCSG1202

Region

Japan


Condition

Condition

metastatic or advanced gastric cancer

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To assess the effect of nutritional intervention by elemental diet on improvement in medical treatment results, incidence of digestive organ toxicity, etc. compared with no nutritional intervention in patients with chemotherapy for metastatic or advanced gastric cancer.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Time to Treatment Failure

Key secondary outcomes

1) Incidence of adverse events (particularly stomatitis incidences, diarrhoea incidence, etc.), 2) Body weight change, 3) Serum albumin change, 4) Relative dose intensity, 5) Safety, 6) Compliance of elemental diet, 7) The number of first-line cycles, 8) response of the tumor, 9) Progression free survival, 10) Overall survival


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Two packs (600kcal) intake of elemental diet (Elental) is orally performed a day. An administration period makes it every day from the start dates (the first course Day 1) till the end of the first-line treatment. If it is difficult to intake elemental diet because of taking enough food, the calorie per day is deducted 600kcal, as dosing elemental diet per day, from diet meal in advance. Elemental diet continues for two packs in principle. In addition, it is arbitrary about the elemental diet administration after second-line treatment.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

(1) Patients with histologically proven unresectable progression or relapse gastric cancer.
(2) Patients with the following regimen as first-line treatment,
S-1 + cisplatin, capecitabine + cisplatin, capecitabine + cisplatin + trastuzumab
(3) Patients in whom oral intake of staple food is possible during a study periods
(4) Aged 20 or older
(5) ECOG performance status 0-2
(6) Patients by whom the survival for three months or more is anticipated from the registration.
(7) Written informed consent obtained.
<<laboratory evidence>>
1) Hemoglobin >= 8.0g/dL
2) Neutrophil counts >= 1,000/mm3 or white blood cell counts >= 2,000/mm3
3) Platelet counts >= 75,000 /mm3
4) T-Bil <= 3mg /dL
5) AST or ALT < 150 IU/L
6) Creatinine clearance >= 50 mL/min (it computes based on a Cockcroft-Gault equation).

Key exclusion criteria

(1) Patients who recieved nutritional therapy for one week or more within the past two months
(2) Patient who took L-glutamine quantity content drugs (marzulene, GFO, etc.) for less than two weeks of past.
(3) Patients who are associated with uncontrollable abnormal glucose tolerance
(4) Patients who are associated with critical complications
(5) Pregnancy and lactation, and/or without intention of birth control.
(6) Patients with mental disorders
(7) Patients applicable to contraindications of each use drugs.
(8) Any other serious or uncontrolled illness which, in the opinion of the investigator, makes it undesirable for the patient to enter the trial.

Target sample size

50


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yoshito Komatsu

Organization

Hokkaido University Hospital

Division name

Department of Cancer Chemotherapy

Zip code


Address

North 14, West 5, Kita-Ku, Sapporo, Hokkaido, Japan

TEL

011-706-5657

Email

ykomatsu@med.hokudai.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Nao Horie

Organization

Hokkaido University Hospital

Division name

Department of Clinical Trial Management

Zip code


Address

North 14, West 5, Kita-Ku, Sapporo, Hokkaido, Japan

TEL

011-706-7413

Homepage URL


Email

nhorie@med.hokudai.ac.jp


Sponsor or person

Institute

NPO Hokkaido Gastrointestinal Cancer Study Group (HGCSG)

Institute

Department

Personal name



Funding Source

Organization

AJINOMOTO PHARMACEUTICALS CO.,LTD.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

北海道大学病院、他、HGCSG参加施設ならびに研究協力施設(約30施設)


Other administrative information

Date of disclosure of the study information

2012 Year 05 Month 02 Day


Related information

URL releasing protocol


Publication of results

Partially published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2012 Year 04 Month 02 Day

Date of IRB


Anticipated trial start date

2012 Year 04 Month 02 Day

Last follow-up date

2016 Year 03 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2012 Year 04 Month 23 Day

Last modified on

2017 Year 11 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000009206


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name