UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000018353
Receipt number R000021243
Scientific Title Enteral and Parenteral Nutrition in the Conservative Treatment for gastrectomy related Pancreatic Fistula: A Randomized Clinical Trial
Date of disclosure of the study information 2015/07/20
Last modified on 2016/06/01 01:55:27

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Basic information

Public title

Enteral and Parenteral Nutrition in the Conservative Treatment for gastrectomy related Pancreatic Fistula: A Randomized Clinical Trial

Acronym

EN vs PN in the treatment of POPF: A Randomized Clinical Trial

Scientific Title

Enteral and Parenteral Nutrition in the Conservative Treatment for gastrectomy related Pancreatic Fistula: A Randomized Clinical Trial

Scientific Title:Acronym

EN vs PN in the treatment of POPF: A Randomized Clinical Trial

Region

Japan


Condition

Condition

gastrectomy related Pancreatic Fistula

Classification by specialty

Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study was to demonstrate a significant advantage in enteral nutrition compared to parenteral nutrition by multicenter phase3 study.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase III


Assessment

Primary outcomes

The cure rate of pancreatic fistula within 30 postoperative day.

Key secondary outcomes

The disease duration of pancreatic fistula.
The rate of drain removal within 30 postoperative day.
The period of postoperative hospitalization.
Nutritional index during the study(body weight, serum albumin, total serum albumin, total serum cholesterol, lymphocyte count)
The incidence of adverse effect


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

NO

Institution consideration

Institution is considered as a block.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine Maneuver

Interventions/Control_1

Patients will be random allocated for enteral nutrition(EN) group or parenteral nutrition(PN) group.

Interventions/Control_2

Patients who are in EN group will be inserted nasal feeding tube and feeded, and other patients who are in PN group will be inserted central venous catheter and administered total parental nutrition.

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

Gastric cancer has been diagnosed by pathological findings.
Post-gastrectomy (R0 or R1 resection) within 3-7 postoperative days (POD).
The case has been inserted drain into the abdominal cavity. The laboratory data of amylase for drain discharge after 3POD and within 1day of enrollment must be more than three times higher limit of serum amylase.
The case has been diagnosed without anastomotic leakage by CT scan or X-Ray.
Laboratory data within 3days before enrollment must be fulfilled as follows.
WBC >=3000/mm3
Hb>=8.0g/dL
Plt >=100000/mm3
T-bil<=2.0mg/dL
AST<150IU/L
ALT<150IU/L
Creatinine<=1.5 mg/dL

The case has never received radiotherapy for their abdominal cavity including other cancers.
The case signed informed consent.

Key exclusion criteria

The case with another malignant tumors.
The case are in the catecholamine-dependent shock stage.
The case are pregnant or potentially pregnant.
The doctors define as inappropriate because of severe psychosis or psychological symptom.
The case has been systemic administered steroids continually.
The case has poorly-controlled hypertension.
The case has continually administered insulin or poor-controlled diabetes mellitus.
The case has ventilator-dependent respiratory complications.

Target sample size

90


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yuichiro Doki

Organization

Osaka University, Graduate School of Medicine

Division name

Department of Gastroenterological Surgery

Zip code


Address

2-2, Yamadaoka, Suita city, Osaka, Japan.

TEL

+81-6-6879-3251

Email

ydoki@gesurg.med.osaka-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Shuji Takiguchi

Organization

Osaka University, Graduate School of Medicine

Division name

Gastroenterological Surgery

Zip code


Address

2-2, Yamadaoka, Suita city, Osaka, Japan.

TEL

+81-6-6879-3251

Homepage URL


Email

stakiguchi@gesurg.med.osaka-u.ac.jp


Sponsor or person

Institute

Osaka University, Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



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



Other administrative information

Date of disclosure of the study information

2015 Year 07 Month 20 Day


Related information

URL releasing protocol


Publication of results

Unpublished


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

Terminated

Date of protocol fixation

2014 Year 08 Month 15 Day

Date of IRB


Anticipated trial start date

2014 Year 09 Month 11 Day

Last follow-up date

2015 Year 09 Month 16 Day

Date of closure to data entry

2015 Year 09 Month 16 Day

Date trial data considered complete

2015 Year 09 Month 16 Day

Date analysis concluded

2015 Year 09 Month 16 Day


Other

Other related information



Management information

Registered date

2015 Year 07 Month 20 Day

Last modified on

2016 Year 06 Month 01 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000021243


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name