UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000032291
Receipt number R000036822
Scientific Title Phase II trial to evaluate compliance of postoperative nutrition by Uplead in total gastrectomy for gastric cancer
Date of disclosure of the study information 2018/04/17
Last modified on 2022/10/20 10:22:40

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Basic information

Public title

Phase II trial to evaluate compliance of postoperative nutrition by Uplead in total gastrectomy for gastric cancer

Acronym

Uplead trial

Scientific Title

Phase II trial to evaluate compliance of postoperative nutrition by Uplead in total gastrectomy for gastric cancer

Scientific Title:Acronym

Uplead trial

Region

Japan


Condition

Condition

Gastric cancer

Classification by specialty

Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To examine the feasibility of postoperative Uplead after total gastrectomy for gastric cancer case.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

compliance with supplementation

Key secondary outcomes

body weight and lean body mass reduction 1 month and 3 months after surgery


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Food

Interventions/Control_1

Supplementation of Uplead

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

i. Histologically proven adenocarcinoma of the stomach
ii.Clinical T1-T4a and no distant metastasis
iii.R0 resection is possible by open total gastrectomy
iv.Enough oral intake after sugery
v.Age ranging between 20 and more.
vi.ECOG performance status 0-1.
vii.Not cancer of the remnant stomach
viii.Suficient organ functions.
iv.Written informed consent.

Key exclusion criteria

i.Synchronous or metachronous cancer (synchronous multiple cancers in the stomach included).
ii.Active inflammation which requires systemic treatment
iii.Allergy for contents of Uplead
iv.Uncontrollable diabetes mellitus
v.Systemic treatment with corticosteroid
vi.Unstable angina or cardiac infarction within 6 months
vii.Pulmonary disorder under oxygen
viii.Woman with on-going pregnancy or breast-feeding, or contemplating pregnancy.
ix.Mental disorders which may affect ability or willingness to provide informed consent or abide by the study protocol

Target sample size

35


Research contact person

Name of lead principal investigator

1st name Takaki
Middle name
Last name Yoshikawa

Organization

Kanagawa Cancer Center

Division name

Department of Gastrointestinal Surgery

Zip code

241-8515

Address

2-3-2 Nakao Asahi Yokohama Kanagawa Japan

TEL

+81-45-520-2222

Email

yoshikawat@kcch.jp


Public contact

Name of contact person

1st name Takanobu
Middle name
Last name Yamada

Organization

Kanagawa Cancer Center

Division name

Department of Gastrointestinal Surgery

Zip code

241-8515

Address

2-3-2 Nakao Asahi Yokohama Kanagawa Japan

TEL

+81-45-520-2222

Homepage URL


Email

tknbymd@kcch.jp


Sponsor or person

Institute

Kanagawa Cancer Center

Institute

Department

Personal name



Funding Source

Organization

non-profit organization KSATTS

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kanagawa Cancer Center

Address

1-1-2 Nakao Asahi Yokohama Kanagawa, Japan

Tel

0455202222

Email

takay0218@yahoo.co.jp


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

2018 Year 04 Month 17 Day


Related information

URL releasing protocol

https://link.springer.com/article/10.1007/s00268-022-06639-1

Publication of results

Published


Result

URL related to results and publications

https://link.springer.com/article/10.1007/s00268-022-06639-1

Number of participants that the trial has enrolled

35

Results

The median relative dose intensity was 25.8%(95& confidence interval 20.6-42.0). The median body weight loss at 1 and 3 months after srugery was 7.2% (3.2-13.9%)and 13.1%(2.5-20.4%) respectively.
Oral nutritional supplementation with a high-density liquid diet (Uplead(R)) was safely and administered but not feasible after total gastrectomy for gastric cancer.

Results date posted

2022 Year 10 Month 20 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Four patients were judged to be ineligible: Two had peritoneal metastasis detected during operation, one had preoperative pneumonia, and one was allergic to UpLead(R). In addition, two patients could not start UpLead(R) due to anastomotic leakage.

Participant flow

Among 35 patients enrolled before surgery between April 2018 and December 2019, 29 patients who could initiate UpLead(R) after surgery were analyzed.

Adverse events

The remaining 22 patients completed 28 days of UpLead(R) intake, including temporary interruption, with no associated adverse events

Outcome measures

The median relative dose intensity was 25.8%(95& confidence interval 20.6-42.0). The median body weight loss at 1 and 3 months after srugery was 7.2% (3.2-13.9%)and 13.1%(2.5-20.4%) respectively.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2017 Year 11 Month 06 Day

Date of IRB

2017 Year 12 Month 21 Day

Anticipated trial start date

2018 Year 02 Month 16 Day

Last follow-up date

2020 Year 03 Month 31 Day

Date of closure to data entry

2020 Year 10 Month 30 Day

Date trial data considered complete

2020 Year 10 Month 30 Day

Date analysis concluded



Other

Other related information



Management information

Registered date

2018 Year 04 Month 17 Day

Last modified on

2022 Year 10 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000036822


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name