UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000038791
Receipt number R000044226
Scientific Title The impact of Goal-Directed Prehabilitation Therapy on the functional capacity in patients undergoing highly invasive surgery.
Date of disclosure of the study information 2019/12/04
Last modified on 2022/12/26 22:25:05

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Basic information

Public title

The impact of Goal-Directed Prehabilitation Therapy on the functional capacity in patients undergoing highly invasive surgery. A randomized controlled study

Acronym

The impact of Goal-Directed Prehabilitation Therapy on the functional capacity in patients undergoing highly invasive surgery.

Scientific Title

The impact of Goal-Directed Prehabilitation Therapy on the functional capacity in patients undergoing highly invasive surgery.

Scientific Title:Acronym

The impact of Goal-Directed Prehabilitation Therapy on the functional capacity in patients undergoing highly invasive surgery.

Region

Japan


Condition

Condition

Patients who are going to undergo a highly invasive abdominal surgery.

Classification by specialty

Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To invastigate an impact of conventional prehabilitation therapy/goal-directed prehabilitation therapy in patients undergoing a highly invasive abdominal surgery, with special interest for the intestinal microenvironment, muscle mass, functional exercise capacity, and short and long term outcomes after surgery.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

To compare the nutritional status, host immune function, intestinal microbitota, fecal organic acids concentrations, muscle mass, fat mass, and exercise capacity between conventional prehabilitation group and goal-directed prehabilitation group.

Key secondary outcomes

1. To Compare the incidence of postoperative complications and the length of postoperative hospital stay.
2.To investigate the correlation between the preoperative conditions including nutritional status, host immune function, intestinal microbiota, fecal organic acids concentrations, muscle mass, fat mass, and functional exercise capacity and the incidence of postoperative complications and the length of postoperative hospital stay.
3.To compare the long term outcome after surgery between Synbiotics and Synbio-Prehabilitation groups.
4.To investigate the impact of preoperative nutritional status, host immune function, intestinal microbiota, fecal organic acids, muscle mass, fat mass, and functional exercise capacity on the long term outcome after surgery.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification

YES

Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Other

Interventions/Control_1

Goal-directed prehabilitation therapy

Interventions/Control_2

Conventional prehabilitation therapy

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

Patients who are going to undergo a highly invasive surgery in Nagoya University Hospital Surgery I and II.
Highly invasive surgery includes;
1. Major hepatectomy
2. Hepatopancreatoduodenectomy
3. Pancreatoduodenectomy
4. Destal pancreatectomy with celiac axis resection
5. Other highly invasive surgeries with similar invasion as above procedures

Key exclusion criteria

Patients who rejected to participate this study.
who can not do exercise.
who has a congenital metabolic disorder for the branched chain amino acids.
who undergo emergent surgery.
who are with severe complications.
who are with mental disorder.
who are with cognitive disorder.
who have a risk of fall.
who are not eligible for the study determined by the investigators.

Target sample size

180


Research contact person

Name of lead principal investigator

1st name Yukihiro
Middle name
Last name Yokoyama

Organization

Nagoya University Graduate School of Medicine

Division name

Division of Gastrointestinal Surgery, Department of Surgery

Zip code

4668550

Address

65 Tsurumai-cho, Showa-ku, Nagoya, Japan 4668550

TEL

0527442222

Email

yyoko@med.nagoya-u.ac.jp


Public contact

Name of contact person

1st name Yukihiro
Middle name
Last name Yokoyama

Organization

Nagoya Unviersity Graduate School of Medicine

Division name

Division of Gastrointestinal Surgery, Department of Surgery

Zip code

4668550

Address

65 Tsurumai-cho, Showa-ku, Nagoya

TEL

052-744-2222

Homepage URL


Email

yyoko@med.nagoya-u.ac.jp


Sponsor or person

Institute

Nagoya University Graduate School of Medicine, Division of Gastrointestinal Surgery, Department of Surgery

Institute

Department

Personal name



Funding Source

Organization

Nagoya University Graduate School of Medicine, Division of Gastrointestinal Surgery, Department of Surgery

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

Nagoya University Ethics Committee

Address

65 Tsurumai-cho, Showa-ku, Aichi, Japan

Tel

052-744-2479

Email

ethics@med.nagoya-u.ac.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

2019 Year 12 Month 04 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

No longer recruiting

Date of protocol fixation

2019 Year 10 Month 01 Day

Date of IRB

2019 Year 10 Month 01 Day

Anticipated trial start date

2019 Year 12 Month 04 Day

Last follow-up date

2026 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2019 Year 12 Month 04 Day

Last modified on

2022 Year 12 Month 26 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000044226


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name