Gastric Cancer Clinical Trial
Official title:
Combination of Arginine, Glutamine, and Omega-3 Fatty Acid Supplements for Perioperative Enteral Nutrition in Surgical Patients With Gastric Adenocarcinoma or Gastrointestinal Stromal Tumor (GIST)
The survey is a phase IV, prospective randomized clinical trial to determine whether an immunomodulating nutrient-enriched diet compared to a standard diet can improve nutritional status and reduce postoperative infection and surgery-induced immune suppression in patients with gastric cancer or GIST undergoing major surgery in a single medical center.
Primary Objective:
1. The primary end points:
To evaluate the effect of immunomodulating diets on the postoperative inflammatory
response: including interleukin (IL)-6, C-reactive protein (CRP), and tumor necrosis
factor-α (TNF-α).
2. Secondary Objectives:
(1). Biochemistry parameters: glucose,blood urine nitrogen, creatinine, aspartate
aminotransferase, alanine aminotransferase, triglycerides, cholesterol, low-density
lipoprotein, high-density lipoprotein, sodium, and leukocyte count.
(2). Nutritional status: albumin, prealbumin, BMI (3). Adverse events (4). Clinical
outcomes: postoperative complications, time to first bowel action and length of hospital
stay after surgery.
Number of Subjects: Eligible patients will be randomized in 2 arms in the ratio of 1:1, to
reach 15 patients at least in each.
Plan of the Study:
1. This is a randomized, comparative, double blinded study in 2 arms.
2. Study Schedule Study date: the time getting approval letter issued by both regulatory
authority and institutional review board (IRB). Duration of the study: 5 years.
3. Duration of Treatment: Treatment was administered before curative surgery for gastric
adenocarcinoma or gastric GIST, and postoperative day 5-14 or to discharge whichever
occurred first, or consent withdrawal during any time of the study, when the patient
would be withdrawn.
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