Effect of Preoperative Supplementation in Insulin Resistance
Preoperative Oral Supplementation of Carbohydrate and Branched-Chain Amino Acids-Enriched Nutrient Improves Insulin Resistance in Patients With Hepatectomy; Prospective Randomized Clinical Trial by Using Artificial Pancreas
2 other identifiers
interventional
26
1 country
1
Brief Summary
To elucidate the effect of preoperative supplementation of carbohydrate and branched-chain amino acids on postoperative insulin resistance in patients undergoing hepatic resection, we set a randomized trial.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4
Started Apr 2007
Shorter than P25 for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2007
CompletedFirst Submitted
Initial submission to the registry
April 7, 2008
CompletedFirst Posted
Study publicly available on registry
April 14, 2008
CompletedApril 14, 2008
April 1, 2008
8 months
April 7, 2008
April 11, 2008
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
to evaluate the total amount of insulin required for glycemic control after hepatic resection
total amount of insulin required
Secondary Outcomes (1)
to investigate the trends of postoperative blood glucose levels and the incidence of severe hypoglycemia (< 40 mg/dL) by using artificial pancreas during intensive care unit stay
hypoglycemia
Study Arms (2)
1
EXPERIMENTALreceive a preoperative supplementation with carbohydrate and branched-chain amino acids-enriched nutrient
2
PLACEBO COMPARATORreceive a preoperative supplementation without carbohydrate and branched-chain amino acids-enriched nutrient
Interventions
The present study used carbohydrate and BCAA-enriched soft-powder nutrient-mixture for preoperative supplementation. Supplementation with Aminolevan EN (100 g per day) started at two weeks prior to the surgery under the careful monitoring of compliance.
Eligibility Criteria
You may qualify if:
- The present study employed 26 patients, who underwent elective liver resection for hepatocellular carcinoma or adenocarcinoma.
You may not qualify if:
- body weight loss greater than 10 per cent during 6 months prior to the surgery
- distant metastasis
- or seriously impaired function of vital organs due to respiratory, renal or heart disease
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Kochi Universitylead
Study Sites (1)
Kochi Medical School
Nankoku, Kohasu-Okocho, 783-8505, Japan
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Takehiro Okabayashi, MD
Kochi Medical School, Kochi University
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
April 7, 2008
First Posted
April 14, 2008
Study Start
April 1, 2007
Primary Completion
December 1, 2007
Study Completion
December 1, 2007
Last Updated
April 14, 2008
Record last verified: 2008-04