Effects of Anesthesia on Tumor Immunity and Insulin Resistance During Perioperative Period
Effects of Drug or Drink Intervention and Temperature Protectionon for Cervical Cancer Patients on Insulin Resistance and Tumor Immunity
1 other identifier
interventional
80
1 country
2
Brief Summary
To evaluate the effects of preoperative oral carbohydrate on postoperative insulin resistance and tumor immunity in cervical cancer patients with neoadjuvant chemotherapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jan 2018
2 active sites
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
January 1, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2018
CompletedFirst Submitted
Initial submission to the registry
February 23, 2019
CompletedFirst Posted
Study publicly available on registry
March 13, 2019
CompletedMarch 13, 2019
February 1, 2019
12 months
February 23, 2019
March 10, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
insulin resistance
The patient's insulin resistance was determined by fasting plasma glucose(FPG),fastingainsulin(FINS), andHOMA-IR=FPG(mmol/L)×FINS(mIU/L)/22.5
in 24 hrs
Secondary Outcomes (1)
tumor immunity
in 24 hrs
Study Arms (2)
CHO Drinking Grope
EXPERIMENTALreceive 300mL of an oral carbohydrate liquid supplement 2 hour before surgery
Traditional fast Grope
NO INTERVENTIONfast on standard hospital protocol (8 hour fasting for solid and 4 hour fasting for clear liquid
Interventions
patients undergoing neoadjuvant chemotherapy and radical hysterectomy with bilateral pelvic lymph node dissection were randomized to receive 300mL of an oral carbohydrate liquid supplement 2 hour before surgery
Eligibility Criteria
You may qualify if:
- The patients aged from 18 to 60 years old were ASA level I to II, and the informed consent was signed by the patients, which was approved by the ethics committee of the hospital.
- Cervical squamous cell carcinoma was confirmed by cervical biopsy before pathologic surgery. CT showed no distant metastasis. All patients underwent total hysterectomy, bilateral adnexectomy and pelvic lymph node dissection.
- Fasting blood glucose was normal without diabetes, impaired glucose tolerance or other metabolic diseases.
- no gastric emptying dysfunction.
You may not qualify if:
- Dabetes
- Patients with obstruction of gastric emptying, such as pyloric obstruction, gastroesophageal reflux, nausea and vomiting, etc
- Obese (BMI \>32) or severely malnourished (BMI\<18.5)
- Distant metastasis, multiple primary cancers and recurrent tumors
- Patients with functional disorders of respiratory system, circulatory system, immune system, nervous system, urinary system and other organs
- Received blood transfusion and nutritional support within 2 weeks before surgery
- The supplement contains the sugar solution, the blood transfusion, the application glucocorticoid, the sympathetic blood vessel activity medicine in the operation.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Fuqing Zhang
Fuzhou, Fujian, 350014, China
Mengxia Yao
Fuzhou, Fujian, 350014, China
Related Publications (1)
Zhang F, Yao M, Lin Z, Chen Y, Jiang H, Zeng M, Chen W. The Effects of Preoperative Oral Carbohydrate on Frequency of T and NK Cells in Patients with Cervical Cancer Treated Using Neoadjuvant Chemotherapy and Surgery: A Prospective Cohort Study. Biomed Res Int. 2020 Mar 16;2020:2101480. doi: 10.1155/2020/2101480. eCollection 2020.
PMID: 32309426DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 23, 2019
First Posted
March 13, 2019
Study Start
January 1, 2018
Primary Completion
December 31, 2018
Study Completion
December 31, 2018
Last Updated
March 13, 2019
Record last verified: 2019-02
Data Sharing
- IPD Sharing
- Will not share