Study to Evaluate the Efficacy of a Polyamine-deficient Diet for Treating Postoperative Pain After Abdominal Surgery
POLYAMAL
A Prospective Randomized Multicenter Study to Evaluate the Efficacy of a Polyamine-deficient Diet for the Treatment of Postoperative Pain After Abdominal Surgery.
1 other identifier
interventional
278
1 country
4
Brief Summary
The aim of this study is to evaluate if a polyamine deficient diet started 7 days prior to a major abdominal surgery (eventration cure and digestive continuity) and followed 7 days post-surgery reduces the area under the curve of the numerical pain rating scale in the 72 hours post-surgery.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Feb 2020
Longer than P75 for not_applicable
4 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 3, 2020
CompletedFirst Posted
Study publicly available on registry
January 7, 2020
CompletedStudy Start
First participant enrolled
February 3, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
November 1, 2027
November 14, 2025
November 1, 2025
7.2 years
January 3, 2020
November 13, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
To show a 20% decrease of the area under the curve for the numerical pain rating scale in the 72 hours post-operative in the polyamine deficient diet group
To show a 20% decrease of the area under the curve for the numerical pain rating scale in the 72 hours post-operative in the polyamine deficient diet group measured every 6 hours in resting position, upon return from the operative room
72 hours post-surgery
Secondary Outcomes (10)
Change in the analgesics consumption post-operatively
15 days post-surgery
Change in the main dimension of pain
6 months post-surgery
Change of the recovery time of the gas transit
6 months post-surgery
Change of duration of urinary catheterization
6 months post-surgery
Change in the delay before the first postoperative lift
6 months post-surgery
- +5 more secondary outcomes
Study Arms (2)
Polyamine deficient diet
EXPERIMENTALDiet low in polyamines: the estimated calculated dose is 20 times lower that in an usual diet
Control
NO INTERVENTIONUsual Diet plus two snacks
Interventions
Diet low in polyamines: the estimated calculated dose is 20 times lower that in an usual diet
Eligibility Criteria
You may qualify if:
- Adult (\>18 years)
- Indication for a " major " abdominal surgery as second surgical procedure : cure of eventration and restoration of digestive continuity
- Intended Use of a Patient Controlled Morphine Pump (PCA) postoperatively or taking oral opioids
- Possible follow-up during 7 months (post-operative consultation at 1 month and 6 months only if postoperative pain or complications)
- Written informed consent form obtained from the patient
- Affiliated to the social security
You may not qualify if:
- Pregnant women
- Minor, adult under guardianship or benefiting from a legal protection
- Oncological surgery
- Surgery not painful (cholecystectomy, hernia, thyroidectomy, bariatric surgery)
- Drug addicts patients, or under opiate dependency
- Chronic pain patients (pain over 3 months)
- Patients in nursing home or convalescence home (diet non possible in institution)
- Planned hospitalisation before the intervention (during the 7 days before the surgery)
- Patient refusing the possibility to change his eating habits
- Oral feeding impossible preoperatively
- Patient not able to express himself on their pain (silent, …)
- Decompensated psychiatric pathologies (severe depression syndrome,…)
- Patient unable to understand the protocol and/or to give his informed consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (4)
CHRU Brest La Cavale Blanche
Brest, France
Hôpital Louis Mourier from Ap-HP
Colombes, 92700, France
CHD Vendée
La Roche-sur-Yon, France
CHU Nantes Hôtel Dieu
Nantes, France
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Claire Blanchard, MD-PhD
Nantes University Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- CARE PROVIDER
- Masking Details
- The anesthetist is blinded to the arm of attribution
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 3, 2020
First Posted
January 7, 2020
Study Start
February 3, 2020
Primary Completion (Estimated)
April 1, 2027
Study Completion (Estimated)
November 1, 2027
Last Updated
November 14, 2025
Record last verified: 2025-11