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Trial registered on ANZCTR
Registration number
ACTRN12608000035325
Ethics application status
Approved
Date submitted
9/01/2008
Date registered
22/01/2008
Date last updated
7/10/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
The effect of pre-operative oral immunonutrition therapy on postoperative outcomes in gastrointestinal surgery patients.
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Scientific title
Does Impact Advanced Recovery given pre-operatively to elective upper and lower gastrointestinal surgical patients reduce length of stay?
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Secondary ID [1]
273178
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
cancer
2683
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Inflammatory Bowel Disease (IBD)
2684
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Diverticular Disease
2685
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obstruction / stricture
2686
0
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Pancreatitis
2687
0
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Condition category
Condition code
Diet and Nutrition
2805
2805
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0
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Other diet and nutrition disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment group patients given Impact Advanced Recovery (Novartis Medical Nutrition) 237ml tetra pack 3 times per day for 5 days prior to surgery. Impact is a specialised nutrition supplement drink, each pack containing (as major ingredints)340 Calories, 18.1g Protein, 4.2g Arganide and 1.1g Omega-3 Fatty Acids.
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Intervention code [1]
2425
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Treatment: Other
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Comparator / control treatment
Control group - no intervention (no placebo)
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Control group
Active
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Outcomes
Primary outcome [1]
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Length of hospital stay
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Assessment method [1]
3693
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Timepoint [1]
3693
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Measured from day of admission to day of discharge either home or to rehabilitation facility
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Secondary outcome [1]
6232
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Non-infectious complications
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Assessment method [1]
6232
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Timepoint [1]
6232
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Measured daily over duration of hospital admission
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Secondary outcome [2]
6233
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Infectious complications
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Assessment method [2]
6233
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Timepoint [2]
6233
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Measured daily over duration of hospital admission
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Secondary outcome [3]
6234
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Mortalily
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Assessment method [3]
6234
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Timepoint [3]
6234
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Measured daily over duration of hospital admission
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Eligibility
Key inclusion criteria
Elective upper or lower gastrointestinal surgery
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Minimum age
18
Years
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Maximum age
90
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Chronic respiratory or cardiac dysfunction, Hepatic dysfunction, Chronic infection or immunosupression, Renal failure
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Patients will be randomly allocated to a treatment group by a blind draw from an envelope of a numbered square of paper. The number of the square will represent the two groups, 1 or 2. This will be done by the researcher who is responsible for consenting the patient, so the appropriate ‘pack’ can be given out. Each pack will have written instructions for the participants to follow depending on their allocated treatment group. The allocated treatment group will be recorded on the initial data sheet only, and the researcher collecting data post-operatively will be blinded to the group allocation.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Treatment allocation (to either treatment group or control group) will be written on a peice of paper and placed into individual sealed envelope, which will then be randomley selected by the pre-admission nurse during recruitment.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
14/01/2008
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
150
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
2941
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Self funded/Unfunded
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Name [1]
2941
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Lisa Barker
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Address [1]
2941
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Dietitian
The Royal Melbourne Hosptial
Grattan Street
Parkville 3050
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Country [1]
2941
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Australia
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Primary sponsor type
Individual
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Name
Lisa Barker
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Address
Dietitian
The Royal Melbourne Hosptial
Grattan Street
Parkville 3050
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Country
Australia
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Secondary sponsor category [1]
2655
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None
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Name [1]
2655
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Address [1]
2655
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Country [1]
2655
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Other collaborator category [1]
126
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Individual
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Name [1]
126
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Mr Ben Thomson
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Address [1]
126
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Surgeon
The Royal Melbourne Hosptial
Grattan Street
Parkville 3050
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Country [1]
126
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Australia
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Other collaborator category [2]
127
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Individual
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Name [2]
127
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Ms Lisa Wilson
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Address [2]
127
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Nurse
The Royal Melbourne Hosptial
Grattan Street
Parkville 3050
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Country [2]
127
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Australia
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Other collaborator category [3]
128
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Individual
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Name [3]
128
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Professor Ian Jones
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Address [3]
128
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Surgeon
The Royal Melbourne Hosptial
Grattan Street
Parkville 3050
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Country [3]
128
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Australia
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Other collaborator category [4]
129
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Individual
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Name [4]
129
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Dr Tim Crowe
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Address [4]
129
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Senior Lecturer Nutrition
Deakin University
221 Burwood Hwy
Burwood 3125
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Country [4]
129
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
4885
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Melbourne Health
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Ethics committee address [1]
4885
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The Royal Melbourne Hosptial Grattan Street Parkville 3050
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Ethics committee country [1]
4885
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Australia
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Date submitted for ethics approval [1]
4885
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Approval date [1]
4885
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27/11/2007
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Ethics approval number [1]
4885
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2007.182
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Summary
Brief summary
It is well known that major surgery causes a decrease in immune function, which in turn can lead to an increased rate of post operative inflammation and infection. Recently, research has been focused on the role of pre-operative oral immune enhancing nutrition and its positive influences on inflammation, metabolism and immune responses after surgery. The positive effects shown in recent studies have also been linked to a decreased in length of hospital stay and substantially reduced treatment costs. Given the strong support in medical literature, the Departments of Surgery and Clinical Nutrition wish to examine the effect of Impact Advanced Recovery (Novartis Nutrition Corporation, United States of America) on major upper and lower bowel surgery patients. Eligible patients (all patients undergoing upper and lower bowel surgery at The Royal Melbourne Hospital - excluding patients who are inmmunosupressed, have chronic infections, hepatic disease or renal failure), will be randomized into one of two groups, treatment or control. The treatment group will receive Impact Advanced Recovery (237ml packs) three times a day for the five days leading up to surgery. The control group will receive no nutritional supplements, which is in line with current treatment. After their operation, patients will receive normal clinical care as per their managing surgical team. Outcome measures such as length of hospital stay, infection rate, non-infective complications, unexpected ICU admission and death will be measured by means of direct data collection from medical charts during the patients admission. A statistical analysis using an unpaired t-test and Fisher's exact test will be performed on the data. We hope this trial will support the need for The Royal Melbourne Hospital to provide immune enhancing nutritional supplements to patients prior to major upper and lower bowel surgery patients.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
28281
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Fax
28281
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Email
28281
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Contact person for public queries
Name
11438
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Lisa Barker
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Address
11438
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Dietitian
The Royal Melbourne Hosptial
Grattan St
Parkville 3050
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Country
11438
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Australia
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Phone
11438
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03 9342 7440
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Fax
11438
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Email
11438
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[email protected]
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Contact person for scientific queries
Name
2366
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Lisa Barker
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Address
2366
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Dietitian
The Royal Melbourne Hosptial
Grattan St
Parkville 3050
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Country
2366
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Australia
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Phone
2366
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03 9342 7440
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Fax
2366
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Email
2366
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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