Unique ID issued by UMIN | UMIN000004158 |
---|---|
Receipt number | R000004993 |
Scientific Title | Nutritional support in cirrhotic patients with hepatocellular carcinoma |
Date of disclosure of the study information | 2010/09/06 |
Last modified on | 2016/04/08 16:38:46 |
Nutritional support in cirrhotic patients with hepatocellular carcinoma
Nutritional support in cirrhotic patients with hepatocellular carcinoma(NSTHCC)
Nutritional support in cirrhotic patients with hepatocellular carcinoma
Nutritional support in cirrhotic patients with hepatocellular carcinoma(NSTHCC)
Japan |
Liver cirrhosis with hepatocellular carcinoma
Hepato-biliary-pancreatic medicine |
Malignancy
NO
We investigated the efficacy of branched-chain amino acid (BCAA)-enriched nutrient combined with an alpha-glucosidase inhibitor in cirrhotic patients with hepatocellular carcinoma by prospective randomized trial.
Efficacy
Changes in insulin resistance
1) Evaluation for nutritional status
2) Incidence of complicating disease
3) Prognosis
Interventional
Parallel
Randomized
Open -no one is blinded
No treatment
YES
5
Treatment
Medicine | Food |
Patients with glucose intolerance
Daily nutritional intake for each group was calculated as 25-30 kcal with 1.2-1.3 g of protein per kilogram of ideal body weight per day.
[I group]:Aminoleban EN group; One pack of the BCAA-enriched mixture (Aminoleban EN; Otsuka, Tokyo, Japan) used as late evening snack (LES) food (at 22:00) contains 210 kcal. Actual daily nutritional intake from meals was determined by subtracting the calorie content of LES (210 kcal) and protein (13.5 g) from the aforementioned calculated nutritional intake.
Patients with glucose intolerance
Daily nutritional intake for each group was calculated as 25-30 kcal with 1.2-1.3 g of protein per kilogram of ideal body weight per day.
[II group]:Aminoleban EN + Voglibose group;Administration of Aminoleban EN was same as above. One 0.2mg tablet of alfa-glucosidase inhibitor voglibose(Takeda, Osaka, Japan) was orally administered before every meal(0.6mg/day).
Patients with glucose intolerance
Daily nutritional intake for each group was calculated as 25-30 kcal with 1.2-1.3 g of protein per kilogram of ideal body weight per day.
[III group]:Meal group (control group)
Patients without glucose intolerance
Daily nutritional intake for each group was calculated as 25-30 kcal with 1.2-1.3 g of protein per kilogram of ideal body weight per day.
[I group]:Aminoleban EN group; Administration of Aminoleban EN was same as above.
Patients without glucose intolerance
Daily nutritional intake for each group was calculated as 25-30 kcal with 1.2-1.3 g of protein per kilogram of ideal body weight per day.
[II group]:Meal group (control group)
20 | years-old | <= |
Not applicable |
Male and Female
1)Patients who can take sufficient diet.
2)Patients who are diadosed as HCC based on the imaging findings and require HCC treatment.
3)Either initial treatment or recurrent treatment is no object.
4)age, over 20 years and regardless of gender
5)Either outpatient or inpatient is no object. Ptients need to be admitted to hospital during HCC treatment.
6)Patients who can take a wash out period for one week, when either Aminoleban EN or another BCAA-enriched mixture previously was administered.
1)Patients with sensitivities for BCAA-enriched mixture.
2)Patients with sensitivities for alfa-glucosidase inhibitor.
3)Diabetic patients who are used oral antidiabetic agent or insulin.
4)Diabetic patients who had severe diadetic ketosis, diadetic coma, or precoma stage.
5)Decompensated liver cirrhostic patients who were difficult to treat(for example, total bilirubin, over 3.0mg/dl; hepatic coma, coma grade over grade II; treatment-resistant ascites).
6)Patients who had serum albumin, <2.5g/dl
7)Patients who had severe renal failure(i.e. serum creatinine, over 2mg/dl)
8)Patients who had severe hernia, stenosis of colon or inflammation of colon.
9)Patients who were difficult to take sufficient diet(i.e.protein control).
10)Patients who had congenital amino-acid metabolism abnormality.
11)Patients who had milk allergy.
12)Patients who were disqualified by doctor in attendance.
125
1st name | |
Middle name | |
Last name | Takahiro Yamasaki |
Yamaguchi University School of Medicine
The first department of internal medicine
1-1-1 Minamikogushi, Ube, Yamaguchi
1st name | |
Middle name | |
Last name |
Yamaguchi University School of Medici
The first department of internal medicine
1-1-1 Minamikogushi, Ube, Yamaguchi
The first department of internal medicine,Yamaguchi University School of Medicine
None
Self funding
NO
山口大学医学部附属病院(山口県)
2010 | Year | 09 | Month | 06 | Day |
Unpublished
Terminated
2010 | Year | 07 | Month | 14 | Day |
2010 | Year | 09 | Month | 01 | Day |
2010 | Year | 09 | Month | 04 | Day |
2016 | Year | 04 | Month | 08 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000004993