UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000038054
Receipt number R000043365
Scientific Title Survey of nutritional management and investigation of the relationship between amount of nutrition and outcomes for total parenteral nutrition patients : A cohort study using the medical database
Date of disclosure of the study information 2019/11/15
Last modified on 2020/06/18 21:25:03

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Basic information

Public title

Survey of nutritional management and investigation of the relationship between amount of nutrition and outcomes for total parenteral nutrition patients : A cohort study using the medical database

Acronym

Survey of nutritional management and outcomes for total parenteral nutrition patients

Scientific Title

Survey of nutritional management and investigation of the relationship between amount of nutrition and outcomes for total parenteral nutrition patients : A cohort study using the medical database

Scientific Title:Acronym

Survey of nutritional management and outcomes for total parenteral nutrition patients

Region

Japan


Condition

Condition

Patients who were managed by total parenteral nutrition

Classification by specialty

Medicine in general

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To clarify the total parenteral nutrition management in acute hospital and to investigate the relationship between amount of nutrition and outcomes.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Hospital mortality

Key secondary outcomes

(1)Activity of daily living
(2)Re-admission rate
(3)Length of hospital stay


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

(1)Patients who were inserted central venous catheter from January 1, 2009 to December 31, 2018
(2)Patients aged 18 years or older

Key exclusion criteria

(1)Patients whose body weight data is missing
(2)Patients whose body weight is less than 10 kg
(3)Patients who were discharged within 10 days after central venous catheter insertion
(4)Patients who received oral feeding or tube feeding within 10 days after central venous catheter insertion
(5)Patients whose dose of parenteral nutrition was less than 5 kcal/kg/day or more than 60 kcal/kg/day on average from 4 to10 days (during 7 days) after central venous catheter insertion
(6)Patients whose dose of parenteral amino acids were less than 0.1 g/kg/day or more than 3 g/kg/day on average from 4 to10 days (during 7 days) after central venous catheter insertion
(7)Patients whose dose of parenteral lipids were more than 3 g/kg/day on average from 4 to10 days (during 7 days) after central venous catheter insertion

Target sample size

50000


Research contact person

Name of lead principal investigator

1st name Yusuke
Middle name
Last name Sasabuchi

Organization

Jichi Medical University

Division name

Data science center

Zip code

329-0431

Address

3311-1 Yakushiji, Shimono Tochigi

TEL

0285-44-2111

Email

sasabuchi@jichi.ac.jp


Public contact

Name of contact person

1st name Satoru
Middle name
Last name Kamoshita

Organization

Otsuka Pharmaceutical Factory, Inc.

Division name

Applied Clinical Development Department

Zip code

101-0048

Address

2-9 Kanda Tsukasamachi, Chiyoda-ku Tokyo

TEL

03-5217-5954

Homepage URL


Email

kamoshitas@otsuka.jp


Sponsor or person

Institute

Jichi Medical University, Data science center

Institute

Department

Personal name



Funding Source

Organization

Otsuka Pharmaceutical Factory, Inc.
Applied Clinical Development Department

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor

Otsuka Pharmaceutical Factory, Inc.

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Clinical Research Ethics Committee, Jichi Medical University

Address

3311-1 Yakushiji, Shimono Tochigi

Tel

0285-58-8933

Email

rinri@jichi.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

自治医科大学データサイエンスセンター(栃木県)
Data science center, Jichi Medical University


Other administrative information

Date of disclosure of the study information

2019 Year 11 Month 15 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2019 Year 10 Month 01 Day

Date of IRB

2019 Year 11 Month 07 Day

Anticipated trial start date

2019 Year 11 Month 07 Day

Last follow-up date

2019 Year 11 Month 07 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded

2020 Year 03 Month 31 Day


Other

Other related information

Study design
A cohort study using the medical database

Data source
A medical database provided by Medical Data Vision Co.Ltd.
The database is based on the DPC data/medical and technical service claims data. The database covers about 20% of all DPC hospitals in Japan. All data is anonymized from the viewpoint of personal information protection.

Survey of nutritional management
The following items are surveyed in patients who were inserted central venous catheter.
Patient characteristics
Time of the start of nutritional management
Category of catheter and type of parenteral nutrition product
Daily amount of parenteral nutrition from 1 to 10 days after central venous catheter insertion
Mean of the daily amount of parenteral nutrition
Factors that influence parenteral nutrition management

Relationship between amount of nutrition and outcomes
Patients are divided into 3 groups according to the achievement of nutritional goal.

Nutritional goal
Energy 20 kcal/kg/day or more
Amino acids 1.0 g/kg/day or more
Lipids 2.5 g/day or more

Study groups
(1)Not achieved any of the goal
(2)Achieved partial goals
(3)Achieved all goals

Statistical analysis
The hospital mortality, activity of daily living, re-admission rate and length of hospital stay are compared between the 3 study groups (Not achieved any of the goal, Achieved partial goals, and Achieved all goals).
Logistic regression analysis is used to calculate odds ratio and 95% confidence interval.




Management information

Registered date

2019 Year 09 Month 19 Day

Last modified on

2020 Year 06 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000043365


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name