UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000041219
Receipt number R000047076
Scientific Title The assessment of glycemic excrusion using continuous glucose monitoring in postoperative gastric cancer patients.
Date of disclosure of the study information 2020/08/17
Last modified on 2024/07/30 10:30:16

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Basic information

Public title

The assessment of glycemic excrusion using continuous glucose monitoring in postoperative gastric cancer patients.

Acronym

The assessment of glycemic excrusion using continuous glucose monitoring in postoperative gastric cancer patients.

Scientific Title

The assessment of glycemic excrusion using continuous glucose monitoring in postoperative gastric cancer patients.

Scientific Title:Acronym

The assessment of glycemic excrusion using continuous glucose monitoring in postoperative gastric cancer patients.

Region

Japan


Condition

Condition

gastric cancer

Classification by specialty

Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

We evaluate the glycemic excrusion after meal or oral nutritional supplements for patients undergoing gastrectomy.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Area under the curve between five days using the CGM

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Self control

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Food

Interventions/Control_1

We use the CGM between five days, after patients undergoing gastrectomy can eat rice porridge.
In the third day, we add 200calories nutritional supplements.
In the fourth day, we add 400calories nutritional supplements.

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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1.Able to ingest food orally
2.Scheduled to receive curative gastrectomy
3.patients with consent after full explanation and understanding of our stud

Key exclusion criteria

1.diabetic patients(HbA1c:more than 6)
2.allergic patients for dairy product or gelatin
3.patients with non-curative resection
4.patients with visual impairment without caregivers
5.patients judged to be inappropriate by the doctor

Target sample size

8


Research contact person

Name of lead principal investigator

1st name Fumihiko
Middle name
Last name Hatao

Organization

Tokyo Metropolitan Tama Medical Center

Division name

Department of Surgery

Zip code

183-8524

Address

2-8-29 Musashidai, Fuchu-shi, Tokyo

TEL

042-323-5111

Email

fchobi@gmail.com


Public contact

Name of contact person

1st name Fumihiko
Middle name
Last name Hatao

Organization

Tokyo Metropolitan Tama Medical Center

Division name

Department of Surgery

Zip code

183-8524

Address

2-8-29 Musashidai, Fuchu-shi, Tokyo

TEL

042-323-5111

Homepage URL


Email

fchobi@gmail.com


Sponsor or person

Institute

Tokyo Metropolitan Tama Medical Center
Department of Surgery

Institute

Department

Personal name



Funding Source

Organization

Tokyo Metropolitan Tama Medical Center

Organization

Division

Category of Funding Organization

Local Government

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Tokyo Metropolitan Tama Medical Center

Address

2-8-29 Musashidai, Fuchu-shi, Tokyo

Tel

042-323-5111

Email

tamarinshou@tmhp.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



Other administrative information

Date of disclosure of the study information

2020 Year 08 Month 17 Day


Related information

URL releasing protocol

https://link.springer.com/article/10.1007/s00595-022-02600-w

Publication of results

Published


Result

URL related to results and publications

https://link.springer.com/article/10.1007/s00595-022-02600-w

Number of participants that the trial has enrolled

17

Results

Results
The AUC < 70 did not differ significantly with or without SED ONS over the observation period. SED ONS did not cause postprandial hypoglycemia and prevented nocturnal hypoglycemia. The mean dietary intake did not change significantly during the observation period, and the total energy intake increased significantly according to the amount of SED ONS provided.
Conclusion
SED ONS after gastrectomy increased the total energy intake without dietary reduction and it did not result in hypoglycemia.

Results date posted

2024 Year 07 Month 30 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Inclusion criteria
1.Age 20 years old or older
2.Ability to ingest food orally
3.Scheduled conventional curative gastrectomy for gastric cancer

Exclusion criteria
1.Current treatment for diabetes
2.Scheduled function-preserving gastrectomy, such as pylorus-preserving gastrectomy, or proximal gastrectomy
3.Allergy to milk or gelatin components
4.Visual impairment with no care giver

Participant flow

Curative gastrectomy for gastric cancer was performed at the study center. The surgeons chose the surgical approach and reconstructive method according to their experience. For distal gastrectomy (DG) they performed Billroth I (DG-BI) or Roux-en-Y reconstruction (DG-RY) and for total gastrectomy (TG), they performed Roux-en-Y reconstruction.

Adverse events

None

Outcome measures

The primary outcome was the area under the curve < glucose 70 mg/dL (AUC < 70). The secondary outcomes were other indices of glucose fluctuation and the amount of food and SED ONS intake.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2020 Year 02 Month 14 Day

Date of IRB

2020 Year 03 Month 09 Day

Anticipated trial start date

2020 Year 08 Month 17 Day

Last follow-up date

2023 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2020 Year 07 Month 27 Day

Last modified on

2024 Year 07 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047076