UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000054300
Receipt number R000061978
Scientific Title Prospective study of prehospital prehabilitation for elderly, sarcopenic, and malnourished patients in hepatobiliary and pancreatic surgery
Date of disclosure of the study information 2024/05/10
Last modified on 2026/01/13 17:26:22

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Basic information

Public title

Prospective study of prehospital prehabilitation for elderly, sarcopenic, and malnourished patients in hepatobiliary and pancreatic surgery

Acronym

Prospective study of prehospital prehabilitation for elderly, sarcopenic, and malnourished patients in hepatobiliary and pancreatic surgery: PROPRE study

Scientific Title

Prospective study of prehospital prehabilitation for elderly, sarcopenic, and malnourished patients in hepatobiliary and pancreatic surgery

Scientific Title:Acronym

PROPRE study

Region

Japan


Condition

Condition

potentially resectable hepatobiliary and pancreatic cases

Classification by specialty

Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study was to evaluate the safety and effectiveness of self-prehabilitation by using the waiting period before hospitalization to perform self-prehabilitation at home, including postoperative complications, prognosis, and quality of life.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Prehabilitation Achievement and Safety

Key secondary outcomes

(1) Perioperative complications (evaluated by Clavien-Dindon classification)
(2) Length of hospital stay and postoperative hospital stay
(3) Disease free survival (DFS)
(4) Over all survival (OS)
(5) Change in quality of life (EORTC-QLQ-C30, FACT-HEP)
(6) Change in depression assessment (HADS)
(7) Nutritional assessment (In Body, blood test, CT iliopsoas assessment)


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Prevention

Type of intervention

Other

Interventions/Control_1

Squatting, standing on one leg, and walking 4,000 to 5,000 steps per day (40 minutes) in the 2 weeks prior to admission

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) Patients clinically ill with hepatobiliary-pancreatic disease for whom surgery is contemplated.
(2) Patients over 65 years old.
(3) In addition to 2 above, all patients with possible sarcopenia will be considered regardless of age. The diagnosis of possible sarcopenia will be evaluated according to the AWGS 2019 sarcopenia diagnostic criteria as described below.
(4) Eligible surgical procedures will be as follows (all procedures will include both laparoscopic and open procedures) (a)Liver resection cases (b) Pancreatectomy
(5) Cases with PS (ECOG classification) of 0 to 1
(6) Cases in which functions of major organs (bone marrow, liver, kidney, lung, etc.) are preserved
(The following criteria are met according to laboratory values within 14 days prior to enrollment.)
White blood cell count: greater than 3,500/mm3 and less than 12,000/mm3
Neutrophil count: 2,000/mm3 or more
Hemoglobin level: 9.0 g/dl or greater
Platelet count: 100,000/mm3 or greater
Total bilirubin: 2.0 mg/dL or less*.
Patients undergoing yellowing reduction for obstructive jaundice are expected to have a level of 3.0 mg/dL or less at the time of surgery.
AST and ALT levels: 150 U/L or less
Creatinine: 1.2 mg/dl or less
(7) Cases in which oral intake is possible
(8) Patients who have given written consent to be a subject in this study
(9)Patients who are at least 20 years of age at the time of consent and have sufficient judgment to obtain consent for this study.
(10)Cases in which the subject has been fully informed of the details of the study and has given his/her written consent.

Key exclusion criteria

(1) Patients with pulmonary fibrosis or interstitial pneumonia
(2) Patients with malignant tumors that are expected to have no gross residual cancer at the time of resection.
(3) Patients with active multiple cancers.
Simultaneous overlapping cancers or disease-free period of less than 3 years. However, intraepithelial and intramucosal cancers are not included.
(4) Active infection (e.g., fever > 38.0 degrees Celsius)
(5) Patients using flucytosine, phenytoin, or warfarin
(6) Pregnant or possibly pregnant
(7) Other conditions deemed by the attending physician to be inappropriate for the safe conduct of this study

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Yu
Middle name
Last name Katayose

Organization

Tohoku Medical and Pharmaceutical University Hospital

Division name

Hepatobiliary and pancreatic surgery

Zip code

983-8512

Address

1-2-1, FUkumuro, Miyaginoku, SENDAI

TEL

022-259-1221

Email

y17.katayo@tohoku-mpu.ac.jp


Public contact

Name of contact person

1st name Hiroto
Middle name
Last name Sakurai

Organization

Tohoku Medical and Pharmaceutical University Hospital

Division name

Hepatobiliary and pancreatic surgery

Zip code

983-8512

Address

1-12-1, FUkumuro, Miyaginoku, SENDAI

TEL

022-259-1221

Homepage URL


Email

h.sakurai@tohoku-mpu.ac.jp


Sponsor or person

Institute

Tohoku Medical and Pharmaceutical University Hospital

Institute

Department

Personal name



Funding Source

Organization

Lab Budget

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Tohoku Medical and Pharmaceutical University Hospital Clinical Research Audit Committee

Address

1-12-1, FUkumuro, Miyaginoku, SENDAI

Tel

022-259-1221

Email

research@hosp.tohoku-mpu.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

東北医科薬科大学病院(宮城県)


Other administrative information

Date of disclosure of the study information

2024 Year 05 Month 10 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

No longer recruiting

Date of protocol fixation

2023 Year 11 Month 23 Day

Date of IRB

2023 Year 12 Month 11 Day

Anticipated trial start date

2024 Year 01 Month 01 Day

Last follow-up date

2026 Year 12 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

2024 Year 05 Month 01 Day

Last modified on

2026 Year 01 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000061978