UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056761
Receipt number R000064873
Scientific Title A Prospective Interventional Study on the Effectiveness of Cancer Chemotherapy Combined with Immunenutrition for Esophageal Cancer
Date of disclosure of the study information 2025/01/21
Last modified on 2025/01/20 18:25:12

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Basic information

Public title

A Study on the Effectiveness of Cancer Chemotherapy Combined with Immunenutrition for Esophageal Cancer

Acronym

A Study on the Effectiveness of Cancer Chemotherapy Combined with Immunenutrition for Esophageal Cancer

Scientific Title

A Prospective Interventional Study on the Effectiveness of Cancer Chemotherapy Combined with Immunenutrition for Esophageal Cancer

Scientific Title:Acronym

A Prospective Interventional Study on the Effectiveness of Cancer Chemotherapy Combined with Immunenutrition for Esophageal Cancer

Region

Japan


Condition

Condition

Esophageal Cancer

Classification by specialty

Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Evaluate the effectiveness of immunenutrition in combination with cancer chemotherapy in improving treatment efficacy and treatment completion rates.

Basic objectives2

Others

Basic objectives -Others

To evaluate the effect of immunonutritional therapy on the therapeutic efficacy and adverse events of cancer chemotherapy by measuring blood levels of Arachidonic acid (AA), Eicosa pentaenoic acid (EPA) and Docosa hexaenoic acid (DHA), which are believed to be the main factors that improve immunity with immunonutritional therapy, and in vivo factors such as IL-6, which is an indicator of immunity. Evaluate the impact of immunonutritional therapy on treatment efficacy and adverse events, as well as the factors and mechanisms underlying these effects.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Incidence of side effects, progression-free survival, primary tumor shrinkage rate

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Food

Interventions/Control_1

Patients diagnosed with esophageal cancer and decided to receive chemotherapy or chemoradiotherapy were randomly assigned to the Concomitant use of Prosure group. The basic dose will be set at 2 bottles of Prosure per day, and patients who are able to take the equivalent of 14 or more bottles during 14 days will be assigned to the Prosure group.

Interventions/Control_2

Patients diagnosed with esophageal cancer and decided to receive chemotherapy or chemoradiotherapy were randomly assigned to control group. The basic dose will be set at 2 bottles of Prosure per day, and patients who are able to take the equivalent of 14 or more bottles during 14 days will be assigned to the Prosure group.

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 undergoing chemotherapy or chemoradiotherapy for esophageal cancer at Gunma University Hospital
(2) Patients of any gender
(3) Patients must be at least 20 years of age.
(4) Patients who have been fully informed about the participation in this study, fully understand the study, and have given written consent of their own free will.

Key exclusion criteria

(1) Patients with diabetes mellitus for whom nutritional supplements are deemed inappropriate
(2) Patients who are unable to take oral intake
(3) Patients who are judged to be unsuitable for the product by the physician's judgment
(4) Patients who are taking EPA preparations
(5) Patients who plan to take general medicines or nutritional foods containing high concentrations of EPA or DHA during treatment.

Target sample size

70


Research contact person

Name of lead principal investigator

1st name Hiroyuki
Middle name
Last name Kuwano

Organization

Okagaki Hospital

Division name

Regional Comprehensive Support Center

Zip code

8114204

Address

145 Teno, Onga-gun, Okagaki-machi, Fukuoka-ken

TEL

0932820181

Email

kuwano@onmah.jp


Public contact

Name of contact person

1st name Hideaki
Middle name
Last name Yashima

Organization

Gunma University Graduate School of Medicine

Division name

Department of Clinical Pharmacology and Therapeutics

Zip code

3718511

Address

3-39-22 Showa-machi, Maebashi, Gunma-ken

TEL

0272208727

Homepage URL


Email

gyashima@gunma-u.ac.jp


Sponsor or person

Institute

Gunma University

Institute

Department

Personal name



Funding Source

Organization

No

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Gunma University Hospital Clinical Research Review Board

Address

3-39-15 Showa-machi, Maebashi, Gunma-ken

Tel

0272208740

Email

irb-jimukk-ciru@ml.gunma-u.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



Other administrative information

Date of disclosure of the study information

2025 Year 01 Month 21 Day


Related information

URL releasing protocol

Unpublished

Publication of results

Unpublished


Result

URL related to results and publications

Unpublished

Number of participants that the trial has enrolled

22

Results

Because the number of cases did not reach the target number, it was not possible to assess the impact of Prosure administration on the primary outcome.

Results date posted

2025 Year 01 Month 20 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Twenty-two patients were enrolled, 13 in the ProSure group and 9 in the control group. Of the 13 patients in the ProSure group, 8 were excluded because their average intake rate of ProSure was less than 1 bottle/day.

Participant flow

Patients diagnosed with esophageal cancer in the usual care setting and scheduled to receive cancer chemotherapy or chemoradiotherapy were asked to provide written information about the study and to give their consent. Patients who gave consent were randomly assigned to the ProSure or control group. Immediately before and after the start of treatment, blood samples were drawn by the treating physician for analysis of blood constituents. At the same time, the efficacy of the treatment will be followed up after the start of treatment.

Adverse events

There were no significant differences in side effects between the Prosure and control groups.

Outcome measures

Progression-free survival and primary tumor reduction rates were not significantly different between the Prosure and control groups.
Free fatty acids in the blood were significantly higher in the ProSure group than in the control group for EPA/AA, but no difference was observed for DHA/AA between the two groups.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2013 Year 12 Month 25 Day

Date of IRB

2013 Year 12 Month 25 Day

Anticipated trial start date

2014 Year 01 Month 06 Day

Last follow-up date

2017 Year 06 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded

2017 Year 12 Month 28 Day


Other

Other related information



Management information

Registered date

2025 Year 01 Month 20 Day

Last modified on

2025 Year 01 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064873