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Octreotide treatment to improve nutritional recovery after surgery for patients with esophageal or gastric cancer, a prospective randomized open label phase II study - OTIS

Phase 1
Conditions
Esophageal and gastric cancer
MedDRA version: 21.0Level: LLTClassification code: 10015362Term: Esophageal cancer Class: 10029104
MedDRA version: 21.1Level: PTClassification code: 10017758Term: Gastric cancer Class: 100000004864
Therapeutic area: Diseases [C] - Nutritional and Metabolic Diseases [C18]
Registration Number
CTIS2022-502745-98-00
Lead Sponsor
Karolinska University Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
172
Inclusion Criteria

Pathologic anatomic analysis (PAD) confirmed esophageal or gastric cancer, Gastrectomy or esophagectomy with curative intent, =18 years of age, Signed informed consent, Able to comply with the procedures of the study protocol, in the opinion of the investigator, Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, only after A. leaving a negative result on a highly sensitive pregnancy test, B. are using a highly effective method of contraception during treatment, and C. throughout the study. Acceptable birth control methods are those with a failure rate of less than 1% per year when used consistently and correctly (a list of approved methods is provided in appendix D). An additional pregnancy test is to be provided at end of exposure.

Exclusion Criteria

Non-radical operation (defined by macroscopic assessment) or metastatic disease diagnosed at the time of surgery, Known or suspected allergy to octreotide, Mental inability, reluctance or language difficulties that result in difficulty understanding the meaning of study participation, Pregnant or nursing female, Participation or recent participation in a clinical study with an investigational product (within the last 3 months). Previous participation in this study., Complications leading to restrictions in postoperative oral intake, Advanced comorbidity with ASA score III or more, Bradycardia (defined as resting heart rate of under 60 beats per minute), Chronic obstructive pulmonary disease, Chronic liver disease, Insulinoma, Kidney failure, Concomitant medication with: cyclosporine, cimetidine, bromocriptine, quinidine, or terfenadine

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: To determine if intramuscularly administered octreotide can decrease weight loss after gastrectomy or esophagectomy due to cancer.;Secondary Objective: To study if octreotide treatment affects the levels of gastrointestinal satiety hormones, To determine if octreotide treatment affects body composition, To determine if octreotide treatment affects postoperative health related quality of life, To study if postoperative eating problems can be reduced by intramuscular administration of octreotide, To study safety and tolerability of treatment with intramuscularly administered octreotide after gastrectomy or esophagectomy due to cancer;Primary end point(s): Weight loss in percent (%) from baseline weight before surgery, measured at 1, 2, 3, and 6 months after surgery (continuously).
Secondary Outcome Measures
NameTimeMethod
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