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临床试验/NCT00115258
NCT00115258已完成3 期

Nutrition Support in Pediatric Stem Cell Transplantation - A Randomized, Controlled Trial

Boston Children's Hospital0 个研究点目标入组 26 人开始时间: 2004年1月最近更新:
适应症

试验速览

阶段
3 期
状态
已完成
入组人数
26
主要终点
Changes in % body fat at baseline, day +30, and day +100.

研究概览

简要总结

The purpose of this study is to determine which method of providing parenteral nutrition (complete intravenous nutrition) will provide the best nutritional and clinical results to children undergoing hematopoietic stem cell transplantation.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
6 Years 至 —(Child, Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • First myeloablative allogeneic SCT using either TBI (1400 cGy) or busulfan in addition to other chemotherapeutic agents
  • GVHD prophylaxis with a calcineurin-inhibitor and methotrexate +/- corticosteroids
  • Matched, related or 6/6 HLA-matched unrelated SCT donor
  • Age 6 years and older

排除标准

  • Age less than 6 years, or otherwise unable to comply with study procedures
  • Underweight (body mass index (BMI) z-score <2 for age and sex) at baseline
  • Overweight (BMI z-score >2 for age and sex) at baseline
  • Unable or unwilling to return for day + 100 studies
  • Previous stem cell transplant
  • Unmatched SCT donor
  • Current treatment for hypo- or hyperthyroidism
  • Current insulin dependent diabetes
  • Current use of parenteral nutrition
  • Allergy to egg or soy products
  • Other contraindication to parenteral nutrition at baseline

结局指标

主要结局

Changes in % body fat at baseline, day +30, and day +100.

时间窗: day 30

次要结局

  • Resumption of oral intake.(day 30)
  • Body composition measured by DXA, BIA, and 4-site skinfolds.(baseline, day 30, and day 100)
  • Changes in body composition from baseline to day +100.(day 100)
  • Insulin resistance, defined by HOMA, at each time point.(baseline, day 30, and day 100)
  • Measured resting energy expenditure (REE) at each time point.(baseline, day 30, and day 100)
  • Changes in percent predicted REE between the two groups.(baseline, day 30, and day 100)
  • Correlation between body composition and measured REE.(baseline, day 30, and day 100)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Christopher Duggan

Associate professor of pediatrics

Boston Children's Hospital

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