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临床试验/EUCTR2017-001559-30-FR
EUCTR2017-001559-30-FR进行中(未招募)1 期

Efficacy of long-term parenteral nutrition with SmofKabiven® E concomitant to chemo- and/or immunotherapy: A prospective, randomised, controlled, open, multicentre, two-stage, adaptive clinical trial in metastatic non-small cell lung cancer - SmofKabiven® E long-term Parenteral Nutrition in Oncology

Fresenius Kabi Deutschland GmbH0 个研究点目标入组 162 人开始时间: 2017年8月31日最近更新:
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
162

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

入选标准

  • 1. Metastatic NSCLC patient
  • 2. Adult = 18 years
  • 3. Starting any 1st, 2nd or 3rd line chemotherapy and/or immunotherapy administered via a central venous catheter (including implanted ports)
  • 4. Moderate malnutrition defined by = 5 % weight loss in the last month or = 10% in the last 6 months
  • 5. An energy gap of = 40 % between the target energy intake (30 ± 5 kcal/kg/day) and the actual energy intake at screening
  • 6. Functional digestive tract allowing oral intake
  • 7. Signed informed consent from patient or legal representative
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 81
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 81

排除标准

  • 1. PN administered during the preceding month (the sole administration of intravenous glucose is allowed)
  • 2. More than 1600 kcal/day required as PN
  • 3. Tube feeding at screening
  • 4. Severe malnutrition defined by = 10 % weight loss in the last month or = 15 % weight loss in the last 6 months
  • 5. Body mass index (BMI) > 30 kg/m2
  • 6. Performance status > 3 Eastern Cooperative Oncology Group (ECOG) score
  • 7. Life expectancy < 3 months
  • 8. Active bloodstream infection demonstrated by positive blood culture at screening
  • 9. Hypersensitivity to fish-, egg, soya- or peanut protein or to any of the active substances or excipients in SmofKabiven E
  • 10. Severe blood coagulation disorders
  • 11. Congenital errors of amino acid metabolism
  • 12. Pathologically elevated serum levels of any of the included electrolytes
  • 13. General contraindications to infusion therapy: acute pulmonary oedema, hyperhydration, decompensated cardiac insufficiency
  • 14. Hemophagocytotic syndrome
  • 15. Severe hyperlipidemia (serum triglycerides > 353 mg/dL)
  • 16. Severe liver insufficiency: liver enzymes (aspartate aminotransferase [AST], alanine aminotransferase [ALT], gamma glutamyl transferase [GGT]) or conjugated bilirubin exceeding 3 x upper limit of normal range, or International Normalised Ratio (INR) > 2
  • 17. Severe renal dysfunction (estimated glomerular filtration rate [eGFR] < 30 ml/min/1.73m2) and patients on renal replacement therapy
  • 18. Uncontrolled hyperglycaemia
  • 19. Unstable conditions (e.g., embolism, metabolic acidosis, hypotonic dehydration)
  • 20. Pregnancy or lactation
  • 21. Contraindications to any of the study assessment methods including computer tomography and indirect calorimetry
  • 22. Participation in a clinical study with an investigational drug or investigational medical device within one month prior to start of study or during study
  • 23. Prior inclusion in the present study

研究者

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