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Study reevaluation
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PG2 has been approved in Taiwan to treat cancer-related fatigue for advanced cancer patients. The primary objective of this study is to evaluate the efficacy of PG2 on fatigue relief in patients undergoing palliative abdominal surgery for cancer. The secondary endpoints, including the length of hospital stay, postoperative complications, HRQL, inflammatory biomarkers, the duration of antibiotic therapy, mortality during the hospital stay, weight loss and body composition, will be evaluated among these patients.
This will be a double-blind, randomized, and placebo-controlled study. At least 40 evaluable patients who are scheduled for palliative abdominal surgery for cancer will be randomly assigned to the control or treatment group. Each group will have at least 20 patients and be treated as follows: 1) control group: patients will accept placebo 1 dose a day (POD-1) before surgery and 1 dose a day for 3 days after surgery (POD+0 to POD+2); 2) treatment group: patients will accept PG2 1 dose a day (POD-1) before surgery and 1 dose a day for 3 days after surgery (POD+0 to POD+2).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PG2 | Experimental | Treatment Group: PG2 (500 mg in 500 ml saline), 1 dose a day before surgery and 1 dose a day for 3 days after surgery |
|
| Placebo | Placebo Comparator | Control group: Placebo (500 ml saline), 1 dose a day before surgery and 1 dose a day for 3 days after surgery |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PG2 | Drug | Powder for Injection, 500 mg PG2/500 ml normal saline |
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| Measure | Description | Time Frame |
|---|---|---|
| change from baseline fatigue status | qustionnaires | a day before surgery and day 1,2,7,28,56,84 after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Length of hospital stay | 13 weeks | |
| Postoperative complications | patients were observed for surgical and nonsurgical complication | 13 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jin-Ming Wu, M.D. | National Taiwan University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Taiwan University Hospital | Taipei | 100 | Taiwan |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
| D005221 | Fatigue |
| ID | Term |
|---|---|
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Placebo | Drug | 500 mL normal saline |
|
| Health-related Quality of Life (HRQL) | a day before surgery and for day 7,28,56,84 after surgery |
| Inflammatory biomarkers: Serum IFN-r, IL-1b, IL-4, IL-6, IL-10 and TNF-a | Before operation and on day 1, and day 7 after operation |
| The duration of antibiotic therapy | 13 weeks |
| Mortality during the hospital stay | 13 weeks |
| Weight loss | patients will be measured during follow-up period | 13 weeks |
| Body composition | such as protein, mineral, body fat mass | a day before surgery and for day 28 after surgery |