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Glutamine has the potentials of immunomodulation and adjustment of protein metabolism. The primary objective of this study is to evaluate the efficacy of glutamine on sarcopenia in gastric adenocarcinoma patients undergoing gastrectomy. The secondary endpoints, including the physical activity, weight loss, and nutritional profiles, will be evaluated among these patients.
This will be a double-blind, randomized, and placebo-controlled study. At least 80 evaluable patients who are scheduled for gastrectomy for gastric adenocarcinoma cancer will be randomly assigned to the control or treatment group. Each group will have at least 40 patients. The CT scan will be evaluated before surgery and on postoperative day (POD) 90. Moreover, the patient will wear the smart watch to record daily walking steps. Laboratory data will be check before gastrectomy and on POD 90.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Without oral glutamine supplementation | Placebo Comparator | 15 g Maltodextrin for 28 days after surgery with tolerable oral intake or enteral feeding |
|
| With oral glutamine supplementation | Active Comparator | 10 g glutamine +5 g Maltodextrin for 28 days after surgery with tolerable oral intake or enteral feeding |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| oral glutamine | Dietary Supplement | 10 g glutamine +5 g Maltodextrin for 28 days after surgery with tolerable oral intake or enteral feeding |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change of area of psoas muscle | area od psoas muscle on the CT scan | 84 days after gastrectomy |
| Measure | Description | Time Frame |
|---|---|---|
| Walking steps | the average daily walking steps recorded by the wearable devices | 28,56, and 84 days after gastrectomy |
| body weight | body weight |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jin-Ming Wu, MD | Contact | 886+223123456 | wujm0531@gmail.com | |
| Ming-Tsan Lin, MD | Contact | wujm0531@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Jin-Ming Wu, MD | National Taiwan University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Taiwan University Hospital | Recruiting | Taipei | 100 | Taiwan |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Nov 3, 2022 | Sep 5, 2023 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D013274 | Stomach Neoplasms |
| D055948 | Sarcopenia |
| ID | Term |
|---|---|
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D005973 | Glutamine |
| C008315 | maltodextrin |
| ID | Term |
|---|---|
| D024361 | Amino Acids, Basic |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |
| D000599 | Amino Acids, Diamino |
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| Maltodextrin | Dietary Supplement | Maltodextrin |
|
| 84 days after gastrectomy |
| Change of serum albumin value | 84 days after gastrectomy |
| Change in white blood cells counts | 84 days after gastrectomy |
| Change in lymphocyte cells counts | 84 days after gastrectomy |
| Change of serum pre-albumin value | 84 days after gastrectomy |
| D004066 |
| Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D013272 | Stomach Diseases |
| D009133 | Muscular Atrophy |
| D020879 | Neuromuscular Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D001284 | Atrophy |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012816 | Signs and Symptoms |
| D021542 | Amino Acids, Neutral |