Cachexia, Chronic Heart Failure, Chronic Obstructive Pulmonary Disease
Conditions
Brief summary
To test the compliance, tolerance, safety and to get preliminary insights into the efficacy of a new oral nutritional supplement (containing n-3 fatty acids, amino acids and antioxidants) designed to prevent or delay cachexia and anorexia in patients with chronic heart failure (CHF) or chronic obstructive pulmonary disease (COPD).
Interventions
2 servings of 200-300 ml per day, treatment period: 16 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* diagnosis of CHF or COPD * current body weight less than 6 months ago * BMI \>=20 and \<=30 kg/m2 * CHF: LVEF \>=45% measured within the past 6 months * symptom status equivalent to NYHA class II to IV * biochemical abnormalities for total cholesterol, serum uric acid, abnormal high CRP * on standard therapy of CHF including ACE inhibitors and beta blockers * COPD: symptom status equivalent to GOLD standard class II to IV * FEV1 \< 80% * FEV1/FEV \< 70%
Exclusion criteria
* significant oedema in the time of screening and randomisation * concomitant inflammatory diseases * active infections including HIV and AIDS * liver failure * chronic renal failure (sCr\>1.5mg/dL) or cardiac pacemaker * acute or chronic infections * insulin treated diabetes mellitus * patient with established diagnosis of cachexia * life expectancy of less than 6 months in the opinion of the investigator * medications that impair sex hormone synthesis, secretion or function * patients with psychiatric diseases * body weight loss \> 5% during the last 6 months or \> 10% during the last 10 months * suspected allergy to any component of the investigational product(s) * fish oil supplementation within 3 months prior to the study entry * taking vitamin supplements in doses greater than the Recommended Daily Allowances
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| compliance to nutrition therapy | baseline, months 1, 2, 3, 4 |
Secondary
| Measure | Time frame |
|---|---|
| Gastrointestinal syndrome score (GIS) | baseline, months 1, 2, 3, 4 |
| body cell mass | baseline, months 1, 2, 3, 4 |
| anorexia questionnaire | baseline, months 1, 2, 3, 4 |
| hand grip strength | baseline, months 1, 2, 3, 4 |
| patient global assessment (PGA) | baseline, months 2, 4 |
| weight change | baseline, months 1, 2, 3, 4 |
Countries
Germany, Poland