Head and Neck Cancer
Conditions
Keywords
Malnourished, Head and Neck Cancer, Surgery
Brief summary
The purpose of this study is to study the effects of EPA-enriched supplement compared with conventional supplement in malnourished head and neck cancer patients undergone surgery. Primary outcome is perioperative weight changing.
Detailed description
To study the effects of EPA-enriched supplement compared with conventional supplement in malnourished head and neck cancer patients undergone surgery. The patients are divided into 2 groups receiving the different formula supplements. The both supplements are isocaloric. The patients receive the supplement for 3 weeks (1 week prior to surgery and 2 weeks post surgery) Primary outcome is perioperative weight changing. Secondary outcomes are body compositions, hospital stay days, complication and co-morbidity.
Interventions
EPA-enriched supplement is given to the patients for 3 weeks (1 week prior to surgery and 2 weeks post surgery). The supplement composes of 2.2 gm of EPA and 630 kcal daily.
The standard formula supplement is given to the patients for 3 weeks (1 week prior to surgery and 2 weeks post surgery). The supplement is 630 kcal daily without EPA.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients diagnosed as Head an Neck cancer with pathological confirmation 2. Receiving surgery as a primary treatment 3. Malnutrition screening tool(MST) is 2 or more
Exclusion criteria
1. Previously irradiated patient in the Head and Neck region 2. Previously receiving chemotherapy 3. Renal insufficiency with serum creatinine \> 2.5 mg/dL 4. Liver function abnormality with total serum bilirubin \> 3.0 mg/dL 5. Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in Body weight at 3 weeks | 3 weeks | Body weight measured in kilogram |
| Change from baseline in Body weight at 1 month | 1 month | Body weight measured in kilogram |
| Change from baseline in Body weight at 3 months | 3 months | Body weight measured in kilogram |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in body fat percentage at 3 weeks | 3 weeks | Percent of body fat on the Bioelectrical Impedance Analysis (BIA) |
| Change from baseline in fat-free mass percentage at 3 weeks | 3 weeks | Percent of fat-free mass on the Bioelectrical Impedance Analysis (BIA) |
| Change from baseline in body fat percentage at 3 months | 3 months | Percent of body fat on the Bioelectrical Impedance Analysis (BIA) |
| Change from baseline in body fat percentage at 1 month | 1 month | Percent of body fat on the Bioelectrical Impedance Analysis (BIA) |
| Change from baseline in fat-free mass percentage at 1 month | 1 month | Percent of fat-free mass on the Bioelectrical Impedance Analysis (BIA) |
| Change from baseline in fat-free mass percentage at 3 months | 3 months | Percent of fat-free mass on the Bioelectrical Impedance Analysis (BIA) |
Countries
Thailand