Malnutrition (Calorie), Stem Cell Transplant Complications
Conditions
Keywords
Stem Cell Transplant, malnutrution, gvhd
Brief summary
prospective, randomized, multicenter study to confirm the potential benefits of TGF-β2 enriched FSMP. The primary objective is to evaluate the superiority of supplementing with TGF-β2 FSMP (experimental arm) compared to best supportive treatment (BST) in preventing malnutrition in patients submitted to allo-SCT. The secondary endpoints include the assessment of reduction of incidence of severe acute GVHD at day +100.
Interventions
The experimental treatment is Modulen-IBD®, a food for special medical purpose, polymeric, enriched with TGF-beta. If the patient refuses the experimental supplementation, NGT will be proposed to ensure the correct intake of Modulen-IBD® supplementation. If the patient refuses, not tolerates, or there are contraindications to NGT placement, best supportive therapy will be warranted as reported below (BST).
Best Nutritional Supportive Treatment as per center's policy according to EBMT Handbook 2024
Sponsors
Study design
Intervention model description
Prospective, open-label, randomized, multicentric, interventional TGF-β2-enriched supplementation (Modulen IBD ®) in patients submitted to allogeneic hematopoietic stem cell transplantation (allo-HSCT)
Eligibility
Inclusion criteria
* Intact intestinal tract * Life expectancy more than 12 weeks * Allogeneic stem cell transplantation * Signed informed consent
Exclusion criteria
* Active hematological disease at the beginning of conditioning * Personal history of inflammatory bowel diseases * Personal history of bowel resection * Personal history of gastric bypass procedures * Enrolment in a competitive prospective study (malnutrition or GVHD as primary outcome) * Subjects with known hypersensitivity to milk proteins or components of Modulen-IBD
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Prevention | given from day -7 to day +28 | ● PG-SGA score C (severe malnutrition) at day +28 \<50% |