Evaluate the effects of Suyusu (immunonutrition) in postoperative adjuvant chemotherapy for gastrointestinal cancer patients. The main endpoint of the study was the incidence of chemotherapy related adverse reactions (including bone marrow suppression, nausea and vomiting, diarrhea, and mucositis) in patients after two cycles of chemotherapy. The secondary endpoint indicators were: quality of life score (EORTC-QLQ-C30), nutritional risk score (PG-SGA, NRS2002), nutritional assessment indicators, changes in immune microenvironment, analysis of psychological status, survival time (1-year progression free survival rate), treatment tolerance (dose intensity, rate of treatment interruption, delay), etc.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
324
Immunonutrition (Su yusu) 250ml oral twice a day d1-d21
fluorouracil based chemotherapy regimens
The First Hospital of China Medical University
Shenyang, Liaoning, China
RECRUITINGthe incidence of chemotherapy related adverse reactions
including bone marrow suppression, nausea and vomiting, diarrhea, and mucositis and so on.
Time frame: the first two cycles of chemotherapy. (each cycle is 21 ± 3 days)
quality of life score
EORTC(The European Organization for Reasearch and Treatment of Cancer)-QOL-C30 (Quality of Life Questionnare-Core 30), patients need to answer all the questions by circling the number (1,2,3,4), big number means the worse quality of life score
Time frame: the first two cycles of chemotherapy. (each cycle is 21 ± 3 days)
nutritional risk score
(PG-SGA) the patient-generated subjective global assessment. The result (A means well-nourished, B means middling-cacotrophia, C means severe malnutrition). Nutritional risk Screening Form 2002 (NRS2002), score ≥3 means patients with nutritional risk, score \<3 patients with no nutritional risk. We use the two methods to evaluate the nutritional risk score.
Time frame: the first two cycles of chemotherapy. (each cycle is 21 days)
changes in immune microenvironment
cytokines (pg/ml)
Time frame: the first two cycles of chemotherapy. (each cycle is 21 ± 3 days)
survival time
1-year progression free survival rate
Time frame: 1-year
treatment tolerance
Number of participants with treatment-related adverse events as assessed by CTCAE v5.0
Time frame: the first two cycles of chemotherapy. (each cycle is 21 ± 3 days)
changes in immune microenvironment
Intestinal flora changes
Time frame: the first two cycles of chemotherapy. (each cycle is 21 ± 3 days)
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