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Spots Global Cancer Trial Database for Enhancing Fitness Before Pancreatic Surgery

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We do not endorse or review these studies in any way.

Trial Identification

Brief Title: Enhancing Fitness Before Pancreatic Surgery

Official Title: A Multimodal Approach to Improve Fitness and Surgical Outcomes for Patients Undergoing Pancreatic Resection

Study ID: NCT02940067

Interventions

MedEx

Study Description

Brief Summary: This is a pilot study to investigate the effect of prehabilitation on patients undergoing elective surgery for pancreatic disease.

Detailed Description: Pancreatic surgery is high risk. The injury associated with surgery causes a stress response, comprising a variety of hormonal and metabolic effects. Patients undergoing pancreatic surgery experience one of the largest stress responses. Prehabilitation is the process of enhancing an individual's fitness, thereby improving tolerance to an upcoming physiological stress such as surgery. Studies involving prehabilitation have been shown to improve recovery after surgery and reduce complication rates. There are currently no published reports of prehabilitation involving patients undergoing pancreatic surgery. This research study will explore the effect of prehabilitation in these patients. Patients with pancreatic disease are some of the least fit surgical candidates due to the disease process. Exercise training can improve physical fitness before elective abdominal surgery and nutritional supplementation can also influence clinical course via different mechanisms. Patients with pancreatic disease are often malnourished for several reasons. We propose a multimodal approach to prehabilitation involving dietary and exercise interventions during a four-week period preceding elective surgery. Core data will be collected from cardiopulmonary exercise tests and blood tests (to assess insulin sensitivity), before and after prehabilitation. Secondary outcomes such as length of stay and complications will also be measured postoperatively.

Eligibility

Minimum Age: 18 Years

Eligible Ages: ADULT, OLDER_ADULT

Sex: ALL

Healthy Volunteers: No

Locations

MATTU, Royal Surrey County Hospital, Guildford, Surrey, United Kingdom

Contact Details

Name: Tim Rockall, MD FRCS

Affiliation: MATTU, Royal Surrey County Hospital, Guildford, Surrey

Role: STUDY_CHAIR

Name: Mike Scott, FRCA FFICM

Affiliation: MATTU, Royal Surrey County Hospital, Guildford, Surrey

Role: STUDY_DIRECTOR

Name: Jason George, MA MRCS

Affiliation: MATTU, Royal Surrey County Hospital, Guildford, Surrey

Role: PRINCIPAL_INVESTIGATOR

Name: Martin Whyte, PhD FRCP

Affiliation: University of Surrey, Guildford, Surrey

Role: STUDY_DIRECTOR

Name: Joe Wainwright, BSc

Affiliation: University of Surrey and Surrey Human Performance Institute

Role: STUDY_DIRECTOR

Useful links and downloads for this trial

Clinicaltrials.gov

Google Search Results

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