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Trial Title: Time to Return of Bowel Function Following Perioperative Probiotics in Colorectal Cancer Surgery

NCT ID: NCT06456229

Condition: Colorectal Cancer
Ileus Postoperative
Flatus
Diet, Healthy

Conditions: Official terms:
Colorectal Neoplasms

Conditions: Keywords:
colorectal cancer
colorectal surgery
nutritional supplementation
probiotics
time to bowel movement
time to flatus
length of stay
complications

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Intervention:

Intervention type: Dietary Supplement
Intervention name: Nestle Isocal
Description: Nestle Isocal
Arm group label: Arm 2

Intervention type: Dietary Supplement
Intervention name: Nestle Boost Optimum
Description: Nestle Boost Optimum
Arm group label: Arm 3

Summary: There is pre-existing evidence that probiotics could be useful in the improvement of ileus rates. One metaanalysis of 30 studies demonstrated a reduction in the prevalence of post-operative ileus as determined by time to flatus, time to defecation, as well as postoperative abdominal distension (PMID:37373843). More broadly in gastrointestinal surgery, a meta-analysis of 21 randomised controlled trials similarly affirmed the speedier recovery of gastrointestinal function after surgery when probiotics were administered (PMID: 35231076). In spite of these advantages, the routine use of probiotics perioperatively for colorectal cancer surgery is not performed in Singapore. We therefore seek to perform a trial to investigate whether probiotic administration perioperatively may reduce post operative ileus rates.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. undergoing elective colorectal cancer surgery in which an oncologic resection is planned 2. age between 21 and 99 years at the time of consent 3. willing to consider oral nutritional supplementation 4. on an early recovery after surgery (ERAS) pathway 5. able to provide informed consent Exclusion Criteria: 1. patients with known contraindications to probiotic use 2. patients undergoing emergency surgery 3. taking any other form of probiotics 4. taking oral antibiotics within 7 days of commencement of study 5. vulnerable patients including pregnant patients, inmates, and those who are cognitively impaired and therefore are not able to provide informed consent.

Gender: All

Minimum age: 21 Years

Maximum age: 99 Years

Healthy volunteers: No

Locations:

Facility:
Name: National University Hospital

Address:
City: Singapore
Zip: 119074
Country: Singapore

Status: Recruiting

Investigator:
Last name: Dedrick Chan, MBBS, DPhil
Email: Principal Investigator

Start date: July 1, 2024

Completion date: May 1, 2025

Lead sponsor:
Agency: National University Hospital, Singapore
Agency class: Other

Source: National University Hospital, Singapore

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06456229

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