Protein-energy Oral Supplementation Enriched With Omega-3 Fatty Acids in Cardiac Cachexia
NCT00748332 · Status: TERMINATED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 6
Last updated 2012-08-22
Summary
Cardiac cachexia, the main feature of undernutrition in chronic heart failure, usually defined as a weight loss over 6% over 6 months, is a proven factor of morbidity and mortality in this disease. Its pathophysiology is complex, but proinflammatory cytokines seem to play a major role. Omega-3 poly-unsaturated fatty acids, present in fish oil, have proven beneficial in patients with coronary heart disease, due in part to their effects on membranes but also due to their anti-inflammatory effects, with inhibition of TNF-α and interleukins 1 and 6.
The aim of this phase III randomized controlled double-blinded study is to assess the effects of 8 weeks of a omega-3-enriched protein-energy supplement versus an iso-energetic iso-nitrogenous supplement free of omega-3 fatty acids in cardiac cachexia. Thirty patients will be included in each group. The main judgment criterion will be maximum aerobic capacity (VO2 max), which best reflects aerobic capacity that correlates with muscle mass. Anthropometric, biological (nutritional, inflammatory and involved in food intake control), cardiac (functional) and quality of life will also be studied. All analyses will be performed in intention to treat.
The investigators expect a significantly higher improvement of VO2 max in the omega-3 group.
This study could lead to therapeutic advances in a frequent and severe disease.
Conditions
- Cardiac Cachexia
Interventions
- DIETARY_SUPPLEMENT
-
Fortimel Extra®
2 bottles (600 kcal, 40 g proteins) per day
- DIETARY_SUPPLEMENT
-
Fortimel Care®
Fortimel Care® : 2 bottles (660 kcal, 36 g proteins, 2.38 g EPA) per day
Sponsors & Collaborators
-
Centre Hospitalier Universitaire de Nice
lead OTHER
Principal Investigators
-
Stéphane Schneider, PU-PH · Department of Gastroentrology of Nice University Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 85 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2008-03-31
- Primary Completion
- 2011-06-30
- Completion
- 2012-08-31
Countries
- France
Study Locations
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