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CompletedNCT05781178AFEDINUpdated Sep 19, 2024

Analysis of the Aetiological Factors of Malnutrition

An observational study in Disease-related Malnutrition and Inflammation, sponsored by Endocrinology and Clinical Nutrition Research Center, Spain. Completed at 15 sites in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-09-19.

Sponsored by Endocrinology and Clinical Nutrition Research Center, Spain · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
271
Ages
18 Years and older
Sex
All
01

Study summary

Disease-related malnutrition (DRM) is a frequent syndrome in clinical practice, in which the mutual relationship between disease and malnutrition is observed. Inflammation, anorexia, changes in body composition or in energy and protein requirements, contribute to the development of DRM. The Global Leadership Initiative on Malnutrition (GLIM criteria) provides a diagnostic system of malnutrition that has been accepted by the main international scientific societies in the field of clinical nutrition.

The GLIM criteria proposes an algorithm that includes phenotypic criteria (weight loss, underweight and low muscle mass), with their corresponding severity thresholds, and aetiological criteria (decreased oral intake, nutrient malabsorption and the presence of an inflammatory component). The diagnosis of malnutrition is established when an aetiological and a phenotypic criterion are met.

The aim of the study is to determine the diagnostic and prognostic value of aetiological factors of malnutrition based on GLIM criteria, presence and degree of inflammation and dietary intake, in patients diagnosed with DRM.

02

Conditions studied

  • Disease-related Malnutrition
  • Inflammation

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03

In context

Inflammation

3,536 studies on the registry are indexed under Inflammation; 642 are open to participants now.

This study's enrollment of 271 is above the median of 100 across 864 observational studies indexed under Inflammation.

Browse Inflammation studies →

Lead sponsor

Endocrinology and Clinical Nutrition Research Center, Spain is the lead sponsor of 4 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with a diagnosis of DRM with the presence of an inflammatory response (CRP>3 mg/dl).

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Diagnosis of DRM based on GLIM criteria with the presence of the aetiological criterion of inflammatory component and candidate for medical nutritional treatment according to current regulations.
  • Agreeing to voluntarily participate in the study and sign the form, after having read the participant information sheet.
  • Presence of an inflammatory response (CRP>3 mg/dl)
  • Having an adequate cultural level and understanding of the clinical study.

Exclusion criteria

Exclusion Criteria:

  • Pregnant or breastfeeding women
  • Patients with advanced liver cirrhosis or chronic hepatitis (Child=C scale)
  • Patients with advanced neoplastic disease with \<6 months
  • Patients with renal insufficiency with less than 45 ml/min
  • Severe infection in the last 3 weeks
  • Taking antibiotic therapy at the time of inclusion, with the exception of prophylactic treatments
  • Taking at the current time or one month prior to inclusion
  • Treatment with biological therapies (antibodies) at the current time or one month in advance
  • Taking non-steroidal anti-inflammatory drugs at the time of inclusion
  • Taking omega 3 supplements for any concomitant pathology at the time of inclusion
  • Undergoing surgery during the follow-up phase of the study
  • Initiation of any drug during the study phase that may modify the patient's inflammatory pattern at the investigator's discretion
  • Any criterion that, in the opinion of the principal investigator, could condition the conduct of the study.
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
271 participants (actual)
Target follow-up
3 Months
Patient registry
Yes

Interventions

  • Dietary supplementOral nutritional supplement rich in omega-3 and olive oil polyphenols

    Nutritional intervention with an oral nutrition supplement with anti-inflammatory effect and a programme of physical exercise

    Also known as: Physical activity

06

What researchers measure

Primary outcomes

  1. Blood biochemistry data

    Albumin (g/dL)

    Time frame: Patients will be followed over a period of 3 consecutive months

  2. Blood biochemistry data

    Prealbumin (mg/dL)

    Time frame: Patients will be followed over a period of 3 consecutive months

  3. Blood biochemistry data

    C-reactive protein (mg/L)

    Time frame: Patients will be followed over a period of 3 consecutive months

  4. Blood biochemistry data

    Ferritin (ng/mL)

    Time frame: Patients will be followed over a period of 3 consecutive months

  5. Blood biochemistry data

    Neutrophils (x103/μL)

    Time frame: Patients will be followed over a period of 3 consecutive months

  6. Blood biochemistry data

    Lymphocytes (x103/μL)

    Time frame: Patients will be followed over a period of 3 consecutive months

  7. Blood biochemistry data

    Platelets (x103/μL)

    Time frame: Patients will be followed over a period of 3 consecutive months

Secondary outcomes

  1. Bioelectrical impedance data (model (50 kHz)

    TBW (total body water, L)

    Time frame: Patients will be followed over a period of 3 consecutive months

  2. Bioelectrical impedance data (model (50 kHz)

    ECW (extracellular water, L)

    Time frame: Patients will be followed over a period of 3 consecutive months

  3. Bioelectrical impedance data (model (50 kHz)

    ICW (intracellular water, L)

    Time frame: Patients will be followed over a period of 3 consecutive months

  4. Bioelectrical impedance data (model (50 kHz)

    FFM (lean mass, kg)

    Time frame: Patients will be followed over a period of 3 consecutive months

  5. Bioelectrical impedance data (model (50 kHz)

    FM (fat mass, kg)

    Time frame: Patients will be followed over a period of 3 consecutive months

  6. Bioelectrical impedance data (model (50 kHz)

    BCM (body cell mass, kg)

    Time frame: Patients will be followed over a period of 3 consecutive months

  7. Bioelectrical impedance data (model (50 kHz)

    ASMM (appendicular skeletal muscle mass, kg)

    Time frame: Patients will be followed over a period of 3 consecutive months

  8. Bioelectrical impedance data (model (50 kHz)

    SMI (skeletal muscle mass index, kg)

    Time frame: Patients will be followed over a period of 3 consecutive months

  9. Functional parameters

    Test up and go (patient sits in a chair and is told to stand up (time starts), walks 3 meters, comes back and sits down (time ends). \<20 seconds: OK; \>20seconds: increased risk of falling

    Time frame: Patients will be followed over a period of 3 consecutive months

  10. Functional parameters

    Dynamometry: hree measurements of the dominant hand will be made recording the mean and maximum, measured in kilograms. Jamar® dynamometers are most used in international studies and have several grip positions

    Time frame: Patients will be followed over a period of 3 consecutive months

  11. Oral intake

    Energy: obtained from the nutritional analysis of a two-day dietary survey using the programme https://calcdieta.ienva.org (kcal)

    Time frame: Patients will be followed over a period of 3 consecutive months

  12. Oral intake

    Protein: obtained from the nutritional analysis of a two-day dietary survey using the programme https://calcdieta.ienva.org (g)

    Time frame: Patients will be followed over a period of 3 consecutive months

  13. Oral intake

    Carbohydrate: obtained from the nutritional analysis of a two-day dietary survey using the programme https://calcdieta.ienva.org (g)

    Time frame: Patients will be followed over a period of 3 consecutive months

  14. Oral intake

    Fat: obtained from the nutritional analysis of a two-day dietary survey using the programme https://calcdieta.ienva.org (g)

    Time frame: Patients will be followed over a period of 3 consecutive months

  15. Oral intake

    MUFA (monounsaturated fat acids): obtained from the nutritional analysis of a two-day dietary survey using the programme https://calcdieta.ienva.org (g)

    Time frame: Patients will be followed over a period of 3 consecutive months

  16. Oral intake

    PUFA (polyunsaturated fat acids): obtained from the nutritional analysis of a two-day dietary survey using the programme https://calcdieta.ienva.org (g)

    Time frame: Patients will be followed over a period of 3 consecutive months

  17. Oral intake

    EPA: obtained from the nutritional analysis of a two-day dietary survey using the programme https://calcdieta.ienva.org (mg)

    Time frame: Patients will be followed over a period of 3 consecutive months

  18. Oral intake

    DHA: obtained from the nutritional analysis of a two-day dietary survey using the programme https://calcdieta.ienva.org (mg)

    Time frame: Patients will be followed over a period of 3 consecutive months

  19. Oral intake

    Fibre: obtained from the nutritional analysis of a two-day dietary survey using the programme https://calcdieta.ienva.org (g)

    Time frame: Patients will be followed over a period of 3 consecutive months

  20. Malnutrition Diagnosis

    GLIM criteria (Global Leadership Initiative on Malnutrition): GLIM rank indicates the patient's nutritional status according to 3 categories: well nourished, moderate malnutrition and severe malnutrition

    Time frame: Patients will be followed over a period of 3 consecutive months

07

Study locations

15 sites
  • Complejo Hospitalario Universitario de Ferrol
    Ferrol, A Coruña 15405, Spain
  • Complejo Hospitalario Universitario de Santiago de Compostela
    Santiago De Compostela, A Coruña 15706, Spain
  • Hospital Universitario Marqués de Valdecilla
    Santander, Cantabria 39008, Spain
  • Hospital Universitario Son Espases
    Palma De Mallorca, Islas Baleares 07120, Spain
  • Complejo Hospitalario Universitario de Vigo
    Vigo, Pontevedra 36312, Spain
  • Hospital Universitario Basurto
    Bilbao, Vizcaya 48013, Spain
  • Complejo Hospitalario Universitario de A Coruña
    A Coruña, 15008, Spain
  • Hospital Universitario de Badajoz
    Badajoz, 06080, Spain
  • Hospital Universitario Virgen de las Nieves
    Granada, 18014, Spain
  • Hospital Clínico San Carlos
    Madrid, 28040, Spain
  • Hospital Universitario La Paz
    Madrid, 28046, Spain
  • Hospital Universitario Virgen de la Victoria
    Málaga, Spain
  • Hospital Universitario Virgen del Rocío
    Sevilla, 41013, Spain
  • Hospital Universitario y Politécnico La Fe
    Valencia, 46026, Spain
  • Hospital Clínico Universitario de Valladolid
    Valladolid, 47005, Spain
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05781178
Lead sponsor
Endocrinology and Clinical Nutrition Research Center, Spain
Collaborators
Adventia Pharma
Responsible party
Sponsor
First posted
Mar 23, 2023
Start date
May 2, 2023
Primary completion
May 17, 2024
Completion
Sep 11, 2024
Last update
Sep 19, 2024

Study contacts

Daniel de Luis Roman, Prof
study director · Endocrinology and Nutrition Department. Hospital Clínico Universitario de Valladolid (Spain)
Samara Palma Milla, PhD
principal investigator · Endocrinology and Nutrition Department. Hospital Universitario La Paz (Spain)
Alfonso Vidal Casariego, PhD
principal investigator · Endocrinology and Nutrition Department. Complejo Hospitalario Universitario de A Coruña (Spain)
José M García Almeida, PhD
principal investigator · Endocrniology and Nutrition Department. Hospital Universitario Virgen de la Victoria (Spain)

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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