CClinicalTrials.gg
TerminatedNCT07359222Updated Jan 22, 2026

Vis Pre Surgery Medical Food Validation Study

An Early Phase 1 interventional study of Pre-surgical medical food in Pre-surgical Anxiety, Blood Glucose Concentration and Blood Cortisol Levels, sponsored by TM Nutrition LLC. Terminated at 1 site in India. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-01-22.

Sponsored by TM Nutrition LLC · Early Phase 1, Interventional, and Supportive care

Why this study was terminated
Frustrations around administrative issues at the study site.

From the registry’s dates

  • Registered 1 year 8 months after the study started (first participant enrolled Apr 2024, registered Dec 2025).
Phase
Early Phase 1
Study type
Interventional
Enrollment
67
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

A pre-market, confirmatory, prospective, interventional, clinical investigation to confirm the clinical safety and performance profile of Vis Pre-surgeryTM that the medical food will reduce pre and post-surgical complications including pre-operative anxiety, infections, hyperglycemia, adrenal insufficiency, post operative nausea and vomiting, decrease wound healing time, decrease length of hospital stay and readmittance and surgical mortality.

Read the detailed description

In the US alone, 48 million surgeries are performed: 310 million worldwide. Surgical site infections are the most prevalent and deadly post-surgery infection leading to an average of 6% of readmissions costing $10 billion dollars and 400,000 extra hospital days each year. If a surgical site infection occurs, the patient is 42% more likely to die following surgery. If that patient is a diabetic their chance of death increases by five times. Current protocol accepts surgical complications such as infections as known issues that are treated with antibiotic prior to surgery. Surgeons and hospital administrators need a way to affect a positive change in outcomes that augments current procedure and enhances positive outcomes including lowering surgical costs, reducing readmissions, improving hospital scorecards, and increasing survival.

VIS Pre-surgery addresses the specific metabolic and biochemical needs of an adult surgery patient in stress response. Support of these processes with carefully calibrated nutrient therapy reduces the risk of a patient succumbing to infections, especially surgical site infections, urinary tract infections and pneumonia. Product mechanism of action promotes balance of blood sugar levels, an important driver in the infection process while supporting critical immune system requirements to prevent tissue degradation.

This is a pre-market, safety, efficacy, validation clinical investigation to confirm the clinical safety and performance profile of VIS Pre-surgeryTM i. e that the medical food decreases pre-and post-surgical complications while reducing length of hospital stay, readmittance and mortality from surgery with no side effects.

The product is a FDA Medical Food formulated from GRAS (Generally Regarded As Safe) ingredients. The second aspect of the intended purpose (claim) of the medical food is currently supported by the specifications of the individual ingredients. This as clinical claim that can give clinical benefit by applying the cellular method of action for each nutrient, trace mineral and complex carbohydrate.

Patients who are scheduled for elective invasive surgery of upper, lower or cardiothoracic surgery will be asked to participate in the investigation by ingesting VIS Pre-surgery powder dissolved in water the evening prior to surgery at bedtime and again at 4 hours prior to scheduled surgery. Patients will be asked to complete questionnaires, provide blood samples prior to, during and post operatively, submit to abdominal ultrasound, observation and answer questions from coordinators.

Additional data points will be extrapolated from the collection of routine data such as hospital stay time, readmittance and mortality.

Patients will be identified by the PI and Co PIs.

02

Conditions studied

  • Pre-surgical Anxiety
  • Blood Glucose Concentration
  • Blood Cortisol Levels
  • Electrolyte Levels
  • HbA1c
  • Surgical Infections
  • Wound Healing Time
  • Hospital Stay Time
  • Readmittance Rate
  • Mortality

Keywords

  • Medical food
  • Pre-surgical medical food
03

In context

Lead sponsor

This is the only study on the registry with TM Nutrition LLC as lead sponsor.

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

Inclusion criteria

  • adults (≥18 years) scheduled for elective abdominal, cardiac/thoracic, gynecological, or orthopedic surgery

Exclusion criteria

Exclusion Criteria:

  • kidney or liver disease, participation in a different clinical investigation that may affect the safety or performance of the investigation, being employees or family members of anyone involved in the investigation, and any other condition or treatment making a subject unsuitable for participation as judged by the Principal Investigator
05

Study design

Phase
Early Phase 1
Primary purpose
Supportive care
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
67 participants (actual)

Study arms

  • No intervention
    No-treatment control

    Usual care

  • Experimental
    Vis Pre-Surgery

    Received Vis Pre-Surgery drink

    Other: Pre-surgical medical food

Interventions

  • OtherPre-surgical medical food

    Vis Pre-Surgery Medical Food

06

What researchers measure

Primary outcomes

  1. Adverse events attributable to the study product

    Time frame: Enrollment to 90 day follow up

Secondary outcomes

  1. Postoperative nausea and vomiting (PONV) incidence

    Time frame: From enrollment to 48 hours post-op

  2. 30-day hospital readmission

    Time frame: From enrollment to 30 days post-op

  3. Post-operative infections

    Time frame: From enrollment to 90 day follow up

Other outcomes

  1. Blood glucose concentration

    Time frame: Pre-op, peri-op, 24 hours post op, 48 hours post op

  2. HbA1c

    Time frame: Pre-op and 90 days post-op.

  3. Electrolytes

    sodium, potassium, chloride, calcium, magnesium

    Time frame: 1 Day Post-op

  4. Stress hormone

    Cortisol

    Time frame: 1 Day Pre-op and 1 Day post-op

  5. Post-op pain

    Scale from 0-10

    Time frame: 1 Day Post-op

  6. Pre-op emotional state

    A single-choice between calm, relaxed, content, tense, worried, upset

    Time frame: 1 Day Pre-op

07

Study locations

1 site
  • JSS Medical College
    Mysuru, India
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 Jan 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07359222
Lead sponsor
TM Nutrition LLC
Collaborators
National University of Natural Medicine
Responsible party
Sponsor
First posted
Jan 22, 2026
Start date
Apr 9, 2024
Primary completion
Jul 4, 2024
Completion
Jul 4, 2024
Last update
Jan 22, 2026

Study contacts

Thea Marx, ND
principal investigator · TM Nutrition

Oversight

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

Not currently enrolling

This study is terminated, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion