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
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.
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.
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.
Exclusion Criteria:
Usual care
Received Vis Pre-Surgery drink
Other: Pre-surgical medical food
Vis Pre-Surgery Medical Food
Adverse events attributable to the study product
Time frame: Enrollment to 90 day follow up
Postoperative nausea and vomiting (PONV) incidence
Time frame: From enrollment to 48 hours post-op
30-day hospital readmission
Time frame: From enrollment to 30 days post-op
Post-operative infections
Time frame: From enrollment to 90 day follow up
Blood glucose concentration
Time frame: Pre-op, peri-op, 24 hours post op, 48 hours post op
HbA1c
Time frame: Pre-op and 90 days post-op.
Electrolytes
sodium, potassium, chloride, calcium, magnesium
Time frame: 1 Day Post-op
Stress hormone
Cortisol
Time frame: 1 Day Pre-op and 1 Day post-op
Post-op pain
Scale from 0-10
Time frame: 1 Day Post-op
Pre-op emotional state
A single-choice between calm, relaxed, content, tense, worried, upset
Time frame: 1 Day Pre-op
Plan to share: No
No publications or documents are linked to this record.
This study is terminated, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.
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