Home » Trials » SLCTR/2022/021


Impact of Entrasol Platinum as an oral nutritional supplement on clinical, nutritional and functional outcomes of older adults with malnutrition or at risk of malnutrition: a randomized placebo-controlled trial

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SLCTR Registration Number

SLCTR/2022/021


Date of Registration

06 Oct 2022

The date of last modification

Dec 22, 2023


Trial Status



Application Summary


Scientific Title of Trial

Impact of Entrasol Platinum as an oral nutritional supplement on clinical, nutritional and functional outcomes of older adults with malnutrition or at risk of malnutrition: a randomized placebo-controlled trial


Public Title of Trial

Effectiveness of “Entrasol Platinum” to improve the nutrition status in older adults


Disease or Health Condition(s) Studied

Older adults with malnutrition or at risk of malnutrition


Scientific Acronym

None


Public Acronym

None


Brief title

Effectiveness of 'Entrasol Platinum' as an oral nutritional supplement to improve overall nutritional status of elderly in Sri Lanka


Universal Trial Number

U1111-1282-4903


Any other number(s) assigned to the trial and issuing authority

ERC/22 – 005:SLMA


Trial Details


What is the research question being addressed?

Is “Entrasol Platinum” effective as an oral nutritional supplement to fill the nutritional gap in improving clinical, nutritional, and functional outcomes of older adults with malnutrition or at risk of malnutrition in Sri Lanka?


Type of study

Interventional


Study design

Allocation

Randomized controlled trial


Masking

Masking not used


Control

Placebo


Assignment

Parallel


Purpose

Other


Study Phase

Phase 4


Intervention(s) planned

The proposed study will be conducted at four selected residential care facilities registered in the National Secretariat for Elders in the Colombo district. The participants will be permanent residents who have been staying for more than one year at the same elderly care homes. Two parallel study groups will be recruited for the treatment group and the control group from four elders’ homes. Elderly care homes with eligible participants will be listed down. From that list, we are going to randomize two elderly care homes for the treatment group and the other two for the control group. All adult men and women permanently living in the selected elders’ homes will be invited to take part in the research after a brief explanation of the study procedure. All participants will complete a structured assessment for eligibility by the trained research team. The whole residents’ home is the unit of randomization. At the baseline data collection, the institutional care personnel in the treatment group elders’ home will be instructed to provide each participant with a 200 mL serving of study product (Entrasol Platinum, Kalbe Lanka Pvt. Ltd) containing 12 g protein and 247 kcal per serving, in addition to their usual diet in a day for 12 weeks before bedtime. The institutional care personnel in the control group elders’ home will be instructed to provide each participant with 200 mL of water in addition to their usual diet a day for 12 weeks before bedtime. Care personnel will be advised to encourage residents to consume the amount offered but not to force feed the supplement or water. Further, they will be instructed to keep a daily record of the volume left from the daily serving and reasons for refusal throughout the trial. Furthermore, the participants and the care personnel will be clearly instructed not to replace their usual meal with the liquid supplement.


Inclusion criteria

  • Aged above 60 years
  • Residing in the selected elder’s homes for more than 1 year and planned to stay for another 6 months
  • Malnourished or at risk of malnutrition (Mini Nutrition Assessment (MNA) score < 11)

Exclusion criteria

  • Those with chronic illnesses (Eg: Cardiac failure, stroke, chronic liver disease chronic kidney disease or under dialysis)
  • Those who are unable to respond to the questionnaire due to communication difficulties ( speech, hearing, and visual impairment)
  • Those bedridden
  • Those who are on a special diet (supplements/ tube feed)
  • Those on an end-of-life care pathway
  • Those who have no capacity to consent


Primary outcome(s)

1.

The number of participants who achieved a 5% weight gain at the end of 12th week in intervention group and control group

[

12th week of introducing intervention

]

Secondary outcome(s)

1.

i. Change in anthropometric parameters (Body weight, Body Mass Index (BMI), Mid Upper Arm Circumference (MUAC), Calf Circumference (CC) ii. Mean change in body composition (DXA lean body mass and fat mass, triceps skin fold thickness) iii. Mean change in biochemical parameters (Full Blood Count (FBC), High Sensitivity C-reactive protein (HS-CRP), serum albumin, total cholesterol, serum vitamin D3) iv. Mean change in functional capacity (hand grip strength, muscle strength and Activities of Daily Living (ADL) v. Mean change in frailty (Five fried model indicator) vi. Mean change in respiratory muscle strength [Peak expiratory flow rate (PEFR)] vii. Mean change in systolic and diastolic blood pressure viii. Mean change in energy and macro nutrient intake per day ix. Mean change in cognitive status [Montreal Cognitive Assessment (MoCA)] x. Mean change in physical activity level [International Physical Activity Questionnaire (IPAQ)- Short form]

The measurements will be done in the intervention group and the control group

[

At baseline and 12th week. Body weight, MUAC, hand grip strength, and muscle strength will be measured at 4th week and 12th week.

]

Target number/sample size

50 (25 in a group)


Countries of recruitment

Sri Lanka


Anticipated start date

2022-12-01


Anticipated end date

2023-04-30


Date of first enrollment

2023-01-23


Date of study completion

2023-08-25


Recruitment status

Complete: follow up complete


Funding source

Kalbe Lanka Pvt. Ltd.


Regulatory approvals

Not approved



State of Ethics Review Approval


Status

Approved


Date of Approval

2022-07-17


Approval number

ERC/22-005


Details of Ethics Review Committee

Name: Ethics Review Committee of Sri Lanka Medical Association
Institutional Address: Sri Lanka Medical Association, No 6, Wijerama Mawatha, Colombo 7.
Telephone:0112 693324
Email: erc.slma@gmail.com

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

Prof. Ranil Jayawardena
Professor in Nutrition
Department of Physiology, Faculty of Medicine, University of Colombo, 25, Kynsey Road, Colombo 08, Sri Lanka
94-112 695300 [ext: 203/204/205]
0718323332

ranil7@gmail.com / ranil@physiol.cmb.ac.lk

Contact Person for Public Queries

Prof. Priyanga Ranasinghe
Professor in Pharmacology
Department of Pharmacology, Faculty of Medicine, University of Colombo, 25, Kynsey Road, Colombo 08, Sri Lanka
0112695300
077 2770202

ranil7@gmail.com / ranil@physiol.cmb.ac.lk


Primary study sponsor/organization

Kalbe Lanka Pvt. Ltd.

321 Galle Rd, Colombo 00400
0774288090
0112 501 026
kanishka.g@kalbesrilanka.lk

Secondary study sponsor (If any)







Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?

No


IPD sharing plan description


Study protocol available

No


Protocol version and date

Not Available


Protocol URL

Not Available


Results summary available

No


Date of posting results


Date of study completion

2023-08-25


Final sample size


Date of first publication


Link to results


Brief summary of results