About this trial
This study is being conducted to decrease the rate of surgical wound complications. The investigators are studying the effects that caloric restriction has on decreasing the rate of surgical wound complications.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age >18 years
Biopsy proven soft tissue sarcoma located in the lower extremities
Patient to be treated with radiation therapy for a primary lower extremity soft tissue sarcoma or recurrent tumor after surgery, followed by surgical resection
Karnofsky Score ≥ 60%
Disqualifiers
Current pregnancy and breast feeding
Other cancers diagnosed within the last 5 years (in situ and/or invasive)
Diabetes mellitus
Current metformin therapy
Trial design
Parallel
Treatments tested in this trial
Caloric Restriction Diet
Other interventionTwo nutritional supplements, one from Ensure (Abbott Laboratories, Chicago, IL) and one from Boost (Nestle, Vevey, Switzerland) will be used for 3 days before surgery. The supplements are the Ensure Pre-Surgery Clear Carbohydrate Drink and the Ensure Original Nutrition Powder. The Original Nutrition Powder will be mixed with 8oz of water, oat milk, or almond milk. The proposed macronutrient profile for the 3 days of caloric restriction (CR) is less than 8% of calories from protein.
Treatment groups
Trial outcomes
Primary outcomes
Change In The Rate Of Physical Function By MSTS
The Musculoskeletal Tumor Society Rating Scale (MSTS) is a clinician-based scoring system that is scored out of 35 points. A higher score indicates better physical function.
Change In The Rate Of Physical Function By TESS
The Toronto Extremity Salvage Score (TESS) is a patient-reported scoring system that is scored out of 100 points. A higher score indicates better physical function.
Secondary outcomes
The Rate Of Wound Healing
The Rate Of Wound Complications In The Protein Caloric Restriction (PCR) Versus Control Group
Sponsors and contacts
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