Olive Oil Before Lung Cancer Surgery to Prevent Chylothorax

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-80
SponsorFudan University

About this trial

Chylothorax is a rare but serious complication after lung cancer surgery and mediastinal lymph node dissection. This multicenter randomized trial will evaluate whether drinking 40 mL of extra-virgin olive oil 4 hours before surgery can reduce the occurrence of chylothorax after curative lung cancer resection. A total of 1,036 adults with resectable lung cancer will be assigned in a 1:1 ratio to preoperative oral olive oil or standard preoperative fasting without additional olive oil. The primary outcome is the occurrence of chylothorax within 30 days after surgery. Secondary outcomes include repeat surgery, postoperative complications, chest drainage, length of chest tube use, length of hospital stay, and the safety and tolerability of the intervention.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Voluntary participation and willing and able to complete all study procedures.

Age 18 to 80 years, inclusive, at informed consent.

Eastern Cooperative Oncology Group performance status of 0 or 1.

Resectable lung cancer.

Disqualifiers

Allergy to olive oil or any of its components.

History of acute or chronic pancreatitis or severe biliary disease.

Fat malabsorption syndrome.

Prior ipsilateral thoracic surgery or thoracic radiotherapy or chemotherapy.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Extra-Virgin Olive Oil

    Dietary supplement

    A single 40 mL dose of extra-virgin olive oil is taken orally 4 hours before curative lung cancer surgery. After ingestion, participants continue fasting from food and water until surgery.

Treatment groups

1,036 Participants
are divided into 2 treatment groups
Group A: Preoperative Olive OilExperimental treatment 1 intervention
Group B: Standard Preoperative FastingNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Incidence of Postoperative Chylothorax

Percentage of participants diagnosed with postoperative chylothorax. Chylothorax is defined as pleural drainage fluid triglycerides greater than 110 mg/dL (1.2 mmol/L) or a typical milky appearance of pleural drainage after resumption of oral dietary fat.

Time frame
Within 30 days after surgery

Secondary outcomes

1

Incidence of Postoperative Complications

Percentage of participants with one or more surgery-related postoperative complications, including prolonged air leak, atrial fibrillation or other arrhythmia, postoperative bleeding, pulmonary infection, respiratory insufficiency, bronchopleural fistula, pneumothorax or atelectasis, recurrent laryngeal nerve injury, or death.

Time frame
Within 30 days after surgery

Other outcomes

Sponsors and contacts

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