Impact Of Antioxidant Micronutrients On Intensive Care Unit (ICU) Outcome

NCT ID: NCT00515736

Last Updated: 2010-07-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-01-31

Study Completion Date

2005-12-31

Brief Summary

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Critically ill patients are generally exposed to an increased oxidative stress, which is proportional to the severity of their condition. Endogenous antioxidant (AOX) defenses are depleted particularly in those patients with intense inflammatory response. The hypothesis tested is that early I:V: administration of a combination of AOX micronutrient supplements (Se, Zn, Vit C, Vit E, Vit B1) would improve clinical outcome in selected critically ill patients, by reinforcing the endogenous AOX defenses and reducing organ failure.

Detailed Description

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Prospective randomized, double-blind, placebo-controlled, single-center trial. Patients admitted to ICU after complicated cardiac surgery, major trauma with or without brain injury, subarachnoid hemorrhage, and predicted by the clinicians to require \>48 hours of ICU treatment.

Supplements: provided IV for 5 days

Conditions

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Critically Ill Patients Cardiac Surgery Trauma Subarachnoid Hemorrhage

Keywords

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selenium oxidative stress glutathione peroxidase critically ill outcome supplementation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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AOX group

Treatment group - double dose (loading) for 48 hours then single dose (Se 270 mcg, Zn 30 mg, vit C 1.2 g, B1 100 mg, vit E 300 mg enteral)

Group Type EXPERIMENTAL

Selenium (Se), Zinc (Zn), Vitamin C, Vitamin B1, Vitamin E

Intervention Type DRUG

Se 270mcg, Zn 30mg, C 1.1g, B1 100mg, E 300mg

0

Group receiving vehicle solution for 5 days (double dose for 48 hours)

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

vehicle

Interventions

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Selenium (Se), Zinc (Zn), Vitamin C, Vitamin B1, Vitamin E

Se 270mcg, Zn 30mg, C 1.1g, B1 100mg, E 300mg

Intervention Type DRUG

Placebo

vehicle

Intervention Type DRUG

Other Intervention Names

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Selenium - Laboratoire Aguettant Zinc - Laboratoire Aguettant, the others generic vehicle - NaCl 0.9% solution

Eligibility Criteria

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Inclusion Criteria

* adult patients admitted for above diagnosis assessed on admission by the medical team likely to require more than 48 hours of ICU

Exclusion Criteria

* absence of consent, participation in another study, liver cirrhosis or major burns and life expectancy \< 24 hours or a lack of commitment to full aggressive care (anticipated withholding or withdrawing treatments in the 48 hours
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fresenius Kabi

INDUSTRY

Sponsor Role collaborator

Centre Hospitalier Universitaire Vaudois

OTHER

Sponsor Role lead

Responsible Party

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Dept of Adult Intensive Care, CHUV

Principal Investigators

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Mette M Berger, MD PhD

Role: PRINCIPAL_INVESTIGATOR

Dpt of Adult Intensive Care, CHUV

Locations

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Dpt of Adult Intensive Care - CHUV

Lausanne, Canton of Vaud, Switzerland

Site Status

Countries

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Switzerland

References

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Berger MM, Soguel L, Shenkin A, Revelly JP, Pinget C, Baines M, Chiolero RL. Influence of early antioxidant supplements on clinical evolution and organ function in critically ill cardiac surgery, major trauma, and subarachnoid hemorrhage patients. Crit Care. 2008;12(4):R101. doi: 10.1186/cc6981. Epub 2008 Aug 7.

Reference Type RESULT
PMID: 18687132 (View on PubMed)

Other Identifiers

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CE-102-02

Identifier Type: -

Identifier Source: org_study_id