Trial Outcomes & Findings for Nutritional Status and Enteral Absorption Capability After Brain Death (NCT NCT00858390)

NCT ID: NCT00858390

Last Updated: 2014-06-26

Results Overview

Plasma IL-6 level measured by ELISA. The 12+/-2 hour time frame is prior to organ explantation.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

36 participants

Primary outcome timeframe

12+/-2 hours

Results posted on

2014-06-26

Participant Flow

Thirty-six (36) brain dead organ donors were randomized in a 1:1 ratio to standard care (fasting) or to receive the nutritional intervention via naso/oro-duodenal feeding. Consent was obtained from family members for subject participation. Organ donors were screened and enrolled between 2/2009-6/2011.

Inclusion criteria: consented brain-dead organ donors age 14 to 70 years; may have received parenteral/enteral nutrition prior, but were excluded for prior gastric/bowel resections, GI malabsorption, bariatric procedures, vagotomy, pyloroplasty, or pancreatitis. Donors were excluded if a FiO2 greater than 60% was required (REE).

Participant milestones

Participant milestones
Measure
1 Standard Care
18 organ donors receiving standard care
2 Enteral Feeding
18 enteral feeding with Oxepa® and RESOURCE® GLUTASOLVE® enteral feeding with Oxepa® and Glutasolve®: enteral feeding with Oxepa® and RESOURCE® GLUTASOLVE®
Overall Study
STARTED
18
18
Overall Study
COMPLETED
18
18
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Nutritional Status and Enteral Absorption Capability After Brain Death

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
1 Standard Care
n=18 Participants
18 organ donors receiving standard care
2 Enteral Feeding
n=18 Participants
18 enteral feeding with Oxepa® and RESOURCE® GLUTASOLVE® enteral feeding with Oxepa® and Glutasolve®: enteral feeding with Oxepa® and RESOURCE® GLUTASOLVE®
Total
n=36 Participants
Total of all reporting groups
Age, Continuous
44.5 years
STANDARD_DEVIATION 14.7 • n=5 Participants
38.9 years
STANDARD_DEVIATION 14.5 • n=7 Participants
41.9 years
STANDARD_DEVIATION 14.7 • n=5 Participants
Age, Categorical
<=18 years
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
15 Participants
n=5 Participants
15 Participants
n=7 Participants
30 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
7 Participants
n=7 Participants
11 Participants
n=5 Participants
Sex: Female, Male
Male
14 Participants
n=5 Participants
11 Participants
n=7 Participants
25 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
17 Participants
n=5 Participants
17 Participants
n=7 Participants
34 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
10 Participants
n=5 Participants
5 Participants
n=7 Participants
15 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=5 Participants
13 Participants
n=7 Participants
21 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
18 participants
n=5 Participants
18 participants
n=7 Participants
36 participants
n=5 Participants
Organs procured
4.6 Solid organs procured
STANDARD_DEVIATION 1.5 • n=5 Participants
4.4 Solid organs procured
STANDARD_DEVIATION 4.0 • n=7 Participants
4.53 Solid organs procured
STANDARD_DEVIATION 1.7 • n=5 Participants
Organs Transplanted
3.5 Solid organs transplanted
STANDARD_DEVIATION 1.8 • n=5 Participants
4.1 Solid organs transplanted
STANDARD_DEVIATION 2.1 • n=7 Participants
3.8 Solid organs transplanted
STANDARD_DEVIATION 2 • n=5 Participants
Positive Breath Test Results
4 participants
n=5 Participants
6 participants
n=7 Participants
10 participants
n=5 Participants
Resting energy expenditure
1954 kcal/d
STANDARD_DEVIATION 691.9 • n=5 Participants
1773 kcal/d
STANDARD_DEVIATION 778.8 • n=7 Participants
1866 kcal/d
STANDARD_DEVIATION 729.5 • n=5 Participants

PRIMARY outcome

Timeframe: 12+/-2 hours

Plasma IL-6 level measured by ELISA. The 12+/-2 hour time frame is prior to organ explantation.

Outcome measures

Outcome measures
Measure
1 Standard Care
n=18 Participants
18 organ donors receiving standard care
2 Enteral Feeding
n=18 Participants
18 enteral feeding with Oxepa® and RESOURCE® GLUTASOLVE® enteral feeding with Oxepa® and Glutasolve®: enteral feeding with Oxepa® and RESOURCE® GLUTASOLVE®
Primary Outcome Measure is IL-6 Level
565.5 pg/ml
Standard Deviation 1010
264.9 pg/ml
Standard Deviation 285.6

Adverse Events

1 Standard Care

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

2 Enteral Feeding

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

G Hergenroeder, Principal Investigator

The University of Texas Health Science Center at Houston

Phone: 7135006130

Results disclosure agreements

  • Principal investigator is a sponsor employee This work was supported by the Department of Health and Human Services Health Resources and Services Administration Award Number 1R38OT10585-01-00 and, in part, by Public Health Service Grant DK56338. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the PHS or HHS.
  • Publication restrictions are in place

Restriction type: OTHER