Trial Outcomes & Findings for The Energy Dose Study (NCT NCT01369147)

NCT ID: NCT01369147

Last Updated: 2022-06-10

Results Overview

The number of participants with a hospital-acquired infection during the study period is presented here.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

12 participants

Primary outcome timeframe

Up to Day 28

Results posted on

2022-06-10

Participant Flow

Participant milestones

Participant milestones
Measure
Parenteral Nutrition Energy Dose at 0.6 x Measured REE
Participants in this study arm were provided a total daily calorie (kcal) intake at 0.6 x resting energy expenditure (REE) for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Parenteral Nutrition Energy Dose at 1.0 x Measured REE
Participants in this study arm were provided a total daily calorie (kcal) intake at 1.0 x REE for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Parenteral Nutrition Energy Dose at 1.3 x Measured REE
Participants in this study arm were provided a total daily calorie (kcal) intake at 1.3 x REE for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Overall Study
STARTED
3
5
4
Overall Study
COMPLETED
3
4
4
Overall Study
NOT COMPLETED
0
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Parenteral Nutrition Energy Dose at 0.6 x Measured REE
Participants in this study arm were provided a total daily calorie (kcal) intake at 0.6 x resting energy expenditure (REE) for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Parenteral Nutrition Energy Dose at 1.0 x Measured REE
Participants in this study arm were provided a total daily calorie (kcal) intake at 1.0 x REE for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Parenteral Nutrition Energy Dose at 1.3 x Measured REE
Participants in this study arm were provided a total daily calorie (kcal) intake at 1.3 x REE for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Overall Study
All collected data were unintentionally destroyed
0
1
0

Baseline Characteristics

The Energy Dose Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Parenteral Nutrition Energy Dose at 0.6 x Measured REE
n=3 Participants
Participants in this study arm were provided a total daily calorie (kcal) intake at 0.6 x REE for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Parenteral Nutrition Energy Dose at 1.0 x Measured REE
n=4 Participants
Participants in this study arm were provided a total daily calorie (kcal) intake at 1.0 x REE for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Parenteral Nutrition Energy Dose at 1.3 x Measured REE
n=4 Participants
Participants in this study arm were provided a total daily calorie (kcal) intake at 1.3 x REE for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Total
n=11 Participants
Total of all reporting groups
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 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
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
3 Participants
n=4 Participants
Race (NIH/OMB)
White
2 Participants
n=5 Participants
4 Participants
n=7 Participants
2 Participants
n=5 Participants
8 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
United States
3 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
11 Participants
n=4 Participants
Acute Physiologic Assessment and Chronic Health Evaluation II (APACHE II) Score
APACHE II Score of 15 or Less
1 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
5 Participants
n=4 Participants
Age, Continuous
47.05 years
STANDARD_DEVIATION 21.50 • n=5 Participants
60.56 years
STANDARD_DEVIATION 14.90 • n=7 Participants
51.73 years
STANDARD_DEVIATION 11.20 • n=5 Participants
53.66 years
STANDARD_DEVIATION 15.18 • n=4 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
6 Participants
n=4 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
5 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
3 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
11 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Acute Physiologic Assessment and Chronic Health Evaluation II (APACHE II) Score
APACHE II Score Greater Than 15
2 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
6 Participants
n=4 Participants

PRIMARY outcome

Timeframe: Up to Day 28

Population: This analysis includes participants with complete data available.

The number of participants with a hospital-acquired infection during the study period is presented here.

Outcome measures

Outcome measures
Measure
Parenteral Nutrition Energy Dose at 0.6 x Measured REE
n=3 Participants
Participants in this study arm were provided a total daily calorie (kcal) intake at 0.6 x REE for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Parenteral Nutrition Energy Dose at 1.0 x Measured REE
n=4 Participants
Participants in this study arm were provided a total daily calorie (kcal) intake at 1.0 x REE for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Parenteral Nutrition Energy Dose at 1.3 x Measured REE
n=4 Participants
Participants in this study arm were provided a total daily calorie (kcal) intake at 1.3 x REE for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Number of Participants With Hospital-acquired Infection
1 Participants
0 Participants
1 Participants

SECONDARY outcome

Timeframe: Up to Day 28

Population: This analysis includes participants with complete data available.

The count of participants acquiring a bloodstream infection during the study period is presented here.

Outcome measures

Outcome measures
Measure
Parenteral Nutrition Energy Dose at 0.6 x Measured REE
n=3 Participants
Participants in this study arm were provided a total daily calorie (kcal) intake at 0.6 x REE for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Parenteral Nutrition Energy Dose at 1.0 x Measured REE
n=4 Participants
Participants in this study arm were provided a total daily calorie (kcal) intake at 1.0 x REE for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Parenteral Nutrition Energy Dose at 1.3 x Measured REE
n=4 Participants
Participants in this study arm were provided a total daily calorie (kcal) intake at 1.3 x REE for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Number of Participants With Bloodstream Infection
1 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Up to Day 28

Population: This analysis includes participants with complete data available.

The mean number of ICU ventilator-free days among participants.

Outcome measures

Outcome measures
Measure
Parenteral Nutrition Energy Dose at 0.6 x Measured REE
n=3 Participants
Participants in this study arm were provided a total daily calorie (kcal) intake at 0.6 x REE for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Parenteral Nutrition Energy Dose at 1.0 x Measured REE
n=4 Participants
Participants in this study arm were provided a total daily calorie (kcal) intake at 1.0 x REE for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Parenteral Nutrition Energy Dose at 1.3 x Measured REE
n=4 Participants
Participants in this study arm were provided a total daily calorie (kcal) intake at 1.3 x REE for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Ventilator Free Days
20.67 days
Standard Deviation 9.45
19.75 days
Standard Deviation 3.40
17.25 days
Standard Deviation 9.32

SECONDARY outcome

Timeframe: Up to 28 Days

Population: This analysis includes participants with complete data available.

The ICU length of stay (in days) is presented here for each study arm.

Outcome measures

Outcome measures
Measure
Parenteral Nutrition Energy Dose at 0.6 x Measured REE
n=3 Participants
Participants in this study arm were provided a total daily calorie (kcal) intake at 0.6 x REE for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Parenteral Nutrition Energy Dose at 1.0 x Measured REE
n=4 Participants
Participants in this study arm were provided a total daily calorie (kcal) intake at 1.0 x REE for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Parenteral Nutrition Energy Dose at 1.3 x Measured REE
n=4 Participants
Participants in this study arm were provided a total daily calorie (kcal) intake at 1.3 x REE for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Number of Days in Intensive Care Unit (ICU)
7.33 days
Standard Deviation 3.21
14.25 days
Standard Deviation 14.75
4.00 days
Standard Deviation 1.41

SECONDARY outcome

Timeframe: Up to Day 28

Population: This analysis includes participants with complete data available.

The hospitalization length of stay (in days) is presented here for each study arm.

Outcome measures

Outcome measures
Measure
Parenteral Nutrition Energy Dose at 0.6 x Measured REE
n=3 Participants
Participants in this study arm were provided a total daily calorie (kcal) intake at 0.6 x REE for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Parenteral Nutrition Energy Dose at 1.0 x Measured REE
n=4 Participants
Participants in this study arm were provided a total daily calorie (kcal) intake at 1.0 x REE for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Parenteral Nutrition Energy Dose at 1.3 x Measured REE
n=4 Participants
Participants in this study arm were provided a total daily calorie (kcal) intake at 1.3 x REE for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Number of Days in Hospital
27.33 days
Standard Deviation 1.15
25.00 days
Standard Deviation 3.56
17.75 days
Standard Deviation 9.25

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to Day 28

Population: This analysis includes participants with complete data available.

The daily energy deficit of kilocalories was calculated by subtracting the calculated mean daily Measured Resting Energy Expenditure (measured using a metabolic cart) from the actual daily energy intake obtained from participant nutrition intake records. The cumulative energy deficit is the sum of daily energy deficits during the time participants were hospitalized, up to 28 days.

Outcome measures

Outcome measures
Measure
Parenteral Nutrition Energy Dose at 0.6 x Measured REE
n=3 Participants
Participants in this study arm were provided a total daily calorie (kcal) intake at 0.6 x REE for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Parenteral Nutrition Energy Dose at 1.0 x Measured REE
n=4 Participants
Participants in this study arm were provided a total daily calorie (kcal) intake at 1.0 x REE for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Parenteral Nutrition Energy Dose at 1.3 x Measured REE
n=4 Participants
Participants in this study arm were provided a total daily calorie (kcal) intake at 1.3 x REE for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Cumulative 28-day Energy Deficit
2631 kilocalories (kcal)
Standard Deviation 3076.04
11511.50 kilocalories (kcal)
Standard Deviation 14765.43
2414.75 kilocalories (kcal)
Standard Deviation 1562.65

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to Day 28

Population: This analysis includes participants with complete data available.

The daily energy deficit of kilocalories was calculated by subtracting the calculated mean daily Measured Resting Energy Expenditure (measured using a metabolic cart) from the actual daily energy intake obtained from participant nutrition intake records. The mean daily energy deficit was calculated during the time participants were hospitalized, up to 28 days.

Outcome measures

Outcome measures
Measure
Parenteral Nutrition Energy Dose at 0.6 x Measured REE
n=3 Participants
Participants in this study arm were provided a total daily calorie (kcal) intake at 0.6 x REE for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Parenteral Nutrition Energy Dose at 1.0 x Measured REE
n=4 Participants
Participants in this study arm were provided a total daily calorie (kcal) intake at 1.0 x REE for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Parenteral Nutrition Energy Dose at 1.3 x Measured REE
n=4 Participants
Participants in this study arm were provided a total daily calorie (kcal) intake at 1.3 x REE for up to 28 days. The dose of parenteral nutrition (PN) was adjusted taking into account any calories from propofol, clevidipine, dextrose-containing IV fluids surpassing 500 mL/day, and any enteral feedings, to obtain the energy dose that the participant was randomized to receive.
Mean Daily Energy Deficit
647.33 kcal/day
Standard Deviation 561.46
1065.75 kcal/day
Standard Deviation 716.01
1076.50 kcal/day
Standard Deviation 613.34

Adverse Events

Parenteral Nutrition Energy Dose at 0.6 x Measured REE

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

Parenteral Nutrition Energy Dose at 1.0 x Measured REE

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

Parenteral Nutrition Energy Dose at 1.3 x Measured REE

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

Thomas Ziegler, MD

Emory University

Phone: 404-727-7351

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place