Trial Outcomes & Findings for Enteral Nutrition and Glycemic Variability Neurological Intensive Care Unit Study (NCT NCT01463878)

NCT ID: NCT01463878

Last Updated: 2012-10-05

Results Overview

The patients blood glucose levels will be monitored with a continuous blood glucose monitor which records the calibrated blood glucose level every minute. The mean blood glucose over the patients entire ICU stay (up to 14 days) as well as the mathematical variation (fluctuation) in blood glucose levels will be calculated. The degree of glycemic variation will be assessed by a number of mathematical formula, including mean amplitude of glycemic excursions (MAGE). These parameters will be compared between the control and intervention groups.

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

14 participants

Primary outcome timeframe

Entire ICU stay. Up to 14 days in the ICU (average about 7 days)

Results posted on

2012-10-05

Participant Flow

18 patients were consented and only 14 enrolled. 4 dropped out as failed to meet the inclusion criteria after consent; were bale to take food by mouth

Participant milestones

Participant milestones
Measure
Glycerna
Diabetic specific formula
Control - Jevity
The control arm of the study. Patients to receive Jevity
Overall Study
STARTED
9
9
Overall Study
COMPLETED
7
7
Overall Study
NOT COMPLETED
2
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Glycerna
Diabetic specific formula
Control - Jevity
The control arm of the study. Patients to receive Jevity
Overall Study
no longer met criteria for tube feed
2
2

Baseline Characteristics

Enteral Nutrition and Glycemic Variability Neurological Intensive Care Unit Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Glycerna
n=9 Participants
Diabetic specific formula
Control - Jevity
n=9 Participants
The control arm of the study. Patients to receive Jevity
Total
n=18 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Age, Categorical
>=65 years
7 Participants
n=5 Participants
8 Participants
n=7 Participants
15 Participants
n=5 Participants
Age Continuous
72 years
STANDARD_DEVIATION 12 • n=5 Participants
74 years
STANDARD_DEVIATION 9 • n=7 Participants
73 years
STANDARD_DEVIATION 11 • n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
4 Participants
n=7 Participants
9 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
5 Participants
n=7 Participants
9 Participants
n=5 Participants
Region of Enrollment
United States
9 participants
n=5 Participants
9 participants
n=7 Participants
18 participants
n=5 Participants

PRIMARY outcome

Timeframe: Entire ICU stay. Up to 14 days in the ICU (average about 7 days)

The patients blood glucose levels will be monitored with a continuous blood glucose monitor which records the calibrated blood glucose level every minute. The mean blood glucose over the patients entire ICU stay (up to 14 days) as well as the mathematical variation (fluctuation) in blood glucose levels will be calculated. The degree of glycemic variation will be assessed by a number of mathematical formula, including mean amplitude of glycemic excursions (MAGE). These parameters will be compared between the control and intervention groups.

Outcome measures

Outcome measures
Measure
Glycerna
n=7 Participants
Diabetic specific formula
Control - Jevity
n=7 Participants
The control arm of the study. Patients to receive Jevity
Glycemic Variability
168 mg/dl (MAGE)
Standard Deviation 40
166 mg/dl (MAGE)
Standard Deviation 41

SECONDARY outcome

Timeframe: First versus last measurment in ICU. Up to 14 days (average 7 days)

The quadriceps muscle volume will be estimated by 2-dimensional ultrasound imaging at enrollment and at the end of the study period (when the patient is being transferred from the ICU or no longer receiving tube feeds). The change in muscle mass during the ICU stay will be compared between the control and intervention groups.

Outcome measures

Outcome data not reported

Adverse Events

Glycerna

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

Control - Jevity

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

Dr Paul Marik

Eastern Virginia Medical School

Phone: 757-446-8910

Results disclosure agreements

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