Effect of Enteral Nutrition Support for Critically Ill Patients

NCT ID: NCT01464853

Last Updated: 2011-11-04

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

84 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-04-30

Study Completion Date

2011-05-31

Brief Summary

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To determine whether specialized enteral nutrition support can improve oxygenation status in critically ill patients with acute lung injury (ALI) or acute respiratory distress syndrome (ARDS) comparing to a standard enteral nutritional formula.

Detailed Description

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Conditions

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Respiratory Distress Syndrome,Adult Acute Lung Injury

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Specialized Enteral Nutrition

Enteral Feeding to provide 25 kcal/Kg/day

Group Type EXPERIMENTAL

Enteral nutrition with fatty acids

Intervention Type OTHER

Enteral Feeding to provide 25 kcal/Kg/day

Standard Enteral Nutrition

Enteral Feeding to provide 25 kcal/Kg/day

Group Type ACTIVE_COMPARATOR

Standard Enteral Nutrition

Intervention Type OTHER

Enteral Feeding to provide 25 kcal/Kg/day

Interventions

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Enteral nutrition with fatty acids

Enteral Feeding to provide 25 kcal/Kg/day

Intervention Type OTHER

Standard Enteral Nutrition

Enteral Feeding to provide 25 kcal/Kg/day

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Male or non-pregnant female.
2. ALI or ARDS
3. PaO2/FiO2 \> 100 and ≤ 300 torr.
4. Evidence of bilateral pulmonary infiltrates/opacity on chest radiograph.
5. Enteral access
6. Systemic inflammatory response syndrome (SIRS) - two or more of the following must be present:

1. Body temperature less than 36°C or greater than 38°C
2. Heart rate \> 90 beats per minute
3. Tachypnea with \> 20 breaths per minute; or an arterial partial pressure of carbon dioxide \< 4.3 kPa (32 mmHg)
4. White blood cell count \< 4000 cells/mm³ or \> 12,000 cells/mm³; or the presence of \> 10% immature neutrophils.

3. Anticipated life expectancy less than 24 hours.
4. Patient with severe chronic liver disease
5. Neuromuscular disease that impairs ability to ventilate without assistance
6. Head trauma and/or drowning with a Glasgow coma score of 5
7. Receiving intravenous lipid emulsions from parenteral nutrition within 12 hours of baseline.
8. Receiving propofol
9. Airway reconstructive surgery.
10. Malignancy or irreversible disease for which 6-month mortality is greater than 50%.
11. Burns greater than 25% total body surface area.
12. Unwillingness or inability to utilize the ARDS network ventilation protocol.
13. HIV positive.
14. Chronic mechanical ventilation.
15. Severe, acute pancreatitis.
16. Refractory shock
17. Congestive heart failure with pulmonary edema as the primary cause of hypoxemia.
18. Acute myocardial infarction or cardiac surgery within 7 days.
19. Solid organ transplant.
20. INR \> 5.0 or platelet count \< 30,000/mm3 or history of bleeding disorder.
21. Intracranial hemorrhage within the past 30 days.

Exclusion Criteria

1. Dialysis for renal failure
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Abbott Nutrition

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Menghua Luo, MD, PhD

Role: STUDY_CHAIR

Abbott Nutrition

Locations

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1st City Clinical Emergency Hospital n.a. E.E. Volosevich

Arkhangelsk, , Russia

Site Status

City Clinical Hospital #2

Krasnodar, , Russia

Site Status

Krasnoyarsk State Medical University n.a. Prof V.F. Voyno-Yasenetskogo

Krasnoyarsk, , Russia

Site Status

Central Clinical Hospital #1

Moscow, , Russia

Site Status

State Novosibirsk Regional Clinical Hospital

Novosibirsk, , Russia

Site Status

Clinical Medical Unit #1

Perm, , Russia

Site Status

St. Petersburg Scientific Research Institute of Emergency Care n.a. I.I.Dzhanelidze

Saint Petersburg, , Russia

Site Status

Republican Clinical Hospital n.a. G.G. Kuvatova

Ufa, , Russia

Site Status

Central City Hospital #7

Yekaterinburg, , Russia

Site Status

Countries

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Russia

Other Identifiers

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BK54

Identifier Type: -

Identifier Source: org_study_id