Pilot Study on Gastro-intestinal (GI) Enteral Nutrition (EN) Tolerance in Intensive Care Unit Patients

NCT ID: NCT01581957

Last Updated: 2014-06-27

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

COMPLETED

Clinical Phase

NA

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-12-31

Study Completion Date

2014-04-30

Brief Summary

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Specifically designed enteral formulations may improve the gastrointestinal tolerance during early enteral nutrition in the critically ill patient.

This pilot trial will permit testing the design of the full-scale study providing valuable data on the expected effect of the formulation, the variability, thus helping to better estimate the required sample size.

Detailed Description

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Conditions

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Critically Ill

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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Specific Enteral formulation

Group Type ACTIVE_COMPARATOR

Specific Enteral Nutrition

Intervention Type OTHER

Patients will receive a Specific EN. The caloric target is 25 Kcal/kg/day to be reached on the third day post-initiation of EN (early enteral nutrition).

Standard enteral formulation

Group Type PLACEBO_COMPARATOR

Standard Enteral Nutrition

Intervention Type OTHER

Patients will receive an equivalent volume and caloric intake of standard formulation. The caloric target is 25 Kcal/kg/day to be reached on the third day post-initiation of EN (early enteral nutrition).

Interventions

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Specific Enteral Nutrition

Patients will receive a Specific EN. The caloric target is 25 Kcal/kg/day to be reached on the third day post-initiation of EN (early enteral nutrition).

Intervention Type OTHER

Standard Enteral Nutrition

Patients will receive an equivalent volume and caloric intake of standard formulation. The caloric target is 25 Kcal/kg/day to be reached on the third day post-initiation of EN (early enteral nutrition).

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Male or female older than 18 years of age
* All ICU patients
* Expected ICU stay superior or equal to 5 days
* Anticipated to receive tube feeding for at least 3 days
* Informed consent obtained from patient or close relative

Exclusion Criteria

* Contraindication to enteral nutrition or to the placement of an enteral feeding tube
* On enteral nutrition with superior or equal to 75% of caloric goal administered
* Restriction in full intestinal support including protein administration
* Parenteral nutrition of any kind unless due to enteral nutrition intolerance
* History of allergy or intolerance to the study product components (test or control product)
* Currently under therapeutic limitations. Non functional GI tract
* Unwilling or unable to comply with study treatments
* Currently participating or having participated in another clinical, interventional trial during the last month
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Société des Produits Nestlé (SPN)

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Stephan Jakob, Professor

Role: PRINCIPAL_INVESTIGATOR

Bern University Hospital

Locations

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Department of Intensive Care Medicine. Bern University Hospital

Bern, Canton of Bern, Switzerland

Site Status

Countries

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Switzerland

References

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Jakob SM, Butikofer L, Berger D, Coslovsky M, Takala J. A randomized controlled pilot study to evaluate the effect of an enteral formulation designed to improve gastrointestinal tolerance in the critically ill patient-the SPIRIT trial. Crit Care. 2017 Jun 10;21(1):140. doi: 10.1186/s13054-017-1730-1.

Reference Type DERIVED
PMID: 28599662 (View on PubMed)

Other Identifiers

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10.10.CLI

Identifier Type: -

Identifier Source: org_study_id

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