Efficiency of a Small-peptide Enteral Feeding Formula Compared to a Whole-protein Formula

NCT ID: NCT01833624

Last Updated: 2016-08-05

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

206 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-06-30

Study Completion Date

2017-08-31

Brief Summary

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An early and efficient enteral nutritional support could improve the clinical outcomes of brain injured critically ill patients. Gastrointestinal feeding intolerance defined as an increased gastric residual volume frequently occurs in these patients.

Previous experimental studies have suggested that a small-peptide enteral feeding formula could promote the gastric emptying compared to a whole-protein formula. An improved gastrointestinal tolerance of enteral nutrition should allow a rapid increase in the daily caloric intake and enhance nutritional support of brain injured critically ill patients.

Detailed Description

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This open-labelled prospective randomized trial aims to compare 2 groups of patients: the Study Group and the Control Group. The randomization process will concern the allocation of the type of enteral feeding formula administered for nutritional support: Peptamen® AF in the Study Group, and Sondalis® HP in the Control Group. 2 centers are involved in this study.

Each patient admitted in the critical care unit will be assessed for eligibility. After written informed consent is obtained from relatives, patient without any exclusion criteria will be included in the study.

The allocation of the type of enteral nutritional feeding formula will be randomized after inclusion.

Enteral nutrition according to the randomization group will start within the 48 hours of admission and up to 10 days, if requested. Beyond the 10th day, all patients will receive standard enteral nutrition formula.

After inclusion, data regarding efficacy and tolerance will be assessed daily up to day 10.

Mortality and outcome will be assessed at day 28 and at day 60.

Conditions

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Traumatic and/or Non-traumatic Brain Injury Critically Ill

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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Sondalis® HP

The Control Group that will receive Sondalis ® HP (a whole-peptide formula).

Group Type ACTIVE_COMPARATOR

Peptamen® AF

Intervention Type DIETARY_SUPPLEMENT

Comparison of two types of enteral nutrition feeding: Peptamen® AF and Sondalis® HP

Peptamen® AF

In this arm, patients have enteral nutrition with Peptamen® AF

Group Type EXPERIMENTAL

Sondalis® HP

Intervention Type DIETARY_SUPPLEMENT

Interventions

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Peptamen® AF

Comparison of two types of enteral nutrition feeding: Peptamen® AF and Sondalis® HP

Intervention Type DIETARY_SUPPLEMENT

Sondalis® HP

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Admission in our surgical critical care unit.
* Traumatic brain injury.
* Non-traumatic brain injury: stroke, intracranial and/or subarachnoid hemorrhage, subdural and/or extradural hematoma.
* Expected duration of mechanical ventilation \> 48 hours.

Exclusion Criteria

* Abdominal surgery in the previous 30 days.
* Pregnancy.
* Breast-feeding.
* Hemodynamic instability defined as infusion of norepinephrine \> 3 mg/h, or epinephrine \> 1 mg/h, or as increasing needs in vasopressive or inotropic drugs.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nestlé Foundation

OTHER

Sponsor Role collaborator

Centre Hospitalier Universitaire de Besancon

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gilles Blasco

Role: PRINCIPAL_INVESTIGATOR

Locations

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Surgical Critical Care Unit, CHRU Jean Minjoz

Besançon, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Anne-Sophie BALON

Role: CONTACT

+3381668675

Facility Contacts

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Anne-Sophie BALON

Role: primary

+3381668675

Other Identifiers

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2012-A00078-35

Identifier Type: -

Identifier Source: org_study_id

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