Trial Outcomes & Findings for Intensive Nutrition in Acute Respiratory Distress Syndrome (ARDS): A Clinical Trial (INTACT) (NCT NCT01921101)

NCT ID: NCT01921101

Last Updated: 2014-08-06

Results Overview

All new infections that occurred (including blood, wound, sputum, urinary tract and pulmonary) from enrollment through hospital discharge recorded in the medical record were counted

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

78 participants

Primary outcome timeframe

Assessed daily from study enrollment through hospital discharge, an average of 3 weeks

Results posted on

2014-08-06

Participant Flow

Participant milestones

Participant milestones
Measure
Intensive Medical Nutrition
participants will receive intensive medical nutrition from hospital admission to discharge intensive medical nutrition: provision of participants energy and protein needs via enteral, parenteral nutrition from hospital admission to discharge
Control
participants will not receive intensive nutritional support from hospital admission to discharge control: participants will receive standard care for nutrition received from hospital admission to discharge
Overall Study
STARTED
40
38
Overall Study
COMPLETED
24
32
Overall Study
NOT COMPLETED
16
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Intensive Medical Nutrition
participants will receive intensive medical nutrition from hospital admission to discharge intensive medical nutrition: provision of participants energy and protein needs via enteral, parenteral nutrition from hospital admission to discharge
Control
participants will not receive intensive nutritional support from hospital admission to discharge control: participants will receive standard care for nutrition received from hospital admission to discharge
Overall Study
Death
16
6

Baseline Characteristics

Intensive Nutrition in Acute Respiratory Distress Syndrome (ARDS): A Clinical Trial (INTACT)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intensive Medical Nutrition
n=40 Participants
participants will receive intensive medical nutrition from hospital admission to discharge intensive medical nutrition: provision of participants energy and protein needs via enteral, parenteral nutrition from hospital admission to discharge
Control
n=38 Participants
participants will not receive intensive nutritional support from hospital admission to discharge control: participants will receive standard care for nutrition received from hospital admission to discharge
Total
n=78 Participants
Total of all reporting groups
Age, Continuous
age
52.5 years
STANDARD_DEVIATION 17.1 • n=5 Participants
58.6 years
STANDARD_DEVIATION 16.2 • n=7 Participants
55.4 years
STANDARD_DEVIATION 16.7 • n=5 Participants
Sex: Female, Male
Female
21 Participants
n=5 Participants
17 Participants
n=7 Participants
38 Participants
n=5 Participants
Sex: Female, Male
Male
19 Participants
n=5 Participants
21 Participants
n=7 Participants
40 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 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
Race (NIH/OMB)
Black or African American
10 Participants
n=5 Participants
11 Participants
n=7 Participants
21 Participants
n=5 Participants
Race (NIH/OMB)
White
30 Participants
n=5 Participants
27 Participants
n=7 Participants
57 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
40 participants
n=5 Participants
38 participants
n=7 Participants
78 participants
n=5 Participants
Acute Physiology and Chronic Health Evaluation II (APACHE II)
23.4 units on a scale
STANDARD_DEVIATION 9.3 • n=5 Participants
27.7 units on a scale
STANDARD_DEVIATION 7.9 • n=7 Participants
25.5 units on a scale
STANDARD_DEVIATION 8.9 • n=5 Participants
Sequential Organ Functional Assessment (SOFA)
9.3 units on a scale
STANDARD_DEVIATION 3.8 • n=5 Participants
9.4 units on a scale
STANDARD_DEVIATION 3.4 • n=7 Participants
9.3 units on a scale
STANDARD_DEVIATION 3.6 • n=5 Participants
body mass index
29.8 Kg/m2
STANDARD_DEVIATION 9.3 • n=5 Participants
30.1 Kg/m2
STANDARD_DEVIATION 8.9 • n=7 Participants
30 Kg/m2
STANDARD_DEVIATION 9.1 • n=5 Participants

PRIMARY outcome

Timeframe: Assessed daily from study enrollment through hospital discharge, an average of 3 weeks

All new infections that occurred (including blood, wound, sputum, urinary tract and pulmonary) from enrollment through hospital discharge recorded in the medical record were counted

Outcome measures

Outcome measures
Measure
Intensive Medical Nutrition
n=40 Participants
participants will receive intensive medical nutrition from hospital admission to discharge intensive medical nutrition: provision of participants energy and protein needs via enteral, parenteral nutrition from hospital admission to discharge
Control
n=38 Participants
participants will not receive intensive nutritional support from hospital admission to discharge control: participants will receive standard care for nutrition received from hospital admission to discharge
Infection
5 participants
8 participants

SECONDARY outcome

Timeframe: days in hospital

The total number of days the patient is in the hospital

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: days

the total number of days requiring mechanical ventilation while hospitalized

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: date of occurence

The date of death for all participants that die between enrollment and their final data collection, 24 weeks following hospital discharge

Outcome measures

Outcome measures
Measure
Intensive Medical Nutrition
n=40 Participants
participants will receive intensive medical nutrition from hospital admission to discharge intensive medical nutrition: provision of participants energy and protein needs via enteral, parenteral nutrition from hospital admission to discharge
Control
n=38 Participants
participants will not receive intensive nutritional support from hospital admission to discharge control: participants will receive standard care for nutrition received from hospital admission to discharge
Death
16 participants
6 participants

OTHER_PRE_SPECIFIED outcome

Timeframe: baseline and weekly while hospitalized

Markers of immune response (including IL-6, IL-10, adiponectin, leptin, CRP, TNF, CD4/CD8 and HLA/CD14

Outcome measures

Outcome data not reported

Adverse Events

Intensive Medical Nutrition

Serious events: 16 serious events
Other events: 0 other events
Deaths: 0 deaths

Control

Serious events: 6 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Intensive Medical Nutrition
n=40 participants at risk
participants will receive intensive medical nutrition from hospital admission to discharge intensive medical nutrition: provision of participants energy and protein needs via enteral, parenteral nutrition from hospital admission to discharge
Control
n=38 participants at risk
participants will not receive intensive nutritional support from hospital admission to discharge control: participants will receive standard care for nutrition received from hospital admission to discharge
General disorders
death
40.0%
16/40 • Number of events 16 • From enrollment throughout hospitalization in all participants, an average of 3 weeks
hyperglycemia, hypoglycemia, aspiration, tube feeding complications, parenteral nutrition complications, death
15.8%
6/38 • Number of events 6 • From enrollment throughout hospitalization in all participants, an average of 3 weeks
hyperglycemia, hypoglycemia, aspiration, tube feeding complications, parenteral nutrition complications, death

Other adverse events

Adverse event data not reported

Additional Information

Dr. Carol Braunschweig, Professor

University of Illinois at Chicago

Phone: 3129962575

Results disclosure agreements

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