TAK-954 in Critically Ill Participants With Enteral Feeding Intolerance (EFI)

NCT ID: NCT03477903

Last Updated: 2019-09-24

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

1 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-08-25

Study Completion Date

2018-08-29

Brief Summary

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The purpose of this study is to assess the treatment effect of intravenous TAK-954 in improving the average daily protein adequacy received through enteral nutrition in critically-ill participants developing EFI.

Detailed Description

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The drug being tested in this study is called TAK-954. The study will assess the treatment effect of intravenous TAK-954 in improving average daily protein adequacy received through enteral nutrition in critically ill participants with EFI.

The study will enroll approximately 200 participants. Participants will be randomly assigned (by chance, like flipping a coin) to one of the 4 treatment groups -which will remain undisclosed to the participant and study doctor during the study (unless there is an urgent medical need):

* Group A: TAK-954 0.1 mg
* Group B: TAK-954 0.3 mg
* Group C: TAK-954 1 mg
* Group D: Metoclopramide 10 mg

This multi-center trial will be conducted in the United States, United Kingdom, Australia and Canada. The overall duration of treatment in this study is maximum of 14 days while in hospital. Participants will be contacted by telephone 30 and 90 days after receiving their last dose of study drug for a follow-up assessment.

Conditions

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Critical Illness Enteral Nutrition Enteral Feeding Intolerance

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Group A: TAK-954 0.1 mg

TAK-954 0.1 milligram (mg), intravenously, administered as 60 minute-infusion, once daily along with 2 milliliter (mL) normal saline injection, intravenously, three times a day for a minimum of 5 days up to a maximum of 14 days.

Group Type EXPERIMENTAL

TAK-954

Intervention Type DRUG

TAK-954 infusion

Normal Saline

Intervention Type DRUG

0.9% sodium chloride for injection

Group B: TAK-954 0.3 mg

TAK-954 0.3 mg, intravenously, administered as 60 minute-infusion, once daily along with 2 mL normal saline injection, intravenously, three times a day for a minimum of 5 days up to a maximum of 14 days.

Group Type EXPERIMENTAL

TAK-954

Intervention Type DRUG

TAK-954 infusion

Normal Saline

Intervention Type DRUG

0.9% sodium chloride for injection

Group C: TAK-954 1.0 mg

TAK-954 1.0 mg, intravenously, administered as 60 minute-infusion, once daily along with 2 mL normal saline injection, intravenously, three times a day for a minimum of 5 days up to a maximum of 14 days.

Group Type EXPERIMENTAL

TAK-954

Intervention Type DRUG

TAK-954 infusion

Normal Saline

Intervention Type DRUG

0.9% sodium chloride for injection

Group D: Metoclopramide 10 mg

Metoclopramide 10 mg, injection, intravenously, three times a day along with 100 mL normal saline 60-minute infusion, intravenously, once daily for a minimum of 5 days up to a maximum of 14 days.

Group Type ACTIVE_COMPARATOR

Metoclopramide

Intervention Type DRUG

Metoclopramide infusion

Normal Saline

Intervention Type DRUG

0.9% sodium chloride for injection

Interventions

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TAK-954

TAK-954 infusion

Intervention Type DRUG

Metoclopramide

Metoclopramide infusion

Intervention Type DRUG

Normal Saline

0.9% sodium chloride for injection

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Has at least a size 12-(french size) Fr nasogastric or orogastric tube with its tip at least 10 centimeter (cm) below the esophagogastric junction confirmed radiologically (the tip of the tube must be in the body or the antrum of the stomach and not in the fundus).
2. Is intubated and mechanically ventilated in the ICU.
3. Is expected to remain alive, mechanically ventilated, and receive continuous enteral feeding for \>=48 hours following randomization.
4. Have EFI, defined as a single GRV measurement of \>=250 mL with vomiting/retching within the last 24 hours, or a single GRV measurement of \>=500 mL with or without vomiting/retching within the last 24 hours.

Exclusion Criteria

1. Is under consideration for withdrawal of life-sustaining treatments within the next 72 hours.
2. Has had major esophageal or gastric surgery or direct luminal trauma on this admission (participants with lower abdominal surgery are not excluded unless enteral feeding is contraindicated).
3. Has mechanical bowel obstruction, short bowel syndrome, or the presence of an active gastric pacemaker.
4. Have pre-existing hepatic disease that meets Child-Pugh Class B (moderate; total score 7 to 9 points) or C (severe; total score 10 to 15 points).
5. Has been admitted primarily for treatment of a drug overdose.
6. Has a presence of a post-pyloric tube in place at Randomization that may be used for enteral nutrition.
7. Is receiving parenteral nutrition (PN) at Screening.
8. Is in diabetic ketoacidosis or non-ketotic hyperosmolar coma.
9. Has a different nutrient requirement than allowed in feeding protocol.(outside a range of 1.2 to 2 gram per kilogram per day \[g/kg/day\] of proteins and up to 1.5 kilocalorie per milliliter \[kcal/mL\]).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Millennium Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Millennium Pharmaceuticals, Inc.

Locations

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Joseph M Still Burn Centers

Augusta, Georgia, United States

Site Status

Eastern Idaho Medical Consultants

Idaho Falls, Idaho, United States

Site Status

Illinois Lung & Critical Care Institute

Peoria, Illinois, United States

Site Status

University of Kentucky Health Care

Lexington, Kentucky, United States

Site Status

Anne Arundel Medical Center

Annapolis, Maryland, United States

Site Status

Truman Medical Center Hospital Hill

Kansas City, Missouri, United States

Site Status

Creighton University

Omaha, Nebraska, United States

Site Status

Englewood Hospital and Medical Center

Englewood, New Jersey, United States

Site Status

New York-Presbyterian Columbia University Medical Center

New York, New York, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma, United States

Site Status

The University of Texas Health Science Center at Houston

Houston, Texas, United States

Site Status

Froedtert Hospital

Wauwatosa, Wisconsin, United States

Site Status

Royal North Shore Hospital

St Leonards, New South Wales, Australia

Site Status

Royal Brisbane and Women's Hospital

Brisbane, Queensland, Australia

Site Status

Logan Hospital

Meadowbrook, Queensland, Australia

Site Status

Mater Hospital Brisbane

South Brisbane, Queensland, Australia

Site Status

Royal Adelaide Hospital

Adelaide, South Australia, Australia

Site Status

Flinders Medical Centre

Bedford Park, South Australia, Australia

Site Status

Monash Medical Centre

Clayton, Victoria, Australia

Site Status

The Northern Hospital

Epping, Victoria, Australia

Site Status

Frankston Hospital

Frankston, Victoria, Australia

Site Status

The Royal Melbourne Hospital

Parkville, Victoria, Australia

Site Status

Royal Columbian Hospital

New Westminster, British Columbia, Canada

Site Status

St. Paul's Hospital

Vancouver, British Columbia, Canada

Site Status

Kingston General Hospital

Kingston, Ontario, Canada

Site Status

Hopital Charles-LeMoyne

Greenfield Park, Quebec, Canada

Site Status

Hopital du Sacre-Coeur de Montreal

Monteal, Quebec, Canada

Site Status

McGill University Health Centre

Montreal, Quebec, Canada

Site Status

Centre Hospitalier Universitaire de Quebec Hospital Centre Hospitalier de IUniversite Laval

Québec, Quebec, Canada

Site Status

University Hospitals Birmingham NHS Foundation Trust

Birmingham, England, United Kingdom

Site Status

Royal Sussex County Hospital

Brighton, England, United Kingdom

Site Status

University Hospitals Bristol NHS Foundation Trust

Bristol, England, United Kingdom

Site Status

The Leeds Teaching Hospitals NHS Trust

Leeds, England, United Kingdom

Site Status

The Royal London Hospital

London, England, United Kingdom

Site Status

Royal Free London NHS Foundation Trust

London, England, United Kingdom

Site Status

Guy's and Saint Thomas' NHS Foundation Trust

London, England, United Kingdom

Site Status

King's College Hospital NHS Foundation Trust

London, England, United Kingdom

Site Status

NHS Lothian

Edinburgh, Scotland, United Kingdom

Site Status

NHS Greater Glasgow and Clyde

Glasgow, Scotland, United Kingdom

Site Status

Cardiff and Vale University Health Board

Cardiff, Wales, United Kingdom

Site Status

Aneurin Bevan University Health Board

Newport, Wales, United Kingdom

Site Status

Royal Liverpool University Hospital NHS Trust

Liverpool, , United Kingdom

Site Status

Countries

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United States Australia Canada United Kingdom

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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U1111-1208-1831

Identifier Type: OTHER

Identifier Source: secondary_id

2017-003206-41

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

18/NE/0139

Identifier Type: REGISTRY

Identifier Source: secondary_id

TAK-954-2002

Identifier Type: -

Identifier Source: org_study_id

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