Safety and Feasibility of Kefir Administration in Critically Ill Adults

NCT ID: NCT05416814

Last Updated: 2023-12-18

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

EARLY_PHASE1

Total Enrollment

54 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-07-12

Study Completion Date

2023-12-03

Brief Summary

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The purpose of this study is to evaluate the safety and feasibility of kefir administration in critically ill adults.

Detailed Description

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Conditions

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Critically Ill

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Kefir administration in critically ill adults

Critically ill subjects will receive Kefir throughout the length of their ICU course in an ascending dosing regimen

Group Type EXPERIMENTAL

Kefir

Intervention Type DIETARY_SUPPLEMENT

Oral route (via feeding tube in intubated patients). Serving size 240mL to be given in an ascending dosing regimen if tolerated starting at 60 mL/day, 120 mL/day until single 240 mL/day; if evidence of intolerance, dose will be reduced to previously tolerated dose.

Interventions

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Kefir

Oral route (via feeding tube in intubated patients). Serving size 240mL to be given in an ascending dosing regimen if tolerated starting at 60 mL/day, 120 mL/day until single 240 mL/day; if evidence of intolerance, dose will be reduced to previously tolerated dose.

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Lifeway Foods® Original Kefir Unsweetened Whole Milk

Eligibility Criteria

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Inclusion Criteria

* Critically ill adult patients receiving antibiotics.
* Functional GI tract (able to tolerate oral diet or tube feeding).

Exclusion Criteria

* Received antibiotics for \>72 hours prior to enrollment.
* Known immunosuppression (due to medications including chronic steroids, TNF-alpha inhibitors, monoclonal antibodies, immunosuppressive antimetabolites, etc.).
* Compromised gut integrity (bowel resection, GI malignancy, GI bleed, inflammatory bowel disease).
* History of CDI within 60 days.
* Liver failure or pancreatitis.
* Dairy intolerance or milk allergy.
* Patients consuming probiotics at baseline.
* Artificial heart valve.
* Extremely poor prognosis and not expected to survive the treatment period.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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Lioudmila Karnatovskaia

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Lioudmila Karnatovskaia, MD

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Locations

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Mayo Clinic Rochester

Rochester, Minnesota, United States

Site Status

Countries

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United States

References

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Gupta VK, Rajendraprasad S, Ozkan M, Ramachandran D, Ahmad S, Bakken JS, Laudanski K, Gajic O, Bauer B, Zec S, Freeman DW, Khanna S, Shah A, Skalski JH, Sung J, Karnatovskaia LV. Safety, feasibility, and impact on the gut microbiome of kefir administration in critically ill adults. BMC Med. 2024 Feb 20;22(1):80. doi: 10.1186/s12916-024-03299-x.

Reference Type DERIVED
PMID: 38378568 (View on PubMed)

Related Links

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Other Identifiers

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20-005687

Identifier Type: -

Identifier Source: org_study_id