Correction of Hypernatremia by Intravenous Hypotonic Solution Compared to Enteral Water

NCT ID: NCT06061783

Last Updated: 2023-09-29

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

NA

Total Enrollment

178 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-11-30

Study Completion Date

2024-09-30

Brief Summary

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Hypernatremia, defined as an elevation of serum sodium \>145 mEq/L, is one of the most common electrolyte disturbances in hospitalized patients and intensive care units.

In this study, the investigator aims, for the first time, to compare two strategies used for the correction of hypernatremia, using intravenous hypotonic solution compared to naso- or orogastric tube enteral water.

Detailed Description

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Hypernatremia, defined as an elevation of serum sodium \>145 mEq/L, is one of the most common electrolyte disturbances in hospitalized patients and intensive care units, increasing mortality. Currently, the most effective correction strategy for hypernatremia (intravenous hypotonic solution compared to enteral water) is still a matter of debate due to a lack of evidence and clinical trials.

This study aims to determine whether the administration of intravenous hypotonic solution is more effective in the correction of hypernatremia compared to enteral water by naso- or orogastric tube. Therefore, the investigator proposes the first randomized clinical trial, which compares two strategies used for the correction of hypernatremia, with this we will determine which of the two is more effective, and we will also compare the speed of correction, renal function during hospitalization with serum creatinine and we will evaluate its safety.

Conditions

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Hypernatremia

Keywords

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Hypernatremia intravenous hypotonic solution enteral water

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Open Label randomized trial
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Intravenous hypotonic solution

In this group, the administration will be according to the presence of basal hyperglycemia on the day before the assignment (\>180mg/dL).

If hyperglycemia is present, it will be glucose solution 5% 500ml + injectable water 500ml intravenous every 8 hours for a total of 3,600ml daily.

If there is no hyperglycemia, it will be 5% glucose solution 1,200ml every 8 hours for a total of 3,600ml per day.

Group Type ACTIVE_COMPARATOR

Hypotonic Solution

Intervention Type DRUG

Intravenous administration of 5% glucose solution 1,200ml every 8 hours for a total of 3,600ml per day.

If hyperglycemia is present, it will be glucose solution 5% 500ml + injectable water 500ml intravenous every 8 hours for a total of 3,600ml daily.

Enteral water

This group will receive bottled water through the nasogastric or orogastric tube at a dose of 150 ml/hour for a total of 3,600 ml per day.

Group Type PLACEBO_COMPARATOR

Water Purified

Intervention Type DRUG

administration of bottled water through the nasogastric or orogastric tube at a dose of 150 ml/hour for a total of 3,600 ml per day.

Interventions

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Hypotonic Solution

Intravenous administration of 5% glucose solution 1,200ml every 8 hours for a total of 3,600ml per day.

If hyperglycemia is present, it will be glucose solution 5% 500ml + injectable water 500ml intravenous every 8 hours for a total of 3,600ml daily.

Intervention Type DRUG

Water Purified

administration of bottled water through the nasogastric or orogastric tube at a dose of 150 ml/hour for a total of 3,600 ml per day.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Hospitalized patients with hypernatremia (serum sodium\>145mEq/L).

Exclusion Criteria

* Age below 18 years
* Pregnant, on dialysis
* Unwilling to participate or without informed consent.
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital Civil de Guadalajara

OTHER

Sponsor Role lead

Responsible Party

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Jonathan Samuel Chavez Iñiguez

Head of nephrology Dr. Jonathan Samuel Chavez Iñiguez

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jonathan Samuel Chavez Iñiguez

Role: PRINCIPAL_INVESTIGATOR

HCG

Central Contacts

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Jonathan Samuel Chavez Iñiguez

Role: CONTACT

Phone: 3313299609

Email: [email protected]

References

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Other Identifiers

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Correction of hypernatremia

Identifier Type: -

Identifier Source: org_study_id