NCT03249051

Brief Summary

The aim of this study is to investigate whether an individualized determination of energy requirements using indirect calorimetry instead of a formula-based approach leads to an optimized nutritional support and as a consequence to an optimized nutritional status of the critically ill, mechanically ventilated patients measured by the phase angle.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
40

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jan 2016

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 11, 2016

Completed
1.5 years until next milestone

First Submitted

Initial submission to the registry

June 25, 2017

Completed
2 months until next milestone

First Posted

Study publicly available on registry

August 15, 2017

Completed
Same day until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 15, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 15, 2017

Completed
Last Updated

October 6, 2017

Status Verified

August 1, 2017

Enrollment Period

1.6 years

First QC Date

June 25, 2017

Last Update Submit

October 4, 2017

Conditions

Outcome Measures

Primary Outcomes (1)

  • Phase angle (PhA)

    The primary endpoint is the change of the phase angle during the stay in the intensive care unit (ICU). A mean difference of 5% is considered as relevant.

    PhA was measured between one and 90 days (during ICU stay)

Secondary Outcomes (4)

  • Nitrogen Balance

    Nitrogen Balance was measured between one and 90 days (during ICU stay)

  • Extracellular to body cell mass ratio (ECM/BCM - Ratio)

    ECM/BCM-Ratio was measured between one and 90 days (during ICU stay)

  • Length of hospital stay in days

    Length of hospital stay was measured between one and 180 days

  • Length of stay in intensive care unit (ICU) in days

    Length of ICU stay was measured between one and 90 days

Study Arms (2)

Indirect Calorimetry

EXPERIMENTAL

The energy need is being determined by using indirect calorimetry and if necessary, optimized by parenteral, enteral and additive parenteral nutrition.

Other: Indirect Calorimetry

Standard Care

NO INTERVENTION

This group receives nutrition supply according to the hospital routine ("standard care")

Interventions

Energy need is being determined using indirect Calorimetry

Indirect Calorimetry

Eligibility Criteria

Age18 Years+
Sexall
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • age over 18 years
  • mechanical ventilation
  • an hospital stay of at least three days at the intensive care unit of the University Hospital of Tübingen
  • possibility to perform indirect calorimetry measurements (FiO2 ≤70, PCO2 ≤ 0,5)
  • possibility to perform Bioelectrical Impedance Analysis (BIA)
  • underlying indication for enteral or/and parenteral nutritional support
  • written informed consent from the patient or a legal authorized person

You may not qualify if:

  • cardiac pacemaker

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Hohenheim

Stuttgart, 70599, Germany

Location

MeSH Terms

Conditions

Critical Illness

Interventions

Calorimetry, Indirect

Condition Hierarchy (Ancestors)

Disease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

CalorimetryChemistry Techniques, AnalyticalInvestigative Techniques

Study Officials

  • Stephan C Bischoff

    University of Hohenheim, 70599 Stuttgart, Germany

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 25, 2017

First Posted

August 15, 2017

Study Start

January 11, 2016

Primary Completion

August 15, 2017

Study Completion

August 15, 2017

Last Updated

October 6, 2017

Record last verified: 2017-08

Locations