- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01233726
Effects of a Complete Diet in Critically Ill Patients With Stress Hyperglycemia
Effects of a Complete Diet Rich in Monounsaturated Fatty Acids and Slow Absorption Carbohydrate Administration in Critically Ill Patients With Stress Hyperglycemia. Open Study, Blind Randomised, Multicenter and Controlled.
The aim of the study is to evaluate the beneficial effects of the administration of a complete diet rich in monounsaturated fatty acids (MUFA) and slow absorption carbohydrate in patients with stress hyperglycemia(T-Diet Plus Diabet IR).
The main objective of this project is to evaluate blood glucose metabolic control, insulin requirements, insulin action resistance, lipid profile and to reduce infectious complications on mechanical ventilation ICU (intensive care unit) patients after the administration of a complete diet enriched in MUFA and slow absorption carbohydrates, without fructose.
Study Overview
Status
Conditions
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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Madrid, Spain
- Intensive Care Unit. Hospital Universitario 12 de Octubre
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Valencia, Spain
- Intensive Care Unit. Hospital Clinico Universitario de Valencia
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients over 18 admitted to intensive care units (ICU), with mechanical ventilation.
- Patients receiving EN (enteral nutrition), for 5 days or more.
- ICU stay in 48 hours or less, in the time of study inclusion.
- Patients developing hyperglycemia in 48 hours of stay in ICU.
- Nutritional support initiation within 48 hours of stay in ICU.
Exclusion Criteria:
- Patients with a life expectancy less than 48 hours.
- Patients participating in another study.
- Patients with APACHE II (Acute Physiology and Chronic Health Evaluation) less than 10.
- Patients with BMI (body mass index) > 40 Kg/m2.
- Patients with Type I Diabetes.
- Patients on chronic treatment with corticosteroid dose above 1 mg / kg / day of methylprednisolone or equivalent.
- Pregnant patients.
- Patients taking lipid-lowering drugs.
Acute renal failure patients, defined by the following criteria:
- Serum creatinine greater than 4 mg / dL with acute rise higher than 0.5 mg / dl / day.
- Serum creatinine higher than 3 mg/dL.
- Diuresis < 0.3 ml/kg/h during 24 hours.
- Anury for 12 hours or more.
Hepatic failure patients, defined by the following parameters:
- Serious acute hepatic failure.
- Child degrees B-C.
- Serum bilirubin higher than 3 mg/dL.
- Patients with parenteral nutrition during study inclusion.
- Informed consent absence.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: T-DIET PLUS DIABET IR
Patients of this group will receive T-Diet plus Diabet IR as unique nutritional support throughout the day, receiving 25 kcal / kg • day (from the first 48 hours after checking tolerance) via gastric or transpyloric
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Group 1 will receive, 25 kcal / kg • day for 28 days, via gastric or transpyloric.
Other Names:
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Active Comparator: ISOSOURCE PROTEIN FIBRE
Patients of this group will receive ISOSOURCE PROTEIN FIBRE (Nestlé Nutrition) as unique nutritional support throughout the day receiving 25 kcal / kg • day (from the first 48 hours after checking tolerance) via gastric or transpyloric
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Group 2 will receive, 25 kcal / kg • day for 28 days, via gastric or transpyloric.
Other Names:
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Active Comparator: GLUCERNA SELECT
Patients of this group will receive GLUCERNA SELECT (Abbott Laboratories) as unique nutritional support throughout the day, receiving 25 kcal / kg • day (from the first 48 hours after checking tolerance) via gastric or transpyloric
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Group 3 will receive, 25 kcal / kg • day for 28 days, via gastric or transpyloric.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Measure of Biochemical Parameters and Evaluation of Infectious Complications 1
Time Frame: 28 days post-admission
|
The variables recorded related to glycemic control in mg/dL are provided in this table.
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28 days post-admission
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Measure of Biochemical Parameters and Evaluation of Infectious Complications 2
Time Frame: 28 days post-admission
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The variables recorded related to administered insulin in IU/day are provided in this table
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28 days post-admission
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Measure of Biochemical Parameters and Evaluation of Infectious Complications 3
Time Frame: 28 days post-admission
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The variables recorded related to number of capillary glycemia measurements are provided in this table
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28 days post-admission
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Measure of Biochemical Parameters and Evaluation of Infectious Complications 4
Time Frame: 28 days post-admission
|
The variables recorded related to the number of measurements per patient per day are provided in this table
|
28 days post-admission
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Measure of Biochemical Parameters and Evaluation of Infectious Complications 5
Time Frame: 28 days post-admission
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The variables recorded related to Glycemic CV (%) are provided in this table:
|
28 days post-admission
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Primary Outcome: Measure of Biochemical Parameters and Evaluation of Infectious Complications 6.1
Time Frame: 28 days post-admission
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This table shows the number of capillary glycemia measurements
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28 days post-admission
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Measure of Biochemical Parameters and Evaluation of Infectious Complications 6.2
Time Frame: 28 days post-admission
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This table shows the rates of:
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28 days post-admission
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Assessment of Critical Ill Patients Progress During Hospital Stay 1
Time Frame: 100 days of treatment
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Infectious complication incidence rate per 100 days of treatment are provided in this table.
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100 days of treatment
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Assessment of Critical Ill Patients Progress During Hospital Stay 2
Time Frame: 28 days post-admission
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Number of participants with catheter-associated bloodstream infection, primary bloodstream infection or urinary tract infection are provided in this table
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28 days post-admission
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Assessment of Critical Ill Patients Progress During Hospital Stay 3
Time Frame: 28 days post-admission
|
The incidence of tracheobronchitis and ventilator-associated pneumonia per 1000 days of mechanical ventilation are provided in this table.
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28 days post-admission
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Assessment of Critical Ill Patients Progress During Hospital Stay 4
Time Frame: 100 days of treatment
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Number of participants with infectious complications is provided in this table.
|
100 days of treatment
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Alfonso Mesejo, PhD, Hospital Clinico Universitario de Valencia
- Principal Investigator: Juan Carlos Montejo, PhD, Hospital Universitario 12 de Octubre
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- IR2009
- DIABET IR IDI-20080283 (Other Identifier: VEGENAT, S.A.)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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