- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06065202
Personalized Nutrition to Improve Recovery in Trauma (SeND Home)
Personalized Targeted Nutrition Via StructurEd Nutrition Delivery Pathway to Improve Recovery of Physical Function in Trauma
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Severe abdominal trauma can impact patients in a variety of ways. Current data shows that trauma patients can experience problems with physical function, muscle weakness, and poor quality of life after they are released from the hospital. There is a critical need to improve nutrition in trauma patients with severe abdominal injuries to optimize the recovery process. The purpose of this study is to evaluate if the use of a planned nutrition delivery plan with early intravenous (IV) nutrition will improve outcomes. Participants will be randomly assigned 1:1, like flipping a coin, to the SeND Home program or routine care.
Participants in the standard of care program will receive standard nutrition delivery as determined by clinical care providers. This may include TPN.
Participants in the SeND Home program will receive TPN within 72 hours of abdominal surgery. Indirect calorimetry will be used to determine nutrition needs.Once participants are able to have a liquid diet they will receive nutrition shakes up to 3 times a day while in the hospital and for 4 weeks after discharge.
Participants will undergo tests to measure muscle mass, have blood draws, complete walking and strength tests, and surveys about quality of life. These tests will be done at several times throughout hospitalization and participants will be asked to return for a 3 month follow-up visit.
Study Type
Enrollment (Estimated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: Krista Haines, MD
- Phone Number: 919-681-3784
- Email: krista.haines@duke.edu
Study Contact Backup
- Name: Shauna Howell
- Phone Number: 919-613-1588
- Email: shauna.eggertson@duke.edu
Study Locations
-
-
North Carolina
-
Durham, North Carolina, United States, 27710
- Recruiting
- Duke University Hospital
-
Contact:
- Shauna Howell
- Phone Number: 919-668-3771
- Email: shauna.eggertson@duke.edu
-
Sub-Investigator:
- Krista Haines, MD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 18+ years old
- Penetrating abdominal trauma requiring emergent major abdominal surgery
- Admitted to the surgical ICU
- Not expected to receive oral nutrition for 72 hours or more
Exclusion Criteria:
- Patients who are unable to ambulate at baseline
- Expected withdrawal of life-sustaining treatment within 48 hours
- Prisoners
- Positive pregnancy test for women of child bearing potential.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: SeND Home Pathway
Total parenteral nutrition (TPN) will begin within 72 hours of abdominal surgery.
Calorie needs will be determined by indirect calorimetry.
Nutritional shakes will begin when a liquid diet is started.
These will be taken 3 times a day while in the hospital and for 4 weeks after discharge.
|
Total parenteral nutrition (TPN) will be administered within 72 hours of abdominal surgery.
Nutritional shakes will be started with a liquid diet and given 3 times a day.
This will continue for 4 weeks after discharge.
Other Names:
|
No Intervention: Standard Nutrition
Standard nutrition as determined by clinical providers.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in six-minute walk distance (6 MWD)
Time Frame: 3 months
|
Change in 6MWD from baseline to day 14 or hospital discharge will be compared between the two study arms
|
3 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in physical function
Time Frame: baseline, day 14 or hospital discharge, 3 and 6 months post-hospital discharge
|
This will be measured by comparing the changes in physical function tests (4 meter walk, sit-to-stand) between the two study arms.
|
baseline, day 14 or hospital discharge, 3 and 6 months post-hospital discharge
|
Change in muscle strength
Time Frame: baseline, hospital discharge, 3 and 6 months post-hospital discharge
|
This will be measured by comparing the changes in grip and quad strength tests between the two study arms.
|
baseline, hospital discharge, 3 and 6 months post-hospital discharge
|
Change in muscle mass
Time Frame: baseline, hospital discharge, 3 and 6 months post-hospital discharge
|
This will be measured by comparing changes in bioelectrical impedance analysis (BIA) between the two study arms.
|
baseline, hospital discharge, 3 and 6 months post-hospital discharge
|
Change in Quality of Life (QoL)
Time Frame: baseline, 3 and 6 months post-hospital discharge
|
This will be measured by comparing changes in the EuroQoL-5 Dimension and 43-item Trauma Specific Quality of Life measurement between the two study arms.
|
baseline, 3 and 6 months post-hospital discharge
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Change in cognition
Time Frame: baseline, 3 and 6 months post-hospital discharge
|
This will be measured by looking at changes in mental health and cognition via questionnaires.
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baseline, 3 and 6 months post-hospital discharge
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Infection
Time Frame: hospital discharge, 3 and 6 months post-hospital discharge
|
This will be measured by looking at the number of infections reported.
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hospital discharge, 3 and 6 months post-hospital discharge
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Length of Hospital/ICU stay
Time Frame: hospital discharge
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This will be measured by recording the length of hospital stay noted in the medical record.
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hospital discharge
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Mortality rate
Time Frame: 6 months post-hospital discharge
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This will be measured by survival after 6 months.
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6 months post-hospital discharge
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Change in muscle mitochondrial metabolism
Time Frame: admission, day 14, and hospital discharge
|
This will be measured by doing urine and blood tests.
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admission, day 14, and hospital discharge
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Change in key resilience and inflammation biomarkers
Time Frame: admission, day 14, and hospital discharge
|
This will be measured utilizing the Duke Pepper Panel which serves as a comprehensive set of biological indicators typically incorporating: hormones, inflammatory markers and genomic factors.
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admission, day 14, and hospital discharge
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Paul Wischmeyer, MD, Duke
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Pro00112343
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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