Enteral Versus Parenteral Glutamine Supplement
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Purpose
Glutamine is a major fuel for the intestinal tract and immune cells and therefore affects the intestinal permeability (IP) and infection rate at critically ill patients. The preferential route of glutamine supplementation at critically ill patients still remains open. Therefore the researchers will investigate IP, infection rate and treatment outcome at patients supplemented with either parenteral or enteral glutamine.
A prospective randomized single blind study is performed at mechanically ventilated. Patients were randomly assigned to either parenteral (group P) or enteral (group E) glutamine supplemented group. Early enteral feeding is started in both groups. Patients are/will be treated with glutamine for five days. IP will be measured using lactulose/mannitol test (L/M) on the fourth day.
| Condition | Intervention | Phase |
|---|---|---|
|
Critically Ill |
Dietary Supplement: enteral glutamine, parenteral glutamine |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Comparison of Effect of Enteral Versus Parenteral Glutamine Supplement on Intestinal Permeability and Outcome of Critically Ill Patients |
- Measurement of intestinal permeability using lactulose-mannitol test [ Time Frame: 4 days after admission to intensive care unit ] [ Designated as safety issue: Yes ]
- Infection rate and survival [ Time Frame: 6 months survival ] [ Designated as safety issue: Yes ]
| Enrollment: | 72 |
| Study Start Date: | October 2004 |
| Study Completion Date: | March 2009 |
| Primary Completion Date: | January 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: glutamine
Glutamine is a major fuel for the intestinal tract and immune cells and therefore affects the intestinal permeability and infection rate at critically ill patients.
|
Dietary Supplement: enteral glutamine, parenteral glutamine
Comparison of enteral versus parenteral glutamine administration at critically ill patients.
Other Name: Dipeptiven, Alitraque
|
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- mechanically ventilated critically-ill patients
- older than 18 years
- staying in intensive care unit for at least 4 days
Exclusion Criteria:
- anuria
- intestinal insufficiency (obstruction, discontinuation of intestine or severe ileus)
Contacts and Locations| Slovenia | |
| General Hospital Slovenj Gradec | |
| Slovenj Gradec, Slovenia | |
| Principal Investigator: | Jasna Uranjek, MD | General Hospital Slovenj Gradec |
More Information
Publications:
| Responsible Party: | Lidija Kompan, University Medical Centre Ljubljana |
| ClinicalTrials.gov Identifier: | NCT00875797 History of Changes |
| Other Study ID Numbers: | P4-0092: onko |
| Study First Received: | April 2, 2009 |
| Last Updated: | April 2, 2009 |
| Health Authority: | Slovenia: Ethics Committee |
Keywords provided by University Medical Centre Ljubljana:
|
enteral parenteral glutamine intestinal permeability infection |
Additional relevant MeSH terms:
|
Critical Illness Disease Attributes Pathologic Processes |
ClinicalTrials.gov processed this record on May 16, 2013