Enteral Versus Parenteral Glutamine Supplement

This study has been completed.
Sponsor:
Information provided by:
University Medical Centre Ljubljana
ClinicalTrials.gov Identifier:
NCT00875797
First received: April 2, 2009
Last updated: NA
Last verified: April 2009
History: No changes posted

April 2, 2009
April 2, 2009
October 2004
January 2009   (final data collection date for primary outcome measure)
Measurement of intestinal permeability using lactulose-mannitol test [ Time Frame: 4 days after admission to intensive care unit ] [ Designated as safety issue: Yes ]
Same as current
No Changes Posted
Infection rate and survival [ Time Frame: 6 months survival ] [ Designated as safety issue: Yes ]
Same as current
Not Provided
Not Provided
 
Enteral Versus Parenteral Glutamine Supplement
Comparison of Effect of Enteral Versus Parenteral Glutamine Supplement on Intestinal Permeability and Outcome of Critically Ill Patients

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.

Not Provided
Interventional
Phase 4
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Outcomes Assessor)
Primary Purpose: Treatment
Critically Ill
Dietary Supplement: enteral glutamine, parenteral glutamine
Comparison of enteral versus parenteral glutamine administration at critically ill patients.
Other Name: Dipeptiven, Alitraque
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.
Intervention: Dietary Supplement: enteral glutamine, parenteral glutamine
Luo M, Bazargan N, Griffith DP, Estívariz CF, Leader LM, Easley KA, Daignault NM, Hao L, Meddings JB, Galloway JR, Blumberg JB, Jones DP, Ziegler TR. Metabolic effects of enteral versus parenteral alanyl-glutamine dipeptide administration in critically ill patients receiving enteral feeding: a pilot study. Clin Nutr. 2008 Apr;27(2):297-306. Epub 2008 Feb 7.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
72
March 2009
January 2009   (final data collection date for primary outcome measure)

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)
Both
18 Years to 80 Years
No
Contact information is only displayed when the study is recruiting subjects
Slovenia
 
NCT00875797
P4-0092: onko
Yes
Lidija Kompan, University Medical Centre Ljubljana
University Medical Centre Ljubljana
Not Provided
Principal Investigator: Jasna Uranjek, MD General Hospital Slovenj Gradec
University Medical Centre Ljubljana
April 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP