Leptin: a Therapeutic Option for Treating Catabolic States and Malnutrition in Critically Ill Patients
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|ClinicalTrials.gov Identifier: NCT00893932|
Recruitment Status : Unknown
Verified April 2009 by Hadassah Medical Organization.
Recruitment status was: Recruiting
First Posted : May 6, 2009
Last Update Posted : May 6, 2009
|Condition or disease|
|Systemic Inflammatory Response Syndrome|
Patients admitted to the Medical Intensive Care Unit who comply with criteria for SIRS (Systemic inflammatory response syndrome) will be enrolled into the study.
SIRS can be diagnosed when two or more of the following are present:
- Heart rate > 90 beats per minute
- Body temperature < 36 or > 38°C
- Hyperventilation (high respiratory rate) > 20 breaths per minute or, on blood gas, a PaCO2 < 32 mm Hg or mechanically ventilated
- White blood cell count < 4000 cells/mm3 or > 12000 cells/mm3 (< 4 x 109 or > 12 x 109 cells/L), or the presence of greater than 10% immature neutrophils.
Clinical parameters will be collected including: demographics, diagnosis, past medical history, past and present medications, fluids and nutrition administered, oxygenation and ventilation parameters, hemodynamic status and renal function and/or replacement therapy. Severity of illness using APACHE II score, major events during unit stay such as procedures, length of inotropic support, complications. Length of unit and hospital stay, length of ventilation, unit and hospital outcome.
Baseline leptin levels (within 8 hours of admission) will be obtained. Subsequent levels of leptin will be measured every 2 days or until discharge from the unit or death.
Serial blood count, chemistry, total protein, albumin, renal and liver function, glucose and insulin levels, lactate, total cholesterol, TSH, T3, IL-6, TNF-a, adiponectin, CRP, ESR, urine output, creatinine clearance and Nitrogen balance will be obtained.
|Study Type :||Observational|
|Estimated Enrollment :||75 participants|
|Study Start Date :||August 2008|
|Estimated Primary Completion Date :||August 2009|
|Estimated Study Completion Date :||December 2009|
- To assess in the intensive care setting leptin levels and their relationship to inflammatory cytokines during the course of catabolic illnesses and following recovery. [ Time Frame: 14 days, discharge from ICU or death ]
- To measure indices of metabolism, catabolism and ICU outcome and their associations with leptin response. [ Time Frame: 14 days, ICU discharge or death ]
Biospecimen Retention: Samples Without DNA
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00893932
|Medical ICU, Hadassah Medical Organization||Recruiting|
|Jerusalem, Israel, 91120|
|Contact: Sigal Sviri, MD 972 2 6777111 firstname.lastname@example.org|
|Contact: Yosepha Avraham, pHD 972 2 6757547|
|Principal Investigator: Sigal Sviri, MD|
|Principal Investigator: Yosepha Avraham, PHD|
|Principal Investigator: Elliot Beeri, MD|
|Principal Investigator: Zipora Neuman, MD|
|Sub-Investigator: Abed Bayya, MD|
|Sub-Investigator: Ilana Stav|
|Principal Investigator:||Sigal Sviri, MD||Hadassah Medical Organization|
|Principal Investigator:||Yosepha Avraham, pHD||Hebrew University|