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Enteral Versus Parenteral Glutamine Supplement
This study has been completed.
First Received: April 2, 2009   No Changes Posted
Sponsored by: University Medical Centre Ljubljana
Information provided by: University Medical Centre Ljubljana
ClinicalTrials.gov Identifier: NCT00875797
  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 IV

Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Outcomes Assessor), Active Control, Parallel Assignment, Efficacy Study
Official Title: Comparison of Effect of Enteral Versus Parenteral Glutamine Supplement on Intestinal Permeability and Outcome of Critically Ill Patients

Resource links provided by NLM:


Further study details as provided by University Medical Centre Ljubljana:

Primary Outcome Measures:
  • Measurement of intestinal permeability using lactulose-mannitol test [ Time Frame: 4 days after admission to intensive care unit ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • 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
glutamine: Experimental
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.

  Eligibility

Ages Eligible for Study:   18 Years to 80 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

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
Please refer to this study by its ClinicalTrials.gov identifier: NCT00875797

Locations
Slovenia
General Hospital Slovenj Gradec
Slovenj Gradec, Slovenia
Sponsors and Collaborators
University Medical Centre Ljubljana
Investigators
Principal Investigator: Jasna Uranjek, MD General Hospital Slovenj Gradec
  More Information

Publications:
Responsible Party: University Medical Centre Ljubljana ( Lidija Kompan )
Study ID Numbers: P4-0092: onko
Study First Received: April 2, 2009
Last Updated: April 2, 2009
ClinicalTrials.gov Identifier: NCT00875797     History of Changes
Health Authority: Slovenia: Ethics Committee

Keywords provided by University Medical Centre Ljubljana:
enteral
parenteral
glutamine
intestinal permeability
infection

Study placed in the following topic categories:
Glutamine
Critical Illness

Additional relevant MeSH terms:
Disease Attributes
Pathologic Processes
Critical Illness

ClinicalTrials.gov processed this record on September 11, 2009