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Trial registered on ANZCTR
Registration number
ACTRN12609000366257
Ethics application status
Approved
Date submitted
17/04/2009
Date registered
27/05/2009
Date last updated
16/06/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
Effects of parenteral protein intake in intensive care patients
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Scientific title
Nutritional status and outcomes in critically ill patients receiving a standard or a high-protein parenteral nutrition triple-phase solution
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Secondary ID [1]
283709
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nil
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Universal Trial Number (UTN)
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Trial acronym
EPPII
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
critical illness
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Condition category
Condition code
Diet and Nutrition
4925
4925
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0
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Other diet and nutrition disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Patients requiring intravenous (parenteral) nutrition in the intensive care unit will be randomised to receive one of two triple phase parenteral nutrition solutions for the duration of their need for parenteral nutrition while in the intensive care unit. The protein in the parenteral nutrition solution is in the form of a balanced set of amino acids. The higher-protein intervention solution has 53g of amino acids per 1000kcal.
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Intervention code [1]
4384
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Treatment: Other
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Comparator / control treatment
Patients requiring intravenous (parenteral) nutrition in the intensive care unit will be randomised to receive one of two triple phase parenteral nutrition solutions for the duration of their need for parenteral nutrition while in the intensive care unit. The protein in the parenteral nutrition solution is in the form of a balanced set of amino acids. The lower-protein control solution is similar to the standard product currently used in the intensive care unit, with 39g of amino acids per 1000kcal.
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Control group
Active
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Outcomes
Primary outcome [1]
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nitrogen balance measured using a 24-hour urine collection to calculate 24-hour urinary urea nitrogen excretion and compare with nitrogen intake from the parenteral nutrition solution.
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Assessment method [1]
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Timepoint [1]
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after 5 days on parenteral nutrition
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Secondary outcome [1]
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handgrip dynamometer measurement
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Assessment method [1]
241732
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Timepoint [1]
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on discharge from the intensive care unit
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Eligibility
Key inclusion criteria
adult intensive care patients requiring parenteral nutrition - our intensive care unit is an adult unit by Department of Health criteria, that is it accepts patients from 16 years upwards and all patients in the unit will be eligible for the study.
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Minimum age
16
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
patients under 16 years of age
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
consecutive patients requiring parenteral nutrition will be enrolled and randomised to standard or high-protein parenteral nutrition with retrospective consent. Parenteral nutrition solutions will be concealed by sealed identical light-protective covers.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computerised sequence generation
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
30/06/2009
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Actual
25/11/2013
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Date of last participant enrolment
Anticipated
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Actual
30/11/2014
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Royal Prince Alfred Hospital - Camperdown
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Recruitment postcode(s) [1]
9842
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2050 - Camperdown
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
4806
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Country [1]
4806
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Primary sponsor type
Hospital
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Name
Royal Prince Alfred Hospital
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Address
Missenden Road
Camperdown NSW 2050
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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University of Sydney
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Address [1]
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City Road,
University of Sydney
UNIVERSITY OF SYDNEY
NSW 2006
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Sydney South West Area Health Service Ethics Review Committee (Royal Prince Alfred Hospital zone)
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Ethics committee address [1]
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Royal Prince Alfred Hospital Missenden Road CAMPERDOWN NSW 2050
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Ethics committee country [1]
6853
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Australia
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Date submitted for ethics approval [1]
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20/04/2009
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Approval date [1]
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16/11/2009
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Ethics approval number [1]
6853
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X09-0228 & HREC/09/RPAH/373
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Summary
Brief summary
There is no good evidence to support any particular level of protein input in critical illness. Some studies have indicated a level above which there is no additional benefit to short-term indicators (such as nitrogen balance), but none of the studies have looked at the effects on concrete outcomes such as time in the intensive care unit, or functional measures after discharge. The aim of this study is to look at such concrete measures after administering two different levels of protein to patients who are fed intravenously. The hypothesis is that a higher level of protein will improve outcomes.
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Trial website
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Trial related presentations / publications
no publications as yet
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Public notes
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Contacts
Principal investigator
Name
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Ms Suzie Ferrie
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Address
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Department of Nutrition & Dietetics
Royal Prince Alfred Hospital
Missenden Road
CAMPERDOWN NSW 2050
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Country
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Australia
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Phone
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+ 61 2 9515 8053
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Suzie Ferrie
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Address
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Department of Nutrition & Dietetics
Royal Prince Alfred Hospital
Missenden Road
CAMPERDOWN NSW 2050
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Country
12753
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Australia
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Phone
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+61 2 95158053
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Suzie Ferrie
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Address
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Department of Nutrition & Dietetics
Royal Prince Alfred Hospital
Missenden Road
CAMPERDOWN NSW 2050
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Country
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Australia
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Phone
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+61 2 95158053
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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