Protocol summary

Study aim
to compare protein delivery and muscle loss among patients who received a high protein enteral feeding and standard care.
Design
This was a randomized, double-blind, controlled clinical trial conducted at general ICU of Imam Hossein Hospital. A total of 100 patients were included. A random number generator software was used to prepare the randomization list.
Settings and conduct
Eligible patients were randomized in a 1:1 ratio to receive either the intervention or standard care. The intervention group received EN using a high-protein formula with a target protein delivery of 1.5 g/kg per day. The control group received standard nutrition care protocol, which aims to provide 1.0 g/kg/day protein. A blinded investigator (T.Sorbi) undertook the outcome measurements.
Participants/Inclusion and exclusion criteria
Inclusion criteria: 1. Adult aged 18-65 years admitted to ICU 2. Stay in ICU for at least 72 hours Exclusion criteria: 1. GCS less than 5 2. Unstable Arm fracture 3. Wound & infection of the arm 4. Upper extremity numbness 5. Upper extremity thrombosis 6. Musculoskeletal diseases 7. pregnancy 8. Liver disease 9. End-stage renal disease
Intervention groups
High-protein enteral nutrition group Standard care group
Main outcome variables
Changes in Biceps muscle thickness

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20200124046242N1
Registration date: 2020-08-16, 1399/05/26
Registration timing: registered_while_recruiting

Last update: 2020-08-16, 1399/05/26
Update count: 0
Registration date
2020-08-16, 1399/05/26
Registrant information
Name
Tahereh Sorbi
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 21 2281 4083
Email address
t.sorbi@sbmu.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2020-02-20, 1398/12/01
Expected recruitment end date
2020-08-22, 1399/06/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Compariative study of Biceps Muscle Diameter under Ultrasound Guide in ICU & its Relation with Protein intake as a Indicator of Nutrition & Muscle atrophy
Public title
Evaluation of Nutritional Statue of Patient in ICU with sonography
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Adult 18_65 years admitted to ICU Stay in ICU for at least 72 hours
Exclusion criteria:
GCS less than 5 Untable Arm fracture Wound & infection of arm Upper extremity numbness Upper extremity thrombosis Musculoskeletal diseas pregnancy Liver disease End stage renal disease
Age
From 18 years old to 65 years old
Gender
Both
Phase
3
Groups that have been masked
No information
Sample size
Target sample size: 100
Randomization (investigator's opinion)
Randomized
Randomization description
Permuted block randomization with a block size of four was used for group allocation. The list of random numbers were generated using Excel software.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics committee of Shahid Beheshti University of Medical Sciences
Street address
7th Floor, Bldg No.2 SBUMS, Arabi Ave, Daneshjoo Blvd, Velenjak, Tehran, Iran.
City
Tehran
Province
Tehran
Postal code
193954719
Approval date
2020-01-12, 1398/10/22
Ethics committee reference number
IR.SBMU.RETECH.REC.1398.600

Health conditions studied

1

Description of health condition studied
critical illness
ICD-10 code
M62.5
ICD-10 code description
Muscle wasting and atrophy, not elsewhere classified

Primary outcomes

1

Description
Biceps muscle thickness
Timepoint
Baseline and day 3, 6, 9, 12, 15, 18, 21
Method of measurement
muscle ultrasonography

2

Description
Nitrogen balance
Timepoint
Day 3 and day 5
Method of measurement
subtracting nitrogen losses from nitrogen intake according to the standard formula

Secondary outcomes

1

Description
Mortality
Timepoint
Day 21
Method of measurement
Death recorded in medical record

Intervention groups

1

Description
Intervention group: High-protein enteral nutrition
Category
Treatment - Drugs

2

Description
Control group: standard care
Category
Treatment - Drugs

Recruitment centers

1

Recruitment center
Name of recruitment center
Imam Hossein Hospital
Full name of responsible person
Tahereh Sorbi
Street address
Madani Ave, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
19839-63113
Phone
+98 21 7755 8081
Fax
+98 21 7755 7069
Email
Intl_office@sbmu.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Shahid Beheshti University of Medical Sciences
Full name of responsible person
Seyed Ali Ziai
Street address
Shahid Beheshti University of Medical Sciences, Arabi Ave, Daneshjoo Blvd, Velenjak, Tehran, Iran.
City
Tehran
Province
Tehran
Postal code
19839-63113
Phone
+98 21 2243 9770
Email
Intl_office@sbmu.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Shahid Beheshti University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Shahid Beheshti University of Medical Sciences
Full name of responsible person
Tahereh Sorbi
Position
ICU Fellowship
Latest degree
Subspecialist
Other areas of specialty/work
Anesthesiology
Street address
Madani Ave, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
19839-63113
Phone
+98 21 7755 8081
Email
t.sorbi@sbmu.ac.ir

Person responsible for scientific inquiries

Contact
Name of organization / entity
Shahid Beheshti University of Medical Sciences
Full name of responsible person
Tahereh Sorbi
Position
ICU fellowship
Latest degree
Subspecialist
Other areas of specialty/work
Anesthesiology
Street address
Madani Ave, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
19839-63113
Phone
+98 21 7755 8081
Email
t.sorbi@sbmu.ac.ir
Web page address

Person responsible for updating data

Contact
Name of organization / entity
Shahid Beheshti University of Medical Sciences
Full name of responsible person
Tahereh Sorbi
Position
ICU Fellowship
Latest degree
Subspecialist
Other areas of specialty/work
Anesthesiology
Street address
Madani Ave, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
19839-63113
Phone
+98 21 7755 8081
Email
t.sorbi@sbmu.ac.ir

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
No - There is not a plan to make this available
Statistical Analysis Plan
No - There is not a plan to make this available
Informed Consent Form
No - There is not a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
No - There is not a plan to make this available
Data Dictionary
No - There is not a plan to make this available
Title and more details about the data/document
The investigators refused to share individual data.
When the data will become available and for how long
The investigators refused to share individual data.
To whom data/document is available
The investigators refused to share individual data.
Under which criteria data/document could be used
The investigators refused to share individual data.
From where data/document is obtainable
The investigators refused to share individual data.
What processes are involved for a request to access data/document
The investigators refused to share individual data.
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