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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03186716
Other study ID # 2017670
Secondary ID
Status Completed
Phase N/A
First received June 11, 2017
Last updated April 12, 2018
Start date June 11, 2017
Est. completion date March 11, 2018

Study information

Verified date April 2018
Source National Nutrition and Food Technology Institute
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The effects of colostrum on intestinal permeability in critical ill patients has not been investigated. In current trial, intensive care unit patients with enteral feeding will receive either enteral colostrum or maltodextrin as placebo.


Description:

A randomized, double blind, controlled trial will be conducted in general intensive care unit (ICU) in Tehran, Iran. After a full review of the inclusion and exclusion criteria and explanation of the risks and benefits of the study, written consent form will be completed. Intervention patients will be received 20 g/day of colostrum along with enteral formula and control patients will be received maltodextrin along with enteral formula. Patients will be evaluated for plasma endotoxin and plasma zonulin.


Recruitment information / eligibility

Status Completed
Enrollment 70
Est. completion date March 11, 2018
Est. primary completion date January 25, 2018
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria:

- Adult patients (>18 years old) admitted to ICU

- Start of study intervention within 48 hours after ICU admission

- Expected to require enteral nutrition for at least 72 hours aiming for full enteral nutrition and receive at least 80 percent of enteral formula during the first 48 hour

- Written informed consent of patient or written informed consent of legal representative

Exclusion Criteria:

- Enrollment in a related ICU interventional study

- Requiring other specific enteral nutrition for medical reason

- Death or Discharge before 5th day

- Having any contra-indication to receive enteral nutrition

- Pregnant patients or lactating with the intent to breastfeed

- BMI <18 or > 40.0 kg/m2

- Have life expectancy of <6 mo

- Patients who are moribund

- History of allergy or intolerance to the study product components

- Receiving colostrum during two weeks before start study product

- Have other reasons

Study Design


Related Conditions & MeSH terms


Intervention

Dietary Supplement:
Colostrum
Enteral colostrum 20g/day powdered colostrum to be mixed in with water and given via nasogastric tube q4 hrs.
Maltodextrin
Control patients will be received enteral formula and maltodextrin mixed in with water and given via nasogastric tube as boluses q 4hrs.

Locations

Country Name City State
Iran, Islamic Republic of National Nutrition and Food Technology Research Institute Tehran

Sponsors (1)

Lead Sponsor Collaborator
National Nutrition and Food Technology Institute

Country where clinical trial is conducted

Iran, Islamic Republic of, 

References & Publications (5)

Benson KF, Carter SG, Patterson KM, Patel D, Jensen GS. A novel extract from bovine colostrum whey supports anti-bacterial and anti-viral innate immune functions in vitro and in vivo: I. Enhanced immune activity in vitro translates to improved microbial clearance in animal infection models. Prev Med. 2012 May;54 Suppl:S116-23. doi: 10.1016/j.ypmed.2011.12.023. Epub 2011 Dec 28. — View Citation

Halasa M, Maciejewska D, Baskiewicz-Halasa M, Machalinski B, Safranow K, Stachowska E. Oral Supplementation with Bovine Colostrum Decreases Intestinal Permeability and Stool Concentrations of Zonulin in Athletes. Nutrients. 2017 Apr 8;9(4). pii: E370. doi: 10.3390/nu9040370. — View Citation

Kim JW, Jeon WK, Kim EJ. Combined effects of bovine colostrum and glutamine in diclofenac-induced bacterial translocation in rat. Clin Nutr. 2005 Oct;24(5):785-93. — View Citation

Rathe M, Müller K, Sangild PT, Husby S. Clinical applications of bovine colostrum therapy: a systematic review. Nutr Rev. 2014 Apr;72(4):237-54. doi: 10.1111/nure.12089. Epub 2014 Feb 26. Review. — View Citation

Yoon JY, Park SJ, Cheon JH. Effect of Colostrum on the Symptoms and Mucosal Permeability in Patients with Irritable Bowel Syndrome: A Randomized Placebo-controlled Study. Intest Res. 2014 Jan;12(1):80-2. doi: 10.5217/ir.2014.12.1.80. Epub 2014 Jan 28. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Change from Baseline plasma endotoxin concentration at 10 days The levels of plasma endotoxin baseline, Day 5, Day 10
Primary Change from Baseline plasma zonulin concentration at 10 days The levels of plasma zonulin baseline, Day 5, Day 10
Secondary Gastrointestinal complications abdominal distention, vomiting, diarrhea and constipation Day 10
Secondary Mortality in ICU Mortality rate Day 10
Secondary length of stay in ICU Duration of stay in ICU Day 10
Secondary incidence of severe sepsis according to the American College of Chest Physicians and the Society of Critical Care Medicine Day 10
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