Critically Ill Clinical Trial
Official title:
Effect of Intravenous GLutamine Supplementation IN Trauma Patients Receiving Enteral Nutrition Study Protocol (GLINT Study): A Prospective, Blinded, Randomized, Placebo-controlled Clinical Trial
The purpose of this trial is to investigate if pharmacologically safe dose intravenous glutamine dipeptide supplementation to multiple trauma patients receiving enteral nutrition is associated with improved clinical outcomes in terms of decreased organ dysfunction, infectious complications, and other secondary outcomes
Trauma Patients are characterized by alteration in the immune response, increased exposure
to infectious complications, sepsis, and consequently organ failure and death. Glutamine
supplementation to parenteral nutrition is one of the nutritional interventions that have
been proven to be associated with improved survival rate, decreased infectious morbidity,
costs, intensive care unit, and hospital length of stay. However, glutamine supplementation
in patients receiving enteral nutrition and its best route are still controversial. A number
of trials investigated the beneficial effects of intravenous alanyl-glutamine
supplementation in critically ill patients receiving enteral nutrition. However, these
trials were: pilot trials, investigated surrogate outcomes, or supplementation was for a
short period of time. Therefore, a well designed trial is needed to investigate the effect
of intravenous alanyl-glutamine supplementation in critically ill patients with multiple
trauma receiving enteral nutrition on major clinical outcomes.
Our hypothesis is that trauma patients receiving standard enteral nutrition supplemented
with intravenous alanyl-glutamine will demonstrate improved clinical outcomes compared to
patients receiving standard enteral nutrition without supplementation.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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