Nutrition Clinical Trial
Official title:
Tolerance and Practicality of Module AOX - a Modular Device for Supplementation of Enteral Nutrition
The primary objective of this clinical trial is to test the tolerance and practicality of
the new device Module AOX.
The secondary objective is to determine the changes in oxidative, antioxidative status,
plasma free amino acids, and various immune parameters in critically ill patients receiving
the enteral nutrition with and without using Module AOX.
Surgery and trauma induce hypercatabolism accompanied by a systemic immunoinflammtory
response and massive production of reactive oxygen species at the site of injury. In these
situations, requirements for certain amino acids (glutamine, cysteine) and antioxidant
micronutrients (zinc, vitamin E, vitamin C, beta-caroteen, selenium) are markedly increased
and may not be covered by the levels normally present in standard enteral diets, especially
in the early phase when enteral nutrition is introduced gradually. Thus, supplementation
with amino acids and antioxidant micronutrients may be appropiate in order to optimize
nutritional support in such patients.
The administration of selected nutrients via modular devices added to a standard enteral
formulation is an attractive means of providing optimized nutrition support for specific
disease states. Module AOX is intended for supplementation of patients requiring nutritional
support for a condition in which oxidative stress is expected. The module contains:
- Glutamine: to support gut mucosal and immune function, to minimize early depletion of
glutamine stores and preserve body protein
- Cysteine: to support synthesis of glutathione, an important cellular antioxidant, and
to support the synthesis of acute phase proteins
- Vitamin E, vitamin C and beta-caroteen: water- and lipid-soluble antioxidant
micronutrients to boost antioxidant defenses
- Zinc: to compensate for increased losses and to support protein synthesis, immune
function and wound healing
- Selenium: to compensate for increased losses, support antioxidant defenses and immune
function
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Supportive Care
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