NCT00179166
Terminated
Phase 2
Assessment of Metabolic Response in Critically Ill Patients With Acute Renal Failure
Overview
- Phase
- Phase 2
- Intervention
- TPN nutritional supplement
- Conditions
- Acute Renal Failure
- Sponsor
- Vanderbilt University
- Enrollment
- 3
- Locations
- 1
- Primary Endpoint
- whole-body net protein balance
- Status
- Terminated
- Last Updated
- 15 years ago
Overview
Brief Summary
We hypothesize that a nutritional supplementation with higher than standard protein content (2.0 gm/Kg/day vs 1.4 gm/Kg/day) will result in improved whole-body net protein balance when administered to critically ill patients with acute renal failure (ARF).
Investigators
Eligibility Criteria
Inclusion Criteria
- •Adults ≥ 18 years of age admitted to the intensive care unit
- •New onset acute renal failure (ARF) or ARF superimposed on chronic kidney disease
- •ARF will be defined by a sustained (over 24 hours) increase in serum creatinine \> 0.5 mg/dl from baseline
- •Patients will be recruited for the study within 3-5 days following establishment of ARF
Exclusion Criteria
- •Institutionalized patient
- •Previous kidney transplant
- •Pregnancy
- •Unable to obtain consent from subject or legally recognized representative
- •ARF from urinary tract obstruction or a volume responsive pre-renal state.
- •Liver Failure
- •Recent cerebrovascular accident (CVA)
- •Coagulopathy defined as: Platelets \< 50, PT \> 20, INR \> 2.0 if the patient requires the placement of an arterial or venous catheter; if the patient does not require the placement of an arterial or venous catheter for the study, coagulopathy will not be a basis for exclusion.
- •Life expectancy \< 48 hours
Arms & Interventions
1
supplement contains protein content of 1.4 g/kg/day
Intervention: TPN nutritional supplement
2
supplement contains protein content of 2.0 g/kg/day
Intervention: TPN nutritional supplement
Outcomes
Primary Outcomes
whole-body net protein balance
Time Frame: 10 hours
Secondary Outcomes
- Net skeletal muscle protein balance(10 hours)
Study Sites (1)
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