Shorter Recovery Time After Critical Illness
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 发起方
- 入组人数
- 57
- 试验地点
- 1
- 主要终点
- Length of stay from randomization to discharge from hospital to home or to an institution with a lower care level than a hospital for instance a long term care facility.
研究概览
简要总结
Patients will receive oral nicotinamide riboside or placebo and clinical and paraclinical outcome will be determined
详细描述
Patients experiencing acute illness will often have a prolonged recovery time. The cause of this is unknown, but certain factors, like age, duration, and graveness of the illness, is associated with prolonged recovery. In this study, we will investigate whether nicotinamide riboside can shorten the recovery phase and improve outcome after acute illness.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Sequential
- 主要目的
- Supportive Care
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
盲法说明
The safety committee will have access to unblinded results during the study.
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- •Allergy to NR or ingredients in capsules or placebo.
- •Patients expected to pass away within 90 days.
- •Patients unable to give their consent
- •Unstable patients:
- •i. Uncontrolled infection (clinical septicaemia, inadequate response to treatment, inadequate control of source of infection or at treating physician's discretion).
- •ii. Mean arterial pressure <70 mm Hg and symptoms of hypotension. iii. Patients requiring dialysis at the time of inclusion or glomerular filtration rate <40 iv. Liver failure with Child-Pugh class B or C or any class associated with hepatic encephalopathy (any grade), alanin aminotransferase or aspartate aminotransferase >3 times upper limit v. Moderate to severe peripheral oedema and/or pulmonary oedema, any unstable cardiac rhythm, myocardial infarction with peak TNT >300 past week. Signs of elevated intracranial pressure (headache, vomiting and depressed global consciousness in conjunction with focal neurological signs, papilledema, spontaneous periorbital bruising and a triad of bradycardia, respiratory depression and hypertension).
- •vi. Arterial pH <7.30 or >7.50 vii. Serum potassium under 3,2 or over 5 mmol/L.
- •Pregnancy or breastfeeding *
- •Any cancer not in full remission for >10 years
- •Use of St John's Wort based supplements during the past 30 days
- •Patient has undergone solid organ transplantation
- •Participation in any clinical trial with unknown medications
- •Major gastrointestinal or other internal bleeding past week
- •Logistical challenges after discharge. Patient must be able to attend follow up.
- •The treating physician considers the patient unfit or unable to participate. *All fertile women must have a human chorionic gonadotropin test.
研究组 & 干预措施
Nicotinamide riboside 250 mg
One capsule of 250 mg each morning for three months
干预措施: Nicotinamide riboside (Drug)
Nicotinamide riboside 500 mg
One capsule of 250 mg each morning and afternoon for three months
干预措施: Nicotinamide riboside (Drug)
Nicotinamide riboside 1000 mg
Two capsules of 250 mg each morning and afternoon for three months
干预措施: Nicotinamide riboside (Drug)
Nicotinamide riboside 2000 mg
Four capsules of 250 mg each morning and afternoon for three months
干预措施: Nicotinamide riboside (Drug)
Placebo for 250 mg nicotinamide riboside
One capsule each morning for three months
干预措施: Placebo (Drug)
Placebo for 500 mg nicotinamide riboside
One capsule each morning and afternoon for three months
干预措施: Placebo (Drug)
Placebo for 1000 mg nicotinamide riboside
Two capsules each morning and afternoon for three months
干预措施: Placebo (Drug)
Placebo for 2000 mg nicotinamide riboside
Four capsules each morning and afternoon for three months
干预措施: Placebo (Drug)
结局指标
主要结局
Length of stay from randomization to discharge from hospital to home or to an institution with a lower care level than a hospital for instance a long term care facility.
时间窗: Up to 90 days
Days
次要结局
- Time to normalization of urine production(Up to 90 days)
- Days on respiratory support(Up to 90 days)
- Days from inclusion to first antibiotic free day(Up to 90 days)
- Change in Katz activities of daily living(14 days prior to admission, baseline, 90 days and 65 weeks)
- Change in forward and backward recall(Day 7, 90 and at 65 weeks)
- Change in NEWS score from -4 hours to 0 hours before first tablet to 1,3, 7 days after first capsule(Four hours before the first administration of NR, at administration of the first capsule and 1, 3 an 7 days after administration of first capsule)
- Change in clinical Frailty Score(Baseline, day 7, day 90 and week 65)
- Time to normalization of blood pressure(Up to 90 days)
- Change in blood pressure during the study period(Baseline and 90 days and 65 weeks)
- Number of days with temperature above 38 at any point from inclusion to discharge.(Up to 90 days)
- Highest CRP from inclusion to end of trial(Up to 90 days)
- Changes in DNA methylation clocks(At baseline, 90 days and 65 weeks.)
- Trail Making Test A(Day 7, 90 and at 65 weeks)
- Change in left ventricular ejection fraction(Baseline, day 7 and at 90 days)
- Change in MoCA(Day 7, 90 and at 65 weeks)
- Mortality(At 90 days, 65 weeks and 10 years)
- Length of stay from randomization to medically fit for discharge from hospital to home or to an institution with a lower care level than a hospital for instance a long term care facility.(Up to 90 days)
- Number of days with temperature above 38 at any point from inclusion to discharge divided on number of days from inclusion to discharge(90 days)
- Number of newly diagnosed infections with identified agent from inclusion to end of trial(90 days and 65 weeks)
- Number of newly diagnosed infections from inclusion to end of trial(90 days and 65 weeks)
- Days on antibiotics from inclusion to end of trial(90 days and 65 weeks)
- Changes in DNA methylation measured by the Illumina DNA methylation BeadArray(At baseline, 90 days and 65 weeks.)
- Change in CAM-ICU(Baseline and day 1,3,7, and every week of hospitalization in ICU)
- Mitochondrial biogenesis - Respiratory Chain Enzyme Analysis(Baseline and 90 days)
- Number of readmissions to hospital(Up to 90 days)
- Change in 4 meter walking test(Baseline, day 7, day 90 and week 65)
- Duration of stay in ICU after randomization(Up to 90 days)
- Change in quality of life(14 days prior to admission, baseline, 90 days and 65 weeks)
- Trail Making Test B(Day 7, 90 and at 65 weeks)
- Change in grip strength over three months(Baseline, day 7, day 90 and at 65 weeks)
- Safety - adverse events(Up to 90 days)
- Changes in hearing(At baseline, 7 and 90 days and 65 weeks)
- Change in mitochondrial biogenesis - mitochondrial DNA quantification(Baseline to 90 days)
- Change in NAD+ (nicotinamide adenosine dinucleotide) and related metabolite blood levels(Baseline, day 7 and day 90)
- Change in ECOG status(14 days prior to admission, baseline, day 7, day 90 and week 65)
- Change in GSC(Day 1, 3 and 7)
- Safety - change in blood analytes(Up to 90 days)
研究者
Arne Vasli Lund Søraas
Principal Investigator
Oslo University Hospital
