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临床试验/NCT03698292
NCT03698292Unknown不适用

The Study of The Efficacy and Safety of Itopride For Feeding Intolerance in Critically-ill Patients Receiving Enteral Nutrition

Ain Shams University1 个研究点 分布在 1 个国家目标入组 60 人开始时间: 2018年10月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
不适用
入组人数
60
试验地点
1
主要终点
Gastric Residual Volume

研究概览

简要总结

The current study will compare the effectiveness as well as the safety of Itopride against metoclopramide as the first line treatment for feeding intolerance in critically ill patients.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 60 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • Patients aging between 18 and 60 years (of both sexes) who are admitted to the ICU and are expected to stay in the ICU for not less than 7 days and are prescribed enteral feeding through naso- or oro-gastric tube whose modified nutritional risk in the critically ill (mNUTRIC) score is of more than or equal 5.

排除标准

  • Patients who met the following criteria were excluded:
  • Age less than 18 years or more than 60 years.
  • Previous upper gastrointestinal tract surgery, obstruction, hemorrhage or history of GI disease.
  • Clinically significant hepatic dysfunction. (>3 times above the upper end of normal range of bilirubin, γ-glutamyl transferase, aspartate transaminase, or lactate dehydrogenase)
  • Regular use of H2 blockers, prokinetic, proton pump inhibitor or anticholinergic agents for previous 4 weeks.
  • Patients with arrhythmia or atrioventricular blocks.
  • Any condition or comorbid disease that might interfere with gastric emptying such as diabetes.
  • Patients with head injuries.

研究组 & 干预措施

First group

Active Comparator

Metoclopramide 10 mg tablets will be taken by the patients of this group three times daily for 7 days

干预措施: Metoclopramide 10mg (Drug)

Second Group

Active Comparator

Itopride 50 mg tablets will be taken by the patients of this group three times daily for 7 days

干预措施: Itopride (Drug)

结局指标

主要结局

Gastric Residual Volume

时间窗: 7 days

Gastric residual volume as a surrogate to gastric emptying by means of gastric ultrasound. of the study, at midpoint of the study and at the end of the study by guided ultrasonography.

次要结局

  • Length of ICU stay(3 months)
  • Determining the adequacy of enteral nutrition(24 hours)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Eman Mohamed El Mokadem

Assistant Lecturer

Future University in Egypt

研究点 (1)

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