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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03793244
Registration number
NCT03793244
Ethics application status
Date submitted
23/04/2017
Date registered
4/01/2019
Titles & IDs
Public title
TARGET-Metabolic Effects
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Scientific title
The Augmented Versus Routine Approach to Giving Energy Trial Metabolic Effects Sub-study (TARGET-ME)
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Secondary ID [1]
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MC_001 V1 240217
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Universal Trial Number (UTN)
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Trial acronym
TARGET-ME
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Critical Illness
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Enteral Nutrition
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Condition category
Condition code
Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Treatment: Other - TARGET protocol EN 1.5 kcal/mL
Experimental: TARGET protocol EN 1.5 kcal/mL - Enteral (EN) feed 1.5 kcal/mL. Indirect calorimetry and/or VCO2 measurements will be taken periodically while in the TARGET main study
Active Comparator: TARGET protocol EN 1.0 kcal/mL - Enteral feed 1.0 kcal/mL Indirect calorimetry and/or VCO2 measurements will be taken periodically while in the TARGET main study
Treatment: Other: TARGET protocol EN 1.5 kcal/mL
Enteral nutrition
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Calorie difference in kcal
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Assessment method [1]
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Difference in mean calorie delivery and mean measured calorie utilisation over the study period (expressed as a percentage of measured requirements received) in each study group
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Timepoint [1]
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Up to day 28
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Secondary outcome [1]
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Calorie difference in kcal in the whole study cohort
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Assessment method [1]
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Calorie difference in kcal between mean calorie delivery and mean measured calorie utilisation over the study period (expressed as a percentage of measured requirements received) in the whole study cohort
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Timepoint [1]
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Up to day 28
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Eligibility
Key inclusion criteria
Patients must first meet the inclusion and none of the exclusion criteria for the TARGET main trail (NCT02306746). The following additional criteria applies for this study when indirect calorimetry is being used:
* Within 48 hours of randomisation to TARGET (first measurement only)
* Fi02 < 50% for the past 1 hour
* Positive end expiratory pressure (PEEP) < 12 mmHg for the past 1 hour
* The IC test can be conducted within 48 hours of randomisation to TARGET
* The patient is not considered agitated using the usual site assessment
* There is a clinician available to complete the test
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* There is an air leak in the ventilation circuit (ie bubbling inter-costal catheters, cuff leak at the endotracheal tube
* The patient is receiving renal replacement therapy or extracorporeal membrane oxygenation at the time of measurement
* Has had surgery in the last 6 hours (if enough time within the 48 hour window, consider waiting until this criteria is less than 6 hours)
* If the patient has a traumatic brain injury, for the previous 6 hours, their intracranial pressures have been unstable and in the opinion of the treating intensivist are not controlled
* The treating clinician believes that the IC test will pose risk to the patient
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Study design
Purpose
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Duration
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Selection
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/07/2017
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/08/2018
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Sample size
Target
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Accrual to date
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Final
42
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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ANZIC-RC - Melbourne
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Recruitment postcode(s) [1]
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3004 - Melbourne
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Funding & Sponsors
Primary sponsor type
Other
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Name
Australian and New Zealand Intensive Care Research Centre
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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The Canberra Hospital
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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Royal Adelaide Hospital
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Address [2]
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Country [2]
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Other collaborator category [3]
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Government body
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Name [3]
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Auckland City Hospital
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Address [3]
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Country [3]
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Other collaborator category [4]
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Other
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Name [4]
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Melbourne Health
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Address [4]
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Country [4]
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Ethics approval
Ethics application status
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Summary
Brief summary
The estimation of calorie needs during routine practice in critically ill patients is highly variable and the thermogenic effect of continuous delivery of enteral nutrition (EN) on overall calorie utilisation in critically ill adults is unknown. The TARGET-ME study is a substudy of the TARGET trial (NCT02306746). The TARGET trial provides the perfect opportunity to measure calorie utilisation via indirect calorimetry (IC) and ventilator-derived carbon dioxide production (VCO2) to compare measured calorie utilisation to estimation methods, determine the potential thermic effect of EN solutions with different energy concentrations and investigate any associations with outcome.
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Trial website
https://clinicaltrials.gov/study/NCT03793244
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03793244