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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01240291
Registration number
NCT01240291
Ethics application status
Date submitted
1/11/2010
Date registered
15/11/2010
Date last updated
24/05/2012
Titles & IDs
Public title
The Clinical Role of Intravenous Glutamine in Trauma Patients Receiving Enteral Nutrition
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Scientific title
Effect of Intravenous GLutamine Supplementation IN Trauma Patients Receiving Enteral Nutrition Study Protocol (GLINT Study): A Prospective, Blinded, Randomized, Placebo-controlled Clinical Trial
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Secondary ID [1]
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HREC/10/QRBW/131
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Universal Trial Number (UTN)
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Trial acronym
GLINT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Multiple Trauma
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Critically Ill
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Condition category
Condition code
Skin
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Other skin conditions
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - Dipeptiven
Treatment: Other - normal saline
Experimental: alanyl-glutamine - Intravenous alanyl-glutamine (0.5 g/kg body weight/day)
Placebo comparator: normal saline - Intravenous placebo (normal saline; 0.9 %)
Treatment: Other: Dipeptiven
Intravenous alanyl-glutamine (0.5 g/kg body weight; i.e. 0.35 g L-glutamine / kg body weight; continuous infusion (20-24 hr/day) via central venous access for a maximum duration of 3 weeks.
Treatment: Other: normal saline
0.5 g/kg bod weight /day, continuous infusion (20-24 hr/day) via central venous access for a maximum duration of 3 weeks
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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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The change in daily total Sequential Organ Failure Assessment Score (SOFA)each day over 10 days.
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Assessment method [1]
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The change in daily total SOFA score plotted each day over 10 days, where we will compare the regression slope between the two arms of the study.
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Timepoint [1]
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daily until discharge from intensive care unit, death or maximum duration of 10 days.
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Secondary outcome [1]
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The change in daily total Sequential Organ failure Assessment Score (SOFA) on the last day of treatment as a measure of severity of organ dysfunction.
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Assessment method [1]
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Timepoint [1]
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Last day of treatment
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Secondary outcome [2]
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Number of infections that are documented during intensive care unit stay.
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Assessment method [2]
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Timepoint [2]
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During intensive care unit stay.
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Secondary outcome [3]
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Number of deaths occuring on or before day 60.
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Assessment method [3]
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Timepoint [3]
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within 60 days.
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Secondary outcome [4]
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Length of stay in intensive care unit.
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Assessment method [4]
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Timepoint [4]
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At discharge from intensive care unit.
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Secondary outcome [5]
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Length of stay in hospital.
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Assessment method [5]
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Length of stay in hospital (if delayed discharge due to placement problems, will record from the date the patient is regarded as fit for discharge by medical staff).
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Timepoint [5]
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At hospital discharge.
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Secondary outcome [6]
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Number of days on mechanical ventilation.
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Assessment method [6]
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Timepoint [6]
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during intensive care unit stay.
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Secondary outcome [7]
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Number of days of antibiotic use during intensive care unit stay.
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Assessment method [7]
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Timepoint [7]
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during intensive care unit stay.
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Secondary outcome [8]
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Fat free mass and fat percentage as a measure of body composition by Bioelectric Impedance analysis (BIA).
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Assessment method [8]
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Timepoint [8]
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every 2 days until discharge from the intensive care unit.
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Eligibility
Key inclusion criteria
* Age 18-58 years
* Patients admitted with a diagnosis of multiple trauma requiring enteral feeding for > 48 hours
* Expected length of stay in ICU > 48 hours
* Has a functional access for enteral tube feeding and a central access for administration of test solution
* Negative Beta HCG (pregnancy test) in females (18-60 years)
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Minimum age
18
Years
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Maximum age
85
Years
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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
* Age < 18 years
* Significant hepatic failure (Patients with Childs C Cirrhosis)
* Severe renal failure (estimated glomerular filtration rate [eGFR] < 50 ml/min)
* Patients with severe metabolic acidosis (pH <7.35)
* Not expected to be in the ICU > 48 hours (due to imminent death)
* Unable to tolerate enteral nutrition within 72 hours
* Enrolment in other ICU intervention study if contraindicated
* Patients in whom parenteral nutrition is required from the outset
* Absolute contraindication to enteral nutrition
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
UNKNOWN
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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
1/03/2011
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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
1/06/2013
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Actual
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Sample size
Target
88
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
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Royal Brisbane & Women's Hospital - Brisbane
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Recruitment postcode(s) [1]
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4029 - Brisbane
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Funding & Sponsors
Primary sponsor type
Government body
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Name
Royal Brisbane and Women's Hospital
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this trial is to investigate if pharmacologically safe dose intravenous glutamine dipeptide supplementation to multiple trauma patients receiving enteral nutrition is associated with improved clinical outcomes in terms of decreased organ dysfunction, infectious complications, and other secondary outcomes
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Trial website
https://clinicaltrials.gov/study/NCT01240291
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Trial related presentations / publications
Al Balushi RM, Paratz JD, Cohen J, Banks M, Dulhunty J, Roberts JA, Lipman J. Effect of intravenous GLutamine supplementation IN Trauma patients receiving enteral nutrition study protocol (GLINT Study): a prospective, blinded, randomised, placebo-controlled clinical trial. BMJ Open. 2011 Nov 14;1(2):e000334. doi: 10.1136/bmjopen-2011-000334. Print 2011.
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Public notes
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Contacts
Principal investigator
Name
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Jeffrey Lipman, MBBCh, MD
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Address
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Royal Brisbane & Women's Hpsoital
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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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Ruqaiya M Al-Balushi, MSc
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Address
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Country
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Phone
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+ 61 7 3346 5105
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Fax
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
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/NCT01240291
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