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Nutrition Supplements for Abdominal Trauma Recovery (SeND Home Trial)
Phase 2
Recruiting
Led By Paul Wischmeyer, MD
Research Sponsored by Duke University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Admitted to the surgical ICU
Penetrating abdominal trauma requiring emergent major abdominal surgery
Must not have
Patients who are unable to ambulate at baseline
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline, 3 and 6 months post-hospital discharge
Awards & highlights
No Placebo-Only Group
Summary
This trial will compare two nutrition plans to see if one helps improve outcomes for trauma patients after abdominal surgery in the ICU.
Who is the study for?
This trial is for adults who've had emergency abdominal surgery due to trauma and are in the ICU, unable to eat normally for at least 72 hours. It's not suitable for those who can't walk, may have life support withdrawn within two days, prisoners, or pregnant women.
What is being tested?
The study tests a personalized nutrition plan (SeND Home pathway) involving TPN and oral supplements against standard care. Participants will be randomly assigned to either receive SeND Home with follow-up after hospital discharge or just the usual hospital care.
What are the potential side effects?
Potential side effects from the nutrition supplements could include digestive discomfort or reactions at the infusion site. However, specific side effects will depend on individual tolerance to TPN and oral supplements.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am currently in the surgical intensive care unit.
Select...
I needed emergency surgery due to a severe injury to my abdomen.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I cannot walk by myself.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ baseline, 3 and 6 months post-hospital discharge
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline, 3 and 6 months post-hospital discharge
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Change in six-minute walk distance (6 MWD)
Secondary study objectives
Change in Quality of Life (QoL)
Change in cognition
Change in key resilience and inflammation biomarkers
+7 moreAwards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
2Treatment groups
Experimental Treatment
Active Control
Group I: SeND Home PathwayExperimental Treatment1 Intervention
Total parenteral nutrition (TPN) will begin within 72 hours of abdominal surgery. Calorie needs will be determined by indirect calorimetry. Nutritional shakes will begin when a liquid diet is started. These will be taken 3 times a day while in the hospital and for 4 weeks after discharge.
Group II: Standard NutritionActive Control1 Intervention
Standard nutrition as determined by clinical providers.
Find a Location
Who is running the clinical trial?
Duke UniversityLead Sponsor
2,463 Previous Clinical Trials
2,981,755 Total Patients Enrolled
United States Department of DefenseFED
917 Previous Clinical Trials
334,591 Total Patients Enrolled
Baxter Healthcare CorporationIndustry Sponsor
323 Previous Clinical Trials
202,532 Total Patients Enrolled
Paul Wischmeyer, MDPrincipal InvestigatorDuke
6 Previous Clinical Trials
444 Total Patients Enrolled