PRotein Optimization With eXercise to Improve MUscle Mass and Functional outcomeS
NCT05296096 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 72
Last updated 2024-01-05
Summary
The investigators have designed a 2-center, pilot feasibility, randomized controlled trial (PROXIMUS) to determine the feasibility and safety of a larger multi center, randomized open-label trial comparing high protein combined with individualized exercise vs. standard management during the acute phase of critical illness in children. The investigators aim to determine the impact of the intervention on preservation of muscle mass; and functional status at 1 month and 6 months after randomization.
Conditions
- Muscle Loss
- Protein
- Mobility
- Pediatric ALL
Interventions
- OTHER
-
Protein dosage and rehabilitation team delivered exercise prescription
The dietitian and rehabilitation team will be consulted on enrollment and will assess the patient for nutritional and functional status using the institutional criteria and physical exam. The study dietitian will prescribe the protein goal based on the randomization assignment and age group. For the high protein arm, protein goals will be 3g/kg/day for ages 1-1yrs, and 2.4g/kg/day for ages greater than 12 years. The rehabilitation team will determine the appropriate highest level of mobility (HLM) for the day in collaboration with the medical team on morning rounds. The rehabilitation team will prescribe passive or active participation in two 30-minute HLM sessions, individualized to their baseline function and clinical status and/or restrictions.
Sponsors & Collaborators
- collaborator OTHER
- lead OTHER
Principal Investigators
-
Nilesh Mehta, MD · Faculty, Boston Children's Hospital
-
Sapna R Kudchadkar, MD, PhD · Faculty, Johns Hopkins
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 1 Year
- Max Age
- 17 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-02-20
- Primary Completion
- 2025-12-01
- Completion
- 2026-06-30
Countries
- United States
Study Locations
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