The DINE-Normal Proof-of-concept Study
NCT06115044 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 30
Last updated 2025-05-25
Summary
Overarching hypothesis In critically ill adults enteral feeding in a diurnal intermittent pattern improves patient centred outcomes.
Research questions for this study Are the same derangements in metabolic and hormonal function observed in healthy volunteers when fed continuously via a nasogastric tube observed in critically ill patients and can those derangements be mitigated by intermittent diurnal feeding?
Aim of this study Assess the effect of an enteral nutrition regimen mimicking the usual diurnal meal pattern on hormonal profile and metabolism in critically ill adults. This will generate novel and important proof of concept data and support progression to a clinical trial integrating investigation of physiological responses and patient centred outcomes.
Objectives of this study Laboratory: Characterise patterns of hormone, lipid and metabolite response to intermittent diurnal feeding in critically ill adults.
Clinical: assess feasibility, tolerability (vomiting and gastric residual volume) and efficacy (calorie delivery) of intermittent diurnal feeding in critically ill adults.
Conditions
- Critical Illness
- Enteral Nutrition
- Time Restricted Feeding
Interventions
- PROCEDURE
-
Intermittent diurnal nutrition
Calculated daily nutritional requirement given as three equal bolus feeds in daytime with prolonged overnight fast
- PROCEDURE
-
Continuous
Calculated daily nutritional requirement given over 24 hours
Sponsors & Collaborators
-
University of Bath
collaborator OTHER -
University of Bristol
collaborator OTHER -
University of the West of England
collaborator OTHER -
North Bristol NHS Trust
lead OTHER
Principal Investigators
-
Matt Thomas · North Bristol NHS Trust
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-12-27
- Primary Completion
- 2024-04-24
- Completion
- 2024-10-31
Countries
- United Kingdom
Study Locations
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