Measurement of Intestinal Permeability in Intensive Care Patients With Single or Multiple Organ Failure
NCT06845865 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 126
Last updated 2025-05-02
Summary
Multivisceral failure syndrome (MVFS) in humans is associated with a very high risk of mortality, ranging between 30 and 50%. This syndrome is associated with significant systemic inflammation and a high risk of bacteremia, the origin of which is not always identified. Among the possible causes of bacteremia, digestive translocation is the most probable but has not been formally proven to date. This translocation is made possible by the numerous cellular and metabolic alterations secondary to MVFS, which can lead to increased intestinal barrier permeability. Intestinal permeability is currently not systematically evaluated in clinical practice in humans.
This increased intestinal permeability, associated with the presence of inflammatory markers and a septic state, has been studied in several animal models ranging from the fruit fly (Drosophila) to the mouse. These studies have shown a high risk of mortality associated with increased intestinal permeability.
We propose to use this methodology in intensive care patients with at least one organ failure to investigate the link between increased intestinal permeability and survival chances.
Conditions
- Multivisceral Failure Syndrome
- Monovisceral Failure
- Infection in ICU
Interventions
- DIETARY_SUPPLEMENT
-
enteric dyed solution
Oral administration of 0.5 mg/kg of body weight of food coloring dye
Sponsors & Collaborators
-
Centre Borelli UMR 9010
collaborator NETWORK -
Direction Centrale du Service de Santé des Armées
lead OTHER
Principal Investigators
-
Clément DUBOST, MD, PhD · National teaching army hospital BEGIN (Hôpital National d'Instruction des Armées BEGIN)
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-02-20
- Primary Completion
- 2029-02-28
- Completion
- 2029-04-30
Countries
- France
Study Locations
More Related Trials
-
Intravenous BCAA for HE in ACLF (BCAA-HE-ACLF)
NCT05700695 ·Status: COMPLETED ·Phase: PHASE1
-
A Multi-Center Trial to Study Acute Liver Failure in Adults
NCT00518440 ·Status: COMPLETED
-
Study of Peripheral Tissue Oxygenation in End-stage Liver Disease Patients During Liver Transplantation
NCT01794637 ·Status: WITHDRAWN
-
To Study the Efficacy of Intravenous Neostigmine in Resolution of Acute GI Paralysis in Critically Ill Cirrhotics
NCT06462872 ·Status: NOT_YET_RECRUITING
-
Effect of Hyperoncotic Albumin on Vascular Hemodynamics and Oxygen Delivery Following Orthotopic Liver Transplant
NCT01328132 ·Status: UNKNOWN ·Phase: PHASE4
-
To Study The Incidence And Outcome Of Paracentesis Induced Circulatory Dysfunction in Decompensated Cirrhotics Undergoing Less Than 5 Litres Of Ascitic Fluid Tap With Or Without Albumin Infusion.
NCT02467322 ·Status: COMPLETED ·Phase: NA
-
To Determine the Role of Prokinetics in Feed Intolerance in Critically Ill Cirrhosis
NCT02528760 ·Status: COMPLETED ·Phase: NA
-
The Influence of Paracentesis on Intra-abdominal Pressure and Kidney Function in Critically Ill Patients With Liver Cirrhosis and Ascites: an Observational Study
NCT01091233 ·Status: WITHDRAWN
-
Prognosis of Cirrhotic Patients Admitted to the General Intensive Care Unit Between 2014 and 2024: a Regional Retrospective Multicentre Cohort Study
NCT06948565 ·Status: RECRUITING
-
Infections in Hospitalized Cirrhotic Patients
NCT03137719 ·Status: COMPLETED
-
High Volume Plasmapheresis for Refractory Hepatic Encephalopathy in Liver Intensive Care Unit.
NCT03115697 ·Status: WITHDRAWN ·Phase: NA
-
Evaluation of Serum-Derived Bovine Immunoglobulin Protein Isolate in Subjects With Decompensated Cirrhosis With Ascites
NCT02608658 ·Status: COMPLETED ·Phase: NA
-
Characterization of Metabolomic Fingerprints in Patients With Acute Liver Failure and Acute-on-chronic Liver Failure With Hepatic Encephalopathy
NCT05772585 ·Status: WITHDRAWN
-
Albumin Infusion in Inpatients With Decompensated Cirrhosis
NCT05719051 ·Status: UNKNOWN
-
Mechanisms of Inflammatory Liver Injury
NCT00011284 ·Status: COMPLETED
-
Effect of Transjugular Intrahepatic Portosystemic Shunt on Gut Microbiota in Cirrhotic Patients
NCT02427906 ·Status: UNKNOWN
-
Organ Dysfunction Associated With Intra Abdominal Pressures in Liver Transplantation
NCT04463745 ·Status: UNKNOWN
-
Outcomes of Elderly Patients Admitted to the Intensive Care Unit With Severe Acute Cholangitis
NCT03831529 ·Status: COMPLETED
-
Rifaximin Versus Lactulose in Renal Failure
NCT00748904 ·Status: WITHDRAWN ·Phase: PHASE4
-
Effect of Goal Directed Ammonia Lowering Therapy in Acute on Chronic Liver Failure Patients With Hepatic Encephalopathy.
NCT02321371 ·Status: COMPLETED ·Phase: NA
-
The Influence of Nutritional Factors on the Prognosis of Liver Cirrhosis Patients and the Exploration of Predictive Models
NCT06328517 ·Status: RECRUITING
-
Bacterial Infections in Cirrhotic Patients With Acute Severe Liver Injury
NCT03204591 ·Status: UNKNOWN
-
Portal Blood Flushes in the Peri-Reperfusion Stage of Liver Transplantation
NCT03563404 ·Status: COMPLETED
-
Vector Analysis of Body Composition in Hospitalized Cirrhotic Patients
NCT02017301 ·Status: UNKNOWN
-
Effects on Plasma Exchange on Functional Capacity of Serum Albumin, Circulatory Dysfunction, Renal and Cerebral Function in Cirrhotic Patients With "Acute-on-chronic Liver Failure"
NCT01201720 ·Status: COMPLETED ·Phase: NA