Status:

RECRUITING

Indirect Calorimetry Guided Energy Provision in Critically Ill Patients With Obesity

Lead Sponsor:

Australian and New Zealand Intensive Care Research Centre

Conditions:

Critical Illness

Obesity

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The DIRECT trial is a prospective, multi-centre, two arm parallel feasibility pilot randomised controlled trial. The primary aim is to determine the feasibility of using repeat indirect calorimetry me...

Detailed Description

Indirect calorimetry is the current reference standard for measuring energy expenditure during critical illness, allowing for personalisation of energy delivery. Use of indirect calorimetry may be imp...

Eligibility Criteria

Inclusion

  • Adult (≥ 18 years) patients
  • Body mass index ≥30 kg/m2
  • Between day 3 and 6 of index ICU admission
  • Receiving invasive mechanical ventilation
  • Receiving enteral or parenteral nutrition

Exclusion

  • Receiving extracorporeal membrane oxygenation support
  • Major burns (≥20% total body surface area)
  • Unable to perform indirect calorimetry within 24 hours of randomisation
  • Known pregnancy
  • Death is imminent
  • Treating clinician believes the study is not in the best interest of the patient

Key Trial Info

Start Date :

October 2 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

June 1 2026

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT06053216

Start Date

October 2 2023

End Date

June 1 2026

Last Update

July 25 2025

Active Locations (5)

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Page 1 of 2 (5 locations)

1

Blacktown Hospital

Blacktown, New South Wales, Australia, 2148

2

Royal Prince Alfred Hospital

Camperdown, New South Wales, Australia, 2050

3

Ballarat Base Hospital, Grampians Health

Ballarat Central, Victoria, Australia, 3550

4

The Alfred Hospital

Melbourne, Victoria, Australia, 3004