UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000031466
Receipt number R000035918
Scientific Title Effect of Rikkunshito on achievement of enteral nutritional goal in critically ill patients: a pilot randomized controlled trial
Date of disclosure of the study information 2018/03/01
Last modified on 2019/07/10 12:18:04

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Effect of Rikkunshito on achievement of enteral nutritional goal in critically ill patients: a pilot randomized controlled trial

Acronym

Effect of Rikkunshito on enteral nutrition in critically ill patients

Scientific Title

Effect of Rikkunshito on achievement of enteral nutritional goal in critically ill patients: a pilot randomized controlled trial

Scientific Title:Acronym

Effect of Rikkunshito on enteral nutrition in critically ill patients

Region

Japan


Condition

Condition

Critically ill patients requiring enteral nutrition longer than five days

Classification by specialty

Intensive care medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the effect of different doses of Rikkunshito on achievement of enteral nutrition goal and ghrelin concentration.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase



Assessment

Primary outcomes

The rate of achievement of enteral nutritional goal
at fifth day (Actual calories of enteral nutrition divided by the goal of enteral nutrition)

Key secondary outcomes

1. Plasma ghrelin concentration (before breakfast at
day1, 3, 5)
2. Dose of drainage from gastric tube
3. Prescribed calories by parenteral route during five days
4. Length of intensive care unit stay
5. Length of hospital stay
6. Hospital mortality
7. Adverse event (hypokalemia, elevation of creatinine kinase, elevation of transaminase, skin rash)


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Dose comparison

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Numbered container method


Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

2.5 g of Rikkunshito is given three times daily enterally for 5 days

Interventions/Control_2

5 g of Rikkunshito is given three times daily enterally for 5 days

Interventions/Control_3

Control. Rikkunshito is not given.

Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Adult ICU patients (>=20 years old) are eligible if they are started enteral nutrition within 48 hours from admission, and they are estimated to need enteral nutrition longer than five days.

Key exclusion criteria

1. Extremely severe patients who are estimated to die within 48 hours
2. Patients who have do-not-resuscitate order.
3. Allergy for Rikkunshito, sojutsu, taiso, ninjin, hange, kanzo, bukuryo, or syokyo.
4. Patients who have anatomical abnormality in esophagus or smomach (e.g. after the total gastrectomy)
5. Pregnant or lactating women
6. Attending physicians' decision

Target sample size

45


Research contact person

Name of lead principal investigator

1st name Kyohei Miyamoto
Middle name
Last name Kyohei Miyamoto

Organization

Wakayama Medical University

Division name

Department of Emergency and Critical Care Medicine

Zip code

6410012

Address

811-1 Kimiidera, Wakayama-City, Wakayama, 641-8509, JAPAN

TEL

073-441-0603

Email

gomadofu@wakayama-med.ac.jp


Public contact

Name of contact person

1st name Kyohei Miyamoto
Middle name
Last name Kyohei Miyamoto

Organization

Wakayama Medical University

Division name

Department of Emergency and Critical Care Medicine

Zip code

6410012

Address

811-1 Kimiidera, Wakayama-City, Wakayama, 641-8509, JAPAN

TEL

073-441-0603

Homepage URL


Email

gomadofu@wakayama-med.ac.jp


Sponsor or person

Institute

Wakayama Medical University

Institute

Department

Personal name



Funding Source

Organization

Wakayama Medical University

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

IRB of WMU

Address

811-1 Kimiidera, Wakayama-City, Wakayama, 641-8509, JAPAN

Tel

073-441-0603

Email

gomadofu@wakayama-med.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2018 Year 03 Month 01 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

https://onlinelibrary.wiley.com/doi/full/10.1002/ams2.442

Number of participants that the trial has enrolled

26

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2018 Year 02 Month 25 Day

Date of IRB

2016 Year 07 Month 07 Day

Anticipated trial start date

2018 Year 03 Month 01 Day

Last follow-up date

2018 Year 12 Month 31 Day

Date of closure to data entry

2019 Year 01 Month 31 Day

Date trial data considered complete

2019 Year 01 Month 31 Day

Date analysis concluded

2019 Year 02 Month 28 Day


Other

Other related information



Management information

Registered date

2018 Year 02 Month 25 Day

Last modified on

2019 Year 07 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000035918


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name