UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000051071
Receipt number R000058239
Scientific Title Evaluation of Non-Inferiority of Nasogastric Feeding Tube Placement in Critically Ill Patients Using CORTRAK as an Enteral Feeding Tube Insertion Tracking Device and Assessment of Safety
Date of disclosure of the study information 2023/06/01
Last modified on 2023/11/14 09:14:59

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Basic information

Public title

Evaluation of the Safety of Feeding Tube Placement in Critically Ill Patients Using an Enteral Feeding Tube Insertion Tracking Device

Acronym

Non-inferiority verification of nasogastric tube placement in critically ill patients using the coat rack method

Scientific Title

Evaluation of Non-Inferiority of Nasogastric Feeding Tube Placement in Critically Ill Patients Using CORTRAK as an Enteral Feeding Tube Insertion Tracking Device and Assessment of Safety

Scientific Title:Acronym

Non-inferiority verification of nasogastric tube placement in critically ill patients using the coat rack method

Region

Japan


Condition

Condition

(1) Inclusion Criteria
All of the following criteria are met
Patients admitted to the ICU
Age 18 years and older
Patients requiring enteral nutrition via nasogastric feeding tube
Patients who are able to insert the tube in a supine position
Patients who have obtained consent to participate in this study from the patients themselves or their surrogates

Classification by specialty

Emergency medicine Intensive care medicine Nursing

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study was to evaluate the non-inferiority of nasogastric feeding tube placement using the nurse's enteral feeding tube insertion tracking device (hereafter referred to as the CORTRAK method) versus the physician's blind method for success rate in patients admitted to the ICU requiring enteral feeding via nasogastric feeding tube, and to evaluate safety in addition.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Success rate of nasogastric tube placement in the gastric

Key secondary outcomes

Implantation time, location of implantation, medical economics, complications and safety, learning curve for training period


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Placebo

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

No need to know


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Device,equipment Maneuver

Interventions/Control_1

Control: Blind method
The nasogastric feeding tube is placed in the ICU by up to 10 specific physicians collaborating in the study. Intragastric placement will be confirmed by radiographs taken with a portable X-ray machine on the same day after the nasogastric feeding tube is placed. Twenty consecutive cases will be evaluated during the day shift hours when the specific physician collaborating in the study is on duty.

Interventions/Control_2

Intervention: CORTRAK Method
Using the CORTRAK (Approval Number: 22800BZX00142000), the first safe enteral feeding tube insertion tracking device approved by the U.S. FDA (attached), up to four specifically trained nurses with at least 5 years of ICU experience collaborating in the study will place a nasogastric feeding tube in the ICU under physician supervision. The specific training will be performed using a simulator. The specific training will consist of a simulated training period using a simulator and four consecutive experiences of placing the tube under the supervision of a physician, and only nurses who have completed this period will place the tube.

Interventions/Control_3


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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Selection Criteria
All of the following criteria are met
Patients admitted to the ICU
Age 18 years and older
Patients requiring enteral nutrition via nasogastric feeding tube
Patients who are able to insert the tube in the supine position
Patients who are able to insert the tube in a supine position
Patients who have obtained consent to participate in this study from the patient or a surrogate

Key exclusion criteria

Exclusion Criteria
Patients are excluded if any of the following criteria are met
Esophageal varices
Previous upper gastrointestinal surgery (oropharynx, esophagus or stomach)
History of upper gastrointestinal stenosis or obstruction
Patients to whom warnings and contraindications/prohibitions apply (patients with implanted ventricular assist device (VAD), electrically powered medical devices)
Patients with a need for tube placement outside of day shift hours

Target sample size

240


Research contact person

Name of lead principal investigator

1st name Hideaki
Middle name
Last name Sakuramoto

Organization

Japanese Red Cross Kyushu International College of Nursing

Division name

Department of Critical Care and Disaster Nursing

Zip code

811-4157

Address

1-1 asty, Munakata, Fukuoka, Japan

TEL

0940-35-7001

Email

gongehead@yahoo.co.jp


Public contact

Name of contact person

1st name Hideaki
Middle name
Last name Sakuramoto

Organization

Japanese Red Cross Kyushu International College of Nursing

Division name

Department of Critical Care and Disaster Nursing

Zip code

8114157

Address

1-1 asty, munakata city

TEL

0940-35-7001

Homepage URL


Email

gongehead@yahoo.co.jp


Sponsor or person

Institute

Japanese Red Cross Kyushu International College of Nursing

Institute

Department

Personal name



Funding Source

Organization

Japanese Red Cross Kyushu International College of Nursing

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

The Institutional Review Board of the Japanese Red Cross Kyushu International College of Nursing

Address

1-1 asty, munakata city

Tel

0940-35-7001

Email

gongehead@yahoo.co.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

2023 Year 06 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


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

Open public recruiting

Date of protocol fixation

2023 Year 02 Month 01 Day

Date of IRB

2023 Year 03 Month 10 Day

Anticipated trial start date

2023 Year 07 Month 01 Day

Last follow-up date

2024 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2023 Year 05 Month 16 Day

Last modified on

2023 Year 11 Month 14 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000058239


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name