Early Feeding After PEG Placement

This study is looking at the best time to start feeding through a PEG tube (a tube placed directly into the stomach for nutrition) for critically ill patients. It compares starting tube feeds within 1 hour of the procedure (called "noFast") to the usual practice. The goal is to see if early feeding can reduce the amount of time patients go without food, which can lead to problems like malnutrition. You might be able to join if you are an adult between 18 and 100 years old, are on a breathing machine after surgery or trauma, need a PEG tube, and are already tolerating tube feeds. The study is currently unclear about its recruitment status.

Study design
This is a randomized controlled trial planning to include 1200 participants. This means participants will be randomly assigned to one of the two feeding groups.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
The main measurement for this study is how many hours you are fasted, which will be tracked from 24 hours before to 72 hours after the PEG tube procedure.

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NCT04110613

RCT: Early Feeding After PEG Placement

Recruiting
NAAges 18+InterventionalPrevention
Carilion Clinic
~1,200 participants
Updated 2021-10-26 on ClinicalTrials.gov
What's tested:noFast: Start tube feeds within 1 hour of procedure

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Hours fasted
Measured over 24 hours before to 72 hours after the procedure
Critical Illness
Malnutrition
Gastrostomy
Procedural Sequelae
Trauma
Surgery
Mechanical Ventilation
1 sites across 1 states
Virginia1
  • Katie L Bower, MD · PRINCIPAL_INVESTIGATOR · Carilion Clinic, Virginia Tech Carilion School of Medicine

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Eligibility criteria

Inclusion

Adult subjects over 18 years of age
Negative pregnancy test for women participants of child-bearing age
Mechanically ventilated surgical and trauma patients with clinical indication for PEG tube placement
Tolerating tube feeds at goal prior to procedure

Exclusion

Patients with aberant gastrointestinal anatomy
Patients with gastrointestinal motility disorders
Patients with feeding intolerance prior to PEG tube procedure
Pregnant women, children, or other vulnerable populations
Clinical contraindications for PEG tube placement
PEG performed in setting other than ICU at bedside
  • Hours fasted24 hours before to 72 hours after the procedure

    Number of hours patients are not receiving prescribed caloric intake