Could less food help critically ill patients recover faster?
NCT ID NCT03573739
First seen Sep 14, 2026 · Last updated Sep 15, 2026 · Updated 1 time
Summary
NUTRIREA-3 compares two feeding strategies for adults on ventilators with shock. One group receives low-calorie low-protein feeding for the first week, while the other receives standard-calorie standard-protein feeding. Researchers track survival and time to leave the ICU to see which approach works better.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- low-calorie low-protein feeding versus standard-calorie standard-protein feeding
- What this could lead to
- If low-calorie low-protein feeding works, it could change ICU feeding guidelines and help preserve muscle in critically ill patients, possibly shortening ventilation and hospital stays.
- What could go wrong
- This is a large trial, but critical illness is complex and results may not apply to all patients. Feeding too little could also cause malnutrition, so the balance is delicate.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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3,044 people
The number who actually took part.
- Started
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Jul 2018
- Finished
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Dec 2021
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Invasive mechanical ventilation started in the ICU within the past 24 h, or started before ICU admission with ICU admission within the past 24 h, for an expected duration of at least 48 hours after inclusion * Treatment with a vasoactive agent for shock (adrenaline, dobutamine, or noradrenaline) * Nutritional support expected to be started within 24 h after intubation or within 24 h after ICU admission when mechanical ventilation was started before ICU admission * Age older than 18 years * Patient and/or next-of-kin informed about the study and having consented to participation in the study. If the patient is unable to receive information and no next-of-kin can be contacted during screening for the study, trial inclusion will be completed as an emergency procedure by the ICU physician, in compliance with the French law. Exclusion Criteria: * Specific nutritional needs, such as pre-existing long-term home enteral or parenteral nutrition, for chronic bowel disease * Dying patient, not-to-be-resuscitated order, or other treatment limitation decision at ICU admission * Pregnancy, recent delivery, or lactation * Adult under guardianship * Department of corrections inmate
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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C.H. de Rodez Hopital Jacques Puel
Rodez, 12027, France
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C.H.R. Pontchaillou
Rennes, 35033, France
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CH Emile Roux
Le Puy-en-Velay, 43000, France
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CH Pau
Pau, 64000, France
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CH Saint Brieuc
Saint-Brieuc, 22000, France
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CH Saint-Philibert
Lomme, 59462, France
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CH Valenciennes
Valenciennes, 59300, France
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CH de Bigorre
Tarbes, 65013, France
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CHU Angers
Angers, 49100, France
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CHU Cavale Blanche
Brest, 29609, France
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CHU DE TOURS Bretonneau
Tours, 37044, France
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CHU Nantes
Nantes, 44093, France
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CHU Paris Cochin
Paris, 75014, France
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CHU Pointe à Pitre - Abymes
Pointe-à-Pitre, 97159, Guadeloupe
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CHU de Saint Etienne
Saint-Priest-en-Jarez, 42270, France
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Centre Hospitalier Bretagne Atlantique - Vannes Auray
Vannes, 56017, France
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Centre Hospitalier D'Angouleme
Angoulême, 16959, France
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Centre Hospitalier D'Argenteuil
Argenteuil, 95100, France
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Centre Hospitalier Du Mans
Le Mans, 72037, France
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Centre Hospitalier Marc Jacquet
Melun, 77011, France
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Centre Hospitalier de Lens
Lens, 62300, France
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Centre Hospitalier de Montauban
Montauban, 82013, France
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Ch Annecy-Genevois
Annecy, 74374, France
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Ch Chartres Louis Pasteur
Chartres, 28630, France
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Ch Dieppe
Dieppe, 76202, France
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Ch General Delafontaine
Saint-Denis, 93205, France
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Chd Les Oudairies
La Roche-sur-Yon, 85025, France
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Chr - Hopital Roger Salengro
Lille, 59037, France
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Chr D'Orleans
Orléans, 86709, France
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Chu Amiens Picardie
Amiens, 80054, France
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Chu Bicetre
Le Kremlin-Bicêtre, 94270, France
-
Chu Bocage
Dijon, 21079, France
-
Chu Gabriel Montpied
Clermont-Ferrand, 63003, France
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Chu Jean Minjoz
Besançon, 25030, France
-
Chu La Miletrie
Poitiers, 86021, France
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Chu de La Reunion Site Nord
Saint-Denis, La Réunion, 97405, France
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Chu de Nantes
Nantes, 44000, France
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Ctre Hosp Intercomm Andre Gregoire
Montreuil, 93100, France
-
G.I.H. Bichat / Claude Bernard (Ap-Hp)
Paris, 75877, France
-
Hopital Broussais
St-Malo, 35403, France
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Hopital Charles Nicolle Chu Rouen
Rouen, 76038, France
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Hopital Edouard Herriot
Lyon, 69437, France
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Hopital Europeen Georges Pompidou
Paris, 75908, France
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Hopital Foch
Suresnes, 92150, France
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Hopital Lariboisiere
Paris, 75010, France
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Hopital Louis Mourier (Ap-Hp)
Colombes, 92701, France
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Hopital Pellegrin Chu
Bordeaux, 33000, France
-
Hopital Pitie Salpetriere
Paris, 75013, France
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Hopital Saint Antoine
Paris, 75012, France
-
Hopital Saint Eloi
Montpellier, 34295, France
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Hopital de La Croix-Rousse
Lyon, 69317, France
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Hôpital Avicenne AP-HP
Bobigny, 93000, France
-
Hôpital Michalon
Grenoble, 38043, France
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Hôpital Nord Franche Comté
Belfort, 90015, France
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Hôpital Raymond-Poincaré
Garches, 92380, France
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Hôpital Saint Louis (AP-HP)
Paris, 75010, France
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Hôpital de Béthune
Béthune, 62408, France
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Hôpital de Hautepierre CHU de Strasbourg
Strasbourg, 67098, France
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Hôpital du bois brulé
Beauvais, 60000, France
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Other studies related to the condition(s) this trial covers.
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- Can a blood enzyme reveal who will survive deadly shock?