New gut damage test could help ICU doctors spot hidden injury
NCT ID NCT07440368
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looks at a protein called I-FABP, which is released when gut cells are damaged. Researchers will measure it in the blood and urine of 500 ICU patients to see if it relates to how severe their gastrointestinal problems are. No treatments are given—this is purely to gather information and improve how doctors assess gut health in critical illness.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this could lead to a more objective way to diagnose and grade gut injury in critically ill patients, improving care.
- What could go wrong
- This is an observational study, so it won't test any treatment. The biomarker may not prove useful in real-world settings.
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.
- Participants
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About 500 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Mar 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- 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.
Who is studied
This prospective observational cohort will consecutively enroll adult critically ill patients (≥18 years) admitted to the ICU with an expected ICU stay of at least 48 hours. Paired plasma and urine samples will be collected within 24 hours of ICU admission (and repeated on ICU day 3) to measure intestinal fatty acid-binding protein (I-FABP). Gastrointestinal function will be assessed daily during ICU stay to grade acute gastrointestinal injury (AGI) according to the ESICM definition. Patients with pre-existing inflammatory bowel disease, short bowel syndrome, chronic intestinal failure requiring long-term parenteral nutrition, pregnancy, or those who refuse/withdraw consent will be excluded.
- 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: * 1、 Age ≥18 years. * 2 、Admission to the ICU with an expected ICU stay ≥48 hours. * 3 、Availability of paired plasma and urine samples within 24 hours of ICU admission. * 4 、Feasible daily gastrointestinal function assessment to complete AGI grading (ESICM definition). Exclusion Criteria: * 1、 Pre-existing inflammatory bowel disease. * 2 、Short bowel syndrome. * 3、 Chronic intestinal failure requiring long-term parenteral nutrition. * 4、 Pregnancy. * 5 、Refusal or withdrawal of informed consent.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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