New feeding strategy aims to cut pneumonia in severe stroke
NCT ID NCT05998902
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether a combination of small amounts of tube feeding plus extra nutrition through an IV could reduce pneumonia in people with severe stroke. The trial enrolled 546 adults who had trouble swallowing. Researchers compared this approach to standard full tube feeding. The goal was to see if the mixed method lowers infection risk and improves recovery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Trophic enteral feeding combined with supplemental parenteral nutrition
- What this could lead to
- If successful, this nutrition strategy could lower the chance of pneumonia after severe stroke and improve recovery.
- What could go wrong
- This is a completed Phase 3 trial, but results are not yet published. The approach may not reduce pneumonia or improve outcomes for all patients.
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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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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546 people
The number who actually took part.
- Started
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Dec 2023
- Finished
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May 2026
- 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: 1. Age≥18 years 2. Definite diagnosis of acute stroke (GCS ≤12 or NIHSS≥11) 3. The randomized nutritional treatment could be initiated up to 72 hours after symptom onset. 4. Any cases of profiles #3 through 5 in Water Swallowing Test or with disorder of consciousness. 5. Plan to receive nutritional support treatment for at least 7 days. 6. Informed consent. Exclusion Criteria: 1. Receiving parenteral nutrition support 2. Contraindications of enteral nutrition 3. Complicated with the disease which only have life expectancy \< 7 days 4. Admission with infection signs 5. Dementia or severe disability (mRS\>4) before stroke 6. Antibiotics were used within the previous 7 days 7. Subarachnoid hemorrhage, cerebral arteriovenous malformation 8. Presence of coexisting medical conditions that could interfere with outcome assessment and/or follow-up (a. advanced cancer; b. severe pulmonary dysfunction \[forced expiratory volume in 1 second \< 50% or/and moderate to severe acute lung injury (PaO2/FiO2)\<200mmHg\]; c. cardiac insufficiency (NYHA class \> I; cardiac structural and/or functional abnormalities such as EF\< 50%, abnormal cardiac chamber enlargement, moderate/severe ventricular hypertrophy, or moderate/severe valvular stenosis); d. Severe liver failure \[Child-Pugh score≥7\]; e. Severe renal failure \[glomerular filtration rate ≤30mL/min or serum creatinine ≥4mg/dL\] 9. Currently participating in other clinical trial 10. Pregnant woman 11. Patient who is considered highly likely not to adhere to the study treatment or follow-up protocol.
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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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Chongqing University Three Gorges Hospital
Chongqing, Chongqing Municipality, 404100, China
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Daping Hospital, The Third Military Medical University
Chongqing, Chongqing Municipality, China
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Department of Neurology, Xijing Hospital
Xi'an, Shaanxi, China
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First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, China
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Gansu Provincal Central Hospital
Lanzhou, Gansu, China
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General Hospital of Ningxia Medical University
Yinchuan, Ningxia, 750000, China
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Liaocheng People's Hospital
Liaocheng, Shandong, 252000, China
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Nanfang Hospital, Southern Medical University
Guangzhou, Guangdong, China
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People's Hospital of Xinjiang Uygur Autonomous Region
Ürümqi, Xinjiang, 830000, China
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Qilu Hospital of Shangdong University
Jinan, Shandong, China
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Shaanxi Second Provincal People's Hospital
Xi'an, Shaanxi, 710000, China
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Shannxi Provincal People's Hospital
Xi'an, Shaanxi, China
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Tangdu Hospital
Xi'an, Shaanxi, 710000, China
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The Affiliated Hospital of Guizhou Medical University
Guiyang, Guizhou, 550000, China
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The First Affiliated Hospital of Xi'an Medical University
Xi'an, Shaanxi, China
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The First Hospital of Changsha City
Changsha, Hunan, China
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The First People's Hospital of Xianyang
Xianyang, Shaanxi, China
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The PLA 960 Hospital
Jinan, Shandong, China
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The Second Affiliated Hospital of Guangzhou University of Chinese Medicine
Guangzhou, Guangdong, China
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The Second Affiliated Hospital of Nanchang University
Nanchang, Jiangxi, 330000, China
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The Second Affiliated Hospital of Xinjiang Medical University
Ürümqi, Xinjiang, 830000, China
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The Second Hospital of Shandong University
Jinan, Shandong, China
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The first affiliated hospital of Xi'an Jiaotong University
Xi'an, Shaanxi, 710000, China
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Tongji Hospital
Wuhan, Hubei, China
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Xi'an Central Hospital
Xi'an, Shaanxi, 710000, China
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Xi'an Gaoxin Hospital
Xi'an, Shaanxi, China
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Xi'an No.3 Hospital
Xi'an, Shaanxi, China
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Xianyang Hospital, Yan'an University
Xianyang, Shaanxi, 712000, China
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Yulin No.1 Hospital
Yulin, Shaanxi, China
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Yulin No.2 Hospital
Yulin, Shaanxi, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Robots and brain scans probe how stroke survivors relearn arm skills
- Can a gentle ear zap teach babies to swallow?
- Smart tongue trainer aims to restore swallowing after stroke
- Brain stimulation may boost swallowing recovery after stroke
- A bedside ultrasound could reveal hidden swallowing risks in the ICU
- Virtual reality may soothe Stroke-Related agitation