Can tailored nutrition boost recovery in the ICU?
NCT ID NCT07755033
First seen Aug 10, 2026 · Last updated Aug 11, 2026 · Updated 1 time
Summary
This trial investigates whether a nutrition formula customized daily to each patient's measured energy needs and protein levels can improve outcomes for critically ill adults in the intensive care unit (ICU), including those with sepsis. Participants are randomly assigned to receive either this individualized formula or a standard fixed-dose formula for up to 14 days. Researchers will track length of ICU stay and changes in gut and lung bacteria, blood chemistry, and nutrient balance to see if personalized feeding offers advantages over routine care.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Individualized enteral nutrition formula based on daily metabolic measurements
- What this could lead to
- If effective, this approach could establish personalized nutrition as a standard ICU strategy, potentially reducing complications and improving recovery in critically ill patients.
- What could go wrong
- The trial is early and complex, and the benefits of individualized feeding over standard care remain unproven. Results may vary widely among critically ill patients, and the intervention's complexity could limit real-world use.
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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About 1,200 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jul 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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A research network
The lead sponsor is a research network or cooperative group.
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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Critically ill patients admitted to the intensive care unit (ICU) who meet the indications for enteral nutrition support. Age ≥ 18 years. APACHE II score \> 8 at ICU admission. Expected ICU length of stay \> 7 days. Exclusion Criteria: Age \< 18 years. Pregnancy or lactation. Known allergy to any component of the enteral nutrition formula. Gastrointestinal bleeding, incomplete intestinal obstruction, or other conditions precluding full enteral nutrition. Known severe thyroid dysfunction (e.g., thyrotoxic crisis, myxedema coma, or uncontrolled hyperthyroidism/hypothyroidism). Chronic end-stage organ failure, including: New York Heart Association (NYHA) Class IV heart failure, Child-Pugh Class C cirrhosis, or Stage 5 chronic kidney disease (CKD). Primary intestinal diseases (e.g., Crohn's disease, ulcerative colitis, or intestinal malignancies), short bowel syndrome, or history of extensive small bowel resection (residual small intestine \< 100 cm). Metabolic disorders that significantly affect nutritional metabolism (e.g., Sheehan's syndrome, or other conditions with major metabolic consequences) as determined by the investigator.
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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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Other studies related to the condition(s) this trial covers.
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