Vitamin E Supplementation in Burn Patients
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ClinicalTrials.gov Identifier: NCT01413620 |
Recruitment Status :
Withdrawn
First Posted : August 10, 2011
Last Update Posted : September 21, 2021
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Sponsor:
Shriners Hospitals for Children
Collaborators:
University of Texas
Oregon State University
Information provided by (Responsible Party):
Jong O. Lee, Shriners Hospitals for Children
Tracking Information | ||||||||||||||||||||||
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First Submitted Date ICMJE | August 9, 2011 | |||||||||||||||||||||
First Posted Date ICMJE | August 10, 2011 | |||||||||||||||||||||
Last Update Posted Date | September 21, 2021 | |||||||||||||||||||||
Study Start Date ICMJE | August 2011 | |||||||||||||||||||||
Estimated Primary Completion Date | August 2017 (Final data collection date for primary outcome measure) | |||||||||||||||||||||
Current Primary Outcome Measures ICMJE |
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Original Primary Outcome Measures ICMJE |
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Current Secondary Outcome Measures ICMJE |
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Original Secondary Outcome Measures ICMJE |
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Current Other Pre-specified Outcome Measures | Not Provided | |||||||||||||||||||||
Original Other Pre-specified Outcome Measures | Not Provided | |||||||||||||||||||||
Descriptive Information | ||||||||||||||||||||||
Brief Title ICMJE | Vitamin E Supplementation in Burn Patients | |||||||||||||||||||||
Official Title ICMJE | Vitamin E Supplementation in Burn Patients | |||||||||||||||||||||
Brief Summary | Burned patients because of their increased oxidative stress have severely depleted vitamin E, which is a dietary antioxidant. Oxidative stress is responsible for much of the pathophysiology seen in burned patients, which leads to acute and chronic morbidity and mortality, in addition to a decrease in their quality of life. Oral vitamin E will be used to reverse the oxidative stress of burn injury and, in the process, decrease the secondary consequences of thermal trauma. This proposal will demonstrate the benefit of maintaining adequate vitamin E status. | |||||||||||||||||||||
Detailed Description | We have previously demonstrated that thermal injury depletes plasma vitamin E in pediatric burn patients. However, plasma changes reflect short-term vitamin E changes, whereas adipose tissue alpha-tocopherol concentrations reflect long-term vitamin E status. We reported last year that burn injury depleted vitamin E stores in adipose tissue in children by nearly half within one month following injury. Our long-term goal is to improve the quality of life of burn patients by preventing pulmonary and hepatic dysfunction that may occur from vitamin E depletion. The objectives of this application are to a) attenuate alpha-tocopherol depletion in burned patients by vitamin E supplementation, b) prevent or reverse oxidative stress in these patients, and c) collect pilot data on the effect of vitamin E supplementation on lung and liver function. Our central hypothesis is that the administration of high doses of alpha-tocopherol will prevent or restore levels of vitamin E in adipose tissue and reverse the oxidative state in burned patients. The rationale of the proposed studies is that in severe cases of vitamin E depletion, oxidative stress, fatty liver and lung dysfunction have all been reported in our patients. We will administer vitamin E supplements (300-1200 IU RRR-alpha-tocopherol) to burn subjects (n= 20 per group, 6-70 years, ≥20% total body surface burns) for fifteen days. The subjects will be randomly assigned into two groups: an early treatment group who will receive vitamin E for days 1-15 of the study, and a delayed treatment group who will receive vitamin E for days 16-30 of the study. Both groups will be studied for a total of thirty days. We will test the following aims: Aim 1: determine the degree that supplemental Vitamin E will attenuate alpha-tocopherol depletion. Aim 2: determine if supplemental Vitamin E reduces markers of oxidative stress in burned patients. Aim 3: collect preliminary data to establish the relationship between oxidative stress and pulmonary pathophysiology and fatty liver after burn injury. We will measure plasma and adipose tissue alpha-tocopherol and urinary and plasma markers of oxidative stress, prior to supplementation and then weekly. The proposed research is innovative because the oxidative stress of burn injury causes a severe depletion of an essential nutrient, vitamin E. Supplementation of vitamin E is a novel concept that may mitigate the complications of burns, including lung injury, fatty liver and peripheral neuropathy. | |||||||||||||||||||||
Study Type ICMJE | Interventional | |||||||||||||||||||||
Study Phase ICMJE | Phase 1 | |||||||||||||||||||||
Study Design ICMJE | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single (Participant) Primary Purpose: Treatment |
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Condition ICMJE | Burn Injury | |||||||||||||||||||||
Intervention ICMJE | Drug: dl-alpha-tocopheryl acetate
Ages 6 months-1 year will receive 75 IU/day of dl-alpha-tocopheryl acetate, while ages 2-5 years will receive 150 IU/day. Ages 6-8 will receive 300 IU/day, while ages 9-13 will receive 600 IU/day, ages 14-17 will receive 800 IU/day, and ages 18-70 will receive 1200 IU/day. Vitamin E will be administered in a liquid or pill form. The dose of aqueous vitamin E (Aqueous Vitamin E Oral Drops, Silarx, No. 54838-0005-30, Spring Valley, NY) will be given orally. When/If the patient is able to eat independently, the dose of vitamin E may be given in a pill form (Novatol 5-57, No. 410217, Archer Daniels Midland Company, Decatur, IL). Depending on the subject's group, the supplement of vitamin E either will be given on days 1-15 of the study or days 16-30 of the study.
Other Names:
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Study Arms ICMJE |
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Publications * | Not Provided | |||||||||||||||||||||
* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline. |
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Recruitment Information | ||||||||||||||||||||||
Recruitment Status ICMJE | Withdrawn | |||||||||||||||||||||
Actual Enrollment ICMJE |
0 | |||||||||||||||||||||
Original Estimated Enrollment ICMJE |
60 | |||||||||||||||||||||
Estimated Study Completion Date ICMJE | August 2021 | |||||||||||||||||||||
Estimated Primary Completion Date | August 2017 (Final data collection date for primary outcome measure) | |||||||||||||||||||||
Eligibility Criteria ICMJE | Inclusion Criteria:
Exclusion Criteria:
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Ages ICMJE | 6 Months to 85 Years (Child, Adult, Older Adult) | |||||||||||||||||||||
Accepts Healthy Volunteers ICMJE | No | |||||||||||||||||||||
Contacts ICMJE | Contact information is only displayed when the study is recruiting subjects | |||||||||||||||||||||
Listed Location Countries ICMJE | United States | |||||||||||||||||||||
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Administrative Information | ||||||||||||||||||||||
NCT Number ICMJE | NCT01413620 | |||||||||||||||||||||
Other Study ID Numbers ICMJE | VitE2011 | |||||||||||||||||||||
Has Data Monitoring Committee | Yes | |||||||||||||||||||||
U.S. FDA-regulated Product | Not Provided | |||||||||||||||||||||
IPD Sharing Statement ICMJE |
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Current Responsible Party | Jong O. Lee, Shriners Hospitals for Children | |||||||||||||||||||||
Original Responsible Party | Jong Lee, Assistant Professor of Surgery, Shriners Hospitals for Children | |||||||||||||||||||||
Current Study Sponsor ICMJE | Shriners Hospitals for Children | |||||||||||||||||||||
Original Study Sponsor ICMJE | Same as current | |||||||||||||||||||||
Collaborators ICMJE |
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Investigators ICMJE |
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PRS Account | Shriners Hospitals for Children | |||||||||||||||||||||
Verification Date | September 2021 | |||||||||||||||||||||
ICMJE Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP |