UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000060435
Receipt number R000068319
Scientific Title Effect of Post-Pyloric Enteral Nutrition on Gastric Residual Volume in ICU patients: a retrospective study
Date of disclosure of the study information 2026/01/23
Last modified on 2026/01/22 09:53:29

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Basic information

Public title

Effect of Post-Pyloric Enteral Nutrition on Gastric Residual Volume in ICU

Acronym

Effect of Post-Pyloric Enteral Nutrition on Gastric Residual Volume in ICU

Scientific Title

Effect of Post-Pyloric Enteral Nutrition on Gastric Residual Volume in ICU patients: a retrospective study

Scientific Title:Acronym

Effect of Post-Pyloric Enteral Nutrition on Gastric Residual Volume in ICU

Region

Japan


Condition

Condition

Patients who underwent enteral feeding via the stomach in the ICU, subsequently switched to post-pyloric feeding, and received each method for at least 24 hours

Classification by specialty

Intensive care medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The Effect of Post-Pyloric feeding on Gastric Residual Volume in Intensive Care Patients

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

GRV on the day before and the day after switching from gastric feeding to post-pyloric feeding

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Patients who underwent post-pyloric feeding after gastric feeding (including gastrostomy) in the ICU, with each procedure maintained for at least 24 hours
2) Patients who stayed in the ICU for at least 72 hours

Key exclusion criteria

1) Patients admitted to the ICU multiple times (second admission and beyond)
2) Patients with a history of upper gastrointestinal surgery
3) Patients admitted due to diseases involving gastrointestinal obstruction or following radical or palliative surgery for such diseases
4) Patients for whom GRV measurement is not performed
5) Patients deemed inappropriate by the physician

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Masashi
Middle name
Last name Yokose

Organization

Yokohama city university hospital

Division name

Department of Anesthesiology and Critical Care Medicine

Zip code

2360004

Address

3-9, Fukuura Kanazawa-ku, Yokohama, Japan

TEL

+81457872800

Email

yokose_p12@yahoo.co.jp


Public contact

Name of contact person

1st name Masashi
Middle name
Last name Yokose

Organization

Yokohama City University Hospital

Division name

Department of Anesthesiology and Critical Care Medicine

Zip code

2360004

Address

3-9, Fukuura Kanazawa-ku, Yokohama, Japan

TEL

+81457872800

Homepage URL


Email

yokose_p12@yahoo.co.jp


Sponsor or person

Institute

Yokohama City University Hospital

Institute

Department

Personal name



Funding Source

Organization

Yokohama City University Hospital

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Yokohama City University Ethics Committee

Address

3-9, Fukuura, Kanazawa-ku, Yokohama, Japan

Tel

+81457872800

Email

rinri@yokohama-cu.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 01 Month 23 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2025 Year 07 Month 02 Day

Date of IRB

2025 Year 07 Month 02 Day

Anticipated trial start date

2026 Year 01 Month 23 Day

Last follow-up date

2028 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Data: Retrospectively collect data from electronic medical records
1) Age, sex, height, weight, past history, SOFA score, modified CONUT
2) Gastric residual volume, Appearance and color of gastric juice
3) vasopressor, sedative, opioid, prokinetic agents, antacids
4) Enteral nutrition formula dosage, type of enteral nutrition formula, administration rate
5) Labo data
6) Confirm the tip position of the enteral feeding tube, the tip position of the gastric tube for drainage
7) Days until enteral nutrition initiation, presence of enteral nutrition interruption, duration of enteral nutrition during ICU admission
8) Outcomes: In-hospital death, ICU death, hospital length of stay, ICU length of stay, mechanical ventilation duration

Analysis of Primary Endpoints
Paired t-tests or Wilcoxon signed-rank test
Generalized Estimating Equations, Variable Selection via LASSO Estimation; Age, gender, BMI, and enteral nutrition route are forced entry inito final analysis.
Explanatory variables: (1) Age, (2) Gender, (3) BMI, (4) SOFA score, (5) Use of pressor agents, (6) Prokinetic agents, (7) Presence of inflammation (elevated white blood cells and CRP), (8) Enteral nutrition dosage, (9) Enteral nutrition route (gastric or post-pyloric)
Handling of missing values: If a significant number of missing values are identified after data collection, consider conducting a sensitivity analysis.


Management information

Registered date

2026 Year 01 Month 22 Day

Last modified on

2026 Year 01 Month 22 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000068319