CClinicalTrials.gg
CompletedNCT02337556Updated Jan 26, 2018

The DIVINE Study: DIetary Management of Glucose VarIability iN thE ICU

An interventional study of Peptamen Bariatric and Replete in Critically Ill Mechanically Ventilated Subjects, sponsored by Société des Produits Nestlé (SPN). Completed at 7 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-01-26.

Sponsored by Société des Produits Nestlé (SPN) · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
106
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

To compare the nutritional effect on blood glucose of two commercially available enteral diets in overweight or obese patients in the Intensive Care Unit.

02

Conditions studied

  • Critically Ill Mechanically Ventilated Subjects

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03

In context

Critical Illness

1,881 studies on the registry are indexed under Critical Illness; 462 are open to participants now.

This study's enrollment of 106 is above the median of 90 across 979 interventional studies indexed under Critical Illness.

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Lead sponsor

Société des Produits Nestlé (SPN) is the lead sponsor of 314 studies on the registry; 16 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • New admit to the ICU and expected to remain in ICU 5 days
  • Ventilator dependent up to 48 hours prior to admission to the study
  • Requiring tube feeding enteral nutrition (EN) 5 days
  • Expected to receive 50% of caloric needs within 72 hours
  • Body Mass Index 26-45

Exclusion criteria

Exclusion Criteria:

  • Trauma patients
  • Major surgery in past 30 days or planned for next 7 days
  • Diabetes mellitus (DM) type 1
  • Admitted with diagnosis of diabetic ketoacidosis as primary diagnosis
  • Pregnant or lactating
  • Non-functioning GI tract
  • Use of parenteral nutrition in past 30 days
  • Admitted with burns > 20% body surface area
  • Traumatic brain injury
  • Hemodynamic instability that prevents delivery of EN > 24hr
  • Unable to access GI tract for feeding via tube, unable to receive EN
  • Other contraindication to tube feeding
  • Any other condition that would not allow patient to complete the study protocol
  • Use of enteral formula at enrollment that cannot be changed to the investigational product
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
106 participants (actual)

Study arms

  • Experimental
    Intervention Group

    Peptamen Bariatric

    Other: Peptamen Bariatric

  • Active comparator
    Control Group

    Replete

    Other: Replete

Interventions

  • OtherPeptamen Bariatric

    Commercially available enteral diet

  • OtherReplete

    Commercially available enteral diet

06

What researchers measure

Primary outcomes

  1. Glucose variability - Number of glycemic events outside the serum glucose range of 110-150 mg/dl

    Number of glycemic events outside the serum glucose range of 110-150 mg/dl

    Time frame: First seven days in the ICU

Secondary outcomes

  1. Glucose variability - Number of glycemic events between 80-110 mg/dl and 150-180 mg/dl

    Number of glycemic events between 80-110 mg/dl and 150-180 mg/dl

    Time frame: First seven days in the ICU

  2. Glucose variability - Number of episodes of hypoglycemia (glucose < 80 mg/dl)

    Number of episodes of hypoglycemia (glucose \< 80 mg/dl)

    Time frame: First seven days in the ICU

  3. Glucose variability - Number of episodes of hyperglycemia (glucose > 180 mg/dl)

    Number of episodes of hyperglycemia (glucose \> 180 mg/dl)

    Time frame: First seven days in the ICU

  4. Glucose variability - Average glucose levels

    Average glucose levels

    Time frame: First seven days in the ICU

  5. Need for exogenous insulin administration

    Number of administrations, amount of insulin received, number of times insulin order adjusted, circulating C-peptide at baseline, day 3, 5 and 7

    Time frame: First seven days in the ICU

  6. Need for exogenous glucose administration

    Number of times of administration and amount of glucose received

    Time frame: First seven days in the ICU

  7. Nursing time

    Time required to monitor glucose levels and adjust insulin regimens in subset of patients studied

    Time frame: First seven days in the ICU

07

Study locations

7 sites
  • Emory University Hospital
    Atlanta, Georgia 30322, United States
  • University of Chicago Medicine
    Chicago, Illinois 60637, United States
  • University of Kentucky Albert B. Chandler Hospital
    Lexington, Kentucky 40536, United States
  • Regions Hospital
    Saint Paul, Minnesota 55101, United States
  • Wake Forest University Health Sciences
    Winston-Salem, North Carolina 27157, United States
  • Vanderbilt University Medical Center
    Nashville, Tennessee 37232, United States
  • Queen's University
    Kingston, Ontario K7L 2V7, Canada
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 26, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02337556
Lead sponsor
Société des Produits Nestlé (SPN)
Responsible party
Sponsor
First posted
Jan 13, 2015
Start date
Nov 2014
Primary completion
Oct 2016
Completion
Dec 2016
Last update
Jan 26, 2018

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2018. You cannot join it, but the record below documents what was studied.

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