Burn
Conditions
Keywords
Alpha-Tocopherol, Inflammation, Oxidative Stress, Malondialdehyde, Isoprostanes, Lung Dysfunction, Wound Healing
Brief summary
A dietary antioxidant, alpha-tocopherol, will be used to potentially attenuate Vitamin E short- and long-term losses in plasma and adipose, reverse the oxidative stress of burn injury and, in the process, decrease the secondary consequences of burn injury, including lung injury and impaired wound healing. This may improve the quality of life of the burn patient by preventing pathophysiology that may result from oxidative stress and may reduce hospital stay. Our research will lay the foundation for the future development of effective, safe, and economic therapeutic interventions to treat burn injury-associated metabolic abnormalities. Also, it will provide the basis for the development of supplemental regulations and pharmacotherapy to treat burn patients with vitamin E. The risks are very reasonable in relation to the anticipated benefits to our subjects because a) vitamin E is a simple vitamin that is abundant and approved for clinical use, and b) the subjects will be monitored consistently for the minimal increased tendency to bleed.
Detailed description
Please see above.
Interventions
1200 IU dl-alpha tocopheryl acetate after the initial excision surgery after admission (days 1-15 or days 16-30)
Sponsors
Study design
Eligibility
Inclusion criteria
* Age: 16 - 85 years * ≥40% total body surface area burn
Exclusion criteria
* Septic shock * Bleeding disorders * Diabetes, or on diabetes medications or anti-lipidemic agents * Arthritis * Known kidney/renal disease, endocrine disease, cancer, heart disease, osteoporosis, liver disease * Congestive heart failure * Positive hepatitis or HIV screens * Pregnancy (women)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants Assessed for Plasma Alpha- and Gamma-Tocopherol Levels | Days 0-30 | Number of participants who had plasma alpha- and gamma-tocopherol levels measured during the study. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants Completing Pulmonary Function Testing | Day 30 | Number of participants who completed pulmonary function testing during the study period. |
| Number of Participants Assessed for Plasma and Urine Oxidative Stress and Vitamin E Metabolite Biomarkers | Days 0-30 | Number of participants with plasma and urine malondialdehyde, isoprostanes, and Vitamin E metabolites measured during the study. |
| Number of Participants Assessed for Adipose Alpha- and Gamma-Tocopherol Concentrations | Days 0-30 | Number of participants with adipose tissue alpha- and gamma-tocopherol concentrations evaluated during the study. |
Countries
United States
Contacts
University of Texas
University of Texas
Baseline characteristics
| Characteristic | — |
|---|---|
| Age, Continuous | 41 years STANDARD_DEVIATION 14 |
| Percentage of Participants with Third Degree Total Body Surface Area (TBSA)Burn | 44 % of participants |
| Race and Ethnicity Not Collected | 0 Participants |
| Sex: Female, Male Female | 5 Participants |
| Sex: Female, Male Male | 9 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 11 | 0 / 16 |
| other Total, other adverse events | 0 / 11 | 0 / 16 |
| serious Total, serious adverse events | 0 / 11 | 0 / 16 |