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Mechanical VentilationNUTRIREA-4NCT06581939

Impact of an Early and Extended Rehabilitation Program Combining Individually Tailored Nutrition and Physical Activities on Patient Outcomes After Invasive Mechanical Ventilation and Vasopressor Therapy in the ICU

A study testing Rehabilitation group in people with Mechanical Ventilation, run by Nantes University Hospital at 52 sites in France.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The NUTRIREA-4 trial will test the hypothesis that an individually tailored rehabilitation program combining nutritional therapy, physiotherapy, and physical activity and started early in the ICU then continued uninterruptedly throughout the post-ICU stay and at home after hospital discharge improves the long-term… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Mechanical Ventilation
What is being tested?
Rehabilitation group
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
830 participants
Where
52 sitesFrance
Study dates
14 Dec 2024to 14 Jun 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Invasive mechanical ventilation (MV) started in the ICU within the past 24 h, or started before ICU admission with ICU admission within the past 24 h, and expected to be required for at least 48 hours after randomization
  • Treatment with a vasoactive agent for shock (adrenaline, dobutamine, or noradrenaline)
  • Nutritional support expected to be started within 24 h after intubation (or within 24 h after ICU admission if intubation occurred before ICU admission)
  • Age 18 or older
  • Patient and/or next-of-kin informed about the trial and having consented to participation in the trial. If the patient is unable to receive information and no next-of-kin can be contacted during screening for the trial, trial inclusion will be completed as an emergency procedure by the ICU physician, in compliance with French law.
  • Covered by the French public health-insurance system

Who cannot join

  • MV started more than 24 hours earlier
  • Specific nutritional needs, such as pre-existing long-term home enteral or parenteral nutrition for chronic bowel disease
  • Dying patient, do-not-resuscitate order, or other treatment- limitation decision at ICU admission
  • Social circumstances hindering follow-up and telephone/video consultations (no fixed address, non-European residence)
  • Inability to provide a stable personal mobile phone number (temporary number or not in the owner's name)
  • Communication difficulties via telephone or video consultation (pre-existing severe hearing or visual impairment)
Show all 17Show fewer
  • Pre-existing chronic illness with life expectancy <6 months
  • Pre-existing cognitive impairment
  • Pre-existing spinal injury
  • Inability to walk before the critical illness
  • Acute or chronic neuromuscular disease
  • Brain injury, e.g., due to cardiac arrest, stroke, or severe trauma
  • Pregnancy, recent delivery, or lactation
  • Adult under guardianship
  • Correctional facility inmate
  • Institutionalized patient
  • Prior inclusion in a randomized trial designed to compare rehabilitation programs delivered to patients during critical illness

Trial locations and contacts

52 sites in 1 country. Contact the study team or a site near you to ask about taking part.

52 sites in 1 country

France52 sites, 52 recruiting
  • CH d'Albi

    Albi, 81013

    Christophe HENRY, christophe.henry@ch-albi.fr

    Recruiting
  • CHU d'Amiens - Site Sud

    Amiens, 80054

    Julien MAIZEL, maizel.julien@chu-amiens.fr

    Recruiting
  • CHU d'Amiens

    Amiens, 80054

    Stéphanie MALAQUIN, malaquin.stephanie@chu-amiens.fr

    Recruiting
  • CHU d'Angers

    Angers, 49933

    Marc PIERROT, mapierrot@chu-angers.fr

    Recruiting
  • CH d'Angoulème

    Angoulême, 16959

    Laurent LAINE, laurent.laine@ch-angouleme.fr

    Recruiting
  • CH d'Argenteuil

    Argenteuil, 95100

    Gaëtan PLANTEFEVE, gaetan.plantefeve@ch-argenteuil.fr

    Recruiting
  • CH de Belfort

    Belfort, 90015

    Julio BADIE, julio.badie@hnfc.fr

    Recruiting
  • CHU de Besançon

    Besançon, 25030

    Gaël PITON, gpiton@chu-besancon.fr

    Recruiting
  • CH de Béthune

    Béthune, 62408

    Ghada SBOUI, gsboui@ch-bethune.fr

    Recruiting
  • CHU de Bordeaux - Hôpital Pellegrin

    Bordeaux, 33000

    Vivien GUILLOTIN, vivien.guillotin@chu-bordeaux.fr

    Recruiting
  • Centre Hospitalier William Morey

    Chalon-sur-Saône, 71100

    Thomas MALDINEY, +33 3 85 44 66 88, thomas.maldiney@ch-chalon71.fr

    Recruiting
  • CH de Cholet

    Cholet, 49325

    Anne-Astrid BOURION, anne-astrid.bourion@ch-cholet.fr

    Recruiting
  • CHU de Clermont-Ferrand

    Clermont-Ferrand, 63003

    Claire DUPUIS, cdupuis@chu-clermontferrand.fr

    Recruiting
  • CH de Dieppe

    Dieppe, 76202

    Jean-Philippe RIGAUD, jrigaud@ch-dieppe.fr

    Recruiting
  • CHU de Dijon

    Dijon, 21079

    Jean-Pierre QUENOT, jean-pierre.quenot@chu-dijon.fr

    Recruiting
  • CH d'Annecy Genevois

    Épagny, 74370

    Marie ROUGON, mrougon@ch-annecygenevois.fr

    Recruiting
  • Centre Hospitalier Sud Essonne

    Étampes, 91150

    Akli CHERMAK, achermak@ch-sudessonne.fr

    Recruiting
  • Hôpital Raymond Poincaré - AP-HP

    Garches, 92380

    Virginie MAXIME, virginie.maxime@aphp.fr

    Recruiting
  • CHU de Grenoble

    Grenoble, 38043

    Louis-Marie GALERNEAU, lmgalerneau@chu-grenoble.fr

    Recruiting
  • CH d'Haguenau

    Haguenau, 67504

    Quentin GEORGES, quentin.georges@ch-haguenau.fr

    Recruiting
  • CH de Vendée

    La Roche-sur-Yon, 85925

    Isabelle VINATIER, isabelle.vinatier@ght85.fr

    Recruiting
  • Hôpital de Bicêtre - AP-HP

    Le Kremlin-Bicêtre, 94275

    Laurent GUERIN, laurent.guerin@aphp.fr

    Recruiting
  • CH du Mans

    Le Mans, 72037

    Mickaël LANDAIS, mlandais@ch-lemans.fr

    Recruiting
  • CH de Lens

    Lens, 62300

    Olivier NIGEON, onigeon@ch-lens.fr

    Recruiting
  • CHRU de Lille

    Lille, 59037

    Claire BOUREL, claire.bourel@chru-lille.fr

    Recruiting
  • CH de Lomme

    Lomme, 59462

    Thierry VAN DER LINDEN, vanderlinden.thierry@ghicl.net

    Recruiting
  • CH de Lorient

    Lorient, 56100

    Béatrice LACOMBE, b.lacombe@ghbs.bzh

    Recruiting
  • CHU de Lyon

    Lyon, 69437

    Laurent ARGAUD, laurent.argaud@chu-lyon.fr

    Recruiting
  • CHU de Montpellier

    Montpellier, 34295

    Samir JABER, s-jaber@chu-montpellier.fr

    Recruiting
  • CHU de Nantes

    Nantes, 44000

    Jean REIGNIER, MD, 0240087361, jean.reignier@chu-nantes.fr

    Recruiting
  • CHU de Nice - Hôpital Pasteur

    Nice, 06100

    Matthieu BOIFFIER, boiffier.m@chu-nice.fr

    Recruiting
  • CHU de Nice

    Nice, 06200

    Clément SACCHERI, saccheri.c@chu-nice.fr

    Recruiting
  • CH d'Orléans

    Orléans, 45100

    Maxime DESGROUAS, maxime.desgrouas@chr-orleans.fr

    Recruiting
  • Hôpital Saint-Louis - AP-HP

    Paris, 75010

    Michael DARMON, michael.darmon@aphp.fr

    Recruiting
  • Hôpital Cochin - AP-HP

    Paris, 75014

    Jean-Paul MIRA, jean-paul.mira@cch.aphp.fr

    Recruiting
  • Hôpital la Pitié-Salpétrière - AP-HP

    Paris, 75651

    Elise MORAWIEC, elise.morawiec@aphp.fr

    Recruiting
  • Hôpital Tenon - AP-HP

    Paris, 75970

    BEURTON Alexandra, alexandra.beurton@aphp.fr

    Recruiting
  • CHU de Reims

    Reims, 51092

    Maxime BERTRAND, mbertrand@chu-reims.fr

    Recruiting
  • CHU de Rennes

    Rennes, 35033

    Jean-Marc TADIE, jeanmarc.tadie@chu-rennes.fr

    Recruiting
  • CHU de Rouen

    Rouen, 76000

    Fabienne TAMION, fabienne.tamion@chu-rouen.fr

    Recruiting
  • CH de Saint-Brieuc

    Saint-Brieuc, 22027

    Mattieu DEBARRE, matthieu.debarre@ch-stbrieuc.fr

    Recruiting
  • Hôpital Delafontaine

    Saint-Denis, 93200

    Daniel SILVA, daniel.silva@ch-stdenis.fr

    Recruiting
  • Centre Hospitalier de Saint-Nazaire

    Saint-Nazaire, 44600

    Damien MULLER, mailto:d.muller@ch-saintnazaire.fr

    Recruiting
  • CHU de Saint-Etienne

    Saint-Priest-en-Jarez, 42270

    Guillaume THIERY, guillaume.thiery@chu-st-etienne.fr

    Recruiting
  • CH de Saint-Malo

    St-Malo, 35403

    Nicolae-Vlad BOTOC, n.botoc@ch-stmalo.fr

    Recruiting
  • CHU de Strasbourg - Nouvel Hôpital Civil

    Strasbourg, 67091

    Hamid MERDJI, hamid.merdji@chru-strasbourg.fr

    Recruiting
  • CHU de Strasbourg - Hôpital de Hautepierre

    Strasbourg, 67200

    Jean-Etienne HERBRECHT, jean-etienne.herbrecht@chru-strasbourg.fr

    Recruiting
  • Hôpital Foch

    Suresnes, 92150

    Jérôme DEVAQUET, j.devaquet@hopital-foch.org

    Recruiting
  • CHU de Tours

    Tours, 37044

    Emmanuelle MERCIER, emercier@med.univ-tours.fr

    Recruiting
  • CH de Valenciennes

    Valenciennes, 59322

    Fabien LAMBIOTTE, lambiotte-f@ch-valenciennes.fr

    Recruiting
  • CH de Vannes

    Vannes, 56017

    Agathe DELBOVE, agathe.delbove@ch-bretagne-atlantique.fr

    Recruiting
  • CH de Verdun

    Verdun, 55100

    Thibault NOEL, tnoel@ch-verdun.fr

    Recruiting

Other trials in France

About this study

Official title: Impact of an Early and Extended Rehabilitation Program Combining Individually Tailored Nutrition and Physical Activities on Patient Outcomes After Invasive Mechanical Ventilation and Vasopressor Therapy in the ICU : A Multicenter Randomized Controlled Trial

The NUTRIREA-4 trial will test the hypothesis that an individually tailored rehabilitation program combining nutritional therapy, physiotherapy, and physical activity and started early in the ICU then continued uninterruptedly throughout the post-ICU stay and at home after hospital discharge improves the long-term outcomes of critical-illness survivors, compared to usual care.

From ICU admission to recovery at home, the trial patients will receive either usual care or the early extended rehabilitation program. Usual care will consist in nutritional support and physiotherapy according to usual local practice in each participating ICU. The early extended program will consist of nutritional therapy, physiotherapy, and physical activity according to a standardized protocol tailored to general- and muscle-health improvements achieved in each individual patient over time.

Being tested
Rehabilitation group, Control group
Keywords
Critical care, Nutritional support, Mechanical ventilation, Shock, Macronutrients, Rehabilitation, Physiotherapy, Adapted physical activity
Medical subject headings
Shock

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Rehabilitation groupProcedure or surgery

    In the rehabilitation group, patients will follow an individualized rehabilitation program started early in the ICU and continued in the post-ICU ward then at home for 12 weeks, combining goal-directed nutrition and physical activity, tailored to gains made over time by each patient, with the involvement of dieticians, physiotherapists, and adapted-physical-activity instructors.

  • Control groupProcedure or surgery

    In the control group, patients will receive usual care from day-0 to day-180.

Study groups in NCT06581939
Study groupRoleWhat they receive
Rehabilitation groupExperimentalIndividualized rehabilitation program
Receives: Procedure: Rehabilitation group
Control groupActive comparatorUsual care
Receives: Procedure: Control group

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 6-minute-walk distance

    The primary endpoint is the 6-minute-walk distance (6MWD), in meters, assessed by blinded physicians and research nurses during a hospital visit 6 months after randomization.

    Measured: 6 months

Secondary outcomes (32)
  1. Handgrip strength

    Handgrip strength (Kg and percent of predicted strength) at 6 months after randomization

    Measured: 6 months after randomization

  2. Medical Research Council (MRC) score

    MRC score at 6 months after randomization

    Measured: 6 months after randomization

  3. Muscle mass assessed by the mid-arm muscle circumference (MAMC)

    MAMC at 6 months after randomization

    Measured: 6 months after randomization

  4. Physical activity assessed by the International Physical Activity Questionnaire Short Form (IPAQ-SF)

    IPAQ-SF score at 3 months after randomization

    Measured: 3 months after randomization

  5. Physical activity assessed by the International Physical Activity Questionnaire Short Form (IPAQ-SF)

    IPAQ-SF score at 4 months after randomization

    Measured: 4 months after randomization

  6. Physical activity assessed by the International Physical Activity Questionnaire Short Form (IPAQ-SF)

    IPAQ-SF score at 5 months after randomization

    Measured: 5 months after randomization

  7. Physical activity assessed by the International Physical Activity Questionnaire Short Form (IPAQ-SF)

    IPAQ-SF score at 6 months after randomization

    Measured: 6 months after randomization

  8. Physical activity assessed by the International Physical Activity Questionnaire Short Form (IPAQ-SF)

    IPAQ-SF score at 12 months after randomization

    Measured: 12 months after randomization

  9. Calorie intakes

    Calorie intakes (daily mean during the hospital stay and at home at D90, D120, D150, D180, and one year after randomization)

    Measured: From day 0 to 12 months

  10. Protein intakes

    Protein intakes (daily mean during the hospital stay and at home at D90, D120, D150, D180, and one year after randomization)

    Measured: From day 0 to 12 months

  11. Body weight

    Mean changes in body weight measured at 6 months)

    Measured: 6 months

  12. Mortality rates

    90-day mortality rates

    Measured: Day 90

  13. Mortality rates

    6-month mortality rates

    Measured: 6 months

  14. Mortality rates

    12-months mortality rates

    Measured: 12 months

  15. Hypoglycemia

    Proportion of patients with at least one hypoglycemia from day 0 to day 7

    Measured: From day 0 to day 7

  16. Blood glucose

    Mean blood glucose from day 0 to day 7

    Measured: From day 0 to day 7

  17. Quality of life assessed using the Short Form 36 Health Survey (SF-36)

    SF-36 scores 6 and 12 months after randomization

    Measured: 6 and 12 months

  18. Handgrip strength

    Handgrip strength (Kg and percent of predicted strength) at ICU discharge

    Measured: ICU discharge, an average of 10 days

  19. Handgrip strength

    Handgrip strength (Kg and percent of predicted strength) at hospital discharge

    Measured: Hospital discharge, an average of 20 days

  20. Medical Research Council (MRC) score

    MRC score at ICU discharge

    Measured: ICU discharge, an average of 10 days

  21. Medical Research Council (MRC) score

    MRC score at hospital discharge

    Measured: Hospital discharge, an average of 20 days

  22. Muscle mass assessed by the mid-arm muscle circumference (MAMC)

    MAMC at ICU discharge

    Measured: ICU discharge, an average of 10 days

  23. Muscle mass assessed by the mid-arm muscle circumference (MAMC)

    MAMC at hospital discharge

    Measured: Hospital discharge, an average of 20 days

  24. Body weight

    Mean changes in body weight measured at ICU discharge

    Measured: ICU discharge, an average of 10 days

  25. Mortality rates

    ICU discharge mortality rates

    Measured: ICU discharge, an average of 10 days

  26. Mechanical Ventilation (MV) duration

    Days of MV

    Measured: From D0 until the date of cessation of mechanical ventilation, an average of 7 days

  27. ICU-acquired infection

    Proportion of patients with at least one ICU-acquired infection

    Measured: From day 0 until the date of discharge from ICU, an average of 10 days

  28. ICU and hospital stay lengths

    ICU and hospital stay lengths (days)

    Measured: From day 0 until the day of discharge from hospital, an average of 20 days

  29. Mortality rates

    Hospital discharge mortality rates

    Measured: Hospital discharge, an average of 20 days

  30. Insulin

    Days on insulin in the ICU

    Measured: From day 0 until the date of ICU discharge, an average of 10 days

  31. Delay from randomization to first standing-up

    Delay from randomization to first standing-up (days)

    Measured: From date of randomization until the date of first standing-up, an average of 7 days

  32. Delay from randomization to first walking

    Delay from randomization to first walking (days)

    Measured: From date of randomization until the date of first walking, an average of 15 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Sep 2024
  2. Study start14 Dec 2024
  3. Primary completion14 Dec 2027 (estimated)
  4. Study completion14 Jun 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
830 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06581939
Sponsor's protocol ID
RC23_0585
Acronym
NUTRIREA-4
Status last verified
Sep 2026
First submitted
20 Aug 2024
Last updated
2 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: De-identified individual participant data underlying the demographic characteristics and primary and secondary outcomes reported in the main publication, together with the data dictionary.

Questions about this trial

What is this clinical trial studying?

A study testing Rehabilitation group in people with Mechanical Ventilation, run by Nantes University Hospital at 52 sites in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 2 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 52 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Diane MAUGARS (+33(0)253482473, diane.maugars@chu-nantes.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

6-minute-walk distance (time frame: 6 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Oct 2026.

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