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Ornithine alpha-ketoglutarate improves wound healing in severe burn patients: a prospective randomized double-blind trial versus isonitrogenous controls

Coudray-Lucas C, Le Bever H, Cynober L, de Bandt JP, Carsin H
Critical Care Medicine 2000 28(6):1772-1776

Bibliography

PubMed
PMID 10890617
Funding
Non-U.S. government research support is indexed by PubMed; detailed funding is reported in the paper.
Competing interests
Historical trial; modern product-specific conflict reporting is limited.

Study snapshot

DesignProspective randomized double-blind controlled clinical trial.
ModelAdults with severe burns receiving early exclusive enteral nutrition.
Sample47 severe burn patients.
InterventionOrnithine alpha-ketoglutarate 20 g/day for 3 weeks versus an isonitrogenous soy-protein control.
Duration3 weeks supplementation with wound-healing follow-up.
EndpointsWound healing time; Protein catabolism; Nutritional markers; Tolerance; Antibiotic use

What the study showed, in plain terms

This randomized trial is a strong example of why different AKG salts must be kept separate.

Twenty grams per day of ornithine alpha-ketoglutarate shortened wound-healing time in severe burn patients and was reported as safe and well tolerated in that setting.

The intervention contains a large ornithine component and was used in hypercatabolic burn patients; its results cannot be attributed to Ca-AKG or used as longevity evidence.

Key findings

  • Wound-healing time was shorter with OKG than with the isonitrogenous control.
  • Markers suggested reduced protein hypercatabolism in less severely burned participants.
  • OKG was reported as safe and well tolerated in this three-week clinical context.

What this study can and cannot tell us

  • OKG is not Ca-AKG.
  • Severe-burn hypercatabolism is a highly specialized clinical setting.
  • Very high dose and short duration relative to longevity supplementation.

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