Use of Omega-3 Fat Emulsion (Omegaven) in Infants With Parenteral Nutrition Associated Liver Disease
Recruitment status was Recruiting
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Purpose
Babies in the newborn intensive care unit who are dependent upon intravenous nutrition for a long period of time frequently develop liver damage. The fat used is called intralipid and is made from soybean oil. There is a suggestion in the literature that using fishoil based fats called omega-3 fat emulsions can decrease or even reverse this liver damage. We will offer babies with evidence of liver damage and no ability to eat,the Omegaven and see if the liver damage reverses.
| Condition | Intervention | Phase |
|---|---|---|
|
Parenteral Nutrition Associated Liver Disease |
Dietary Supplement: Omegaven |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Use of Omega-3 Fat Emulsion (Omegaven) in Infants With Parenteral Nutrition Associated Liver Disease |
- Resolution of the direct hyperbilirubinemia [ Time Frame: 3 months ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 20 |
| Study Start Date: | March 2009 |
| Estimated Study Completion Date: | March 2012 |
| Estimated Primary Completion Date: | March 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Treatment
All infants will receive Omegaven
|
Dietary Supplement: Omegaven
1 gram/kg/day daily until on feeds
|
Detailed Description:
Babies in the newborn intensive care unit with evidence of liver damage from TPN, as indicated by a direct bilirubin of greater than 2.5 , and who will not be fed for at least another month will be offered the trial. they will be changed from the intralipid to Omegaven as the source of their fat. We will continue routine monitoring of their nutrition and liver function.
Eligibility| Ages Eligible for Study: | up to 24 Months |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Infants in the newborn intensive care unit
- TPN cholestasis of at least 2.5 mg/dl
- Anticipated TPN treatment for at least one month
- signed informed consent
Exclusion Criteria:
- Enrollment in another trial
- Lack of consent
Contacts and Locations| United States, Tennessee | |
| Monroe Carell Jr Children's Hospital at vanderbilt | Recruiting |
| Nashville, Tennessee, United States, 37232 | |
| Contact: William F Walsh, MD 615-322-0545 bill.walsh@vanderbilt.edu | |
| Principal Investigator: William F Walsh, MD | |
More Information
No publications provided
| Responsible Party: | William F Walsh Chief of Nurseries, Professor of Pediatrics, Vanderbilt University Medical Center |
| ClinicalTrials.gov Identifier: | NCT00862446 History of Changes |
| Other Study ID Numbers: | 080887 |
| Study First Received: | March 13, 2009 |
| Last Updated: | March 21, 2011 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Vanderbilt University:
|
Parenteral nutrition associate liver disease TPN cholestasis TPN Associated Liver Disease |
Additional relevant MeSH terms:
|
Liver Diseases Digestive System Diseases |
ClinicalTrials.gov processed this record on May 16, 2013