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Influence of of a Lipid Emulsion on Inflammatory Response and Hepatic Function
This study has been completed.
Sponsor:
Klinikum Ludwigshafen
Information provided by:
Klinikum Ludwigshafen
ClinicalTrials.gov Identifier:
NCT00600912
First received: January 14, 2008
Last updated: December 2, 2009
Last verified: December 2009
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Purpose
Lipid emulsions are an essential part of parenteral nutrition, both as a part of energy supply, and as a source of essential fatty acids. It has been shown that the fatty acid composition of cell membranes is influenced by the fatty acid profile of dietary lipids, and may therefore be responsible for modulation of immune response. The aim of this study was to assess the effects of a new lipid emulsion based ob soybean oil, medium-chain triglycerides, olive oil and fish oil compared with a lipid emulsion based on olive and soybean oil on the inflammatory response and hepatic function in postoperative intensive care unit (ICU) patients.
| Condition | Intervention | Phase |
|---|---|---|
| Inflammatory Response Hepatic Function | Drug: SMOFlipid® Drug: 2-ClinOleic 20%® | Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double Primary Purpose: Treatment |
| Official Title: | Inflammatory Response and Hepatic Function in Patients Requiring Parenteral Nutrition: Comparison of a Lipid Emulsion Based ob Soybean Oil, Medium-Chain Triglycerides, Olive Oil and Fish Oil Versus a Lipid Emulsion Based on Olive and Soybean Oil |
Resource links provided by NLM:
Further study details as provided by Klinikum Ludwigshafen:
Primary Outcome Measures:
- The primary objective is to monitor the leucotriene (LT) LTB5 in patients requiring parenteral nutrition [ Time Frame: 5 days ]
Secondary Outcome Measures:
- Hepatic function assessed by measuring alpha-glutathione S-transferase (α-GST), alanin-aminotransferase (ALT),and aspartate-aminotransferase (AST) [ Time Frame: 5 days ]
| Enrollment: | 42 |
| Study Start Date: | December 2006 |
| Study Completion Date: | December 2007 |
| Primary Completion Date: | December 2007 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1-SMOFlipid®
lipid emulsion based on soybean oil, medium-chain triglycerides, olive oil and fish oil SMOFlipid®-Group (n = 21)
|
Drug: SMOFlipid®
continuously, for 5 days postoperatively, corresponding to the observation time. Nonprotein calories: to 60% as glucose and to 40% as lipid emulsion. The total energy intake per day was adjusted to 25 kcal kg-1 body weight.
Other Name: SMOFlipid 20%® (Fresenius Kabi Deutschland GmbH,Bad Homburg, Germany)
|
|
Active Comparator: 2-ClinOleic 20%®
olive and soybean oil-group (n=21)
|
Drug: 2-ClinOleic 20%®
continuously, for 5 days postoperatively, corresponding to the observation time. Nonprotein calories: to 60% as glucose and to 40% as lipid emulsion. The total energy intake per day was adjusted to 25 kcal kg-1 body weight.
Other Name: ClinOleic 20%® (Baxter Deutschland GmbH,Unterschleissheim, Germany)
|
Detailed Description:
Fatty emulsions are an indispensable part of parenteral nutrition, because they deliver energy and essential fatty acids. Furthermore, lipids are involved in the structure and function of cell membranes and receptors, modifying gene expression, and modulating the inflammatory and immune response. In addition, fatty acids are precursors of prostaglandins and other eicosanoids and have therefore important metabolic functions.A promising substrate in the development of lipid emulsions can be seen in fish oils containing solutions. With regard to the current literature, fish oil have a potential benefical influence on the pathophysiological response to endotoxins and exert important modulations on eicosanoid and cytokine biology.
However, there are no studies avaibale comparing fish oil containing fatty emulsions to a lipid emulsion based on olive and soybean oil with regard to inflammatory response and hepatic function.
Therefore, the aim of this study was to evaluate the effects of a new lipid emulsion based ob soybean oil, medium-chain triglycerides, olive oil and fish oil compared to a lipid emulsion based on olive and soybean oil on the inflammatory response and hepatic function in postoperative intensive care unit (ICU) patients.
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years (Adult, Senior) |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- 18-80 years
- Elective operative procedure, and indication for parenteral nutrition over 5 postoperative days
- ASA I-III
- Haemoglobin > 10 g/dl
- Ability and acceptance to agree to the study participation
- Written informed consent
Exclusion Criteria:
- Liver insufficiency (ASAT, ALAT > 40 U/l)
- Renal insufficiency (creatinine > 1.4 mg/dl)
- Pancreas insufficiency
- Emergencies
- Women in child bearing age and missing negative pregnancy test, pregnancy or lactation
- Diseases from the central nervous system (such as M. Parkinson and multiple sclerosis)
- Alcohol and drug abuse (including opioid abuse)
- Acute pulmonary oedema
- Decompensated cardiac insufficiency
- Insulin-dependent diabetes mellitus
- Overweight (body mass index > 30 kg/m2
- Cachexia (body mass index < 18 kg/m2)
- Psychiatric disorders
- Hypersensitivity to egg, coconut or soy proteins
- Patients taking chronic corticoids
- Allergy to any of the study agents
- Refusal from the patient to participate in the study
- Participation in another study project
Contacts and Locations
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Please refer to this study by its ClinicalTrials.gov identifier: NCT00600912
Please refer to this study by its ClinicalTrials.gov identifier: NCT00600912
Locations
| Germany | |
| Klinikum der Stadt Ludwigshafen, Department of Anesthesiology and Intensive Care Medicine | |
| Ludwigshafen, Germany, 67063 | |
Sponsors and Collaborators
Klinikum Ludwigshafen
Investigators
| Principal Investigator: | Swen N. Piper, Dr. med. | Klinikum Ludwigshafen, Department of Anaesthesiology, Ludwigshafen, Germany |
More Information
Publications:
| Responsible Party: | Klinikum Ludwigshafen, Dep. of Anesthesiology, Dr. S. N. Piper |
| ClinicalTrials.gov Identifier: | NCT00600912 History of Changes |
| Other Study ID Numbers: |
SMOF 5178 kli-Lu-spiper 12-2007 |
| Study First Received: | January 14, 2008 |
| Last Updated: | December 2, 2009 |
Keywords provided by Klinikum Ludwigshafen:
|
lipid emulsion fish oil parenteral nutrition leucotriene LTB5 hepatic function |
ClinicalTrials.gov processed this record on August 18, 2017