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Compassionate Use of Omegaven for Pediatric Patients With Parenteral Nutrition Associated Liver Disease (Omegaven)

Expanded access is currently available for this treatment.
Verified April 2017 by Children's Hospital of Philadelphia
Information provided by (Responsible Party):
Maria Mascarenhas, Children's Hospital of Philadelphia Identifier:
First received: February 15, 2011
Last updated: April 13, 2017
Last verified: April 2017
A compassionate use protocol to provide Omegaven to pediatric patients with parenteral nutrition (PN) dependence and parenteral nutrition associated liver disease (PNALD).

Condition Intervention
Short Bowel Syndrome
Drug: Omegaven

Study Type: Expanded Access     What is Expanded Access?
Official Title: Intravenous Omega-3 Fatty Acid (Omegaven) for Pediatric Patients With Total Parenteral Nutrition Associated Liver Dysfunction

Resource links provided by NLM:

Further study details as provided by Children's Hospital of Philadelphia:

Study Start Date: January 2011
Intervention Details:
    Drug: Omegaven
    10% Omegaven 1g/kg/day, Intravenous by continuous infusion in conjunction with parenteral nutrition, until the patient no longer requires parenteral nutrition or until participation in the study is terminated.
Detailed Description:
Omegaven is an intravenous fat emulsion (IFE) comprised of omega-3 fatty acids derived from fish oil. It will be used in an open label compassionate use treatment protocol, as an alternative to soybean oil (omega-6), as the sole IFE source of parenteral nutrition in an effort to reduce and/or reverse parenteral nutrition associated liver disease. The study will evaluate the safety and efficacy of Omegaven use in pediatric patients with PN dependence and PNALD.

Ages Eligible for Study:   up to 21 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • PN dependence due to congenital or acquired gastrointestinal disease
  • Predicted PN requirement for at least an additional 30 days
  • Parenteral nutrition associated liver disease (PNALD), defined as two conjugated bilirubin levels >= 2 mg/dL at least one week apart, must be obtained to demonstrate persistence of PNALD
  • Failure to respond to standard therapies which may include cycling PN, reduction in the dose of soybean derived IFE, attempts to advance enteral feeds, ursodiol, metronidazole, and avoidance of excessive caloric provision
  • signed parent or legal guardian informed consent

Exclusion Criteria:

  • Acute treatable infection (e.g. urinary tract infection, sepsis)
  • Known allergy to egg or fish protein
  • Contraindications to Omegaven
  • Pregnancy
  • Serum triglyceride level greater than 400 mg/dL at baseline
  • History of severe hemolytic disorders or INR greater than 1.5 at baseline (INR cutoff of greater than 2 for infants less than 1 week of age)
  Contacts and Locations
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Please refer to this study by its identifier: NCT01297933

Contact: Maria Mascarenhas, MBBS 215-590-2997
Contact: Susan A. Becker, RN, BSN, CCRC 267-426-0269

United States, Pennsylvania
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States, 19104
Principal Investigator: Maria Mascarenhas, MBBS         
Sponsors and Collaborators
Children's Hospital of Philadelphia
Principal Investigator: Maria Mascarenhas, MBBS Children's Hospital of Philadelphia
  More Information


Responsible Party: Maria Mascarenhas, Section Chief, Clinical Nutrition, Children's Hospital of Philadelphia Identifier: NCT01297933     History of Changes
Other Study ID Numbers: 10-007681
Study First Received: February 15, 2011
Last Updated: April 13, 2017

Keywords provided by Children's Hospital of Philadelphia:
parenteral nutrition associated liver disease
short bowel syndrome

Additional relevant MeSH terms:
Liver Diseases
Short Bowel Syndrome
Digestive System Diseases
Bile Duct Diseases
Biliary Tract Diseases
Malabsorption Syndromes
Intestinal Diseases
Gastrointestinal Diseases
Postoperative Complications
Pathologic Processes processed this record on May 22, 2017