The Influence of Fish-oil Lipid Emulsions on Neonatal Morbidities

NCT ID: NCT01875510

Last Updated: 2014-07-08

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-01-31

Study Completion Date

2013-11-30

Brief Summary

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Docosahexaenoic acid (DHA) has been shown to be particularly important for fetal and neonatal development. Infants born prematurely are at special risk for DHA insufficiency. The source of DHA after birth for preterm babies who are not fed full enterally, are mostly fat emulsions as the component of total parenteral nutrition solutions which usually do not contain DHA. The aim of this study is to investigate if the fish oil emulsion-administered from the first day of life and during parenteral nutrition-prevents infants from cholestasis and retinopathy of prematurity.

Detailed Description

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During the study period, preterm infants admitted to NICU were included. Infants who weighed \<1500 gr and delivered prematurely before the 32nd week of gestation were eligible for the study. Infants with major congenital anomalies, congenital infections and inborn metabolic errors were excluded from the study.

Group 1: Fish-oil emulsion (20% SMOFLipid: soybean oil 60 g/dL, MCT 60 g/dL, olive oil 50 g/dL, fish oil 30 g/dL, egg phospholipids 12 g/dL, glycerol 25 g/dL, vitamin E 200 mg α-TE/L) Group 2: Soybean oil emulsion (20% Intralipid: soybean oil 200 g/dL, egg phospholipids 12 g/dL, glycerol 22,5 g/dL, vitamin E 57 mg α-TE/L).

Conditions

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Retinopathy of Prematurity Neonatal Cholestasis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Caregivers Investigators Outcome Assessors

Study Groups

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Fish-oil emulsions

Fish-oil emulsions:Preterm infants will receive a fish-oil emulsion administered from the first day of life 1gr/kg, second day 2gr/kg and third day and after 3 gr/kg.

Group Type ACTIVE_COMPARATOR

Fish-oil emulsions

Intervention Type DIETARY_SUPPLEMENT

Fish -oil emulsions:

Preterm infants will receive a fish-oil emulsion administered from the first day of life 1gr/kg, second day 2gr/kg and third day and after 3 gr/kg.

soybean-oil emulsion

Intervention Type DIETARY_SUPPLEMENT

soybean-oil emulsion

soybean-oil emulsion

Preterm infants will receive a soybean-oil emulsion administered from the first day of life 1gr/kg, second day 2gr/kg and the third day and after 3gr/kg

Group Type PLACEBO_COMPARATOR

Fish-oil emulsions

Intervention Type DIETARY_SUPPLEMENT

Fish -oil emulsions:

Preterm infants will receive a fish-oil emulsion administered from the first day of life 1gr/kg, second day 2gr/kg and third day and after 3 gr/kg.

soybean-oil emulsion

Intervention Type DIETARY_SUPPLEMENT

soybean-oil emulsion

Interventions

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Fish-oil emulsions

Fish -oil emulsions:

Preterm infants will receive a fish-oil emulsion administered from the first day of life 1gr/kg, second day 2gr/kg and third day and after 3 gr/kg.

Intervention Type DIETARY_SUPPLEMENT

soybean-oil emulsion

soybean-oil emulsion

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Smoflipid Intralipid

Eligibility Criteria

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Inclusion Criteria

* Infants below 32 gestational age and requiring parenteral nutrition

Exclusion Criteria

* Infants with congenital anomalies, infants above 32 gestational age
Minimum Eligible Age

1 Day

Maximum Eligible Age

3 Days

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Dr. Sami Ulus Children's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Serdar Beken

M.D.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Serdar Beken

Role: PRINCIPAL_INVESTIGATOR

Dr. Sami Ulus Children's Hospital

Locations

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Dr. Sami Ulus Childrens Hospital

Ankara, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Pawlik D, Lauterbach R, Turyk E. Fish-oil fat emulsion supplementation may reduce the risk of severe retinopathy in VLBW infants. Pediatrics. 2011 Feb;127(2):223-8. doi: 10.1542/peds.2010-2427. Epub 2011 Jan 3.

Reference Type RESULT
PMID: 21199856 (View on PubMed)

Other Identifiers

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B.10.4.İSM.4.06.68.49/144

Identifier Type: -

Identifier Source: org_study_id

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