Trial Outcomes & Findings for Phase 3 Study to Compare Safety and Efficacy of Smoflipid 20% to Intralipid 20% in Hospitalized Neonates and Infants (NCT NCT02579265)

NCT ID: NCT02579265

Last Updated: 2022-01-05

Results Overview

Analysis of patients with Event at any timepoint of sampling (i.e. Day 8, 15, 22, 29/end of Treatment) and subsequent (i.e. +7 days) confirmation.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

204 participants

Primary outcome timeframe

Screening, Day 8, 15, 22, 29/end of treatment + confirmatory sample: 7 days after conjugated bilirubin level exceeds 2 mg/dl

Results posted on

2022-01-05

Participant Flow

Participant milestones

Participant milestones
Measure
Smoflipid 20%
Smoflipid is a lipid emulsion containing soybean oil, MCTs (medium-chain triglycerides), olive oil, and fish oil. Smoflipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Smoflipid 20% (investigational lipid for parenteral nutrition): Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Smoflipid 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Smoflipid 20% will be infused into a central or a peripheral vein.
Intralipid® 20%
Intralipid is a long-chain triglyceride emulsion derived from purified soybean oil and egg yolk phospholipids. Intralipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Intralipid® 20%: Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Intralipid® 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Intralipid® 20% will be infused into a central or peripheral vein.
Overall Study
STARTED
83
78
Overall Study
COMPLETED
33
33
Overall Study
NOT COMPLETED
50
45

Reasons for withdrawal

Reasons for withdrawal
Measure
Smoflipid 20%
Smoflipid is a lipid emulsion containing soybean oil, MCTs (medium-chain triglycerides), olive oil, and fish oil. Smoflipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Smoflipid 20% (investigational lipid for parenteral nutrition): Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Smoflipid 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Smoflipid 20% will be infused into a central or a peripheral vein.
Intralipid® 20%
Intralipid is a long-chain triglyceride emulsion derived from purified soybean oil and egg yolk phospholipids. Intralipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Intralipid® 20%: Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Intralipid® 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Intralipid® 20% will be infused into a central or peripheral vein.
Overall Study
Weaned off earlier than 28 days
44
43
Overall Study
Adverse Event
2
0
Overall Study
Any other reason not specified
0
2
Overall Study
Withdrawal by Subject
2
0
Overall Study
Physician Decision
1
0
Overall Study
Withdrawal due to increased conjugated bilirubin
1
0

Baseline Characteristics

Missing

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intralipid® 20%
n=78 Participants
Intralipid is a long-chain triglyceride emulsion derived from purified soybean oil and egg yolk phospholipids. Intralipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Intralipid® 20%: Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Intralipid® 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Intralipid® 20% will be infused into a central or peripheral vein.
Smoflipid 20%
n=83 Participants
Smoflipid is a lipid emulsion containing soybean oil, MCTs (medium-chain triglycerides), olive oil, and fish oil. Smoflipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Smoflipid 20% (investigational lipid for parenteral nutrition): Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Smoflipid 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Smoflipid 20% will be infused into a central or a peripheral vein.
Total
n=161 Participants
Total of all reporting groups
Age, Continuous
8.3 days
STANDARD_DEVIATION 12.16 • n=78 Participants
11.4 days
STANDARD_DEVIATION 21.58 • n=83 Participants
9.9 days
STANDARD_DEVIATION 17.67 • n=161 Participants
Age, Customized
Age category · Newborn (0-27 days)
75 Participants
n=78 Participants
77 Participants
n=83 Participants
152 Participants
n=161 Participants
Age, Customized
Age category · Infant (>=28 days)
3 Participants
n=78 Participants
6 Participants
n=83 Participants
9 Participants
n=161 Participants
Sex: Female, Male
Female
45 Participants
n=78 Participants
39 Participants
n=83 Participants
84 Participants
n=161 Participants
Sex: Female, Male
Male
33 Participants
n=78 Participants
44 Participants
n=83 Participants
77 Participants
n=161 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
8 Participants
n=78 Participants
17 Participants
n=83 Participants
25 Participants
n=161 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
70 Participants
n=78 Participants
66 Participants
n=83 Participants
136 Participants
n=161 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=78 Participants
0 Participants
n=83 Participants
0 Participants
n=161 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants
n=78 Participants
2 Participants
n=83 Participants
4 Participants
n=161 Participants
Race (NIH/OMB)
Asian
1 Participants
n=78 Participants
2 Participants
n=83 Participants
3 Participants
n=161 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=78 Participants
0 Participants
n=83 Participants
1 Participants
n=161 Participants
Race (NIH/OMB)
Black or African American
11 Participants
n=78 Participants
4 Participants
n=83 Participants
15 Participants
n=161 Participants
Race (NIH/OMB)
White
57 Participants
n=78 Participants
65 Participants
n=83 Participants
122 Participants
n=161 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=78 Participants
0 Participants
n=83 Participants
0 Participants
n=161 Participants
Race (NIH/OMB)
Unknown or Not Reported
6 Participants
n=78 Participants
10 Participants
n=83 Participants
16 Participants
n=161 Participants
Postmenstrual age at birth
238.4 days
STANDARD_DEVIATION 23.98 • n=78 Participants
243.2 days
STANDARD_DEVIATION 24.27 • n=83 Participants
240.9 days
STANDARD_DEVIATION 24.18 • n=161 Participants
Underlying disease type
No NEC
72 Participants
n=78 Participants
74 Participants
n=83 Participants
146 Participants
n=161 Participants
Underlying disease type
NEC
6 Participants
n=78 Participants
9 Participants
n=83 Participants
15 Participants
n=161 Participants
Body weight
2.25 kg
STANDARD_DEVIATION 0.663 • n=74 Participants • Missing
2.44 kg
STANDARD_DEVIATION 0.871 • n=82 Participants • Missing
2.35 kg
STANDARD_DEVIATION 0.783 • n=156 Participants • Missing
Body weight Z-score
-0.90 units on a scale
STANDARD_DEVIATION 0.969 • n=78 Participants
-1.06 units on a scale
STANDARD_DEVIATION 1.090 • n=83 Participants
-0.98 units on a scale
STANDARD_DEVIATION 1.034 • n=161 Participants
Body weight (category for age)
Low
12 Participants
n=74 Participants • Missing Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).
20 Participants
n=82 Participants • Missing Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).
32 Participants
n=156 Participants • Missing Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).
Body weight (category for age)
Normal
62 Participants
n=74 Participants • Missing Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).
62 Participants
n=82 Participants • Missing Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).
124 Participants
n=156 Participants • Missing Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).
Body weight (category for age)
High
0 Participants
n=74 Participants • Missing Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).
0 Participants
n=82 Participants • Missing Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).
0 Participants
n=156 Participants • Missing Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).
Body length
44.36 cm
STANDARD_DEVIATION 4.407 • n=72 Participants • Missing
45.15 cm
STANDARD_DEVIATION 5.024 • n=78 Participants • Missing
44.77 cm
STANDARD_DEVIATION 4.739 • n=150 Participants • Missing
Body length Z-score
-1.02 units on a scale
STANDARD_DEVIATION 1.124 • n=72 Participants • Missing
-1.21 units on a scale
STANDARD_DEVIATION 1.339 • n=78 Participants • Missing
-1.11 units on a scale
STANDARD_DEVIATION 1.240 • n=150 Participants • Missing
Body length (category for age)
Low
12 Participants
n=72 Participants • Missing Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).
25 Participants
n=78 Participants • Missing Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).
37 Participants
n=150 Participants • Missing Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).
Body length (category for age)
Normal
60 Participants
n=72 Participants • Missing Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).
53 Participants
n=78 Participants • Missing Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).
113 Participants
n=150 Participants • Missing Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).
Body length (category for age)
High
0 Participants
n=72 Participants • Missing Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).
0 Participants
n=78 Participants • Missing Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).
0 Participants
n=150 Participants • Missing Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).
Head circumference
31.28 cm
STANDARD_DEVIATION 2.798 • n=73 Participants • Missing
31.69 cm
STANDARD_DEVIATION 3.225 • n=78 Participants • Missing
31.49 cm
STANDARD_DEVIATION 3.024 • n=151 Participants • Missing
Head circumference Z-score
-0.76 units on a scale
STANDARD_DEVIATION 1.184 • n=73 Participants • Missing
-0.97 units on a scale
STANDARD_DEVIATION 1.249 • n=78 Participants • Missing
-0.87 units on a scale
STANDARD_DEVIATION 1.218 • n=151 Participants • Missing
Head circumference (category for age)
Low
9 Participants
n=73 Participants • Missing Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).
20 Participants
n=78 Participants • Missing Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).
29 Participants
n=151 Participants • Missing Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).
Head circumference (category for age)
Normal
62 Participants
n=73 Participants • Missing Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).
57 Participants
n=78 Participants • Missing Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).
119 Participants
n=151 Participants • Missing Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).
Head circumference (category for age)
High
2 Participants
n=73 Participants • Missing Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).
1 Participants
n=78 Participants • Missing Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).
3 Participants
n=151 Participants • Missing Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).
Duration of pretreatment
8.8 days
STANDARD_DEVIATION 8.25 • n=45 Participants • Missing
7.3 days
STANDARD_DEVIATION 7.50 • n=49 Participants • Missing
8.0 days
STANDARD_DEVIATION 7.86 • n=94 Participants • Missing

PRIMARY outcome

Timeframe: Screening, Day 8, 15, 22, 29/end of treatment + confirmatory sample: 7 days after conjugated bilirubin level exceeds 2 mg/dl

Population: The numbers in the subgroups refer to 100%

Analysis of patients with Event at any timepoint of sampling (i.e. Day 8, 15, 22, 29/end of Treatment) and subsequent (i.e. +7 days) confirmation.

Outcome measures

Outcome measures
Measure
Intralipid® 20%
n=78 Participants
Intralipid is a long-chain triglyceride emulsion derived from purified soybean oil and egg yolk phospholipids. Intralipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Intralipid® 20%: Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Intralipid® 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Intralipid® 20% will be infused into a central or peripheral vein.
Smoflipid 20%
n=83 Participants
Smoflipid is a lipid emulsion containing soybean oil, MCTs (medium-chain triglycerides), olive oil, and fish oil. Smoflipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Smoflipid 20% (investigational lipid for parenteral nutrition): Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Smoflipid 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Smoflipid 20% will be infused into a central or a peripheral vein.
The Number of Patients in Each Treatment Group With Conjugated Bilirubin Levels > 2 mg/dL During the First 28 Days of Study Treatment, Confirmed by a Second Sample Collected 7 Days After the First Sample
Combined
3 Participants
2 Participants
The Number of Patients in Each Treatment Group With Conjugated Bilirubin Levels > 2 mg/dL During the First 28 Days of Study Treatment, Confirmed by a Second Sample Collected 7 Days After the First Sample
NEC
0 Participants
1 Participants
The Number of Patients in Each Treatment Group With Conjugated Bilirubin Levels > 2 mg/dL During the First 28 Days of Study Treatment, Confirmed by a Second Sample Collected 7 Days After the First Sample
No NEC
3 Participants
1 Participants

SECONDARY outcome

Timeframe: Day 1-29, and at Follow-up (+7 days) (if continued: until Day 85 + at Follow up)

Population: The numbers at different timepoints refer to 100%. Timepoints \>10% of Subjects (overall) are displayed.

Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).

Outcome measures

Outcome measures
Measure
Intralipid® 20%
n=78 Participants
Intralipid is a long-chain triglyceride emulsion derived from purified soybean oil and egg yolk phospholipids. Intralipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Intralipid® 20%: Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Intralipid® 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Intralipid® 20% will be infused into a central or peripheral vein.
Smoflipid 20%
n=83 Participants
Smoflipid is a lipid emulsion containing soybean oil, MCTs (medium-chain triglycerides), olive oil, and fish oil. Smoflipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Smoflipid 20% (investigational lipid for parenteral nutrition): Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Smoflipid 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Smoflipid 20% will be infused into a central or a peripheral vein.
Body Weight (Change From Baseline)
Day 43 · Normal
15 Participants
8 Participants
Body Weight (Change From Baseline)
Baseline · High
0 Participants
0 Participants
Body Weight (Change From Baseline)
Day 64 · High
0 Participants
0 Participants
Body Weight (Change From Baseline)
Follow-up · Low
16 Participants
15 Participants
Body Weight (Change From Baseline)
Day 43 · High
0 Participants
1 Participants
Body Weight (Change From Baseline)
Day 50 · Low
2 Participants
3 Participants
Body Weight (Change From Baseline)
Baseline · Low
12 Participants
20 Participants
Body Weight (Change From Baseline)
Baseline · Normal
62 Participants
62 Participants
Body Weight (Change From Baseline)
Day 8 · Low
14 Participants
22 Participants
Body Weight (Change From Baseline)
Day 8 · Normal
61 Participants
55 Participants
Body Weight (Change From Baseline)
Day 8 · High
1 Participants
0 Participants
Body Weight (Change From Baseline)
Day 15 · Low
13 Participants
16 Participants
Body Weight (Change From Baseline)
Day 15 · Normal
45 Participants
48 Participants
Body Weight (Change From Baseline)
Day 15 · High
0 Participants
0 Participants
Body Weight (Change From Baseline)
Day 22 · Low
8 Participants
14 Participants
Body Weight (Change From Baseline)
Day 22 · Normal
31 Participants
31 Participants
Body Weight (Change From Baseline)
Day 22 · High
0 Participants
0 Participants
Body Weight (Change From Baseline)
Day 29 · Low
6 Participants
9 Participants
Body Weight (Change From Baseline)
Day 29 · Normal
25 Participants
24 Participants
Body Weight (Change From Baseline)
Day 29 · High
0 Participants
0 Participants
Body Weight (Change From Baseline)
Day 36 · Low
4 Participants
5 Participants
Body Weight (Change From Baseline)
Day 36 · Normal
16 Participants
13 Participants
Body Weight (Change From Baseline)
Day 36 · High
1 Participants
0 Participants
Body Weight (Change From Baseline)
Day 43 · Low
2 Participants
3 Participants
Body Weight (Change From Baseline)
Day 50 · Normal
10 Participants
7 Participants
Body Weight (Change From Baseline)
Day 50 · High
0 Participants
0 Participants
Body Weight (Change From Baseline)
Day 57 · Low
1 Participants
1 Participants
Body Weight (Change From Baseline)
Day 57 · Normal
10 Participants
7 Participants
Body Weight (Change From Baseline)
Day 57 · High
0 Participants
0 Participants
Body Weight (Change From Baseline)
Day 64 · Low
0 Participants
0 Participants
Body Weight (Change From Baseline)
Day 64 · Normal
9 Participants
6 Participants
Body Weight (Change From Baseline)
Follow-up · Normal
43 Participants
40 Participants
Body Weight (Change From Baseline)
Follow-up · High
1 Participants
0 Participants

SECONDARY outcome

Timeframe: Day 1, 8, 15, 22, 29/end of treatment, if continued: Day 36, 43, 50, 57, 64, 71, 78, 85/end of treatment, Follow-up

Population: The numbers at different timepoints refer to 100%. Timepoints \>10% of Subjects (overall) are displayed.

Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).

Outcome measures

Outcome measures
Measure
Intralipid® 20%
n=78 Participants
Intralipid is a long-chain triglyceride emulsion derived from purified soybean oil and egg yolk phospholipids. Intralipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Intralipid® 20%: Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Intralipid® 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Intralipid® 20% will be infused into a central or peripheral vein.
Smoflipid 20%
n=83 Participants
Smoflipid is a lipid emulsion containing soybean oil, MCTs (medium-chain triglycerides), olive oil, and fish oil. Smoflipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Smoflipid 20% (investigational lipid for parenteral nutrition): Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Smoflipid 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Smoflipid 20% will be infused into a central or a peripheral vein.
Body Length (Change From Baseline)
Baseline · Low
12 Participants
25 Participants
Body Length (Change From Baseline)
Baseline · Normal
60 Participants
53 Participants
Body Length (Change From Baseline)
Baseline · High
0 Participants
0 Participants
Body Length (Change From Baseline)
Day 8 · Low
14 Participants
30 Participants
Body Length (Change From Baseline)
Day 8 · Normal
59 Participants
49 Participants
Body Length (Change From Baseline)
Day 8 · High
0 Participants
0 Participants
Body Length (Change From Baseline)
Day 15 · Low
14 Participants
25 Participants
Body Length (Change From Baseline)
Day 15 · Normal
47 Participants
39 Participants
Body Length (Change From Baseline)
Day 15 · High
0 Participants
0 Participants
Body Length (Change From Baseline)
Day 22 · Low
10 Participants
17 Participants
Body Length (Change From Baseline)
Day 22 · Normal
31 Participants
29 Participants
Body Length (Change From Baseline)
Day 22 · High
0 Participants
0 Participants
Body Length (Change From Baseline)
Day 29 · Low
6 Participants
13 Participants
Body Length (Change From Baseline)
Day 29 · Normal
27 Participants
20 Participants
Body Length (Change From Baseline)
Day 29 · High
0 Participants
0 Participants
Body Length (Change From Baseline)
Day 36 · Low
7 Participants
6 Participants
Body Length (Change From Baseline)
Day 36 · Normal
14 Participants
10 Participants
Body Length (Change From Baseline)
Day 36 · High
0 Participants
0 Participants
Body Length (Change From Baseline)
Day 43 · Low
4 Participants
4 Participants
Body Length (Change From Baseline)
Day 43 · Normal
13 Participants
9 Participants
Body Length (Change From Baseline)
Day 43 · High
0 Participants
0 Participants
Body Length (Change From Baseline)
Day 50 · Low
5 Participants
2 Participants
Body Length (Change From Baseline)
Day 50 · Normal
10 Participants
8 Participants
Body Length (Change From Baseline)
Day 50 · High
0 Participants
0 Participants
Body Length (Change From Baseline)
Day 57 · Low
1 Participants
1 Participants
Body Length (Change From Baseline)
Day 57 · Normal
9 Participants
6 Participants
Body Length (Change From Baseline)
Day 57 · High
1 Participants
1 Participants
Body Length (Change From Baseline)
Follow up · Low
16 Participants
26 Participants
Body Length (Change From Baseline)
Follow up · Normal
40 Participants
27 Participants
Body Length (Change From Baseline)
Follow up · High
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Day 1, 8, 15, 22, 29/end of treatment, if continued: Day 36, 43, 50, 57, 64, 71, 78, 85/end of treatment, Follow-up

Population: The numbers at different timepoints refer to 100%. Timepoints \>10% of Subjects (overall) are displayed.

Data were age-standardized using growth charts as suggested by Fenton (Fenton et al., 2013) and the World Health Organization (WHO) Multicenter Growth Reference Study (MGRS; WHO 2006, 2007).

Outcome measures

Outcome measures
Measure
Intralipid® 20%
n=78 Participants
Intralipid is a long-chain triglyceride emulsion derived from purified soybean oil and egg yolk phospholipids. Intralipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Intralipid® 20%: Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Intralipid® 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Intralipid® 20% will be infused into a central or peripheral vein.
Smoflipid 20%
n=83 Participants
Smoflipid is a lipid emulsion containing soybean oil, MCTs (medium-chain triglycerides), olive oil, and fish oil. Smoflipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Smoflipid 20% (investigational lipid for parenteral nutrition): Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Smoflipid 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Smoflipid 20% will be infused into a central or a peripheral vein.
Head Circumference (Change From Baseline)
Baseline · Low
9 Participants
20 Participants
Head Circumference (Change From Baseline)
Baseline · Normal
62 Participants
57 Participants
Head Circumference (Change From Baseline)
Baseline · High
2 Participants
1 Participants
Head Circumference (Change From Baseline)
Day 8 · Low
10 Participants
21 Participants
Head Circumference (Change From Baseline)
Day 8 · Normal
63 Participants
59 Participants
Head Circumference (Change From Baseline)
Day 8 · High
0 Participants
1 Participants
Head Circumference (Change From Baseline)
Day 15 · Low
7 Participants
13 Participants
Head Circumference (Change From Baseline)
Day 15 · Normal
54 Participants
51 Participants
Head Circumference (Change From Baseline)
Day 15 · High
0 Participants
1 Participants
Head Circumference (Change From Baseline)
Day 22 · Low
5 Participants
12 Participants
Head Circumference (Change From Baseline)
Day 22 · Normal
36 Participants
34 Participants
Head Circumference (Change From Baseline)
Day 22 · High
0 Participants
0 Participants
Head Circumference (Change From Baseline)
Day 29 · Low
3 Participants
8 Participants
Head Circumference (Change From Baseline)
Day 29 · Normal
30 Participants
25 Participants
Head Circumference (Change From Baseline)
Day 29 · High
0 Participants
0 Participants
Head Circumference (Change From Baseline)
Day 36 · Low
2 Participants
5 Participants
Head Circumference (Change From Baseline)
Day 36 · Normal
18 Participants
10 Participants
Head Circumference (Change From Baseline)
Day 36 · High
0 Participants
1 Participants
Head Circumference (Change From Baseline)
Day 43 · Low
1 Participants
2 Participants
Head Circumference (Change From Baseline)
Day 43 · Normal
16 Participants
11 Participants
Head Circumference (Change From Baseline)
Day 43 · High
0 Participants
0 Participants
Head Circumference (Change From Baseline)
Day 50 · Low
1 Participants
1 Participants
Head Circumference (Change From Baseline)
Day 50 · Normal
14 Participants
8 Participants
Head Circumference (Change From Baseline)
Day 50 · High
0 Participants
1 Participants
Head Circumference (Change From Baseline)
Day 57 · Low
0 Participants
0 Participants
Head Circumference (Change From Baseline)
Day 57 · Normal
9 Participants
6 Participants
Head Circumference (Change From Baseline)
Day 57 · High
0 Participants
1 Participants
Head Circumference (Change From Baseline)
Day 64 · Low
0 Participants
0 Participants
Head Circumference (Change From Baseline)
Day 64 · Normal
8 Participants
5 Participants
Head Circumference (Change From Baseline)
Day 64 · High
0 Participants
0 Participants
Head Circumference (Change From Baseline)
Follow up · Low
9 Participants
9 Participants
Head Circumference (Change From Baseline)
Follow up · Normal
46 Participants
39 Participants
Head Circumference (Change From Baseline)
Follow up · High
0 Participants
3 Participants

SECONDARY outcome

Timeframe: Day 29/end of treatment, if continued: Day 85/end of treatment

Population: The Standard Deviation for Time to Event was not calculated. NA=Not available

Time to full enteral or oral feeds (i.e. PN weaning) is the time from the randomization date to the date of the first full enteral or oral Feeds.

Outcome measures

Outcome measures
Measure
Intralipid® 20%
n=58 Participants
Intralipid is a long-chain triglyceride emulsion derived from purified soybean oil and egg yolk phospholipids. Intralipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Intralipid® 20%: Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Intralipid® 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Intralipid® 20% will be infused into a central or peripheral vein.
Smoflipid 20%
n=58 Participants
Smoflipid is a lipid emulsion containing soybean oil, MCTs (medium-chain triglycerides), olive oil, and fish oil. Smoflipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Smoflipid 20% (investigational lipid for parenteral nutrition): Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Smoflipid 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Smoflipid 20% will be infused into a central or a peripheral vein.
Time to Full Enteral or Oral Feeds
21.95 Time to event in days
The cumulative incidence function for competing events (refer to Austin et al. Circulation. 2016 Feb 9; 133(6): 601-609) was used for the interpolation of the median time to event. 95% CIs were not calculated due to this approach.
23.29 Time to event in days
The cumulative incidence function for competing events (refer to Austin et al. Circulation. 2016 Feb 9; 133(6): 601-609) was used for the interpolation of the median time to event. 95% CIs were not calculated due to this approach.

SECONDARY outcome

Timeframe: Day 1, Day 29/end of treatment, if continued: Day 57, 85/end of treatment

Population: Over time analysis of laboratory parameters were assessed at all timepoints as available

RBC refers to red blood cells. Timepoints \>10% of Subjects (overall) are displayed.

Outcome measures

Outcome measures
Measure
Intralipid® 20%
n=70 Participants
Intralipid is a long-chain triglyceride emulsion derived from purified soybean oil and egg yolk phospholipids. Intralipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Intralipid® 20%: Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Intralipid® 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Intralipid® 20% will be infused into a central or peripheral vein.
Smoflipid 20%
n=78 Participants
Smoflipid is a lipid emulsion containing soybean oil, MCTs (medium-chain triglycerides), olive oil, and fish oil. Smoflipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Smoflipid 20% (investigational lipid for parenteral nutrition): Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Smoflipid 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Smoflipid 20% will be infused into a central or a peripheral vein.
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
Mead acid Baseline
4.42 ug/mL
Standard Deviation 5.888
4.35 ug/mL
Standard Deviation 7.620
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
Eicosapentaenoic acid Baseline
7.36 ug/mL
Standard Deviation 6.545
14.52 ug/mL
Standard Deviation 16.480
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
Eicosapentaenoic acid Change to EoT
-1.57 ug/mL
Standard Deviation 7.336
30.44 ug/mL
Standard Deviation 38.615
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
Eicosapentaenoic acid Change to EoT extension phase
1.96 ug/mL
Standard Deviation 10.389
40.62 ug/mL
Standard Deviation 51.417
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
Docosahexaenoic acid Baseline
41.14 ug/mL
Standard Deviation 14.724
47.31 ug/mL
Standard Deviation 18.484
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
Docosahexaenoic Acid Change to Eot
-1.36 ug/mL
Standard Deviation 17.721
40.06 ug/mL
Standard Deviation 28.678
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
Docosahexaenoic Acid Change to EoT extension
9.55 ug/mL
Standard Deviation 19.462
49.93 ug/mL
Standard Deviation 41.868
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
Arachidonic Acid Baseline
148.80 ug/mL
Standard Deviation 52.531
149.42 ug/mL
Standard Deviation 47.438
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
Arachidonic Acid Change to EoT
-25.36 ug/mL
Standard Deviation 59.925
-31.47 ug/mL
Standard Deviation 54.249
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
Arachidonic Acid Change to EoT extension
-8.18 ug/mL
Standard Deviation 51.138
-60.00 ug/mL
Standard Deviation 73.737
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
Alpha-linolenic Acid Baseline
19.24 ug/mL
Standard Deviation 12.675
16.57 ug/mL
Standard Deviation 13.081
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
Alpha-linolenic Acid Change to EoT
-2.01 ug/mL
Standard Deviation 17.452
-3.31 ug/mL
Standard Deviation 13.250
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
Alpha-linolenic Acid Change to EoT extension
5.88 ug/mL
Standard Deviation 19.477
-0.55 ug/mL
Standard Deviation 11.454
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
Linoleic acid Baseline
460.62 ug/mL
Standard Deviation 211.354
427.44 ug/mL
Standard Deviation 185.206
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
Linoleic acid Change to EoT
50.95 ug/mL
Standard Deviation 270.029
-41.68 ug/mL
Standard Deviation 190.749
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
Linoleic acid Change to EoT extension
209.99 ug/mL
Standard Deviation 286.361
-50.25 ug/mL
Standard Deviation 2011.292
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
Mead acid Change to EoT
-2.46 ug/mL
Standard Deviation 6.816
-2.19 ug/mL
Standard Deviation 8.011
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
Mead Acid Change to EoT extension
1.82 ug/mL
Standard Deviation 9.045
-6.94 ug/mL
Standard Deviation 17.595
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
RBC Eicosapentaenoic acid Baseline
4.20 ug/mL
Standard Deviation 2.533
5.21 ug/mL
Standard Deviation 3.954
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
RBC Eicosapentaenoic acid Change to EoT
0.56 ug/mL
Standard Deviation 2.375
19.22 ug/mL
Standard Deviation 11.433
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
RBC Eicosapentaenoic acid Change to EoT extension
2.05 ug/mL
Standard Deviation 2.841
31.83 ug/mL
Standard Deviation 11.973
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
RBC Docosahexaenoic acid Baseline
94.18 ug/mL
Standard Deviation 26.246
92.53 ug/mL
Standard Deviation 28.435
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
RBC Docosahexaenoic acid Change to EoT
-41.60 ug/mL
Standard Deviation 53.983
-40.92 ug/mL
Standard Deviation 60.930
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
RBC Docosahexaenoic acid Change to EoT extension
-15.81 ug/mL
Standard Deviation 22.577
34.85 ug/mL
Standard Deviation 17.145
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
RBC Arachidonic acid Baseline
281.53 ug/mL
Standard Deviation 63.839
268.99 ug/mL
Standard Deviation 71.369
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
RBC Arachidonic acid Change to EoT
-41.60 ug/mL
Standard Deviation 53.983
-40.92 ug/mL
Standard Deviation 60.930
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
RBC Arachidonic acid Change to EoT extension
-47.30 ug/mL
Standard Deviation 62.470
-66.75 ug/mL
Standard Deviation 47.096
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
RBC Alpha-linolenic acid Baseline
2.31 ug/mL
Standard Deviation 1.014
2.12 ug/mL
Standard Deviation 1.060
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
RBC Alpha-linolenic acid Change to EoT
0.52 ug/mL
Standard Deviation 1.312
-0.04 ug/mL
Standard Deviation 1.049
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
RBC Alpha-linolenic acid Change to EoT extension
1.37 ug/mL
Standard Deviation 0.587
-0.17 ug/mL
Standard Deviation 1.365
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
RBC Linoleic acid Baseline
140.45 ug/mL
Standard Deviation 57.461
130.67 ug/mL
Standard Deviation 53.022
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
RBC Linoleic acid Change to EoT
57.04 ug/mL
Standard Deviation 64.201
4.29 ug/mL
Standard Deviation 42.276
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
RBC Linoleic acid Change to EoT extension
86.36 ug/mL
Standard Deviation 77.716
0.06 ug/mL
Standard Deviation 68.506
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
RBC Mead acid Baseline
9.21 ug/mL
Standard Deviation 4.378
8.30 ug/mL
Standard Deviation 4.289
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
RBC Mead acid Change to EoT
-4.19 ug/mL
Standard Deviation 3.315
-3.50 ug/mL
Standard Deviation 2.872
Fatty Acids in Plasma and Red Blood Cell Membranes (Change From Baseline)
RBC Mead acid Change to EoT extension
-7.45 ug/mL
Standard Deviation 4.576
-5.40 ug/mL
Standard Deviation 3.777

SECONDARY outcome

Timeframe: Day 1- Follow up (7 days after end of treatment)

Length of stay in hospital (time from randomization to discharge) was be calculated. NA=Not available

Outcome measures

Outcome measures
Measure
Intralipid® 20%
n=61 Participants
Intralipid is a long-chain triglyceride emulsion derived from purified soybean oil and egg yolk phospholipids. Intralipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Intralipid® 20%: Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Intralipid® 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Intralipid® 20% will be infused into a central or peripheral vein.
Smoflipid 20%
n=58 Participants
Smoflipid is a lipid emulsion containing soybean oil, MCTs (medium-chain triglycerides), olive oil, and fish oil. Smoflipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Smoflipid 20% (investigational lipid for parenteral nutrition): Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Smoflipid 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Smoflipid 20% will be infused into a central or a peripheral vein.
Length of Stay in Hospital
65.0 Median time (days) until discharge
The cumulative incidence function for competing events (refer to Austin et al. Circulation. 2016 Feb 9; 133(6): 601-609) was used for the interpolation of the median time to event. 95% CIs were not calculated due to this approach.
50.5 Median time (days) until discharge
The cumulative incidence function for competing events (refer to Austin et al. Circulation. 2016 Feb 9; 133(6): 601-609) was used for the interpolation of the median time to event. 95% CIs were not calculated due to this approach.

SECONDARY outcome

Timeframe: Day 1-29 or -85 if continued + Follow-up

The Ratio is the incidence of bloodstream infection by numbers of day on study medication.

Outcome measures

Outcome measures
Measure
Intralipid® 20%
n=78 Participants
Intralipid is a long-chain triglyceride emulsion derived from purified soybean oil and egg yolk phospholipids. Intralipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Intralipid® 20%: Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Intralipid® 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Intralipid® 20% will be infused into a central or peripheral vein.
Smoflipid 20%
n=83 Participants
Smoflipid is a lipid emulsion containing soybean oil, MCTs (medium-chain triglycerides), olive oil, and fish oil. Smoflipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Smoflipid 20% (investigational lipid for parenteral nutrition): Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Smoflipid 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Smoflipid 20% will be infused into a central or a peripheral vein.
Ratio of Independent Bloodstream Infections to Number of Days on Study Medication
0.002 ratio
Standard Deviation 0.0105
0.003 ratio
Standard Deviation 0.0123

SECONDARY outcome

Timeframe: Day 1-29 or -85 if continued + Follow-up

Outcome measures

Outcome measures
Measure
Intralipid® 20%
n=78 Participants
Intralipid is a long-chain triglyceride emulsion derived from purified soybean oil and egg yolk phospholipids. Intralipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Intralipid® 20%: Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Intralipid® 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Intralipid® 20% will be infused into a central or peripheral vein.
Smoflipid 20%
n=83 Participants
Smoflipid is a lipid emulsion containing soybean oil, MCTs (medium-chain triglycerides), olive oil, and fish oil. Smoflipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Smoflipid 20% (investigational lipid for parenteral nutrition): Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Smoflipid 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Smoflipid 20% will be infused into a central or a peripheral vein.
Number of Patients With 1 or More Bloodstream Infections to Number of Patients on Study Medication
5 Participants
6 Participants

SECONDARY outcome

Timeframe: Day 1-29 or -85 if continued + Follow-up

The Analysis was conducted over all study phases.

Outcome measures

Outcome measures
Measure
Intralipid® 20%
n=78 Participants
Intralipid is a long-chain triglyceride emulsion derived from purified soybean oil and egg yolk phospholipids. Intralipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Intralipid® 20%: Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Intralipid® 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Intralipid® 20% will be infused into a central or peripheral vein.
Smoflipid 20%
n=83 Participants
Smoflipid is a lipid emulsion containing soybean oil, MCTs (medium-chain triglycerides), olive oil, and fish oil. Smoflipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Smoflipid 20% (investigational lipid for parenteral nutrition): Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Smoflipid 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Smoflipid 20% will be infused into a central or a peripheral vein.
Number of Patients Who Complete PN Treatment Without Lipid Minimization
73 Participants
79 Participants

SECONDARY outcome

Timeframe: Day 1-29 or -85 if continued + Follow-up

Outcome measures

Outcome measures
Measure
Intralipid® 20%
n=78 Participants
Intralipid is a long-chain triglyceride emulsion derived from purified soybean oil and egg yolk phospholipids. Intralipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Intralipid® 20%: Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Intralipid® 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Intralipid® 20% will be infused into a central or peripheral vein.
Smoflipid 20%
n=83 Participants
Smoflipid is a lipid emulsion containing soybean oil, MCTs (medium-chain triglycerides), olive oil, and fish oil. Smoflipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Smoflipid 20% (investigational lipid for parenteral nutrition): Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Smoflipid 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Smoflipid 20% will be infused into a central or a peripheral vein.
Number of Patients Needing to be Withdrawn From the Study Due to Elevated Conjugated Bilirubin Levels
Initial Treatment Phase
0 Participants
1 Participants
Number of Patients Needing to be Withdrawn From the Study Due to Elevated Conjugated Bilirubin Levels
Extension Phase
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Day 1-29 or -85 if continued + Follow-up

Population: Missing

The area under the curve (AUC\>1.5) is defined as the area between conjugated bilirubin concentrations \> 1.5 mg/dL and the horizontal line at 1.5 mg/dL, restricted by the time point of study withdrawal, if applicable. Analysis displays the summary of Area Under the Curve of Bilirubin Levels for the Time Period in Which Conjugated are \>1.5 mg/dL

Outcome measures

Outcome measures
Measure
Intralipid® 20%
n=78 Participants
Intralipid is a long-chain triglyceride emulsion derived from purified soybean oil and egg yolk phospholipids. Intralipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Intralipid® 20%: Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Intralipid® 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Intralipid® 20% will be infused into a central or peripheral vein.
Smoflipid 20%
n=83 Participants
Smoflipid is a lipid emulsion containing soybean oil, MCTs (medium-chain triglycerides), olive oil, and fish oil. Smoflipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Smoflipid 20% (investigational lipid for parenteral nutrition): Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Smoflipid 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Smoflipid 20% will be infused into a central or a peripheral vein.
Area Under the Curve for Time Period in Which Conjugated Bilirubin Levels Are > 1.5 mg/dL in Patients Who Are Not Withdrawn From the Study
Initial Treatment Phase
0.587 mg/dl*days
Standard Deviation 2.6620
0.804 mg/dl*days
Standard Deviation 3.4700
Area Under the Curve for Time Period in Which Conjugated Bilirubin Levels Are > 1.5 mg/dL in Patients Who Are Not Withdrawn From the Study
Extended Treatment Phase
11.609 mg/dl*days
Standard Deviation 15.184
0.900 mg/dl*days
Standard Deviation 2.013

SECONDARY outcome

Timeframe: Day 1-29 or -85 if continued + Follow-up

Population: Missing

The Analysis was performed over the entire study period.

Outcome measures

Outcome measures
Measure
Intralipid® 20%
n=73 Participants
Intralipid is a long-chain triglyceride emulsion derived from purified soybean oil and egg yolk phospholipids. Intralipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Intralipid® 20%: Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Intralipid® 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Intralipid® 20% will be infused into a central or peripheral vein.
Smoflipid 20%
n=79 Participants
Smoflipid is a lipid emulsion containing soybean oil, MCTs (medium-chain triglycerides), olive oil, and fish oil. Smoflipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Smoflipid 20% (investigational lipid for parenteral nutrition): Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Smoflipid 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Smoflipid 20% will be infused into a central or a peripheral vein.
Cumulative Number of Days Patients Are Administered a Lipid Dose Without Lipid Minimization
27.8 Cumulative days
Standard Deviation 21.98
26.7 Cumulative days
Standard Deviation 19.94

SECONDARY outcome

Timeframe: Day 1-29 or -85 if continued + Follow-up

Population: NA=Not available Since the number of events was not sufficient, no further analysis was performed.

Outcome measures

Outcome measures
Measure
Intralipid® 20%
n=78 Participants
Intralipid is a long-chain triglyceride emulsion derived from purified soybean oil and egg yolk phospholipids. Intralipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Intralipid® 20%: Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Intralipid® 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Intralipid® 20% will be infused into a central or peripheral vein.
Smoflipid 20%
n=83 Participants
Smoflipid is a lipid emulsion containing soybean oil, MCTs (medium-chain triglycerides), olive oil, and fish oil. Smoflipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Smoflipid 20% (investigational lipid for parenteral nutrition): Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Smoflipid 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Smoflipid 20% will be infused into a central or a peripheral vein.
Time to Conjugated Bilirubin > 2 mg/dL (Confirmed by a Second Sample Collected 7 Days After the First)
NA Number of days
Not calculated due to due to low number of Events. The cumulative incidence function for competing events (refer to Austin et al. Circulation. 2016 Feb 9; 133(6): 601-609) was used for the interpolation of the median time to event. 95% CIs were not calculated due to this approach.
NA Number of days
Not calculated due to due to low number of Events. The cumulative incidence function for competing events (refer to Austin et al. Circulation. 2016 Feb 9; 133(6): 601-609) was used for the interpolation of the median time to event. 95% CIs were not calculated due to this approach.

SECONDARY outcome

Timeframe: Day 1, Day 29/end of treatment, if continued: Day 57, 85/end of treatment

Population: Over time analysis of laboratory parameters were assessed at all timepoints as available. Timepoints \>10% of Subjects (overall) are displayed.

Outcome measures

Outcome measures
Measure
Intralipid® 20%
n=70 Participants
Intralipid is a long-chain triglyceride emulsion derived from purified soybean oil and egg yolk phospholipids. Intralipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Intralipid® 20%: Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Intralipid® 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Intralipid® 20% will be infused into a central or peripheral vein.
Smoflipid 20%
n=78 Participants
Smoflipid is a lipid emulsion containing soybean oil, MCTs (medium-chain triglycerides), olive oil, and fish oil. Smoflipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Smoflipid 20% (investigational lipid for parenteral nutrition): Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Smoflipid 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Smoflipid 20% will be infused into a central or a peripheral vein.
Blood Sampling for Special Analysis (Sterols Including Phytosterols, α-tocopherol)
Beta(b-) sitosterol Baseline
45.076 ug/mL
Standard Deviation 28.8520
41.900 ug/mL
Standard Deviation 28.7879
Blood Sampling for Special Analysis (Sterols Including Phytosterols, α-tocopherol)
b-sitosterol Change to EoT
39.854 ug/mL
Standard Deviation 38.5996
-6.357 ug/mL
Standard Deviation 22.4175
Blood Sampling for Special Analysis (Sterols Including Phytosterols, α-tocopherol)
b-sitosterol Change to EoT extension
129.938 ug/mL
Standard Deviation 52.8942
-14.247 ug/mL
Standard Deviation 46.0845
Blood Sampling for Special Analysis (Sterols Including Phytosterols, α-tocopherol)
Campesterol Baseline
12.396 ug/mL
Standard Deviation 10.1990
11.628 ug/mL
Standard Deviation 10.4005
Blood Sampling for Special Analysis (Sterols Including Phytosterols, α-tocopherol)
Campesterol Change to EoT
15.385 ug/mL
Standard Deviation 21.4772
-3.079 ug/mL
Standard Deviation 9.6125
Blood Sampling for Special Analysis (Sterols Including Phytosterols, α-tocopherol)
Campesterol Change to EoT extension
56.681 ug/mL
Standard Deviation 34.4784
-8.159 ug/mL
Standard Deviation 22.0449
Blood Sampling for Special Analysis (Sterols Including Phytosterols, α-tocopherol)
Stigmasterol Baseline
7.649 ug/mL
Standard Deviation 4.0597
6.473 ug/mL
Standard Deviation 3.5595
Blood Sampling for Special Analysis (Sterols Including Phytosterols, α-tocopherol)
Stigmasterol Change to EoT
4.830 ug/mL
Standard Deviation 5.6464
-2.658 ug/mL
Standard Deviation 3.2875
Blood Sampling for Special Analysis (Sterols Including Phytosterols, α-tocopherol)
Stigmasterol Change to EoT extension
17.862 ug/mL
Standard Deviation 3.0202
-2.422 ug/mL
Standard Deviation 5.1974
Blood Sampling for Special Analysis (Sterols Including Phytosterols, α-tocopherol)
Sitostanol Baseline
0.838 ug/mL
Standard Deviation 0.5692
0.710 ug/mL
Standard Deviation 0.4423
Blood Sampling for Special Analysis (Sterols Including Phytosterols, α-tocopherol)
Sitostanol Change to EoT
0.945 ug/mL
Standard Deviation 0.9989
-0.238 ug/mL
Standard Deviation 0.4344
Blood Sampling for Special Analysis (Sterols Including Phytosterols, α-tocopherol)
Sitostanol Change to Eot extension
0.134 ug/mL
Standard Deviation 0.0931
-0.169 ug/mL
Standard Deviation 0.2486
Blood Sampling for Special Analysis (Sterols Including Phytosterols, α-tocopherol)
Ergosterol Baseline
0.028 ug/mL
Standard Deviation 0.0210
0.025 ug/mL
Standard Deviation 0.0215
Blood Sampling for Special Analysis (Sterols Including Phytosterols, α-tocopherol)
Ergosterol Change to EoT
-0.007 ug/mL
Standard Deviation 0.0183
0.001 ug/mL
Standard Deviation 0.0214
Blood Sampling for Special Analysis (Sterols Including Phytosterols, α-tocopherol)
Ergosterol Change to EoT extension
0.002 ug/mL
Standard Deviation 0.0038
-0.010 ug/mL
Standard Deviation 0.0267
Blood Sampling for Special Analysis (Sterols Including Phytosterols, α-tocopherol)
Lathosterol Baseline
2.411 ug/mL
Standard Deviation 0.9417
2.215 ug/mL
Standard Deviation 1.0751
Blood Sampling for Special Analysis (Sterols Including Phytosterols, α-tocopherol)
Lathosterol Change to EoT
-0.366 ug/mL
Standard Deviation 1.1811
-0.279 ug/mL
Standard Deviation 1.1651
Blood Sampling for Special Analysis (Sterols Including Phytosterols, α-tocopherol)
Lathosterol Change to EoT extension
-0.801 ug/mL
Standard Deviation 0.8797
-0.956 ug/mL
Standard Deviation 2.2253
Blood Sampling for Special Analysis (Sterols Including Phytosterols, α-tocopherol)
Lanosterol Baseline
1.281 ug/mL
Standard Deviation 0.8046
1.135 ug/mL
Standard Deviation 0.5630
Blood Sampling for Special Analysis (Sterols Including Phytosterols, α-tocopherol)
Lanosterol Change to EoT
0.273 ug/mL
Standard Deviation 1.0466
-0.385 ug/mL
Standard Deviation 0.5471
Blood Sampling for Special Analysis (Sterols Including Phytosterols, α-tocopherol)
Lanosterol Change to EoT extension
1.039 ug/mL
Standard Deviation 0.9342
-0.548 ug/mL
Standard Deviation 0.7836
Blood Sampling for Special Analysis (Sterols Including Phytosterols, α-tocopherol)
Desmosterol Baseline
1.396 ug/mL
Standard Deviation 1.18371
1.196 ug/mL
Standard Deviation 1.0923
Blood Sampling for Special Analysis (Sterols Including Phytosterols, α-tocopherol)
Desmosterol Change to EoT
-0.508 ug/mL
Standard Deviation 2.0678
-0.014 ug/mL
Standard Deviation 1.3948
Blood Sampling for Special Analysis (Sterols Including Phytosterols, α-tocopherol)
Desmosterol Change to EoT extension
-2.337 ug/mL
Standard Deviation 4.2890
-0.562 ug/mL
Standard Deviation 1.6695
Blood Sampling for Special Analysis (Sterols Including Phytosterols, α-tocopherol)
Cholesterol Baseline
1159.638 ug/mL
Standard Deviation 293.2282
1163.654 ug/mL
Standard Deviation 334.7942
Blood Sampling for Special Analysis (Sterols Including Phytosterols, α-tocopherol)
Cholesterol Change to EoT
-129.433 ug/mL
Standard Deviation 295.6223
-23.072 ug/mL
Standard Deviation 358.8932
Blood Sampling for Special Analysis (Sterols Including Phytosterols, α-tocopherol)
Cholesterol Change to EoT extension
145.100 ug/mL
Standard Deviation 243.1133
-232.250 ug/mL
Standard Deviation 621.2414

SECONDARY outcome

Timeframe: Day 1, Day 29/end of treatment, if continued: Day 57, 85/end of treatment

Essential fatty acid deficiency is based on the ratio of Mead acid and Arachidonic acid (also called the triene/tetraene ratio or Holman index; Holman, 1960). A ratio of \> 0.2 was considered abnormal (=essential fatty acid deficiency; Holman et al., 1979). Timepoints with \>10% of patients are displayed.

Outcome measures

Outcome measures
Measure
Intralipid® 20%
n=78 Participants
Intralipid is a long-chain triglyceride emulsion derived from purified soybean oil and egg yolk phospholipids. Intralipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Intralipid® 20%: Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Intralipid® 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Intralipid® 20% will be infused into a central or peripheral vein.
Smoflipid 20%
n=83 Participants
Smoflipid is a lipid emulsion containing soybean oil, MCTs (medium-chain triglycerides), olive oil, and fish oil. Smoflipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Smoflipid 20% (investigational lipid for parenteral nutrition): Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Smoflipid 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Smoflipid 20% will be infused into a central or a peripheral vein.
Holman Index
Baseline · <0.05
61 Participants
72 Participants
Holman Index
Baseline · >=0.05 <0.20
9 Participants
5 Participants
Holman Index
Baseline · >=0.20 <0.40
0 Participants
1 Participants
Holman Index
Baseline · >=0.40
0 Participants
0 Participants
Holman Index
Baseline · Not assessed
8 Participants
5 Participants
Holman Index
Day 29 · <0.05
27 Participants
27 Participants
Holman Index
Day 29 · >=0.05 <0.20
1 Participants
1 Participants
Holman Index
Day 29 · >=0.20 <0.40
0 Participants
0 Participants
Holman Index
Day 29 · >=0.40
0 Participants
0 Participants
Holman Index
Day 29 · Not assessed
50 Participants
55 Participants
Holman Index
EoT initial Treatment phase · <0.05
62 Participants
69 Participants
Holman Index
EoT initial Treatment phase · >=0.05 <0.20
2 Participants
2 Participants
Holman Index
EoT initial Treatment phase · >=0.20 <0.40
0 Participants
0 Participants
Holman Index
EoT initial Treatment phase · >=0.40
0 Participants
0 Participants
Holman Index
EoT initial Treatment phase · Not assessed
14 Participants
12 Participants
Holman Index
EoT Extension phase · <0.05
10 Participants
11 Participants
Holman Index
EoT Extension phase · >=0.05 <0.20
1 Participants
1 Participants
Holman Index
EoT Extension phase · >=0.20 <0.40
0 Participants
0 Participants
Holman Index
EoT Extension phase · >=0.40
0 Participants
0 Participants
Holman Index
EoT Extension phase · Not assessed
67 Participants
71 Participants

Adverse Events

Intralipid® 20%

Serious events: 5 serious events
Other events: 55 other events
Deaths: 1 deaths

Smoflipid 20%

Serious events: 8 serious events
Other events: 59 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Intralipid® 20%
n=78 participants at risk
Intralipid is a long-chain triglyceride emulsion derived from purified soybean oil and egg yolk phospholipids. Intralipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Intralipid® 20%: Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Intralipid® 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Intralipid® 20% will be infused into a central or peripheral vein.
Smoflipid 20%
n=83 participants at risk
Smoflipid is a lipid emulsion containing soybean oil, MCTs (medium-chain triglycerides), olive oil, and fish oil. Smoflipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Smoflipid 20% (investigational lipid for parenteral nutrition): Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Smoflipid 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Smoflipid 20% will be infused into a central or a peripheral vein.
Cardiac disorders
Cardiogenic shock
1.3%
1/78 • Number of events 1 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
0.00%
0/83 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Gastrointestinal disorders
Intestinal obstruction
0.00%
0/78 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
1.2%
1/83 • Number of events 1 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Gastrointestinal disorders
Necrotising colitis
1.3%
1/78 • Number of events 1 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
1.2%
1/83 • Number of events 1 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Hepatobiliary disorders
Cholestasis
0.00%
0/78 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
1.2%
1/83 • Number of events 1 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Infections and infestations
Escherichia bacteraemia
1.3%
1/78 • Number of events 1 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
0.00%
0/83 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Infections and infestations
Escherichia sepsis
0.00%
0/78 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
1.2%
1/83 • Number of events 1 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Infections and infestations
Escherichia urinary tract infection
1.3%
1/78 • Number of events 1 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
0.00%
0/83 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Infections and infestations
Meningitis
0.00%
0/78 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
1.2%
1/83 • Number of events 1 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Infections and infestations
Sepsis
0.00%
0/78 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
1.2%
1/83 • Number of events 1 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Infections and infestations
Sepsis neonatal
0.00%
0/78 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
1.2%
1/83 • Number of events 1 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Injury, poisoning and procedural complications
Accidental overdose
0.00%
0/78 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
1.2%
1/83 • Number of events 1 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Injury, poisoning and procedural complications
Tracheal injury
1.3%
1/78 • Number of events 1 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
0.00%
0/83 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Investigations
Candida test positive
1.3%
1/78 • Number of events 1 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
0.00%
0/83 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Respiratory, thoracic and mediastinal disorders
Pulmonary hypertension
1.3%
1/78 • Number of events 1 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
0.00%
0/83 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Respiratory, thoracic and mediastinal disorders
Pulmonary vein stenosis
1.3%
1/78 • Number of events 1 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
0.00%
0/83 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Respiratory, thoracic and mediastinal disorders
Respiratory distress
1.3%
1/78 • Number of events 1 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
0.00%
0/83 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.

Other adverse events

Other adverse events
Measure
Intralipid® 20%
n=78 participants at risk
Intralipid is a long-chain triglyceride emulsion derived from purified soybean oil and egg yolk phospholipids. Intralipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Intralipid® 20%: Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Intralipid® 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Intralipid® 20% will be infused into a central or peripheral vein.
Smoflipid 20%
n=83 participants at risk
Smoflipid is a lipid emulsion containing soybean oil, MCTs (medium-chain triglycerides), olive oil, and fish oil. Smoflipid belongs to the pharmacotherapeutic group: "Solutions for parenteral nutrition, fat emulsions". Smoflipid 20% (investigational lipid for parenteral nutrition): Dose: The targeted maximal dose is 3.0 g/kg/day. In patients already receiving parenteral nutrition (PN) before starting study treatment, the dose will either stay at 3.0 g/kg/day or be increased by 1.0 g/kg/day steps to a maximum of 3.0 g/kg/day. Smoflipid 20% will be infused over 20 - 24 hours, as per hospital policy, at a weight based infusion rate. Smoflipid 20% will be infused into a central or a peripheral vein.
Blood and lymphatic system disorders
Anemia
10.3%
8/78 • Number of events 11 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
4.8%
4/83 • Number of events 5 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Blood and lymphatic system disorders
Anemia neonatal
21.8%
17/78 • Number of events 20 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
18.1%
15/83 • Number of events 16 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Cardiac disorders
Tachycardia
5.1%
4/78 • Number of events 6 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
3.6%
3/83 • Number of events 3 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Gastrointestinal disorders
Abdominal distension
3.8%
3/78 • Number of events 3 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
8.4%
7/83 • Number of events 8 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Gastrointestinal disorders
Abdominal pain
6.4%
5/78 • Number of events 6 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
4.8%
4/83 • Number of events 4 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Gastrointestinal disorders
Constipation
9.0%
7/78 • Number of events 7 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
8.4%
7/83 • Number of events 9 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Gastrointestinal disorders
Diarrhea
5.1%
4/78 • Number of events 8 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
3.6%
3/83 • Number of events 4 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Gastrointestinal disorders
Gastroesophageal reflux disease
9.0%
7/78 • Number of events 7 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
6.0%
5/83 • Number of events 5 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Gastrointestinal disorders
Vomiting
20.5%
16/78 • Number of events 25 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
18.1%
15/83 • Number of events 27 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Hepatobiliary disorders
Cholestasis
11.5%
9/78 • Number of events 9 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
8.4%
7/83 • Number of events 7 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Investigations
Bilirubin conjugated increased
9.0%
7/78 • Number of events 8 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
3.6%
3/83 • Number of events 3 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Investigations
Blood alkaline phosphatase increased
7.7%
6/78 • Number of events 7 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
1.2%
1/83 • Number of events 1 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Investigations
C-reactive protein increased
9.0%
7/78 • Number of events 7 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
7.2%
6/83 • Number of events 8 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Investigations
Cardiac murmur
5.1%
4/78 • Number of events 4 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
1.2%
1/83 • Number of events 1 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Investigations
Gamma-glutamyltransferase increased
14.1%
11/78 • Number of events 12 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
12.0%
10/83 • Number of events 10 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Investigations
Hematocrit decreased
6.4%
5/78 • Number of events 6 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
2.4%
2/83 • Number of events 2 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Metabolism and nutrition disorders
Hyperkalemia
2.6%
2/78 • Number of events 2 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
6.0%
5/83 • Number of events 7 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Metabolism and nutrition disorders
Hyponatremia
2.6%
2/78 • Number of events 2 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
6.0%
5/83 • Number of events 7 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
Respiratory, thoracic and mediastinal disorders
Tachypnea
2.6%
2/78 • Number of events 2 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.
7.2%
6/83 • Number of events 7 • Monitoring of AEs, including SAEs, was conducted throughout the study. The Investigator or designee recorded all AEs after informed consent and until the patient's last follow-up visit. The minimum monitoring period was 7 days after first treatment and the maximum period was up to day 92 after first treatment.
Analyses were focused on TEAEs and were performed by primary MedDRA SOC and PT. Patients were counted only once if they had more than one TEAE within a SOC or experienced a PT more than once; when an AE occurs more than once for a patient, the maximum severity and causality was used. Data shown refer to Treatment Emergent Adverse Events (TEAEs) only.

Additional Information

Dr. Jean-Marc Lohse, Director Clinical Operations PN NAM & ELAMA

Fresenius Kabi Deutschland GmbH

Phone: +49 6172 686

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: OTHER