Comparison of Intralipid With SMOF Lipid Following HSCT

NCT ID: NCT06625372

Last Updated: 2024-10-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-10-12

Study Completion Date

2025-12-31

Brief Summary

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The goal of this clinical trial is to have a successful engraftment in after bone transplantation. Acute leukemia patient of both sexes aged 2 to 18 years, who are transplant candidates, participate in this study. Primary hypothesis is Patients receiving SMOF LIPID will have better grafts than patients receiving intralipid. Also, complications after surgery and malnutrition will be less in this group.

Detailed Description

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Patients will be randomly divided into two groups: the intervention group (TPN based on SMOFLipid) and the control group (TPN based on IntraLipid). At baseline (before HSCT) and after obtaining informed consent and assent, blood samples will be collected to test for biochemical markers, including total cholesterol, TG, LDL, HDL, FBS, Alb, Na, K, Ph, Ca, Mg, CRP, IL-6, BUN, Cr, and CBC. Furthermore, data on nutritional intake (total energy and protein) and appetite status will be gathered. The primary outcomes are neutrophil and platelet engraftment, defined as \>500 for neutrophils and \>20,000 for platelets, respectively. The possibility of oral intake, as well as the achievement of oral + ONS and total oral nutrition alongside TPN duration, will be recorded. On days +15 and +30, biochemical and anthropometric markers will be collected again. Furthermore, clinical outcomes such as acute GVHD, cholestasis, bleeding, infections, hospitalization, and mortality will be reported.

Conditions

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Leukemia HSCT

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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SMOF lipid

The SMOF lipid is given to the patient as a fat component of total parenteral nutrition.

Group Type EXPERIMENTAL

SMOF lipid

Intervention Type DIETARY_SUPPLEMENT

The SMOF lipid is given to the patient as a fat component of total parenteral nutrition.

Intralipid

intralipids

Group Type ACTIVE_COMPARATOR

INTRALIPIDS

Intervention Type DIETARY_SUPPLEMENT

The Intralipid will be given to the patient as fat component of total parenteral nutrition.

Interventions

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SMOF lipid

The SMOF lipid is given to the patient as a fat component of total parenteral nutrition.

Intervention Type DIETARY_SUPPLEMENT

INTRALIPIDS

The Intralipid will be given to the patient as fat component of total parenteral nutrition.

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Willingness to cooperate and complete the informed consent form by the legal guardian of the child;
* Age ≤ 18 years;
* Definitive diagnosis of acute leukemia and candidate for hematopoietic stem ● cell transplantation;
* Eligible for parenteral nutrition support;
* No contraindications for parenteral nutrition;
* No history of allergy to egg or soy protein;
* Absence of severe organ failure or impaired liver function test (bilirubin \> 2.5 mg/dL).

Exclusion Criteria

* Death of the child earlier than 5 days from the start of the intervention;
* Unwillingness to continue cooperation during study;
* Occurrence of side effects during the study;
* In case of sepsis, hypotension, shock, thrombosis, myocardial infarction, liver dysfunction, the patient will be excluded from the study.
Minimum Eligible Age

2 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shahid Beheshti University

OTHER

Sponsor Role lead

Responsible Party

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Zahra Vahdat Shariatpanahi

Associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Zahra Vahdat Shariatpanahi, Professor

Role: PRINCIPAL_INVESTIGATOR

School of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences

Locations

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Children's Medical Center, Pediatrics Center of Excellence, Tehran University of Medical Sciences, Tehran, Iran

Tehran, , Iran

Site Status RECRUITING

Countries

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Iran

Central Contacts

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Zahra Vahdat Shariatpanahi, Professor

Role: CONTACT

0098-021-22357484

Zahra Vahdat Shariatpanahi, Professor

Role: CONTACT

09122138186

Facility Contacts

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Amirali hamidieh

Role: primary

Other Identifiers

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0311.212

Identifier Type: -

Identifier Source: org_study_id

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