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Compassionate Use of an Intravenous Fish Oil Emulsion in Infants With Cholestasis

Primary Purpose

Parenteral Nutrition Associated Cholestasis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Omegaven
Sponsored by
Arthur J De Lorimier
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Parenteral Nutrition Associated Cholestasis focused on measuring cholestasis, PNAC, Parenteral Nutrition Associated Cholestasis, PNALD, Parenteral Nutrition Associated Liver Disease

Eligibility Criteria

undefined - 1 Year (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Cholestasis defined as either

  • serum bilirubin > 2mg/dL (two measurements at least 8d apart) that has not responded to 4 weeks of intralipid being reduced to 1 g/kg/d and trace minerals being limited to twice weekly, OR
  • serum bilirubin > 6 mg/dL (single measurement) and rising, in the absence of proven or suspected sepsis

Exclusion Criteria:

  • Age > 1y at time that omegaven is started
  • Not expected to survive at least 30 days
  • Fish allergy in a first degree relative
  • Hemodynamic instability
  • Coagulopathy
  • Not likely to require PN for > 30d
  • Not expected to survive > 30d

Sites / Locations

  • University of California Davis Medical Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Omeagven

Arm Description

Outcomes

Primary Outcome Measures

Normalization of Conjugated Bilirubin (Conjugated Bilirubin < 2 mg/dL)

Secondary Outcome Measures

Liver Transaminases

Full Information

First Posted
May 9, 2012
Last Updated
January 25, 2021
Sponsor
Arthur J De Lorimier
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1. Study Identification

Unique Protocol Identification Number
NCT01601652
Brief Title
Compassionate Use of an Intravenous Fish Oil Emulsion in Infants With Cholestasis
Official Title
Open Label, Compassionate Use Protocol of an Intravenous Fish Oil Emulsion in Infants With Cholestasis
Study Type
Interventional

2. Study Status

Record Verification Date
January 2021
Overall Recruitment Status
Completed
Study Start Date
November 2011 (undefined)
Primary Completion Date
December 2018 (Actual)
Study Completion Date
December 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Arthur J De Lorimier

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The study will evaluate the safety and efficacy of an intravenous fish oil emulsion (omegaven) in infants with parenteral nutrition associated cholestasis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Parenteral Nutrition Associated Cholestasis
Keywords
cholestasis, PNAC, Parenteral Nutrition Associated Cholestasis, PNALD, Parenteral Nutrition Associated Liver Disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
12 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Omeagven
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Omegaven
Intervention Description
1 g/kg/d iv infusion over 24h
Primary Outcome Measure Information:
Title
Normalization of Conjugated Bilirubin (Conjugated Bilirubin < 2 mg/dL)
Time Frame
approximately for 4 months
Secondary Outcome Measure Information:
Title
Liver Transaminases
Time Frame
approximately for 4 months

10. Eligibility

Sex
All
Maximum Age & Unit of Time
1 Year
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Cholestasis defined as either serum bilirubin > 2mg/dL (two measurements at least 8d apart) that has not responded to 4 weeks of intralipid being reduced to 1 g/kg/d and trace minerals being limited to twice weekly, OR serum bilirubin > 6 mg/dL (single measurement) and rising, in the absence of proven or suspected sepsis Exclusion Criteria: Age > 1y at time that omegaven is started Not expected to survive at least 30 days Fish allergy in a first degree relative Hemodynamic instability Coagulopathy Not likely to require PN for > 30d Not expected to survive > 30d
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ian J Griffin, MD
Organizational Affiliation
UC Davis
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of California Davis Medical Center
City
Sacramento
State/Province
California
ZIP/Postal Code
95817
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Compassionate Use of an Intravenous Fish Oil Emulsion in Infants With Cholestasis

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