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Use of Omega-3 Fat Emulsion (Omegaven) in Infants With Parenteral Nutrition Associated Liver Disease

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ClinicalTrials.gov Identifier: NCT00862446
Recruitment Status : Completed
First Posted : March 17, 2009
Last Update Posted : February 7, 2020
Sponsor:
Information provided by (Responsible Party):
William Walsh, Vanderbilt University

Brief Summary:
Babies in the newborn intensive care unit who are dependent upon intravenous nutrition for a long period of time frequently develop liver damage. The fat used is called intralipid and is made from soybean oil. There is a suggestion in the literature that using fishoil based fats called omega-3 fat emulsions can decrease or even reverse this liver damage. We will offer babies with evidence of liver damage and no ability to eat,the Omegaven and see if the liver damage reverses.

Condition or disease Intervention/treatment Phase
Parenteral Nutrition Associated Liver Disease Drug: Omegaven Phase 4

Detailed Description:
Babies in the newborn intensive care unit with evidence of liver damage from TPN, as indicated by a direct bilirubin of greater than 2.5 , and who will not be fed for at least another month will be offered the trial. they will be changed from the intralipid to Omegaven as the source of their fat. We will continue routine monitoring of their nutrition and liver function.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 57 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Use of Omega-3 Fat Emulsion (Omegaven) in Infants With Parenteral Nutrition Associated Liver Disease
Actual Study Start Date : March 2009
Actual Primary Completion Date : October 2019
Actual Study Completion Date : October 2019

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Liver Diseases

Arm Intervention/treatment
Experimental: Treatment
All infants will receive Omegaven
Drug: Omegaven
1 gram/kg/day daily until on feeds




Primary Outcome Measures :
  1. Resolution of the direct hyperbilirubinemia [ Time Frame: 3 months ]


Information from the National Library of Medicine

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Ages Eligible for Study:   up to 24 Months   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Infants in the newborn intensive care unit
  • TPN cholestasis of at least 2.5 mg/dl
  • Anticipated TPN treatment for at least one month
  • signed informed consent

Exclusion Criteria:

  • Enrollment in another trial
  • Lack of consent

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00862446


Locations
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United States, Tennessee
Monroe Carell Jr Children's Hospital at vanderbilt
Nashville, Tennessee, United States, 37232
Sponsors and Collaborators
Vanderbilt University
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Responsible Party: William Walsh, Professor of Pediatrics, Vanderbilt University
ClinicalTrials.gov Identifier: NCT00862446    
Other Study ID Numbers: 080887
First Posted: March 17, 2009    Key Record Dates
Last Update Posted: February 7, 2020
Last Verified: February 2020
Keywords provided by William Walsh, Vanderbilt University:
Parenteral nutrition associate liver disease
TPN cholestasis
TPN Associated Liver Disease
Additional relevant MeSH terms:
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Liver Diseases
Digestive System Diseases