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Trial registered on ANZCTR
Registration number
ACTRN12609000337279
Ethics application status
Approved
Date submitted
11/02/2009
Date registered
22/05/2009
Date last updated
5/02/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
Efficacy and safety of a novel fish oil based lipid emulsion (SMOFlipid) compared with olive oil based lipid emulsion (Clinoleic) in term and near-term (>34 weeks) neonates – a randomised controlled trial
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Scientific title
Efficacy and safety of a novel fish oil based lipid emulsion (SMOFlipid) compared with olive oil based lipid emulsion (Clinoleic) in term and near-term (>34 weeks) neonates – a randomised controlled trial
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Secondary ID [1]
286115
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Neonatal nutrition
4315
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Condition category
Condition code
Diet and Nutrition
4549
4549
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0
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Other diet and nutrition disorders
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Reproductive Health and Childbirth
4869
4869
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0
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Childbirth and postnatal care
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
SMOFlipid intravenous lipid emulsion (soy oil, MCT(medium chain triglycerides), olive oil and fish oil based).
Dose: 1g/kg on day 1 of study, 2g/kg on day2 and 3g/kg on day3 to day 7 of study
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Intervention code [1]
4045
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Treatment: Drugs
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Comparator / control treatment
Clinoleic intravenous lipid emulsion (olive oil and soy oil based)
Dose: 1g/kg on day 1 of study, 2g/kg on day2 and 3g/kg on day3 to day 7 of study
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Control group
Active
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Outcomes
Primary outcome [1]
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Long Chain-Poly Uunsaturated Fatty Acid (LC-PUFA) levels in plasma and Red cell membrane analysis
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Assessment method [1]
5427
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Timepoint [1]
5427
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Baseline and Day 8 of the study
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Primary outcome [2]
5428
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Plasma and Urinary F2-isoprostane level by GC/MS (Gas chrmatography/Mass spectrometry) method
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Assessment method [2]
5428
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Timepoint [2]
5428
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Baseline and day 8 of the study
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Secondary outcome [1]
9122
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Phagocyte activation assay and cytokine production
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Assessment method [1]
9122
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Timepoint [1]
9122
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Baseline and Day 8 of the study by pHRhodo assay and Enzyme-linked immunosorbent assay (ELISA)
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Eligibility
Key inclusion criteria
1) Term and near term neonates (>34 weeks) admitted in the neonatal unit at Princess Margaret Hospital and 2) Needing Parenteral Nutrition providing > 75% of energy expenditure requirements for at least 7 days
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Minimum age
1
Days
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Maximum age
7
Days
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
(1) Blood culture positive sepsis (2)Unconjugated hyperbilirubinemia (requiring exchange transfusion) (3) Metabolic disorders including lactic and/or uncompensated acidosis (4) No parenteral consent (5) Administration of Intravenous lipid infusion prior to study (6) Postnatal age > 7 days
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
30/06/2009
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Actual
14/07/2009
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Date of last participant enrolment
Anticipated
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Actual
19/10/2011
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
4485
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Commercial sector/Industry
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Name [1]
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Pharmatel Fresenius Kabi Pty Ltd
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Address [1]
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964 Pacific Highway Pymble
NSW 2073 Australia
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Country [1]
4485
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Australia
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Funding source category [2]
4486
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Charities/Societies/Foundations
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Name [2]
4486
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The channel7 telethon trust at Princess Margaret Hospital for Children
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Address [2]
4486
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Roberts Road Subiaco
WA 6008
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Country [2]
4486
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Australia
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Primary sponsor type
Hospital
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Name
Princess Margaret Hospsital for Children
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Address
Robert's Road Subiaco
WA 6008
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Country
Australia
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Secondary sponsor category [1]
4300
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None
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Name [1]
4300
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Address [1]
4300
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Country [1]
4300
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Other collaborator category [1]
638
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University
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Name [1]
638
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University of Western Australia
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Address [1]
638
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School of Womens and Infant Health
374 Bagot Road Subiaco
WA 6008
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Country [1]
638
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
6547
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Princess Margaret Hospital ethics committee
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Ethics committee address [1]
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GPO Box D184 Perth WA 6840
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
6547
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Approval date [1]
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17/12/2008
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Ethics approval number [1]
6547
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Summary
Brief summary
Fat emulsions are an essential part of parenteral nutrition (PN) combining a high energy load with an essential fatty acid (EFA) intake.The primary purpose of this study is to test the safety and efficacy of new fish oil based intravenous fat emulsion (SMOFlipid) as compared to traditional olive oil based intravenous fat emulsion (Clinoleic). This study will specifically look at plasma and red cell fatty acid levels particularly Docosahexaenoic acid (DHA) which plays an important role in development and vision of newborn babies and also oxidative strss levels (F2-isoprostanes) before and after the intervention in a randomised controlled trial.
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Trial website
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Trial related presentations / publications
1) Pediatric Academic society (PAS) meeting at Washington DC, 2013 May 4-7 2) Perinatal Society of Australia and New Zealand (PSANZ) meeting at Sydney, 2013 April 6-9 Abstract: Deshapnde G et al, Efficacy and safety of a novel fish oil based lipid emulsion (SMOFlipid) compared with olive oil based lipid emulsion (Clinoleic) in term and near term surgical neonates (>34 Weeks) – a randomised controlled trial Journal of Paediatrics and Child Health;2013; 49 (Suppl. 2),42
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Public notes
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Contacts
Principal investigator
Name
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Dr Girish Deshpande
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Address
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Nepean Hospital, Department of Neonatal Intensive Care Unit (NICU), Derby St, Kingswood,
NSW 2747, Australia
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Country
29275
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Australia
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Phone
29275
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+61247342121
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Fax
29275
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Email
29275
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[email protected]
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Contact person for public queries
Name
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Dr Girish Deshpande
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Address
12522
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Nepean Hospital, Department of Neonatal Intensive Care Unit (NICU), Derby St, Kingswood,
NSW 2747, Australia
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Country
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Australia
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Phone
12522
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+61247342121
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Girish Deshpande
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Address
3450
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Nepean Hospital, Department of Neonatal Intensive Care Unit (NICU), Derby St, Kingswood,
NSW 2747, Australia
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Country
3450
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Australia
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Phone
3450
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+61247342121
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Fax
3450
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Email
3450
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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