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CompletedNCT00497289Updated Mar 10, 2021Results posted

Comparison of Two Different Lipid Emulsions for Parenteral Nutrition in Preterm Infants

A Phase 2 interventional study of Lipofundin MCT/LCT 20 % and Lipidem 20% in Preterm Infants and Parenteral Nutrition n-3 Fatty Acids, sponsored by B. Braun Melsungen AG. Completed at 2 sites in Germany. Open to participants aged 5 Hours to 3 Days. Per ClinicalTrials.gov, last updated 2021-03-10.

Sponsored by B. Braun Melsungen AG · Phase 2, Interventional, and Prevention

Phase
Phase 2
Study type
Interventional
Enrollment
48
Allocation
Randomized
Ages
5 Hours to 3 Days
Sex
All
01

Study summary

The study shall provide evidence for the save and efficient use of a fish oil containing lipid emulsion in parenteral nutrition of preterm infants.Safety will be assessed by monitoring hepatological and hematological laboratory parameters. Efficiency will be assessed by monitoring of inflammatory parameters.

02

Conditions studied

  • Preterm Infants
  • Parenteral Nutrition n-3 Fatty Acids

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Keywords

  • n-3 Polyunsaturated Fatty Acids (PUFA)
  • parenteral nutrition
  • preterm infant
03

In context

Premature Birth

2,554 studies on the registry are indexed under Premature Birth; 498 are open to participants now.

This study's enrollment of 48 is below the median of 84 across 1,689 interventional studies indexed under Premature Birth.

Browse Premature Birth studies →

Lead sponsor

B. Braun Melsungen AG is the lead sponsor of 46 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
5 Hours to 3 Days
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • prematurity (birth weight 500 - 1500 g)
  • postnatal age \<= 72 h
  • need for cumulative parenteral energy supply of at least 70% during study duration
  • signed informed consent form

Exclusion criteria

Exclusion Criteria:

  • simultaneous participation in another clinical study
  • platelet count below 50000 /ml
  • cumulative enteral energy supply of > 30 % during study duration
  • serious congenital infections and/or diseases
  • serious metabolic disturbances
  • severe cranial bleeding (Papile III, IV)
  • need for administration of blood products
  • contra-indication for iv lipid administration
  • withdrawal of consent
05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
48 participants (actual)

Study arms

  • Experimental
    1

    Lipidem 20 %

    Drug: Lipidem 20%

  • Active comparator
    2

    Lipofundin MCT/LCT 20%

    Drug: Lipofundin MCT/LCT 20 %

Interventions

  • DrugLipofundin MCT/LCT 20 %

    daily i.v. infusion for up to 5 days

  • DrugLipidem 20%

    daily i.v. infusion for up to 5 days

06

What researchers measure

Primary outcomes

  1. Safety: Alanine Transaminase (ALT)

    Change in ALT between pre/post treatment

    Time frame: on Study day -1 & 6

  2. Efficacy: Interleukin-6 (IL-6)

    Change of IL-6 Measurement pre/post treatment

    Time frame: on Study day -1 & 6

07

Results

Posted Mar 10, 2021

Participant flow

Participant flow — Overall Study
MilestoneLipidem 20 %Lipofundin MCT/LCT 20%
Started2424
Completed1918
Not completed56

Outcome measures

PrimarySafety: Alanine Transaminase (ALT)

Change in ALT between pre/post treatment

Time frame:
on Study day -1 & 6
Reported as:
Mean · U/L
Safety: Alanine Transaminase (ALT)
U/LMCT:LCT:FO / 5:4:1MCT:LCT / 1:1
Safety: Alanine Transaminase (ALT)-0.83 ± 4.61-3.27 ± 7.81
Statistical analysis
  • MCT:LCT:FO / 5:4:1 vs MCT:LCT / 1:1 · Wilcoxon (Mann-Whitney) · p = 0.3654
PrimaryEfficacy: Interleukin-6 (IL-6)

Change of IL-6 Measurement pre/post treatment

Time frame:
on Study day -1 & 6
Reported as:
Mean · pg/mL
Efficacy: Interleukin-6 (IL-6)
pg/mLMCT:LCT:FO / 5:4:1MCT:LCT / 1:1
Efficacy: Interleukin-6 (IL-6)-42.23 ± 197.10-68.74 ± 101.67
Statistical analysis
  • MCT:LCT:FO / 5:4:1 vs MCT:LCT / 1:1 · Wilcoxon (Mann-Whitney) · p = 0.0264

Adverse events

Collected over From enrolment into study at least 6 days or longer if medically indicated.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
MCT/LCT/FO-containing 20% Fat Emulsion—22/24 (91.7%)24/24 (100%)
MCT/LCT Emulsion (20%)—19/24 (79.2%)24/24 (100%)
Most frequent serious events
Showing 10 of 23
Most frequent serious events
EventMCT/LCT/FO-containing 20% Fat EmulsionMCT/LCT Emulsion (20%)
Neonatal respiratory distress syndromeRespiratory, thoracic and mediastinal disorders15/2414/24
Bronchopulmonary dysplasiaRespiratory, thoracic and mediastinal disorders4/240/24
PneumothoraxRespiratory, thoracic and mediastinal disorders3/242/24
Amniotic infection syndrome of BlaneInfections and infestations2/240/24
C-reactive protein increasedInvestigations2/242/24
Hemorrhage intracranialNervous system disorders1/242/24
Interleukin level increasedInvestigations1/242/24
Neonatal infectionInfections and infestations1/240/24
Atelectasis neonatalRespiratory, thoracic and mediastinal disorders1/240/24
Bradycardia neonatalCardiac disorders1/240/24
Most frequent other events
Showing 10 of 34
Most frequent other events
EventMCT/LCT/FO-containing 20% Fat EmulsionMCT/LCT Emulsion (20%)
Blood glucose increasedInvestigations24/2422/24
Bradycardia neonatalCardiac disorders20/2417/24
Interleukin level increasedInvestigations19/2418/24
Umbilical erythemaSkin and subcutaneous tissue disorders18/2414/24
Blood lactic acid increasedInvestigations15/2416/24
Red blood cell count decreasedInvestigations11/2415/24
Reticulocyte count increasedInvestigations15/2415/24
Congenital methemoglobinemiaCongenital, familial and genetic disorders12/2413/24
Bilirubin conjugated increasedInvestigations11/2413/24
Blood triglycerides increasedInvestigations5/248/24

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)MCT:LCT:FO / 5:4:1MCT:LCT / 1:1Total
<=18 years242448
Between 18 and 65 years000
>=65 years000
Age, Continuous
Age, Continuous(hours)MCT:LCT:FO / 5:4:1MCT:LCT / 1:1Total
Mean12.38 ± 19.3813.74 ± 21.8913.06 ± 20.46
Sex: Female, Male
Sex: Female, Male(Participants)MCT:LCT:FO / 5:4:1MCT:LCT / 1:1Total
Female131326
Male111122
Region of Enrollment
Region of Enrollment(participants)MCT:LCT:FO / 5:4:1MCT:LCT / 1:1Total
Germany242448
08

Study locations

2 sites
  • Neonatology of the Pediatric University Hospital
    Munich, Bavaria 80337, Germany
  • Ernst Moritz Arndt University , Childrens Hospital
    Greifswald, 17487, Germany
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 10, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00497289
Lead sponsor
B. Braun Melsungen AG
Responsible party
Sponsor
First posted
Jul 6, 2007
Start date
Jan 2006
Primary completion
Feb 2008
Completion
Feb 2008
Results posted
Mar 10, 2021
Last update
Mar 10, 2021

Study contacts

Berthold V. Koletzko, Prof., MD
principal investigator · Dr. von Hauner Children´s Hospital, University of Munich

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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