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CompletedNCT01194063Updated Apr 3, 2026

Use of Omegaven Fish Oil Emulsion for Parenteral Nutrition Associated Liver Disease in Infants and Children

A Phase 3 interventional study of Omega-3 fish oil lipid emulsion in Cholestasis, sponsored by Kapiolani Medical Center For Women & Children. Completed at 1 site in United States. Open to participants aged Up to 18 Years. Per ClinicalTrials.gov, last updated 2026-04-03.

Sponsored by Kapiolani Medical Center For Women & Children · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Nov 2018, 7 years 11 months ago, and no results have been posted to the registry.
Phase
Phase 3
Study type
Interventional
Enrollment
36
Allocation
Not applicable
Ages
Up to 18 Years
Sex
All
01

Study summary

Use of a fish oil emulsion to decrease liver disease due to long term intravenous nutrition.

Read the detailed description

Unlike conventional intravenous fat emulsions, Omegaven™ is comprised solely of fish oils containing primarily omega-3 fatty acids. Animal studies have shown that IV fat emulsions such as fish oil that are high in eicosapentaenic and docosahexaenoic acids reduce impairment of bile flow as seen in cholestasis caused by conventional fat emulsions. It is thought that by administering Omegaven™ in place of conventional phytosterol/soybean fat emulsions, cholestasis may be prevented or reversed, and patients will be able to be maintained on adequate PN for growth until they are able to ingest adequate nutrition enterally. Ongoing studies are addressing safety and efficacy of Omegaven™ in the pediatric population. In this trial, infants and children with parenteral nutrition associated liver disease will receive Omegaven™ as compassionate use to potentially prevent progression of disease. Safety and efficacy are monitored.

02

Conditions studied

  • Cholestasis

Keywords

  • short bowel syndrome
  • parenteral nutrition associated liver disease
  • pediatric
03

In context

Cholestasis

150 studies on the registry are indexed under Cholestasis; 18 are open to participants now.

This study's enrollment of 36 is below the median of 53 across 90 interventional studies indexed under Cholestasis.

Browse Cholestasis studies →

Lead sponsor

This is the only study on the registry with Kapiolani Medical Center For Women & Children as lead sponsor.

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

04

Who can participate

Ages eligible
Up to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • direct > 2 mg/dl x2 consecutive
  • parenteral nutrition dependent, expected to continue for at least another 30 days from the first day
  • patient must have utilized standard therapies to prevent the progression of liver disease

Exclusion criteria

Exclusion Criteria:

  • other primary cause of liver disease not parenteral nutrition-associated
  • weight \<3 kg
  • infant or child enrolled in other clinical trial involving an agent
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
36 participants (actual)

Study arms

  • Experimental
    Omegaven

    Administration of intravenous Omega-3 fish oil lipid emulsion 1 g/kg continuous infusion over 12-24 hrs

    Drug: Omega-3 fish oil lipid emulsion

Interventions

06

What researchers measure

Primary outcomes

  1. improving cholestasis

    decline in serum direct bilirubin levels below 2 cm on 2 serial measures

    Time frame: One month, 2 months, 3 months after starting omegaven and 1 month after completing treatment

Secondary outcomes

  1. improving liver function tests

    includes ALT, AST, GGT, and triglycerides

    Time frame: 1 year

07

Study locations

1 site
  • Kapiolani Medical Center for Women and Children
    Honolulu, Hawaii 96826, United States
08

References and documents

Publications

  • Lee SI, Valim C, Johnston P, Le HD, Meisel J, Arsenault DA, Gura KM, Puder M. Impact of fish oil-based lipid emulsion on serum triglyceride, bilirubin, and albumin levels in children with parenteral nutrition-associated liver disease. Pediatr Res. 2009 Dec;66(6):698-703. doi: 10.1203/PDR.0b013e3181bbdf2b. PubMed 19687773 ↗
  • de Meijer VE, Le HD, Meisel JA, Gura KM, Puder M. Parenteral fish oil as monotherapy prevents essential fatty acid deficiency in parenteral nutrition-dependent patients. J Pediatr Gastroenterol Nutr. 2010 Feb;50(2):212-8. doi: 10.1097/MPG.0b013e3181bbf51e. PubMed 20038849 ↗

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2010 to primary completion in Nov 2018, 97 months.

Of 12 phase 3 interventional studies under Cholestasis, half reached primary completion within 38 months of starting (the median), counting those still running; a quarter within 26 and three quarters within 64. This study's 97 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 17, 2010
First posted
Sep 2, 2010
StartActual
Oct 20, 2010
Primary completionActual
Nov 30, 2018
CompletionActual
Jan 15, 2019
Last update
Apr 3, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01194063
Lead sponsor
Kapiolani Medical Center For Women & Children
Responsible party
Lynn M. Iwamoto (MD, Associate Professor of Pediatrics, Kapiolani Medical Center For Women & Children) — Principal investigator
First posted
Sep 2, 2010
Start date
Oct 20, 2010
Primary completion
Nov 30, 2018
Completion
Jan 15, 2019
Last update
Apr 3, 2026

Study contacts

Lynn M Iwamoto, MD
principal investigator · Kapiolani Medical Center For Women & Children

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Fish oil triglycerides

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