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CompletedNCT01955044Updated Sep 5, 2021Results posted

PUFA Supplementation in Premature Infants

An interventional study of LCPUFA supplement and placebo in Premature, Extremely Low Birth Weight Infants and Polyunsaturated Fatty Acid Levels, sponsored by Endeavor Health. Completed at 3 sites in United States. Open to participants aged Up to 72 Hours, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-09-05.

Sponsored by Endeavor Health · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
Up to 72 Hours
Sex
All
01

Study summary

The purpose of this study is to determine if buccal administration of a concentrated formulation of long-chain polyunsaturated fatty acids (LCPUFA) can help to maintain docosahexaenoic acid (DHA) levels in extremely low birth weight (ELBW) infants.

Read the detailed description

This will be a multi-center, randomized, placebo controlled, double blind trial.

Two doses of PUFA will be compared to placebo- a "high" dose and a "low" dose.

ELBW infants will be enrolled into this study.

02

Conditions studied

  • Premature, Extremely Low Birth Weight Infants
  • Polyunsaturated Fatty Acid Levels

Keywords

  • neonatal prematurity
  • infant, extremely low birth weight
  • fatty acids, polyunsaturated
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 30 is below the median of 84 across 1,689 interventional studies indexed under Premature Birth.

Browse Premature Birth studies →

Lead sponsor

Endeavor Health is the lead sponsor of 110 studies on the registry; 34 are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 9 (75%) have results posted.

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

04

Who can participate

Ages eligible
Up to 72 Hours
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • a) Premature infant born at gestational age less than 34 weeks
  • b) Birth weight less than 1000 grams
  • c) Legally authorized representative is able to provide written informed consent within the first 72 hours of life, prior to the performance of an protocol-specified evaluations or procedures

Exclusion criteria

Exclusion Criteria:

  • a) infants with known metabolic disorder
  • b) infants with known congenital gastrointestinal anomaly
  • c) infants who are deemed to be inappropriate for enrollment per attending neonatologist
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
30 participants (actual)

Study arms

  • Experimental
    "high" dose LCPUFA

    the "high" dose LCPUFA supplement is a drop that will be administered to ELBW infants.

    Dietary Supplement: LCPUFA supplement

  • Experimental
    "low" dose LCPUFA

    the "low" dose LCPUFA supplement is a drop that will be administered to ELBW infants.

    Dietary Supplement: LCPUFA supplement

  • Placebo comparator
    placebo

    the "placebo" is a drop that will be administered to ELBW infants.

    Dietary Supplement: placebo

Interventions

  • Dietary supplementLCPUFA supplement

    Also known as: PUFA supplement

  • Dietary supplementplacebo
06

What researchers measure

Primary outcomes

  1. Long-chain Polyunsaturated Fatty Acid (LCPUFA) Levels

    LCPUFA levels will be measured at 2 weeks of life in extremely low birth weight (ELBW) infants

    Time frame: 2 weeks of life

Secondary outcomes

  1. LCPUFA Levels

    LCPUFA levels will be measured at 8 weeks of life.

    Time frame: 8 weeks of life

07

Results

Posted Mar 29, 2016

Participant flow

Participant flow — Overall Study
Milestone"High" Dose LCPUFA"Low" Dose LCPUFAPlacebo
Started101010
Completed9910
Not completed110
Withdrew: Death110

Outcome measures

PrimaryLong-chain Polyunsaturated Fatty Acid (LCPUFA) Levels

LCPUFA levels will be measured at 2 weeks of life in extremely low birth weight (ELBW) infants

Time frame:
2 weeks of life
Reported as:
Median · weight % (g/100g)
Long-chain Polyunsaturated Fatty Acid (LCPUFA) Levels
weight % (g/100g)"High" Dose LCPUFA"Low" Dose LCPUFAPlacebo
2 week DHA levels4.45 (4.36 to 5.16)4.02 (3.96 to 4.77)5.27 (4.75 to 5.63)
2 week ARA (arachidonic acid) levels20.3 (18.91 to 21.34)19.3 (17.64 to 22.54)21.58 (20.2 to 23.04)
SecondaryLCPUFA Levels

LCPUFA levels will be measured at 8 weeks of life.

Time frame:
8 weeks of life
Reported as:
Median · wt% (g/100g)
LCPUFA Levels
wt% (g/100g)"High" Dose LCPUFA"Low" Dose LCPUFAPlacebo
8 week DHA levels5.52 (4.45 to 7.08)5.58 (5.49 to 6.96)6.75 (5.22 to 7.4)
8 week ARA levels19.79 (17.77 to 22.99)19.9 (18.3 to 21.06)22.21 (19.05 to 23.11)
Statistical analysis
  • "High" Dose LCPUFA vs "Low" Dose LCPUFA vs Placebo · Wilcoxon (Mann-Whitney) · p = 0.05 · Median difference (final values): 1.23

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
"High" Dose LCPUFA—1/10 (10%)0/10 (0%)
"Low" Dose LCPUFA—1/10 (10%)0/10 (0%)
Placebo—0/10 (0%)0/10 (0%)
Most frequent serious events
Most frequent serious events
Event"High" Dose LCPUFA"Low" Dose LCPUFAPlacebo
deathGastrointestinal disorders0/101/100/10
deathRespiratory, thoracic and mediastinal disorders1/100/100/10
spontaneous bowel perforationGastrointestinal disorders0/101/100/10

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)"High" Dose LCPUFA"Low" Dose LCPUFAPlaceboTotal
<=18 years10101030
Between 18 and 65 years0000
>=65 years0000
Sex: Female, Male
Sex: Female, Male(Participants)"High" Dose LCPUFA"Low" Dose LCPUFAPlaceboTotal
Female25411
Male85619
Region of Enrollment
Region of Enrollment(participants)"High" Dose LCPUFA"Low" Dose LCPUFAPlaceboTotal
United States10101030
08

Study locations

3 sites
  • Lurie Children's Hospital of Chicago
    Chicago, Illinois 60611, United States
  • Prentice Women's Hospital
    Chicago, Illinois 60611, United States
  • NorthShore University HealthSystem
    Evanston, Illinois 60201, United States
09

References and documents

Publications

  • Robinson DT, Caplan M, Carlson SE, Yoder R, Murthy K, Frost B. Early docosahexaenoic and arachidonic acid supplementation in extremely-low-birth-weight infants. Pediatr Res. 2016 Oct;80(4):505-10. doi: 10.1038/pr.2016.118. Epub 2016 Jun 3. PubMed 27356083 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 5, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01955044
Lead sponsor
Endeavor Health
Collaborators
Ann & Robert H Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Mead Johnson Nutrition
Responsible party
Brandy Frost (Attending Neonatologist, Clinician Educator, Endeavor Health) — Principal investigator
First posted
Oct 7, 2013
Start date
Sep 2013
Primary completion
Apr 2015
Completion
Apr 2016
Results posted
Mar 29, 2016
Last update
Sep 5, 2021

Study contacts

Michael S Caplan, MD
principal investigator · Endeavor Health

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2021. You cannot join it, but the record below documents what was studied.

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