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CompletedNCT02691533Updated Sep 5, 2018

To Study the Immunomodulating Effects and Safety Profile of ω3 and ω6 PUFA Containing Intravenous Lipid Emulsion in Patients With Acute on Chronic Liver Failure

An interventional study of ω3 PUFA (Polyunsaturated fatty acids) (10% Omegavan 100 ml) and ω6 PUFA (Polyunsaturated fatty acids) (10% Intralipid 100 ml) in Chronic Liver Failure, sponsored by Institute of Liver and Biliary Sciences, India. Completed at 1 site in India. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2018-09-05.

Sponsored by Institute of Liver and Biliary Sciences, India · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
90
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

Study population: Patients admitted or seen in OPD (Out Patient Department), Department of Hepatology.

Study design- Prospective Randomized Controlled Trial. Study period-January 2016 to May 2017 Intervention- Subjects will be randomized into 3 groups Group A subjects will receive ω3 PUFA (Polyunsaturated Fatty Acids) (10% Omegavan 100 ml).

Group B- will receive ω6 PUFA (Polyunsaturated Fatty Acids) (10% Intralipid 100 ml).

Group C -Placebo group

Monitoring and assessment- :- The following tests will be done in these patients:-

  1. Complete clinical examination.
  2. Serum electrolytes- sodium, potassium, calcium, magnesium, phosphate levels
  3. BUN (Blood Urea Nitrogen)
  4. Serum free fatty acid levels
  5. Lipid profile.
  6. Arterial ammonia
  7. Arterial lactate
  8. Blood sugar and serum insulin levels
02

Conditions studied

03

In context

Liver Failure

445 studies on the registry are indexed under Liver Failure; 69 are open to participants now.

This study's enrollment of 90 is above the median of 43 across 276 interventional studies indexed under Liver Failure.

Browse Liver Failure studies →

Lead sponsor

Institute of Liver and Biliary Sciences, India is the lead sponsor of 296 studies on the registry; 84 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Acute on Chronic Liver Failure (ACLF) patients aged 18 years and above
  • Patients tolerating enteral nutrition
  • Patients with no overt sepsis - no fever, sterile blood and urine cultures, procalcitonin \<2

Exclusion criteria

Exclusion Criteria:

  • Active ongoing GI bleed
  • Allergy to soya oil, eggs, peanuts or other ingredients of intralipid.
  • Co-morbidities like Diabetes mellitus, hyperlipidemia, CAD and hypothyroidism.
  • Renal failure (S.creatinine > 2.5mg%)
  • Pregnancy
  • Patients with shock requiring vasopressor support
  • Patients on anticoagulants
  • Refusal to participate in the study
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
90 participants (actual)

Study arms

  • Experimental
    ω3 PUFA(10% Omegavan 100 ml)

    Drug: ω3 PUFA (Polyunsaturated fatty acids) (10% Omegavan 100 ml)

  • Experimental
    ω6 PUFA (20% Intralipid 50 ml)

    Drug: ω6 PUFA (Polyunsaturated fatty acids) (10% Intralipid 100 ml)

  • Placebo comparator
    Placebo Arm

    No Lipid Emulsion will be given in this arm

    Drug: No Lipid Emulsion/Placebo

Interventions

  • Drugω3 PUFA (Polyunsaturated fatty acids) (10% Omegavan 100 ml)
  • Drugω6 PUFA (Polyunsaturated fatty acids) (10% Intralipid 100 ml)
  • DrugNo Lipid Emulsion/Placebo
06

What researchers measure

Primary outcomes

  1. Effect of intravenous lipid emulsions (w3/ w6) on systemic inflammation and endotoxemia levels at the end of 5 days.

    Decrease in endotoxins levels , TNF alpha,ilnterleukin 6,ilnterleukin 10,Monocyte/ macrophage activation etc. All of them are markers of inflammation. The outcome systemic inflammation is a composite outcome which includes all the above mentioned markers

    Time frame: 5 days

Secondary outcomes

  1. Incidence of sepsis and related complications

    Time frame: 28 days

  2. Effect of lipid infusion (w3/w6) on metabolic parameters viz., serum triglyceride levels, serum ketone levels, free fatty acid levels and arterial lactate levels.

    Metabolic parameter is a composite outcome of all the above said markers.

    Time frame: 5 days

  3. Influence of lipid infusion (w3/w6) on nitrogen balance.

    Improvement or deterioration in urinary urea nitrogen.

    Time frame: 5 days

  4. Effect of lipid infusion (w3/w6) on International Normalized Ratio (INR).

    Effect is defined as INR (International Normalized Ratio) value within normal limit or improvement as compare to baseline value.

    Time frame: 5 days

  5. Oxidative stress response to lipid infusion

    Oxidative stress response is based on the Improvement or deterioration in Isoprostane levels in urine

    Time frame: 5 days

  6. Influence of lipid infusion(w3/w6) on 28day mortality

    Time frame: 28 days

07

Study locations

1 site
  • Institute of liver and Biliary Sciences
    New Delhi, Delhi 110070, India
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 5, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02691533
Lead sponsor
Institute of Liver and Biliary Sciences, India
Responsible party
Sponsor
First posted
Feb 25, 2016
Start date
Feb 1, 2016
Primary completion
Dec 31, 2017
Completion
Dec 31, 2017
Last update
Sep 5, 2018

Study contacts

Dr Anand Kulkarni V, MD
principal investigator · Institute of Liver and Biliary Sciences

Oversight

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

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This study is completed, as verified in Feb 2018. You cannot join it, but the record below documents what was studied.

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