A Phase 4 interventional study of Lipidem and Lipofundin MCT 20% in Patients Requiring Home Parenteral Nutrition, sponsored by B. Braun Melsungen AG. Completed at 9 sites in 5 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-07-04.
Sponsored by B. Braun Melsungen AG · Phase 4, Interventional, and Treatment
The aim of the trial is to investigate safety and tolerability of an Omega-3-FA-enriched lipid emulsion in adult patients with chronic intestinal failure in need of long-term HPN. It is aimed to show non-inferiority of the lipid emulsion Lipidem (investigational test product) in comparison to the lipid emulsion Lipofundin MCT (investigational reference product) with regard to liver function.
B. Braun Melsungen AG is the lead sponsor of 47 studies on the registry; 1 is open to participants now.
Counted across the registry records on this site, refreshed daily.
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.
Exclusion:
to products (if available from medical records) including:
General contraindications to parenteral nutrition (if available from medical records) including:
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.
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
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.
An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.
The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.
A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.
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.
The human immunodeficiency virus, which weakens the immune system.
Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.
Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.
Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.
Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).
Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.
Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).
Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.
Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.
Informed consent
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Hypersensitivity
An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Excipients
The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Contraindication
A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
HIV
The human immunodeficiency virus, which weakens the immune system.
Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Hepatitis B tests
Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.
Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Childbearing potential
Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).
Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Postmenopausal
Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Contraception
Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.
Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
i.v. lipid emulsion containing fractionated fish oil (n-3 fatty acid triglycerides)
Drug: Lipidem
i.v. lipid emulsion
Drug: Lipofundin MCT 20%
Lipoplus i.v. lipid emulsion for parenteral nutrition
Lipofundin MCT 20% i.v. lipid emulsion for parenteral nutrition
Change of Liver Function Parameters From Baseline to Visit 2
Changes will be expressed as the sum of the N(0.1)- transformed differences of bilirubin, ALT and AST (from Baseline to Visit 2), i.e. for all three parameters each change of the value is subtracted by the mean change of the respective parameter. This difference is divided by the standard deviation of the change, which results in a unitless normalised value. All values for the 3 liver parameters (bilirubin, ALT and AST) will be added. The final sum reflects the change of liver function parameters.
Time frame: 8 weeks
Bilirubin
Change from baseline
Time frame: 8 weeks
Alanine Transaminase (ALT)
Change from baseline
Time frame: 8 weeks
Aspartate Transaminase (AST)
Change from baseline
Time frame: 8 weeks
AST/ALT Ratio
Change from baseline
Time frame: 8 weeks
Alkaline Phosphatase (ALP)
Change from baseline
Time frame: 8 weeks
Gamma-glutamyl Transpeptidase (GGT)
Change from baseline
Time frame: 8 weeks
White Blood Cells (WBCs)
Change from baseline
Time frame: 8 weeks
Red Blood Cells (RBCs)
Change from baseline
Time frame: 8 weeks
Hemoglobin (Hb)
Change from baseline
Time frame: 8 weeks
Platelets
Change from baseline
Time frame: 8 weeks
International Normalized Ratio (INR) (if Not Possible Prothrombin Time [PT = Quick-value] is Accepted)
Change from baseline
Time frame: 8 weeks
Activated Partial Thromboplastin Time (aPTT)
Change from baseline
Time frame: 8 weeks
Hematocrit (Hct)
Change from baseline
Time frame: 8 weeks
Blood Glucose
Change from baseline
Time frame: 8 weeks
Sodium
Change from baseline
Time frame: 8 weeks
Chloride
Change from baseline
Time frame: 8 weeks
Potassium
Change from baseline
Time frame: 8 weeks
Calcium
Change from baseline
Time frame: 8 weeks
Magnesium
Change from baseline
Time frame: 8 weeks
Phosphate
Change from baseline
Time frame: 8 weeks
Serum Creatinine
Change from baseline
Time frame: 8 weeks
Triglycerides
Change from baseline
Time frame: 8 weeks
Cholesterol
Change from baseline
Time frame: 8 weeks
High-density Lipoprotein (HDL)
Change from baseline
Time frame: 8 weeks
Low-density Lipoprotein (LDL)
Change from baseline
Time frame: 8 weeks
C-reactive Protein (CRP)
Change from baseline
Time frame: 8 weeks
α-Tocopherol/Vitamin E (Facultative if Routinely Assessed)
Change from baseline
Time frame: 8 weeks
Triene:Tetraene Ratio in Plasma, Reduction From Baseline
Derived from fatty acid pattern in plasma
Time frame: 8 weeks
Adverse Events
Number of adverse events (including serious adverse events)
Time frame: 8 weeks
BMI
Body mass index Change from baseline
Time frame: 8 weeks
Prothrombin Time (PT)
Change from baseline
Time frame: 8 weeks
| Milestone | Lipidem | Lipofundin MCT |
|---|---|---|
| Started | 40 | 34 |
| Completed | 35 | 30 |
| Not completed | 5 | 4 |
Changes will be expressed as the sum of the N(0.1)- transformed differences of bilirubin, ALT and AST (from Baseline to Visit 2), i.e. for all three parameters each change of the value is subtracted by the mean change of the respective parameter. This difference is divided by the standard deviation of the change, which results in a unitless normalised value. All values for the 3 liver parameters (bilirubin, ALT and AST) will be added. The final sum reflects the change of liver function parameters.
| normalized sum- no unit | Lipidem | Lipofundin MCT |
|---|---|---|
| Change of Liver Function Parameters From Baseline to Visit 2 | 0.0606 ± 3.0876 | -0.0703 ± 1.8063 |
Change from baseline
| µmol/L | Lipidem | Lipofundin MCT |
|---|---|---|
| Bilirubin | 0.36 ± 3.34 | 0.04 ± 3.26 |
Change from baseline
| µkat/L | Lipidem | Lipofundin MCT |
|---|---|---|
| Alanine Transaminase (ALT) | 0.06 ± 0.60 | 0.01 ± 0.25 |
Change from baseline
| µkat/L | Lipidem | Lipofundin MCT |
|---|---|---|
| Aspartate Transaminase (AST) | -0.03 ± 0.38 | -0.00 ± 0.21 |
Change from baseline
| Ratio | Lipidem | Lipofundin MCT |
|---|---|---|
| AST/ALT Ratio | 0.53 ± 1.00 | 0.89 ± 2.52 |
Change from baseline
| µkat/L | Lipidem | Lipofundin MCT |
|---|---|---|
| Alkaline Phosphatase (ALP) | 0.13 ± 0.66 | -0.15 ± 1.46 |
Change from baseline
| µkat/L | Lipidem | Lipofundin MCT |
|---|---|---|
| Gamma-glutamyl Transpeptidase (GGT) | 0.02 ± 0.38 | -0.11 ± 1.64 |
Change from baseline
| 10^9 cells/L | Lipidem | Lipofundin MCT |
|---|---|---|
| White Blood Cells (WBCs) | 0.45 ± 1.42 | 0.19 ± 1.39 |
Change from baseline
| 10^12 cells/L | Lipidem | Lipofundin MCT |
|---|---|---|
| Red Blood Cells (RBCs) | -0.02 ± 0.28 | -0.10 ± 0.28 |
Change from baseline
| g/L | Lipidem | Lipofundin MCT |
|---|---|---|
| Hemoglobin (Hb) | 0.52 ± 8.82 | -1.75 ± 8.22 |
Change from baseline
| 10^9 cells/L | Lipidem | Lipofundin MCT |
|---|---|---|
| Platelets | 3.06 ± 41.11 | 6.90 ± 50.33 |
Change from baseline
| Ratio | Lipidem | Lipofundin MCT |
|---|---|---|
| International Normalized Ratio (INR) (if Not Possible Prothrombin Time [PT = Quick-value] is Accepted) | -0.01 ± 0.25 | -0.16 ± 0.71 |
Change from baseline
| seconds | Lipidem | Lipofundin MCT |
|---|---|---|
| Activated Partial Thromboplastin Time (aPTT) | 0.02 ± 3.85 | 0.97 ± 7.69 |
Change from baseline
| L/L | Lipidem | Lipofundin MCT |
|---|---|---|
| Hematocrit (Hct) | -0.00 ± 0.03 | -0.01 ± 0.03 |
Change from baseline
| mmol/L | Lipidem | Lipofundin MCT |
|---|---|---|
| Blood Glucose | 0.43 ± 0.94 | -0.14 ± 1.33 |
Change from baseline
| mmol/L | Lipidem | Lipofundin MCT |
|---|---|---|
| Sodium | 0.18 ± 2.67 | -0.58 ± 2.74 |
Change from baseline
| mmol/L | Lipidem | Lipofundin MCT |
|---|---|---|
| Chloride | -0.19 ± 3.33 | -0.15 ± 4.08 |
Change from baseline
| mmol/L | Lipidem | Lipofundin MCT |
|---|---|---|
| Potassium | 0.06 ± 0.37 | 0.01 ± 0.46 |
Change from baseline
| mmol/L | Lipidem | Lipofundin MCT |
|---|---|---|
| Calcium | -0.01 ± 0.15 | -0.01 ± 0.10 |
Change from baseline
| mmol/L | Lipidem | Lipofundin MCT |
|---|---|---|
| Magnesium | 0.00 ± 0.09 | -0.00 ± 0.06 |
Change from baseline
| mmol/L | Lipidem | Lipofundin MCT |
|---|---|---|
| Phosphate | -0.02 ± 0.18 | -0.00 ± 0.16 |
Change from baseline
| µmol/L | Lipidem | Lipofundin MCT |
|---|---|---|
| Serum Creatinine | 3.87 ± 32.42 | 0.43 ± 9.23 |
Change from baseline
| mmol/L | Lipidem | Lipofundin MCT |
|---|---|---|
| Triglycerides | 0.10 ± 0.55 | 0.19 ± 0.68 |
Change from baseline
| mmol/L | Lipidem | Lipofundin MCT |
|---|---|---|
| Cholesterol | 0.01 ± 0.39 | 0.02 ± 0.71 |
Change from baseline
| mmol/L | Lipidem | Lipofundin MCT |
|---|---|---|
| High-density Lipoprotein (HDL) | -0.12 ± 0.19 | 0.03 ± 0.23 |
Change from baseline
| mmol/L | Lipidem | Lipofundin MCT |
|---|---|---|
| Low-density Lipoprotein (LDL) | 0.07 ± 0.33 | -0.08 ± 0.76 |
Change from baseline
| nmol/L | Lipidem | Lipofundin MCT |
|---|---|---|
| C-reactive Protein (CRP) | 37.16 ± 160.03 | -24.65 ± 209.18 |
Change from baseline
| µmol/L] | Lipidem | Lipofundin MCT |
|---|---|---|
| α-Tocopherol/Vitamin E (Facultative if Routinely Assessed) | -3.00 ± 6.60 | -1.94 ± 10.99 |
Derived from fatty acid pattern in plasma
| Ratio | Lipidem | Lipofundin MCT |
|---|---|---|
| Triene:Tetraene Ratio in Plasma, Reduction From Baseline | 0.011 ± 0.024 | 0.008 ± 0.028 |
Number of adverse events (including serious adverse events)
| Adverse events | Lipidem | Lipofundin MCT |
|---|---|---|
| Adverse Events | 31 | 25 |
Body mass index Change from baseline
| kg/m^2 | Lipidem | Lipofundin MCT |
|---|---|---|
| BMI | 0.4 ± 0.7 | 0.2 ± 0.7 |
Change from baseline
| s | Lipidem | Lipofundin MCT |
|---|---|---|
| Prothrombin Time (PT) | -0.8 ± 1.15 | 1.27 ± 5.16 |
Collected over 8 weeks. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Lipidem | 0/40 (0%) | 5/40 (12.5%) | 15/40 (37.5%) |
| Lipofundin MCT | 0/34 (0%) | 3/34 (8.8%) | 12/34 (35.3%) |
| Event | Lipidem | Lipofundin MCT |
|---|---|---|
| Device related infectionInfections and infestations | 1/40 | 2/34 |
| Abdominal painGastrointestinal disorders | 0/40 | 1/34 |
| Device dislocatioinProduct Issues | 0/40 | 1/34 |
| Intestinal pseudo-obstructionGastrointestinal disorders | 0/40 | 1/34 |
| Stoma site infectionInfections and infestations | 1/40 | 0/34 |
| AnaemiaBlood and lymphatic system disorders | 1/40 | 0/34 |
| Device breakageProduct Issues | 1/40 | 0/34 |
| Dermo-hypodermitisInfections and infestations | 1/40 | 0/34 |
| Event | Lipidem | Lipofundin MCT |
|---|---|---|
| Alanine Aminotransferase increasedInvestigations | 3/40 | 0/34 |
| DiarrhoeaGastrointestinal disorders | 3/40 | 0/34 |
| InfluenzaInfections and infestations | 0/40 | 2/34 |
| NasopharyngitisInfections and infestations | 0/40 | 2/34 |
| HeadacheNervous system disorders | 1/40 | 1/34 |
| ArthralgiaMusculoskeletal and connective tissue disorders | 0/40 | 1/34 |
| LymphangitisInfections and infestations | 0/40 | 1/34 |
| Back painMusculoskeletal and connective tissue disorders | 0/40 | 1/34 |
| ParesthesiaNervous system disorders | 0/40 | 1/34 |
| FatigueGeneral disorders | 0/40 | 1/34 |
74 patients were enrolled for the study. However, 2 patients dropped out before any further intervention. Therefor these 2 patients were not included in the baseline analysis population.
| Age, Continuous(years) | Lipidem | Lipofundin MCT | Total |
|---|---|---|---|
| Mean | 50.13 ± 15.82 | 52.44 ± 15.50 | 51.22 ± 15.60 |
| Sex: Female, Male(Participants) | Lipidem | Lipofundin MCT | Total |
|---|---|---|---|
| Female | 16 | 24 | 40 |
| Male | 22 | 10 | 32 |
| Race/Ethnicity, Customized(Participants) | Lipidem | Lipofundin MCT | Total |
|---|---|---|---|
| White | 35 | 31 | 66 |
| Black or African American | 1 | 0 | 1 |
| Native Hawaiian/Other Pacific | 0 | 1 | 1 |
| Missing | 2 | 2 | 4 |
| Region of Enrollment(participants) | Lipidem | Lipofundin MCT | Total |
|---|---|---|---|
| Netherlands | 4 | 3 | 7 |
| Poland | 20 | 16 | 36 |
| Italy | 2 | 3 | 5 |
| United Kingdom | 2 | 1 | 3 |
| France | 10 | 11 | 21 |
PDFs hosted by the registry, ClinicalTrials.gov.
Ran from Jan 2018 to primary completion in Jul 2022, 54 months.
Results were first posted in Jul 2025, 2 years 11 months after primary completion.
How these figures are worked out, and which studies are left out of them.
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