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WithdrawnNCT06894446Updated Apr 24, 2025

Efficacy and Safety of Numeta G13%E Compared to Compounded Parenteral Nutrition in Preterm Neonates

A Phase 3 interventional study of Numeta G13%E and Compounded Parenteral Nutrition (cPN) solution in Malnutrition, Infant and Enteral Feeding Intolerance, sponsored by Baxter Healthcare Corporation. Withdrawn. Open to participants aged 0 Hours to 24 Hours, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-04-24.

Sponsored by Baxter Healthcare Corporation · Phase 3, Interventional, and Supportive care

Why this study was withdrawn
Business decision due to practice in China
Phase
Phase 3
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
0 Hours to 24 Hours
Sex
All
01

Study summary

Preterm (PT, born before 37 weeks of gestation) birth complications are the leading causes of death among children aged under 5 years globally, with nearly one million infant deaths reported in 2013. Preterm infants are born with limited nutrient stores, while birth occurs when the nutritional requirements are the highest in human life. Due to the immaturity of their gastrointestinal system, parenteral nutrition (PN) is usually required during the first weeks of life, especially in very low birth weight (VLBW) infants. Despite the availability of national and international guidelines, the initiation of PN is frequently not compliant with current recommendations, especially during the first days of life. In China, like in many other parts of the world, insufficient nutritional supply during hospital stay plays an important role in the postnatal growth restriction (PNGR) of PT infants. Several authors have recently shown that the use of standardized PN formulations can enable optimal early PN intake and can support improved growth rate without adverse consequences in PT infants. Guidelines recommend that standard PN solutions should generally be used over individualized PN solutions in the majority of pediatric and newborn patients, including VLBW infants. They also recommended that individually tailored PN solution should generally be used when the nutritional requirements cannot be met by the available range of standard PN formulations. Given the challenges of optimizing PN practice in PT infants, the aim of this study is to demonstrate non-inferiority of Numeta G13%E to classic compounding practice used for Chinese PT neonates. Please note: Secondary safety endpoints that include Adverse Events (AE) and abnormal blood results will be captured in AE section.

02

Conditions studied

  • Malnutrition, Infant
  • Enteral Feeding Intolerance

Keywords

  • parenteral nutrition
03

In context

Malnutrition

1,587 studies on the registry are indexed under Malnutrition; 237 are open to participants now.

Browse Malnutrition studies →

Lead sponsor

Baxter Healthcare Corporation is the lead sponsor of 78 studies on the registry; 1 is open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 3 (30%) have results posted.

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

04

Who can participate

Ages eligible
0 Hours to 24 Hours
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • PT birth (>28 and \< 37 weeks of gestation)
  • Postnatal age \< 48 hours
  • Medical determination of PN requirement made by the attending physician in conjunction with the Investigator
  • An anticipated PN duration after inclusion of at least 5 days
  • Requirement for ≥ 80 % of energy intake from PN at inclusion (PN initiation)
  • Written ICF signed by the patient's legal representative

Exclusion criteria

Exclusion Criteria:

  • Neonates born \< 28 and ≥ 37 weeks of gestation
  • Neonates with a life expectancy \<1 week, which means with very severe critical illness implying foreseeable intercurrent events that could jeopardize the subject's primary outcome assessment including neonates with severe septic shock;
  • Neonates requiring or anticipated to undergo extracorporeal membrane oxygenation treatment;
  • Neonates with inborn error of metabolism including congenital abnormality of the amino acid metabolism or a family history of such disease;
  • Neonates with hyperkalemia > 5.5 mmol/L at inclusion
  • Neonates with known severe pathologically elevated plasma concentrations of electrolyte at inclusion including hyperchloridemia > 120 mmol/L;
  • Neonates with known severe hyperglycemia >13.9 mmol/L (250 mg/dL) at inclusion;
  • Neonates with demonstrated severe hyperlipidemia or severe disorders of lipid metabolism characterized by hypertriglyceridemia > 4.5 mmol/L (400 mg/dL) at inclusion;
  • Neonates with known severe liver failure including plasma ALT (GPT) concentration > 2 times the upper reference limit or conjugated (direct) bilirubin > 34 µmol/L (> 2 mg/dL) at inclusion;
  • Neonates with anuria and known severe renal disorder including plasma creatinine concentration > 2 times the upper reference limit at inclusion;
  • Neonates with bleeding and severe coagulation disorders including platelet count \< 20×109/L at inclusion;
  • Neonates with general contraindications to infusion therapy: acute pulmonary edema, overhydration;
  • Neonates with known allergy to egg, soy bean or peanut proteins or to any of their active ingredients or excipients;
  • Neonates undergoing concomitant treatment with ceftriaxone, even if separate infusion lines are used;
  • Neonates undergoing participation in another investigational clinical study at study enrollment.
05

Study design

Phase
Phase 3
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Numeta G13%E

    Required PN intake will be determined daily based on clinical condition, calculated nutritional need and enteral nutrition (EN) intake by the attending physician in conjunction with the Investigator. Patients will receive Numeta G13%E until standard of care (SOC) discontinuation of PN, as decided by the attending physician in conjunction with the Investigator for the best interest of the patient or for a maximum of 28 days.

    Dietary Supplement: Numeta G13%E

  • Active comparator
    Compounded Parenteral Nutrition (cPN) solution

    Required PN intake will be determined daily based on clinical condition, calculated nutritional need and enteral nutrition (EN) intake by the attending physician in conjunction with the Investigator. Patients will receive cPN until standard of care (SOC) discontinuation of PN, as decided by the attending physician in conjunction with the Investigator for the best interest of the patient or for a maximum of 28 days.

    Dietary Supplement: Compounded Parenteral Nutrition (cPN) solution

Interventions

  • Dietary supplementNumeta G13%E

    Dose selected and dosing schedule are as deemed appropriate by the ordering attending physician in conjunction with the Investigator.

  • Dietary supplementCompounded Parenteral Nutrition (cPN) solution

    Will be administered as institutional SOC procedure for the hospital.

06

What researchers measure

Primary outcomes

  1. Change from Baseline in Weight (SDS or z-score) at Day 14

    The change in weight standard deviation score (SDS or z-score) from birth to 14 days of life, calculated according to reference growth chart developed to assess the growth of preterm infants. To be included in the primary endpoint analysis, patients must minimally receive PN up to Day 5.

    Time frame: Baseline (first 24 hours of life) and Day 14

Secondary outcomes

  1. Daily Protein Intake (g/kg/day)

    Nutritional intake from PN will be calculated as per any intravenous nutritional intake (Numeta G13%E, cPN and other sources). Nutritional intake from EN (Enteral Nutrition) will be calculated as per label for infant formula and human milk fortifier (HMF). (Protein = amino acids)

    Time frame: Day 1 to 7

  2. Daily Energy Intake (kcal/kg/day)

    Nutritional intake from PN will be calculated as per any intravenous nutritional intake (Numeta G13%E, cPN and other sources). Nutritional intake from EN (Enteral Nutrition) will be calculated as per label for infant formula and human milk fortifier (HMF). Energy includes total calories, non-protein calories, glucose calories, lipid calories.

    Time frame: Day 1 to 7

  3. Weekly Protein Intake (g/kg/week)

    Nutritional intake from PN will be calculated as per any intravenous nutritional intake (Numeta G13%E, cPN and other sources). Nutritional intake from EN (Enteral Nutrition) will be calculated as per label for infant formula and human milk fortifier (HMF). (Protein = amino acids).

    Time frame: Week 1, Week 2, Week 3, Week 4

  4. Weekly Energy Intake (kcal/kg/week)

    Nutritional intake from PN will be calculated as per any intravenous nutritional intake (Numeta G13%E, cPN and other sources). Nutritional intake from EN (Enteral Nutrition) will be calculated as per label for infant formula and human milk fortifier (HMF). Energy includes total calories, non-protein calories, glucose calories, lipid calories.

    Time frame: Week 1, Week 2, Week 3, Week 4

  5. Age (hours) when minimal weight is documented

    Measurement=hours.

    Time frame: Day 1

  6. Maximum weight loss (%) from birth weight

    Measurement=percentage (%).

    Time frame: Day 1 to Day 14

  7. Time (hours) to regain birth weight

    Postnatal age (hours) when body weight is first documented above BW after maximal weight loss.

    Time frame: Day 1 to Day 14

  8. Weight gain velocity up to Day 14

    Calculated by taking the difference between the weight at the end of treatment and the minimum weight recorded and dividing it by the total number of treatment days.

    Time frame: Day 1 to Day 14

  9. Change from Baseline in Weight (SDS or z-score) at Day 7, 14, 21 and 28

    Standard deviation score (SDS or z-score).

    Time frame: Baseline, Day 7, Day 14, Day 21, Day 28

  10. Change from Baseline in Length (SDS or z-score) at Day 7, 14, 21 and 28

    Standard deviation score (SDS or z-score).

    Time frame: Baseline, Day 7, Day 14, Day 21, Day 28

  11. Change from Baseline in Head Circumference (SDS or z-score) at Day 7, 14, 21 and 28

    Standard deviation score (SDS or z-score).

    Time frame: Baseline, Day 7, Day 14, Day 21, Day 28

  12. Weekly gain in Weight (g/kg/day) at Day 7, 14, 21 and 28

    Measurement=g/kg/day.

    Time frame: Day 7, Day 14, Day 21, Day 28

  13. Weekly gain in Length (cm/week) at Day 7, 14, 21 and 28

    Measurement=cm/week.

    Time frame: Day 7, Day 14, Day 21, Day 28

  14. Weekly gain in Head Circumference (cm/week) at Day 7, 14, 21 and 28

    Measurement=cm/week.

    Time frame: Day 7, Day 14, Day 21, Day 28

  15. Change from Baseline in Weight (SDS or z-score) at End of study

    Measurement=Standard deviation score (SDS or z-score). End of Study=discharge or maximum 40 weeks post-menstrual age.

    Time frame: Baseline up to Week 40

  16. Change from Baseline in Length (SDS or z-score) at End of study

    Measurement=Standard deviation score (SDS or z-score).

    Time frame: Baseline up to Week 40

  17. Change from Baseline in Head Circumference (SDS or z-score) at End of study

    Measurement=Standard deviation score (SDS or z-score).

    Time frame: Baseline up to Week 40

  18. Gain in Weight (g/kg/week) from Baseline to End of study

    Measurement=g/kg/week

    Time frame: Baseline up to Week 40

  19. Gain in Length (cm/week) from Baseline to End of study

    Measurement=cm/week.

    Time frame: Baseline up to Week 40

  20. Gain in Head Circumference (cm/week) from Baseline to End of study

    Measurement=cm/week.

    Time frame: Baseline up to Week 40

  21. Number of Clinical Characteristics by Type

    Including in-hospital deaths, necrotizing enterocolitis (NEC), late onset sepsis (LOS), bronchopulmonary dysplasia (BPD), intraventricular hemorrhage (IVH), periventricular leukomalacia (PVL), retinopathy of prematurity (ROP), and cholestasis

    Time frame: Week 1 up to Week 40

  22. Duration of Clinical Characteristics by Type

    Including mechanical ventilation duration, PN duration, antibiotic duration, and in-hospital length of stay (LoS)

    Time frame: Week 1 up to Week 40

  23. Adverse Events of special interest (AESIs)

    Time frame: Week 1 up to Week 40

07

Study locations

No study locations are listed for this record.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 24, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06894446
Lead sponsor
Baxter Healthcare Corporation
Responsible party
Sponsor
First posted
Mar 25, 2025
Start date
Aug 20, 2021 (estimated)
Primary completion
May 30, 2022 (estimated)
Completion
May 30, 2022 (estimated)
Last update
Apr 24, 2025

Oversight

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

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