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A double-blind, randomised study comparing the safety and tolerance of SMOFlipid 20% and Intralipid 20% in long-term treatment with parenteral nutrition
ISRCTN ISRCTN39632561
ClinicalTrials.gov identifier
Public title A double-blind, randomised study comparing the safety and tolerance of SMOFlipid 20% and Intralipid 20% in long-term treatment with parenteral nutrition
Scientific title
Acronym N/A
Serial number at source Protocol No.: 05-SMOF-006
Study hypothesis To demonstrate the comparability in safety and tolerance between SMOFlipid 20% and Intralipid 20%.

Please note that as of 9th October 2007, some changes were made to this record. The main changes were an update in ethics approval (previously no ethics information in the record), an update to the countries of recruitment (Germany dropped out and Poland joined) and an update to the anticipated start and end dates of the trial (these were moved forward).
Lay summary
Ethics approval Ethics Committee (EC) approval in all countries, except Australia as of 9th October 2007
Study design Multi-national, multi-centre, randomised, active-controlled, double-blind, parallel study
Countries of recruitment Australia, Denmark, France, Israel, Netherlands, Poland, United Kingdom
Disease/condition/study domain Parenteral nutrition/malnutrition
Participants - inclusion criteria 1. Male and female subjects between 18 and 85 years of age
2. In- or out-patients unable to sustain an adequate oral/enteral food intake for at least four weeks and need of parenteral nutrition
3. Written informed consent from the subject
Participants - exclusion criteria 1. Known hypersensitivity to fish, egg or soy protein or to any of the active substances or excipients
2. Known type IV hyperlipidemia, disturbances in lipid metabolism or hypertriglyceridemia. If the fasting S-triglyceride value at the time of inclusion is mopre than 3 mmol/l (>262.5 mg/dl) the subject must be withdrawn
3. Severe liver insufficiency
4. Severe blood coagulation disorders
5. Subjects with chronic stable renal insufficiency defined as S-creatinine value of more than 25 mg/l (200 µmol/l) or receiving dialysis/hemofiltration therapy
6. General contraindications to infusion therapy: acute pulmonary oedema, hyperhydration, decompensated cardiac insufficiency
7. Unstable conditions (e.g. severe post-traumatic conditions, uncompensated diabetes mellitus, acute myocardial infarction, stroke, embolism, metabolic acidosis, severe sepsis and hypotonic dehydration)
8. Unstable angina pectoris
9. Acute shock
10. Chemotherapy within four weeks before start of the trial
11. Chemotherapy during the trial
12. Subjects for whom the trial treatment (amounts, contents etc.) is not appropriate
13. Female patients must be surgically sterile, or postmenopausal for at least two years, or if of childbearing potential must have a negative serum pregnancy test and must agree to maintain adequate birth control practice during the study (e.g. hormonal contraceptives, contraceptive coil)
14. Participation in another clinical study with an investigational drug or an investigational medical device within one month prior to start of study or during the study
15. Prior inclusion in the present study
16. Any other feature that in the opinion of the investigator should preclude study participation
Anticipated start date 15/10/2007
Anticipated end date 31/12/2008
Status of trial Completed
Patient information material
Target number of participants 48 patients per protocol
Interventions There were 48 patients per protocol from five European and two non-European countries. The interventions of this trial were the comparing of SMOFlipid 20% and Intralipid 20% on long-term treatment.

Please note that as of 9th October 2007, the anticipated start and end dates of this trial were delayed. The previous start and end dates of this trial were:
Original anticipated start date: 15/10/2006
Original anticipated end date: 31/12/2007
Primary outcome measure(s) 1. Laboratory variables:
1.1. Clinical chemistry parameters: triglycerides, total cholesterol AP, Aspartate Aminotransferase (AST - also known as S-GOT), gamma Glutamyl Transferase (g-GT), Alanine Aminotransferase (ALT - also known as S-GPT), sodium, potassium, chloride, magnesium, calcium, phosphate, total bilirubin, S-creatinine, urea, glucose, albumin, total protein, C-Reactive Protein
1.2. Haematology parameters: leucocytes, platelets, erythrocytes, haemoglobin, haematocrit,
1.3. Coagulation parameters: International Normalised Ratio (INR)
2. Adverse events
3. Vital signs: blood pressure (mmHg), heart rate (beats/min), body temperature (°C)
4. Lipid metabolism

Rating of the safety and tolerance variables will be according to Common Terminology Criteria for Adverse Events.
Secondary outcome measure(s) No secondary outcome measures
Sources of funding Fresenius Kabi Deutschland GmbH (Germany)
Trial website
Publications
Contact name Dr  Jon  Shaffer
  Address Consultant Gastroenterologist
H2 Teaching Block
Hope Hospital
Salford
  City/town Manchester
  Zip/Postcode M6 8HD
  Country United Kingdom
Sponsor Fresenius Kabi Deutschland GmbH (Germany)
  Address Kabi Strategic Business Center
Preclinical & Clinical Development Pharma
Else-Kröner-Str. 1
  City/town Bad Homburg
  Zip/Postcode 61352
  Country Germany
  Tel +49 (0)6172 686 7295
  Fax +49 (0)6172 686 8749
  Email ingrid.mueller@fresenius-kabi.com
  Sponsor website: http://www.fresenius-kabi.com
Date applied 11/07/2006
Last edited 21/04/2011
Date ISRCTN assigned 08/08/2006
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