Status:

WITHDRAWN

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

Lead Sponsor:

Baxter Healthcare Corporation

Conditions:

Malnutrition, Infant

Enteral Feeding Intolerance

Eligibility:

All Genders

Up to 24 years

Phase:

PHASE3

Brief 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. ...

Eligibility Criteria

Inclusion

  • 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

  • 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.

Key Trial Info

Start Date :

August 20 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 30 2022

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT06894446

Start Date

August 20 2021

End Date

May 30 2022

Last Update

April 24 2025

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