Clinical Trial Results:
RANDOMIZED CONTROLLED TRIAL OF THE EFFECTS OF PARENTERAL FISH OIL EMULSION UPON SURVIVAL OUTCOME OF CRITICALLY ILL SEPTIC PATIENTS IN THE INTENSIVE CARE UNIT
Summary
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EudraCT number |
2009-016880-13 |
Trial protocol |
GB |
Global end of trial date |
10 Apr 2014
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Results information
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Results version number |
v1(current) |
This version publication date |
26 Jun 2020
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First version publication date |
26 Jun 2020
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Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
ITU version1 19/10/2009
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
- | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
University Hospitals of Leicester
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Sponsor organisation address |
Research and Innovation. Leicester General Hospital, Gwendolen Road, Leicester, United Kingdom, LE5 4PW
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Public contact |
Carolyn Maloney
Head of Operations
R&D Office. Leicester General Hospital LE5 4PW, University Hospitals of Leicester NHS Trust
, + 44 116 2588110, ashley.dennison@uhl-tr.nhs.uk
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Scientific contact |
Mr Ashley Dennison
Department of Hepatobiliary Surgery
Leicester General Hospital LE5 4PW, University Hospitals of Leicester NHS Trust
, + 44 116 2588110, ashley.dennison@uhl-tr.nhs.uk
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
01 Sep 2017
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
10 Apr 2014
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Global end of trial reached? |
Yes
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Global end of trial date |
10 Apr 2014
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
The effect of Omega 3 fatty acids on reduction of APACHE II score as a surrogate marker of mortality.
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Protection of trial subjects |
The infusion of omegaven can cause a prolonged bleeding time and an inhibited platelet aggregation. Therefore shoudl be administered with caustion to patients requiring anti platelet therapy even with regard to a possible reduction of anticoagulants. There are no otehr known interactions.
Coagulations screens were performed on all subjects prior to recruitment and undertaken daily (as part of routien care) during the progress of the trial.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
25 May 2011
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
United Kingdom: 74
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Worldwide total number of subjects |
74
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EEA total number of subjects |
74
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
35
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From 65 to 84 years |
34
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85 years and over |
5
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Recruitment
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Recruitment details |
Recruitment 10.07.11 to 03.04.14. Single UK Centre Participants will be identified by the direct care team on the intensive care unit, who will refer the patients to the researchers for consideration of enrolling in the study. | |||||||||
Pre-assignment
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Screening details |
All critically ill septic patients admitted to the intensive care unit at Leicester General and Glenfield Hospital and the high dependency renal unit. Sepsis is defined as a systemic inflammatory response syndrome(SIRS) (Annexe 3) and the presence of a known of suspected infection. | |||||||||
Period 1
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Period 1 title |
Recruitment Overall Period
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Is this the baseline period? |
Yes | |||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Not blinded | |||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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Arm 1 | |||||||||
Arm description |
Omegaven Fish Oil Infusion | |||||||||
Arm type |
Experimental | |||||||||
Investigational medicinal product name |
Omegaven emulsion for infusion
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Investigational medicinal product code |
PR4
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Other name |
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Pharmaceutical forms |
Emulsion for infusion
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Routes of administration |
Intravenous use
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Dosage and administration details |
0.5mls omegaven per kilogram of body weight/hour corresponding to 0.05gms fish oil per kilogram of body weight per hour.
Total dose 0.05gram/0.5ml intravenous
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Arm title
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ARM 2 | |||||||||
Arm description |
Standard Care | |||||||||
Arm type |
No intervention | |||||||||
Investigational medicinal product name |
No investigational medicinal product assigned in this arm
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End points reporting groups
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Reporting group title |
Arm 1
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Reporting group description |
Omegaven Fish Oil Infusion | ||
Reporting group title |
ARM 2
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Reporting group description |
Standard Care |
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End point title |
Effect of Omega 3 fatty acids on the number of new organ dysfunction(not present at baseline/admission) as a predictor for teh outcome in sepsis | ||||||||||||
End point description |
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End point type |
Primary
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End point timeframe |
pts observed over a maximum of 2 weeks
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Statistical analysis title |
stata software | ||||||||||||
Comparison groups |
Arm 1 v ARM 2
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Number of subjects included in analysis |
60
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Analysis specification |
Pre-specified
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Analysis type |
other | ||||||||||||
P-value |
< 0.05 | ||||||||||||
Method |
Regression, Linear | ||||||||||||
Parameter type |
linear regression | ||||||||||||
Point estimate |
0.05
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Confidence interval |
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95% | ||||||||||||
sides |
1-sided
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lower limit |
0.04 | ||||||||||||
upper limit |
- |
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Adverse events information [1]
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Timeframe for reporting adverse events |
Timepoint for reporting is until discharge from ITU/HDU or for a maximum period of 14 days
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Assessment type |
Systematic | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
23.0
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Reporting groups
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Reporting group title |
ARM1
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Reporting group description |
- | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
ARM2
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Reporting group description |
Standard Care | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Notes [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported. Justification: No non-serious adverse events were recorded for this study |
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Frequency threshold for reporting non-serious adverse events: 0% | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? No | |||
Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |