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    Clinical Trial Results:
    Fish OIL optimal dosE Determination Study

    Summary
    EudraCT number
    2010-021018-49
    Trial protocol
    DE  
    Global end of trial date
    15 Dec 2017

    Results information
    Results version number
    v1(current)
    This version publication date
    06 Jun 2024
    First version publication date
    06 Jun 2024
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    FOILED
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01146821
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    GWT-TUD GmbH
    Sponsor organisation address
    Freiberger Str. 33, Dresden, Germany, 01067
    Public contact
    Medical Consulting, GWT-TUD GmbH, +49 35125933100, medical.consulting@g-wt.de
    Scientific contact
    Medical Consulting, GWT-TUD GmbH, +49 35125933100, medical.consulting@g-wt.de
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    28 Jun 2018
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    15 Dec 2017
    Was the trial ended prematurely?
    Yes
    General information about the trial
    Main objective of the trial
    To determine the safety and efficacy of IV fish oil doses of 0.20 g/kg and 0.50 g/kg, compared to a control group, in critically ill patients with severe sepsis by examining organ function, blood safety and biochemical parameters, markers of systemic inflammation and innate immunological parameters.
    Protection of trial subjects
    The conduct of this study was in compliance with the Good Clinical Praactice Guidelines and under the guiding principles detailed in the Declaration of Helsinki. The study was also carried out in keeping with applicable local law(s) and regulation(s). Upon enrollment (prior to initiation of the study interventions) and daily thereafter for the study duration in the ICU, measurement daily parameters. In addition, monitoring routine measurements of liver function tests (AST, ALT, GGT, and bilirubin) and blood urea nitrogen when clinically available and will follow study patients in ICU to evaluate tolerance of enteral nutrition and total nutritional adequacy (including propofol use).
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    12 Mar 2015
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Germany: 7
    Worldwide total number of subjects
    7
    EEA total number of subjects
    7
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    0
    From 65 to 84 years
    7
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    The present trial enrolled patients from May 2012 and was preliminary stopped due to lack of recruitment after completion of the control group (n=7) in March 2017. The present trial was initially planned as a two-center open-label, phase II dose ranging clinical trial with prospective controls.

    Pre-assignment
    Screening details
    Consecutive patients admitted to the ICU with sepsis were screened for possible enrollment in the trial. The first patient was enrolled in March 2015.

    Period 1
    Period 1 title
    Group 1 (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Group 1
    Arm description
    A consecutive cohort of 7 patients who met the eligibility criteria serving as controls. This group received no fish oils but routine clinical and biochemical measurements were performed in this group similar to the subsequent groups.
    Arm type
    standard care

    Investigational medicinal product name
    Highly refined fish oil
    Investigational medicinal product code
    Other name
    Omegaven®
    Pharmaceutical forms
    Emulsion for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    No study intervention. This group received no fish oils but routine clinical and biochemical measurements were performed in this group similar to the subsequent groups.

    Number of subjects in period 1
    Group 1
    Started
    7
    Completed
    7

    Baseline characteristics

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    End points

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    End points reporting groups
    Reporting group title
    Group 1
    Reporting group description
    A consecutive cohort of 7 patients who met the eligibility criteria serving as controls. This group received no fish oils but routine clinical and biochemical measurements were performed in this group similar to the subsequent groups.

    Primary: Change in Sequential Organ Failure Assessment score (organ function)

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    End point title
    Change in Sequential Organ Failure Assessment score (organ function) [1]
    End point description
    End point type
    Primary
    End point timeframe
    14 days
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The present trial enrolled patients from May 2012 and was preliminary stopped due to lack of recruitment after completion of the control group (n=7) in March 2017. Patients with severe sepsis and septic shock (initial SOFA 13±1). Caused mainly by peritonitis (85.7%). Hospital mortality was 28.6% and 28-day mortality 14.3%. ICU length of stay was 15 (6-36) days and hospital length of stay was 34 (14-69) days.
    End point values
    Group 1
    Number of subjects analysed
    7
    Units: 1
    0
    No statistical analyses for this end point

    Adverse events

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    Adverse events information [1]
    Timeframe for reporting adverse events
    12 month
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    18.1
    Reporting groups
    Reporting group title
    Overall
    Reporting group description
    -

    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: There were no non-seroius adverse events reported.
    Serious adverse events
    Overall
    Total subjects affected by serious adverse events
         subjects affected / exposed
    7 / 7 (100.00%)
         number of deaths (all causes)
    2
         number of deaths resulting from adverse events
    2
    Injury, poisoning and procedural complications
    Post procedural complication
         subjects affected / exposed
    1 / 7 (14.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Cardiac disorders
    Cardiac arrest
         subjects affected / exposed
    1 / 7 (14.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    General disorders and administration site conditions
    Multiple organ failure
         subjects affected / exposed
    1 / 7 (14.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Immune system disorders
    Anaphylactic reaction
         subjects affected / exposed
    1 / 7 (14.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Abdominal compartment syndrome
         subjects affected / exposed
    1 / 7 (14.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Upper gastrointestinal haemorrhage
         subjects affected / exposed
    1 / 7 (14.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Respiratory, thoracic and mediastinal disorders
    Hypoxia
         subjects affected / exposed
    1 / 7 (14.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Bacterial infection
         subjects affected / exposed
    1 / 7 (14.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Peritonitis
         subjects affected / exposed
    1 / 7 (14.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pneumonia
         subjects affected / exposed
    1 / 7 (14.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    New septic shock
         subjects affected / exposed
    1 / 7 (14.29%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    Overall
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    0 / 7 (0.00%)

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    19 May 2015
    Protocol V2.1

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    The trial was stopped after completion of group 1 due to lack of recruitment.
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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