UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000054236
Receipt number R000061929
Scientific Title Clinical implementation of the infusion rate individualization of soybean oil-based intravenous lipid emulsion: A multi-center descriptive cohort study
Date of disclosure of the study information 2024/04/24
Last modified on 2024/04/23 16:25:32

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Basic information

Public title

Clinical implementation of the infusion rate individualization of intravenous lipid emulsion

Acronym

Clinical implementation of the infusion rate individualization of intravenous lipid emulsion

Scientific Title

Clinical implementation of the infusion rate individualization of soybean oil-based intravenous lipid emulsion: A multi-center descriptive cohort study

Scientific Title:Acronym

Clinical implementation of the infusion rate individualization of intravenous lipid emulsion

Region

Japan


Condition

Condition

Patients who clinically need intravenous lipid emulsion

Classification by specialty

Medicine in general Surgery in general

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Intravenous lipid emulsion (ILE) is an essential component of parenteral nutrition therapy, serving as a source of nonprotein calories and essential fatty acids. Although parenteral nutrition guidelines recommend that ILE should be incorporated in parenteral nutrition, the infusion rate of ILE limits its clinical use. The infusion rate exceeding the lipid metabolism capacity can cause adverse events such as fat overload syndrome and acute respiratory distress syndrome. The lowest possible infusion rate is necessary to avoid these adverse events, but it requires a longer infusion time, which may reduce patients' quality of life and potentially increase the infection risk. This trade-off issue may be overcome by establishing a safe and efficient infusion rate. We previously reported the feasibility of individualizing of ILE infusion rate according to patient body weight and baseline TG concentration. In this clinical trial, our objective is to evaluate the tolerability and accuracy of individualizing of ILE infusion rate in a clinical setting and implement it into clinical practice.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Maximum triglyceride concentration on the final day of administration

Key secondary outcomes

Laboratory parameters, including liver function, renal function, and markers of inflammation


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Baseline triglyceride level < 300 mg/dL

Key exclusion criteria

Patients with estimated individualized infusion rates less than 10 mL/h or greater than 0.33 g/kg/h

Target sample size

120


Research contact person

Name of lead principal investigator

1st name Keizo
Middle name
Last name Fukushima

Organization

Kobe Gakuin University

Division name

Faculty of Pharmaceutical Sciences

Zip code

650-8586

Address

1-1-3 Minatojima, Chuo district, Kobe city, Hyogo prefecture, Japan

TEL

078-974-4441

Email

keizo@pharm.kobegakuin.ac.jp


Public contact

Name of contact person

1st name Keizo
Middle name
Last name Fukushima

Organization

Kobe Gakuin University

Division name

Faculty of Pharmaceutical Sciences

Zip code

650-8586

Address

1-1-3 Minatojima, Chuo district, Kobe city, Hyogo prefecture, Japan

TEL

078-974-4441

Homepage URL


Email

keizo@pharm.kobegakuin.ac.jp


Sponsor or person

Institute

Kobe Gakuin University

Institute

Department

Personal name



Funding Source

Organization

Kobe Gakuin University

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

Ageo Central General Hospital
Joetsu GeneralHospital

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ageo Central General Hospital

Address

1-10-10, Kashiwaza, Ageo, Saitama 362-8588 Japan

Tel

048-773-1298

Email

acgh-ct@ach.or.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

上尾中央総合病院(埼玉)、上越総合病院(新潟)


Other administrative information

Date of disclosure of the study information

2024 Year 04 Month 24 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2023 Year 09 Month 25 Day

Date of IRB

2023 Year 10 Month 27 Day

Anticipated trial start date

2023 Year 11 Month 01 Day

Last follow-up date

2025 Year 04 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Calculate the maximum acceptable infusion rate (MaxInfRate), defined as the infusion rate at which the maximum triglyceride concentration (TGmax) does not exceed 400 mg/dL with a 90% probability, for each individual patient. Administer ILE daily using MaxInfRate (for <7 days) and verify whether the TGmax on the final day meets the defined criteria.


Management information

Registered date

2024 Year 04 Month 23 Day

Last modified on

2024 Year 04 Month 23 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000061929


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name