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 |
Clinical implementation of the infusion rate individualization of intravenous lipid emulsion
Clinical implementation of the infusion rate individualization of intravenous lipid emulsion
Clinical implementation of the infusion rate individualization of soybean oil-based intravenous lipid emulsion: A multi-center descriptive cohort study
Clinical implementation of the infusion rate individualization of intravenous lipid emulsion
Japan |
Patients who clinically need intravenous lipid emulsion
Medicine in general | Surgery in general |
Others
NO
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.
Safety
Confirmatory
Maximum triglyceride concentration on the final day of administration
Laboratory parameters, including liver function, renal function, and markers of inflammation
Observational
18 | years-old | <= |
Not applicable |
Male and Female
Baseline triglyceride level < 300 mg/dL
Patients with estimated individualized infusion rates less than 10 mL/h or greater than 0.33 g/kg/h
120
1st name | Keizo |
Middle name | |
Last name | Fukushima |
Kobe Gakuin University
Faculty of Pharmaceutical Sciences
650-8586
1-1-3 Minatojima, Chuo district, Kobe city, Hyogo prefecture, Japan
078-974-4441
keizo@pharm.kobegakuin.ac.jp
1st name | Keizo |
Middle name | |
Last name | Fukushima |
Kobe Gakuin University
Faculty of Pharmaceutical Sciences
650-8586
1-1-3 Minatojima, Chuo district, Kobe city, Hyogo prefecture, Japan
078-974-4441
keizo@pharm.kobegakuin.ac.jp
Kobe Gakuin University
Kobe Gakuin University
Self funding
Ageo Central General Hospital
Joetsu GeneralHospital
Ageo Central General Hospital
1-10-10, Kashiwaza, Ageo, Saitama 362-8588 Japan
048-773-1298
acgh-ct@ach.or.jp
NO
上尾中央総合病院(埼玉)、上越総合病院(新潟)
2024 | Year | 04 | Month | 24 | Day |
Unpublished
Enrolling by invitation
2023 | Year | 09 | Month | 25 | Day |
2023 | Year | 10 | Month | 27 | Day |
2023 | Year | 11 | Month | 01 | Day |
2025 | Year | 04 | Month | 30 | Day |
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.
2024 | Year | 04 | Month | 23 | Day |
2024 | Year | 04 | Month | 23 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000061929