- ICH GCP
- Rejestr badań klinicznych w USA
- Badanie kliniczne NCT01413581
Comparison of rhBSSL With Placebo When Added to Infant Formula or Pasteurized Breast Milk During 4 Weeks of Treatment in Preterm Infants (LAIF)
A Prospective, Randomized, Double-Blind, Phase 3 Study Comparing rhBSSL and Placebo Added to Infant Formula or Pasteurized Breast Milk During 4 Weeks of Treatment in Preterm Infants Born Before Week 32 of Gestational Age
Przegląd badań
Status
Warunki
Interwencja / Leczenie
Szczegółowy opis
The purpose of this study is to demonstrate that rhBSSL improves growth in preterm infants as compared with placebo. The infants should be born before week 32 of gestational age.
The study drug, rhBSSL or placebo, will be administered during a 4 week treatment period by adding it to either infant formula or pasteurized breast milk.
The study will also evaluate the safety and tolerability of rhBSSL.
Eligible patients will be randomized in a ratio of 1:1 (rhBSSL:placebo). The study consists of maximum 1 week screening period, a 4-week treatment period and a 2 year follow-up period.
Typ studiów
Zapisy (Rzeczywisty)
Faza
- Faza 3
Kontakty i lokalizacje
Lokalizacje studiów
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Bruges, Belgia
- Swedish Orphan Biovitrum Investigational Site
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Leuven, Belgia
- Swedish Orphan Biovitrum Investigational Site
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Liege, Belgia
- Swedish Orphan Biovitrum Investigational Site
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Rocourt, Belgia
- Swedish Orphan Biovitrum Investigational Site
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Wilrijk, Belgia
- Swedish Orphan Biovitrum Investigational Site
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Ivanovo, Federacja Rosyjska
- Swedish Orphan Biovitrum Investigational Site
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Nizhniy Novgorod, Federacja Rosyjska
- Swedish Orphan Biovitrum Investigational Site
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Amiens, Francja
- Swedish Orphan Biovitrum Investigational Site
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Lille, Francja
- Swedish Orphan Biovitrum Investigational Site
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Nancy, Francja
- Swedish Orphan Biovitrum Investigational Site
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Paris, Francja
- Swedish Orphan Biovitrum Investigational Site
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Rouen, Francja
- Swedish Orphan Biovitrum Investigational Site
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Strasbourg, Francja
- Swedish Orphan Biovitrum Investigational Site
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Toulouse, Francja
- Swedish Orphan Biovitrum Investigational Site
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Almería, Hiszpania
- Swedish Orphan Biovitrum Investigational Site
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Cádiz, Hiszpania
- Swedish Orphan Biovitrum Investigational Site
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Córdoba, Hiszpania
- Swedish Orphan Biovitrum Investigational Site
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Madrid, Hiszpania
- Swedish Orphan Biovitrum Investigational Site
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Málaga, Hiszpania
- Swedish Orphan Biovitrum Investigational Site
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Oviedo, Hiszpania
- Swedish Orphan Biovitrum Investigational Site
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Salamanca, Hiszpania
- Swedish Orphan Biovitrum Investigational Site
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Santiago de Compostela, Hiszpania
- Swedish Orphan Biovitrum Investigational Site
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Berlin, Niemcy
- Swedish Orphan Biovitrum Investigational Site
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Freiburg, Niemcy
- Swedish Orphan Biovitrum Investigational Site
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Heidelberg, Niemcy
- Swedish Orphan Biovitrum Investigational Site
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Wiesbaden, Niemcy
- Swedish Orphan Biovitrum Investigational Site
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Bydgoszcz, Polska
- Swedish Orphan Biovitrum Investigational Site
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Gdansk, Polska
- Swedish Orphan Biovitrum Investigational Site
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Lodz, Polska
- Swedish Orphan Biovitrum Investigational Site
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Poznan, Polska
- Swedish Orphan Biovitrum Investigational Site
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Warszawa, Polska
- Swedish Orphan Biovitrum Investigational Site
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Hradec Kralove, Republika Czeska
- Swedish Orphan Biovitrum Investigational Site
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Olomouc, Republika Czeska
- Swedish Orphan Biovitrum Investigational Site
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Prague, Republika Czeska
- Swedish Orphan Biovitrum Investigational Site
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Zlin, Republika Czeska
- Swedish Orphan Biovitrum Investigational Site
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Stockholm, Szwecja
- Swedish Orphan Biovitrum Investigational Site
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Umeå, Szwecja
- Swedish Orphan Biovitrum Investigational Site
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Budapest, Węgry
- Swedish Orphan Biovitrum Investigational Site
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Gyula, Węgry
- Swedish Orphan Biovitrum Investigational Site
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Miskolc, Węgry
- Swedish Orphan Biovitrum Investigational Site
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Nyíregyháza, Węgry
- Swedish Orphan Biovitrum Investigational Site
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Pécs, Węgry
- Swedish Orphan Biovitrum Investigational Site
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Veszprem, Węgry
- Swedish Orphan Biovitrum Investigational Site
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Ancona, Włochy
- Swedish Orphan Biovitrum Investigational Site
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Bari, Włochy
- Swedish Orphan Biovitrum Investigational Site
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Foggia, Włochy
- Swedish Orphan Biovitrum Investigational Site
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Milano, Włochy
- Swedish Orphan Biovitrum Investigational Site
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Padova, Włochy
- Swedish Orphan Biovitrum Investigational Site
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Roma, Włochy
- Swedish Orphan Biovitrum Investigational Site
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Kryteria uczestnictwa
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
Inclusion Criteria:
- Preterm infants born before week 32 of gestation.
- Preterm infant who is less than 33 weeks postmenstrual age at the time of randomization.
- Preterm infant who is appropriate for gestational age (AGA) or small for gestational age (SGA) at birth.
- Preterm infant who is receiving food enterally (bottle or gavage tube) at a level of at least 100 ml/kg/day at randomization.
- Preterm infant whose enteral feeding consists of only infant formula or only pasteurized breast milk at the time of inclusion, and who are expected to remain on only infant formula for 4 weeks, or only pasteurized breast milk for at least 2 weeks following treatment initiation.
- Preterm infant who is expected not to receive any fresh breast milk for 4 weeks following treatment initiation.
- Informed consent is obtained.
Exclusion Criteria:
- Expected stay in the hospital is less than 4 weeks from the first dose of study drug.
- Criteria to ensure no disease or treatment affecting growth or development, e.g. brain disease, necrotizing enterocolitis.
- Enrolled in another concurrent clinical intervention study.
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Randomizowane
- Model interwencyjny: Przydział równoległy
- Maskowanie: Potroić
Broń i interwencje
Grupa uczestników / Arm |
Interwencja / Leczenie |
|---|---|
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Komparator placebo: Placebo
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Placebo added to infant formula/pasteurized breast milk during a 4 week treatment period.
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Eksperymentalny: rhBSSL
rhBSSL (recombinant human bile-salt-stimulated lipase)
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rhBSSL added to infant formula/pasteurized breast milk during a 4 week treatment period.
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Co mierzy badanie?
Podstawowe miary wyniku
Miara wyniku |
Ramy czasowe |
|---|---|
|
Growth velocity in grams per kilogram per day during 4 weeks of treatment.
Ramy czasowe: Baseline and Day 29
|
Baseline and Day 29
|
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Change from baseline in body weight (g) at 3 months
Ramy czasowe: Baseline and Month 3
|
Baseline and Month 3
|
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Body weight (g) at 12 months' corrected age
Ramy czasowe: 12 months´ corrected age
|
12 months´ corrected age
|
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Body weight (g) at 24 months' corrected age
Ramy czasowe: 24 months´ corrected age
|
24 months´ corrected age
|
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Change from baseline in total body length (mm) at 4 weeks
Ramy czasowe: Baseline and Day 29
|
Baseline and Day 29
|
|
|
Change from baseline in total body length (mm) at 3 months
Ramy czasowe: Baseline and Month 3
|
Baseline and Month 3
|
|
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Total body length (mm) at 12 months' corrected age
Ramy czasowe: 12 months' corrected age
|
12 months' corrected age
|
|
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Total body height (cm) at 24 months' corrected age
Ramy czasowe: 24 months' corrected age
|
24 months' corrected age
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Growth restriction
Ramy czasowe: Day 29
|
Defined as growth velocity <15 gram per kilogram bodyweight per day during 4 weeks of treatment
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Day 29
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Time to readiness for discharge
Ramy czasowe: Baseline and date of readiness for discharge
|
Time until each of the following are fulfilled
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Baseline and date of readiness for discharge
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Time to discharge
Ramy czasowe: Baseline and date of discharge
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Baseline and date of discharge
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Change from baseline in head circumference (mm) at 4 weeks.
Ramy czasowe: Baseline and Day 29
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Baseline and Day 29
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Change from baseline in head circumference (mm) at 3 months.
Ramy czasowe: Baseline and Month 3
|
Baseline and Month 3
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Head circumference (mm) at 12 months' corrected age.
Ramy czasowe: 12 months´ corrected age
|
12 months´ corrected age
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Head circumference (mm) at 24 months' corrected age.
Ramy czasowe: 24 months´ corrected age
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24 months´ corrected age
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Time from baseline to 150 mL/kg/day of enteral feeding
Ramy czasowe: Date of first dose and date 150 mL/kg/day of enteral feeding achieved (or exceeded)
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Date of first dose and date 150 mL/kg/day of enteral feeding achieved (or exceeded)
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Re-admission to hospital within 1 month of discharge
Ramy czasowe: Date of discharge and date of re-admission
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Date of discharge and date of re-admission
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Bayley Scale of Infant and Toddler Development, third edition: Cognitive domain composite score 12 months' corrected age
Ramy czasowe: 12 months' corrected age
|
12 months' corrected age
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Bayley Scale of Infant and Toddler Development, third edition: Cognitive domain composite score at 24 months' corrected age
Ramy czasowe: 24 months' corrected age
|
24 months' corrected age
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Bayley Scale of Infant and Toddler Development, third edition: Language domain composite score at 12 months' corrected age
Ramy czasowe: 12 months' corrected age
|
12 months' corrected age
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Bayley Scale of Infant and Toddler Development, third edition: Language domain composite score at 24 months' corrected age
Ramy czasowe: 24 months' corrected age
|
24 months' corrected age
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Bayley Scale of Infant and Toddler Development, third edition: Motor domain composite score at 12 months' corrected age
Ramy czasowe: 12 months' corrected age
|
12 months' corrected age
|
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Bayley Scale of Infant and Toddler Development, third edition: Motor domain composite score at 24 months' corrected age
Ramy czasowe: 24 months' corrected age
|
24 months' corrected age
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Bayley Scale of Infant and Toddler Development, third edition: Social-emotional domain composite score at 24 months' corrected age
Ramy czasowe: 24 months' corrected age
|
24 months' corrected age
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Bayley Scale of Infant and Toddler Development, third edition: Adaptive behavior domain composite score at 24 months' corrected age
Ramy czasowe: 24 months' corrected age
|
24 months' corrected age
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Neurodevelopment Disability Composite
Ramy czasowe: 24 months' corrected age
|
Presence of :
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24 months' corrected age
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Child Behavior Checklist total problem score at 24 months' corrected age
Ramy czasowe: 24 months' corrected age visit
|
24 months' corrected age visit
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Number of patients with at least one treatment emergent Adverse Event
Ramy czasowe: Baseline and Day 29
|
Total and by system organ class and preferred term (coded by MedDRA)
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Baseline and Day 29
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Number of patients with at least one treatment emergent Adverse Event
Ramy czasowe: Day 29 and Month 3
|
Total and by system organ class and preferred term (coded by MedDRA)
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Day 29 and Month 3
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Number of patients with at least one treatment emergent Serious Adverse Event
Ramy czasowe: Baseline and Day 29
|
Total and by system organ class and preferred term (coded by MedDRA)
|
Baseline and Day 29
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Number of patients with at least one treatment emergent Serious Adverse Event
Ramy czasowe: Day 29 and Month 3
|
Total and by system organ class and preferred term (coded by MedDRA)
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Day 29 and Month 3
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Number of patients with at least one Serious Adverse Drug Reaction
Ramy czasowe: 12 months' corrected age and 24 months' corrected age
|
Total and by system organ class and preferred term (coded by MedDRA)
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12 months' corrected age and 24 months' corrected age
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Level of Vitamin A (nmol/L) at 4 weeks
Ramy czasowe: Day 29
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Day 29
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Level of Vitamin D (nmol/L) at 4 weeks
Ramy czasowe: Day 29
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Day 29
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Number of outpatient visits from the time of initial hospital discharge to home up to 24 months' corrected age
Ramy czasowe: Date of initial hospital discharge to home to date of 24 months' corrected age
|
Date of initial hospital discharge to home to date of 24 months' corrected age
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Number of inpatient visits from the time of initial hospital discharge to home up to 24 months' corrected age
Ramy czasowe: Date of initial hospital discharge to home to date of 24 months' corrected age
|
Date of initial hospital discharge to home to date of 24 months' corrected age
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Number of days of hospitalization from the time of initial hospital discharge to home up to 24 months' corrected age
Ramy czasowe: Date of initial hospital discharge to home to date of 24 months' corrected age
|
Date of initial hospital discharge to home to date of 24 months' corrected age
|
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Number of days in intensive care unit from the time of initial hospital discharge to home up to 24 months' corrected age
Ramy czasowe: Date of initial hospital discharge to home to date of 24 months' corrected age
|
Date of initial hospital discharge to home to date of 24 months' corrected age
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Number of days lost from work related to the child's condition from the time of initial hospital discharge to home up to 24 months' corrected age
Ramy czasowe: Date of initial hospital discharge to home to date of 24 months' corrected age
|
Date of initial hospital discharge to home to date of 24 months' corrected age
|
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Presence of chronic medical conditions/diagnoses at 24 months' corrected age
Ramy czasowe: 24 months' corrected age
|
24 months' corrected age
|
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Docosahexaenoic acid (% of total fatty acids) in the serum triglyceride fraction at 4 weeks
Ramy czasowe: Day 29
|
Day 29
|
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Docosahexaenoic acid (% of total fatty acids) in the serum phosphatidylcholine fraction at 4 weeks
Ramy czasowe: Day 29
|
Day 29
|
|
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Arachidonic acid (% of total fatty acids) in the serum triglyceride fraction at 4 weeks
Ramy czasowe: Day 29
|
Day 29
|
|
|
Arachidonic acid (% of total fatty acids) in the serum phosphatidylcholine fraction at 4 weeks
Ramy czasowe: Day 29
|
Day 29
|
|
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Number of patients with antibodies to rhBSSL at 4 weeks
Ramy czasowe: Day 29
|
Day 29
|
|
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Number of patients with antibodies to rhBSSL at Month 3
Ramy czasowe: Month 3
|
Month 3
|
|
|
Number of patients with antibodies to rhBSSL at 12 months' corrected age
Ramy czasowe: 12 months' corrected age
|
12 months' corrected age
|
Współpracownicy i badacze
Sponsor
Śledczy
- Dyrektor Studium: Kristina Timdahl, MD, Swedish Orphan Biovitrum
Publikacje i pomocne linki
Publikacje ogólne
- Casper C, Carnielli VP, Hascoet JM, Lapillonne A, Maggio L, Timdahl K, Olsson B, Vagero M, Hernell O. rhBSSL improves growth and LCPUFA absorption in preterm infants fed formula or pasteurized breast milk. J Pediatr Gastroenterol Nutr. 2014 Jul;59(1):61-9. doi: 10.1097/MPG.0000000000000365.
- Casper C, Hascoet JM, Ertl T, Gadzinowski JS, Carnielli V, Rigo J, Lapillonne A, Couce ML, Vagero M, Palmgren I, Timdahl K, Hernell O. Recombinant Bile Salt-Stimulated Lipase in Preterm Infant Feeding: A Randomized Phase 3 Study. PLoS One. 2016 May 31;11(5):e0156071. doi: 10.1371/journal.pone.0156071. eCollection 2016.
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów
Zakończenie podstawowe (Rzeczywisty)
Ukończenie studiów (Rzeczywisty)
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Oszacować)
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Oszacować)
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Dodatkowe istotne warunki MeSH
Inne numery identyfikacyjne badania
- BVT.BSSL-030
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