- ICH GCP
- Реестр клинических исследований США
- Клиническое испытание 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
Обзор исследования
Статус
Условия
Вмешательство/лечение
Подробное описание
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.
Тип исследования
Регистрация (Действительный)
Фаза
- Фаза 3
Контакты и местонахождение
Места учебы
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Bruges, Бельгия
- Swedish Orphan Biovitrum Investigational Site
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Leuven, Бельгия
- Swedish Orphan Biovitrum Investigational Site
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Liege, Бельгия
- Swedish Orphan Biovitrum Investigational Site
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Rocourt, Бельгия
- Swedish Orphan Biovitrum Investigational Site
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Wilrijk, Бельгия
- Swedish Orphan Biovitrum Investigational Site
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Budapest, Венгрия
- Swedish Orphan Biovitrum Investigational Site
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Gyula, Венгрия
- Swedish Orphan Biovitrum Investigational Site
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Miskolc, Венгрия
- Swedish Orphan Biovitrum Investigational Site
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Nyíregyháza, Венгрия
- Swedish Orphan Biovitrum Investigational Site
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Pécs, Венгрия
- Swedish Orphan Biovitrum Investigational Site
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Veszprem, Венгрия
- Swedish Orphan Biovitrum Investigational Site
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Berlin, Германия
- Swedish Orphan Biovitrum Investigational Site
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Freiburg, Германия
- Swedish Orphan Biovitrum Investigational Site
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Heidelberg, Германия
- Swedish Orphan Biovitrum Investigational Site
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Wiesbaden, Германия
- Swedish Orphan Biovitrum Investigational Site
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Almería, Испания
- Swedish Orphan Biovitrum Investigational Site
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Cádiz, Испания
- Swedish Orphan Biovitrum Investigational Site
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Córdoba, Испания
- Swedish Orphan Biovitrum Investigational Site
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Madrid, Испания
- Swedish Orphan Biovitrum Investigational Site
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Málaga, Испания
- Swedish Orphan Biovitrum Investigational Site
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Oviedo, Испания
- Swedish Orphan Biovitrum Investigational Site
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Salamanca, Испания
- Swedish Orphan Biovitrum Investigational Site
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Santiago de Compostela, Испания
- Swedish Orphan Biovitrum Investigational Site
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Ancona, Италия
- Swedish Orphan Biovitrum Investigational Site
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Bari, Италия
- Swedish Orphan Biovitrum Investigational Site
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Foggia, Италия
- Swedish Orphan Biovitrum Investigational Site
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Milano, Италия
- Swedish Orphan Biovitrum Investigational Site
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Padova, Италия
- Swedish Orphan Biovitrum Investigational Site
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Roma, Италия
- Swedish Orphan Biovitrum Investigational Site
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Bydgoszcz, Польша
- Swedish Orphan Biovitrum Investigational Site
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Gdansk, Польша
- Swedish Orphan Biovitrum Investigational Site
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Lodz, Польша
- Swedish Orphan Biovitrum Investigational Site
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Poznan, Польша
- Swedish Orphan Biovitrum Investigational Site
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Warszawa, Польша
- Swedish Orphan Biovitrum Investigational Site
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Ivanovo, Российская Федерация
- Swedish Orphan Biovitrum Investigational Site
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Nizhniy Novgorod, Российская Федерация
- Swedish Orphan Biovitrum Investigational Site
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Amiens, Франция
- Swedish Orphan Biovitrum Investigational Site
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Lille, Франция
- Swedish Orphan Biovitrum Investigational Site
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Nancy, Франция
- Swedish Orphan Biovitrum Investigational Site
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Paris, Франция
- Swedish Orphan Biovitrum Investigational Site
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Rouen, Франция
- Swedish Orphan Biovitrum Investigational Site
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Strasbourg, Франция
- Swedish Orphan Biovitrum Investigational Site
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Toulouse, Франция
- Swedish Orphan Biovitrum Investigational Site
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Hradec Kralove, Чешская Республика
- Swedish Orphan Biovitrum Investigational Site
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Olomouc, Чешская Республика
- Swedish Orphan Biovitrum Investigational Site
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Prague, Чешская Республика
- Swedish Orphan Biovitrum Investigational Site
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Zlin, Чешская Республика
- Swedish Orphan Biovitrum Investigational Site
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Stockholm, Швеция
- Swedish Orphan Biovitrum Investigational Site
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Umeå, Швеция
- Swedish Orphan Biovitrum Investigational Site
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Критерии участия
Критерии приемлемости
Возраст, подходящий для обучения
Принимает здоровых добровольцев
Полы, имеющие право на обучение
Описание
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.
Учебный план
Как устроено исследование?
Детали дизайна
- Основная цель: Уход
- Распределение: Рандомизированный
- Интервенционная модель: Параллельное назначение
- Маскировка: Тройной
Оружие и интервенции
Группа участников / Армия |
Вмешательство/лечение |
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Плацебо Компаратор: Плацебо
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Placebo added to infant formula/pasteurized breast milk during a 4 week treatment period.
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Экспериментальный: 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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Что измеряет исследование?
Первичные показатели результатов
Мера результата |
Временное ограничение |
|---|---|
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Growth velocity in grams per kilogram per day during 4 weeks of treatment.
Временное ограничение: Baseline and Day 29
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Baseline and Day 29
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Вторичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
|---|---|---|
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Change from baseline in body weight (g) at 3 months
Временное ограничение: Baseline and Month 3
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Baseline and Month 3
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Body weight (g) at 12 months' corrected age
Временное ограничение: 12 months´ corrected age
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12 months´ corrected age
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Body weight (g) at 24 months' corrected age
Временное ограничение: 24 months´ corrected age
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24 months´ corrected age
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Change from baseline in total body length (mm) at 4 weeks
Временное ограничение: Baseline and Day 29
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Baseline and Day 29
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Change from baseline in total body length (mm) at 3 months
Временное ограничение: Baseline and Month 3
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Baseline and Month 3
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Total body length (mm) at 12 months' corrected age
Временное ограничение: 12 months' corrected age
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12 months' corrected age
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Total body height (cm) at 24 months' corrected age
Временное ограничение: 24 months' corrected age
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24 months' corrected age
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Growth restriction
Временное ограничение: Day 29
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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
Временное ограничение: Baseline and date of readiness for discharge
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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
Временное ограничение: 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.
Временное ограничение: 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.
Временное ограничение: Baseline and Month 3
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Baseline and Month 3
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Head circumference (mm) at 12 months' corrected age.
Временное ограничение: 12 months´ corrected age
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12 months´ corrected age
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Head circumference (mm) at 24 months' corrected age.
Временное ограничение: 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
Временное ограничение: 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
Временное ограничение: 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
Временное ограничение: 12 months' corrected age
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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
Временное ограничение: 24 months' corrected age
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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
Временное ограничение: 12 months' corrected age
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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
Временное ограничение: 24 months' corrected age
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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
Временное ограничение: 12 months' corrected age
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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
Временное ограничение: 24 months' corrected age
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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
Временное ограничение: 24 months' corrected age
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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
Временное ограничение: 24 months' corrected age
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24 months' corrected age
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Neurodevelopment Disability Composite
Временное ограничение: 24 months' corrected age
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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
Временное ограничение: 24 months' corrected age visit
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24 months' corrected age visit
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Number of patients with at least one treatment emergent Adverse Event
Временное ограничение: Baseline and Day 29
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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
Временное ограничение: Day 29 and Month 3
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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
Временное ограничение: Baseline and Day 29
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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 Serious Adverse Event
Временное ограничение: Day 29 and Month 3
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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
Временное ограничение: 12 months' corrected age and 24 months' corrected age
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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
Временное ограничение: Day 29
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Day 29
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Level of Vitamin D (nmol/L) at 4 weeks
Временное ограничение: 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
Временное ограничение: Date of initial hospital discharge to home to date of 24 months' corrected age
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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
Временное ограничение: Date of initial hospital discharge to home to date of 24 months' corrected age
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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
Временное ограничение: Date of initial hospital discharge to home to date of 24 months' corrected age
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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
Временное ограничение: Date of initial hospital discharge to home to date of 24 months' corrected age
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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
Временное ограничение: Date of initial hospital discharge to home to date of 24 months' corrected age
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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
Временное ограничение: 24 months' corrected age
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24 months' corrected age
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Docosahexaenoic acid (% of total fatty acids) in the serum triglyceride fraction at 4 weeks
Временное ограничение: Day 29
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Day 29
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Docosahexaenoic acid (% of total fatty acids) in the serum phosphatidylcholine fraction at 4 weeks
Временное ограничение: Day 29
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Day 29
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Arachidonic acid (% of total fatty acids) in the serum triglyceride fraction at 4 weeks
Временное ограничение: Day 29
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Day 29
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Arachidonic acid (% of total fatty acids) in the serum phosphatidylcholine fraction at 4 weeks
Временное ограничение: Day 29
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Day 29
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Number of patients with antibodies to rhBSSL at 4 weeks
Временное ограничение: Day 29
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Day 29
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Number of patients with antibodies to rhBSSL at Month 3
Временное ограничение: Month 3
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Month 3
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Number of patients with antibodies to rhBSSL at 12 months' corrected age
Временное ограничение: 12 months' corrected age
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12 months' corrected age
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Соавторы и исследователи
Спонсор
Следователи
- Директор по исследованиям: Kristina Timdahl, MD, Swedish Orphan Biovitrum
Публикации и полезные ссылки
Общие публикации
- 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.
Даты записи исследования
Изучение основных дат
Начало исследования
Первичное завершение (Действительный)
Завершение исследования (Действительный)
Даты регистрации исследования
Первый отправленный
Впервые представлено, что соответствует критериям контроля качества
Первый опубликованный (Оценивать)
Обновления учебных записей
Последнее опубликованное обновление (Оценивать)
Последнее отправленное обновление, отвечающее критериям контроля качества
Последняя проверка
Дополнительная информация
Термины, связанные с этим исследованием
Ключевые слова
Дополнительные соответствующие термины MeSH
Другие идентификационные номера исследования
- BVT.BSSL-030
Эта информация была получена непосредственно с веб-сайта clinicaltrials.gov без каких-либо изменений. Если у вас есть запросы на изменение, удаление или обновление сведений об исследовании, обращайтесь по адресу register@clinicaltrials.gov. Как только изменение будет реализовано на clinicaltrials.gov, оно будет автоматически обновлено и на нашем веб-сайте. .