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Prevention of Growth RestrictionPhase 3LAIFNCT01413581

Comparison of rhBSSL With Placebo When Added to Infant Formula or Pasteurized Breast Milk During 4 Weeks of Treatment in Preterm Infants

A Phase 3 study testing rhBSSL (recombinant human bile-salt-stimulated lipase) in people with Prevention of Growth Restriction, run by Swedish Orphan Biovitrum at 49 sites in 10 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
Search all trials

Trial summary

The purpose of this study is to demonstrate that rhBSSL improves growth in preterm infants as compared with placebo. Read more about this study

Who is it for?
Ages Up to 10 weeks
Conditions the study is for
Prevention of Growth Restriction
What is being tested?
rhBSSL (recombinant human bile-salt-stimulated lipase)
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
415 participants
Where
49 sitesin 10 countries
Study dates
May 2011to Aug 2014
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Up to 10 weeks
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • 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.

Who cannot join

  • 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.

Trial locations and contacts

49 sites in 10 countries.

49 sites in 10 countries

Spain8 sites
  • Swedish Orphan Biovitrum Investigational Site

    Almería

  • Swedish Orphan Biovitrum Investigational Site

    Cadiz

  • Swedish Orphan Biovitrum Investigational Site

    Córdoba

  • Swedish Orphan Biovitrum Investigational Site

    Madrid

  • Swedish Orphan Biovitrum Investigational Site

    Málaga

  • Swedish Orphan Biovitrum Investigational Site

    Oviedo

  • Swedish Orphan Biovitrum Investigational Site

    Salamanca

  • Swedish Orphan Biovitrum Investigational Site

    Santiago de Compostela

Other trials in Spain

France7 sites
  • Swedish Orphan Biovitrum Investigational Site

    Amiens

  • Swedish Orphan Biovitrum Investigational Site

    Lille

  • Swedish Orphan Biovitrum Investigational Site

    Nancy

  • Swedish Orphan Biovitrum Investigational Site

    Paris

  • Swedish Orphan Biovitrum Investigational Site

    Rouen

  • Swedish Orphan Biovitrum Investigational Site

    Strasbourg

  • Swedish Orphan Biovitrum Investigational Site

    Toulouse

Other trials in France

Hungary6 sites
  • Swedish Orphan Biovitrum Investigational Site

    Budapest

  • Swedish Orphan Biovitrum Investigational Site

    Gyula

  • Swedish Orphan Biovitrum Investigational Site

    Miskolc

  • Swedish Orphan Biovitrum Investigational Site

    Nyíregyháza

  • Swedish Orphan Biovitrum Investigational Site

    Pécs

  • Swedish Orphan Biovitrum Investigational Site

    Veszprém

Other trials in Hungary

Italy6 sites
  • Swedish Orphan Biovitrum Investigational Site

    Ancona

  • Swedish Orphan Biovitrum Investigational Site

    Bari

  • Swedish Orphan Biovitrum Investigational Site

    Foggia

  • Swedish Orphan Biovitrum Investigational Site

    Milan

  • Swedish Orphan Biovitrum Investigational Site

    Padova

  • Swedish Orphan Biovitrum Investigational Site

    Roma

Other trials in Italy

Belgium5 sites
  • Swedish Orphan Biovitrum Investigational Site

    Bruges

  • Swedish Orphan Biovitrum Investigational Site

    Leuven

  • Swedish Orphan Biovitrum Investigational Site

    Liège

  • Swedish Orphan Biovitrum Investigational Site

    Rocourt

  • Swedish Orphan Biovitrum Investigational Site

    Wilrijk

Other trials in Belgium

Poland5 sites
  • Swedish Orphan Biovitrum Investigational Site

    Bydgoszcz

  • Swedish Orphan Biovitrum Investigational Site

    Gdansk

  • Swedish Orphan Biovitrum Investigational Site

    Lodz

  • Swedish Orphan Biovitrum Investigational Site

    Poznan

  • Swedish Orphan Biovitrum Investigational Site

    Warsaw

Other trials in Poland

Czechia4 sites
  • Swedish Orphan Biovitrum Investigational Site

    Hradec Králové

  • Swedish Orphan Biovitrum Investigational Site

    Olomouc

  • Swedish Orphan Biovitrum Investigational Site

    Prague

  • Swedish Orphan Biovitrum Investigational Site

    Zlín

Other trials in Czechia

Germany4 sites
  • Swedish Orphan Biovitrum Investigational Site

    Berlin

  • Swedish Orphan Biovitrum Investigational Site

    Freiburg im Breisgau

  • Swedish Orphan Biovitrum Investigational Site

    Heidelberg

  • Swedish Orphan Biovitrum Investigational Site

    Wiesbaden

Other trials in Germany

Russia2 sites
  • Swedish Orphan Biovitrum Investigational Site

    Ivanovo

  • Swedish Orphan Biovitrum Investigational Site

    Nizhny Novgorod

Other trials in Russia

Sweden2 sites
  • Swedish Orphan Biovitrum Investigational Site

    Stockholm

  • Swedish Orphan Biovitrum Investigational Site

    Umeå

Other trials in Sweden

About this study

Official title: 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

The purpose of this study is to demonstrate that rhBSSL improves growth in preterm infants as compared with placebo.

Read the detailed description

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.

Being tested
rhBSSL (recombinant human bile-salt-stimulated lipase), Placebo
Keywords
rhBSSL, preterm infants, Swedish Orphan Biovitrum, growth velocity, Prevention of growth restriction

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • rhBSSL (recombinant human bile-salt-stimulated lipase)Drug

    rhBSSL added to infant formula/pasteurized breast milk during a 4 week treatment period.

  • PlaceboDrug

    Placebo added to infant formula/pasteurized breast milk during a 4 week treatment period.

Study groups in NCT01413581
Study groupRoleWhat they receive
rhBSSLExperimentalrhBSSL (recombinant human bile-salt-stimulated lipase)
Receives: Drug: rhBSSL (recombinant human bile-salt-stimulated lipase)
PlaceboPlacebo comparatorPlacebo
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Growth velocity in grams per kilogram per day during 4 weeks of treatment.

    Measured: Baseline and Day 29

Secondary outcomes (46)
  1. Change from baseline in body weight (g) at 3 months

    Measured: Baseline and Month 3

  2. Body weight (g) at 12 months' corrected age

    Measured: 12 months´ corrected age

  3. Body weight (g) at 24 months' corrected age

    Measured: 24 months´ corrected age

  4. Change from baseline in total body length (mm) at 4 weeks

    Measured: Baseline and Day 29

  5. Change from baseline in total body length (mm) at 3 months

    Measured: Baseline and Month 3

  6. Total body length (mm) at 12 months' corrected age

    Measured: 12 months' corrected age

  7. Total body height (cm) at 24 months' corrected age

    Measured: 24 months' corrected age

  8. Growth restriction

    Defined as growth velocity <15 gram per kilogram bodyweight per day during 4 weeks of treatment

    Measured: Day 29

  9. Time to readiness for discharge

    Time until each of the following are fulfilled

    • sustained weight gain (weight of 1800 g sustained for three days)
    • ability to maintain normal body temperature
    • ability to suckle feed
    • ability to maintain stable cardiorespiratory function

    Measured: Baseline and date of readiness for discharge

  10. Time to discharge

    Measured: Baseline and date of discharge

  11. Change from baseline in head circumference (mm) at 4 weeks.

    Measured: Baseline and Day 29

  12. Change from baseline in head circumference (mm) at 3 months.

    Measured: Baseline and Month 3

  13. Head circumference (mm) at 12 months' corrected age.

    Measured: 12 months´ corrected age

  14. Head circumference (mm) at 24 months' corrected age.

    Measured: 24 months´ corrected age

  15. Time from baseline to 150 mL/kg/day of enteral feeding

    Measured: Date of first dose and date 150 mL/kg/day of enteral feeding achieved (or exceeded)

  16. Re-admission to hospital within 1 month of discharge

    Measured: Date of discharge and date of re-admission

  17. Bayley Scale of Infant and Toddler Development, third edition: Cognitive domain composite score 12 months' corrected age

    Measured: 12 months' corrected age

  18. Bayley Scale of Infant and Toddler Development, third edition: Cognitive domain composite score at 24 months' corrected age

    Measured: 24 months' corrected age

  19. Bayley Scale of Infant and Toddler Development, third edition: Language domain composite score at 12 months' corrected age

    Measured: 12 months' corrected age

  20. Bayley Scale of Infant and Toddler Development, third edition: Language domain composite score at 24 months' corrected age

    Measured: 24 months' corrected age

  21. Bayley Scale of Infant and Toddler Development, third edition: Motor domain composite score at 12 months' corrected age

    Measured: 12 months' corrected age

  22. Bayley Scale of Infant and Toddler Development, third edition: Motor domain composite score at 24 months' corrected age

    Measured: 24 months' corrected age

  23. Bayley Scale of Infant and Toddler Development, third edition: Social-emotional domain composite score at 24 months' corrected age

    Measured: 24 months' corrected age

  24. Bayley Scale of Infant and Toddler Development, third edition: Adaptive behavior domain composite score at 24 months' corrected age

    Measured: 24 months' corrected age

  25. Neurodevelopment Disability Composite

    Presence of :

    • Composite score of less than 70 on any of the cognitive, language or motor domains of Bayley scale of infant and toddler development, third edition
    • Bilateral deafness
    • Bilateral blindness
    • Cerebral palsy

    Measured: 24 months' corrected age

  26. Child Behavior Checklist total problem score at 24 months' corrected age

    Measured: 24 months' corrected age visit

  27. Number of patients with at least one treatment emergent Adverse Event

    Total and by system organ class and preferred term (coded by MedDRA)

    Measured: Baseline and Day 29

  28. Number of patients with at least one treatment emergent Adverse Event

    Total and by system organ class and preferred term (coded by MedDRA)

    Measured: Day 29 and Month 3

  29. Number of patients with at least one treatment emergent Serious Adverse Event

    Total and by system organ class and preferred term (coded by MedDRA)

    Measured: Baseline and Day 29

  30. Number of patients with at least one treatment emergent Serious Adverse Event

    Total and by system organ class and preferred term (coded by MedDRA)

    Measured: Day 29 and Month 3

  31. Number of patients with at least one Serious Adverse Drug Reaction

    Total and by system organ class and preferred term (coded by MedDRA)

    Measured: 12 months' corrected age and 24 months' corrected age

  32. Level of Vitamin A (nmol/L) at 4 weeks

    Measured: Day 29

  33. Level of Vitamin D (nmol/L) at 4 weeks

    Measured: Day 29

  34. Number of outpatient visits from the time of initial hospital discharge to home up to 24 months' corrected age

    Measured: Date of initial hospital discharge to home to date of 24 months' corrected age

  35. Number of inpatient visits from the time of initial hospital discharge to home up to 24 months' corrected age

    Measured: Date of initial hospital discharge to home to date of 24 months' corrected age

  36. Number of days of hospitalization from the time of initial hospital discharge to home up to 24 months' corrected age

    Measured: Date of initial hospital discharge to home to date of 24 months' corrected age

  37. Number of days in intensive care unit from the time of initial hospital discharge to home up to 24 months' corrected age

    Measured: Date of initial hospital discharge to home to date of 24 months' corrected age

  38. 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

    Measured: Date of initial hospital discharge to home to date of 24 months' corrected age

  39. Presence of chronic medical conditions/diagnoses at 24 months' corrected age

    Measured: 24 months' corrected age

  40. Docosahexaenoic acid (% of total fatty acids) in the serum triglyceride fraction at 4 weeks

    Measured: Day 29

  41. Docosahexaenoic acid (% of total fatty acids) in the serum phosphatidylcholine fraction at 4 weeks

    Measured: Day 29

  42. Arachidonic acid (% of total fatty acids) in the serum triglyceride fraction at 4 weeks

    Measured: Day 29

  43. Arachidonic acid (% of total fatty acids) in the serum phosphatidylcholine fraction at 4 weeks

    Measured: Day 29

  44. Number of patients with antibodies to rhBSSL at 4 weeks

    Measured: Day 29

  45. Number of patients with antibodies to rhBSSL at Month 3

    Measured: Month 3

  46. Number of patients with antibodies to rhBSSL at 12 months' corrected age

    Measured: 12 months' corrected age

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Aug 2011 (estimated)
  2. Study startMay 2011
  3. Primary completionJul 2013
  4. Study completionAug 2014

Why it stopped: Primary endpoint showed no stat significant difference. FU \> M12 terminated.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
415 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01413581
Sponsor's protocol ID
BVT.BSSL-030
Acronym
LAIF
Status last verified
Jul 2015
First submitted
8 Jun 2011
Last updated
30 Jul 2015
Results posted
No
Data monitoring committee
Yes

Publications

  • 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.

    PubMed 27244221
  • 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.

    PubMed 25222806

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing rhBSSL (recombinant human bile-salt-stimulated lipase) in people with Prevention of Growth Restriction, run by Swedish Orphan Biovitrum at 49 sites in 10 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 30 Jul 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 49 sites in Spain, France, Hungary, Italy, Belgium and 5 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was stopped early (reason given: Primary endpoint showed no stat significant difference. FU \> M12 terminated.). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Growth velocity in grams per kilogram per day during 4 weeks of treatment. (time frame: Baseline and Day 29). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01413581, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Jul 2015.

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