Compassionate Use of Omegaven® in the Treatment of Parenteral Nutrition Induced Hepatic Injury
This compassionate use study will include patients with advanced cancer requiring PN for
long-term nutrition support who have developed PN-induced hepatic injury or who have
existing hepatic dysfunction. Therapy with Omegaven will be provided at an initial dose of
0.1 g/kg body weight (1ml/kg) and increased to 0.2 g/kg body weight (2ml/kg) on day 2 or 3
of treatment. For patients > 120% ideal body weight, adjusted body weight will be used.
The infusion rate will not exceed 0.5mL Omegaven/kg body weight/hr (corresponding to 0.05g
fish oil/kg/hr). Omegaven will be co-administered via a y-site infusion, with containers
being changed every 12 hours. The patient may receive other lipids to meet Essential Fatty
Acid (EFA) and/or additional calorie needs. Patients will receive the initial infusion of
PN containing Omegaven at Midwestern Regional Medical Center (MRMC) in the infusion center
to observe for adverse reactions. If an adverse reaction is observed, IV steroids & benadryl
will be administered & Omegaven will be discontinued. Patients will continue to receive
infusions at CTCA for the first 2 to 3 days of dosing. After tolerance is established,
patients will receive treatment at home with Coram. All study patients will have a Screening
Visit; Day 1, Day 2 and Day 3 visits; and weekly visits for one month (see Table 2).
Interventional
Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
maximum conjugated bilirubin
up to 4 weeks
No
Pankaj Vashi, MD
Principal Investigator
Midwestern Regional Medical Center
United States: Food and Drug Administration
MRMC 10-06
NCT01325584
October 2012
December 2013
Name | Location |
---|---|
Cancer Treatment Centers of America at Midwestern Regional Medical Center | Zion, Illinois 60099 |