About this trial
The purpose of this study is to identify survival free of bronchopulmonary dysplasia (BPD), fatty acid profiles, and early biochemical measures for oxidative stress comparing mixed oil lipid emulsion (MOLE) vs soybean oil-based lipid emulsion (SOLE) and to establish whether MOLE or SOLE is more effective in minimizing pulmonary outcomes, neonatal morbidities, long-term morbidity and mortality, and improving discharge growth and Bayley Scales of Infant Development Fourth Edition (BSID-IV) neurodevelopmental assessment at two years
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
inborn <28 weeks gestational age (GA) or ≤1000g birth weight (BW)
survives until 12 hours after birth.
Disqualifiers
Infants who are unable to be enrolled by 96 hours postnatal age
Major anomaly
Overt non-bacterial infection
Infants likely to expire soon defined as limiting or withdrawal of intensive care recommended or requested by the parents.
Trial design
Parallel
Treatments tested in this trial
SOLE
DrugParticipants will first receive LE at 1 g/kg/day, then will advance to 2 g/kg/day and lastly to 3 g/kg/day as tolerated to titrate based on triglyceride level \<250 mg/dL, per clinical team
MOLE
DrugParticipants will first receive LE at 1 g/kg/day, then will advance to 2 g/kg/day and lastly to 3 g/kg/day as tolerated to titrate based on triglyceride level \<250 mg/dL, per clinical team
Treatment groups
Trial outcomes
Primary outcomes
Number of participants free of BPD (infants breathing in room air)
Secondary outcomes
Change in relative mole percentages of Docosahexaenoic acid (DHA) in plasma
Relative mole percentages of Docosahexaenoic acid (DHA) in plasma
Relative mole percentages of Docosahexaenoic acid (DHA) in plasma
Relative mole percentages of Docosahexaenoic acid (DHA) in plasma
Sponsors and contacts
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