Protocol 0000498: Multicenter, open label study to evaluate the effect of sustained RELiZORB (immobilized lipase) cartridge use during enteral feeding on fat absorption, as well as safety and tolerability of sustained RELiZORB use, in patients with cystic fibrosis and exocrine pancreatic insufficiency.
Study Entry (Day -14): Baseline blood samples collected for plasma and erythrocyte concentrations of docosahexaenoic acid (DHA) and eicosapentaenoic (EPA). Baseline characteristics collected included BMI and cystic fibrosis related diabetes. Observation Period (Day -14 to Day -8): Subjects followed their usual enteral nutrition regimen with pancreatic enzyme replacement therapy (PERT). Run-in Period (Day -7 to Day -1): Subjects used Peptamen 1.5 enteral formula at their normal volume of administration from 500 mL to 1,000 mL per feeding with usual PERT regimen. Treatment Period (Day 0 to Day 90): Subjects used Impact Peptide 1.5 up to a maximum volume of 1,000 mL per feeding with RELiZORB for the 90 day treatment period. Blood screening measurements were repeated at start of treatment period (Day 0), Day 30, Day 60 and Day 90. PERT use with enteral feedings was prohibited. Safety and tolerability were assessed with GI symptom diaries and systematic assessments of adverse events and unanticipated adverse device effects.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
49
Hydrolyzing fats from enteral formula, ex vivo, with in-line enteral feed RELiZORB (immobilized lipase) cartridge
Impact Peptide 1.5 at a volume of administration from 500 mL to 1,000 mL per enteral feeding
Joe DiMaggio Children's Hospital / Memorial Healthcare System
Hollywood, Florida, United States
St. Luke's CF Center of Idaho
Boise, Idaho, United States
Riley Hospital for Children at Indiana University Health
Indianapolis, Indiana, United States
Change From Baseline of Erythrocyte Omega-3 Index % (DHA+EPA)
Change from baseline Day 0 to Day 90 of erythrocyte tissue composition % of the omega-3 index
Time frame: Day 0 to Day 90
Unanticipated Adverse Device Effects (UADE)
A UADE is analogous to a serious adverse event (SAE), defined as an AE, occurring at any exposure to the therapeutic agent, that results in any of the following outcomes: death, life-threatening AE, inpatient hospitalization or prolonged existing hospitalization, a persistent or significant disability or incapacity or a congenital anomaly/birth defect.
Time frame: RELiZORB Treatment Period (Day 0-Day 90): 90 days with additional 30 days of follow up.
Changes in Plasma Concentration Total DHA+EPA
Changes in plasma concentration total DHA+EPA from baseline (Day 0 to Day 90).
Time frame: RELiZORB Treatment Period (Day 0-Day 90): 90 days
Erythrocyte Composition (%) of DHA
Changes over time in erythrocyte composition (%) for total DHA in ITT population (n=39)
Time frame: RELiZORB Treatment Period (Day 0-Day 90): 90 days
Erythrocyte Composition (%) of EPA
Changes over time in erythrocyte composition (%) for EPA in ITT population
Time frame: RELiZORB Treatment Period (Day 0-Day 90): 90 days
Erythrocyte Composition (%) Ratio of n6/n3 Fatty Acids
Change from baseline to Day 90 in n6/n3 ratio in erythrocytes
Time frame: RELiZORB Treatment Period (Day 0-Day 90): 90 days
Plasma Composition (%) Ratio of n6/n3 Fatty Acids.
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Maine Medical Center
Portland, Maine, United States
Helen DeVos Children's Hospital CF Care Center
Grand Rapids, Michigan, United States
Children's Mercy Hospital
Kansas City, Missouri, United States
Cardinal Glennon Children's Hospital / Saint Louis University
St Louis, Missouri, United States
Nationwide Children's Hospital
Columbus, Ohio, United States
Dayton Children's Hospital
Dayton, Ohio, United States
Children's Hospital of Pittsburgh of UPMC
Pittsburgh, Pennsylvania, United States
Change over time in n6/n3 ratio in plasma in the ITT population
Time frame: RELiZORB Treatment Period (Day 0-Day 90): 90 days