Standardised, Concentrated and Additional Macronutrients in neonatal Parenteral nutrition study

ISRCTN ISRCTN76597892
DOI https://doi.org/10.1186/ISRCTN76597892
ClinicalTrials.gov (NCT) Nil known
Clinical Trials Information System (CTIS) Nil known
Protocol serial number LWH 0776
Sponsor Liverpool Women's Hospital NHS Foundation Trust (UK)
Funder BLISS (UK) - Innovations in Care Programme
Submission date
23/04/2009
Registration date
28/05/2009
Last edited
27/11/2023
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Neonatal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Mrs Sarah Azurdia
Scientific

Lead Research Nurse
Department of Neonatology
Liverpool Women's Hospital NHS Foundation Trust
Crown Street
Liverpool
L8 7SS
United Kingdom

Phone +44 (0)151 7089988 x 4382
Email sarah.azurdia@lwh.nhs.uk

Study information

Primary study designInterventional
Study designPhase IV randomized controlled trial
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleStandardised, Concentrated, Additional Macronutrients, Parenteral (SCAMP) nutrition in very preterm infants: a phase IV randomised, controlled study of macronutrient intake, growth and other aspects of neonatal care
Study acronymSCAMP
Study objectivesMaximising the macronutrient content of the standardised, concentrated neonatal parenteral nutrition formulation will improve head growth in very preterm infants.
Ethics approval(s)Central Manchester Research Ethics Committee, North West Strategic Health Authority. Approval expected on 11/05/2009 (ref: 09/H1008/91).
Health condition(s) or problem(s) studiedHead growth in very preterm infants
InterventionInformed consent and randomisation to the trial. Intravenous administration of either scNPN (standard) or scNPNmax (study) solution. Daily collection of routine biochemical monitoring data and all oral and intravenous fluid/drug administration on the case report form. All infants will be measured for weight, lower leg length, occipito-frontal circumference and length on day 0 (baseline) day 7,14,21,28. The total duration of interventions will be until the infant is 28 days old. The follow up will consist of weekly growth measurements until the infant reaches 36/40 post conceptual age and then neuo-developmental follow-up at 18 months corrected gestational age.
Intervention typeDrug
PhasePhase IV
Drug / device / biological / vaccine name(s)Neonatal parenteral nutrition formulation
Primary outcome measure(s)

To compare early head growth in premature infants receiving a standardised formulation of parenteral nutrition(scNPN) with a standardised, concentrated formulation of parenteral nutrition containing additional protein, fat and carbohydrate (scNPNmax). Timepoints: when the infant is 28 days old (having already had growth measurements on days 0, 7, 14 and 21).

Key secondary outcome measure(s)

1. Weight gain and linear growth
2. Monitoring supplementary infusion requirements such as insulin and electrolytes
3. Routine biochemical measures of PN tolerance
4. Cost-benefit analysis
5. Efficiency and safety of prescribing and administration
6. Neurodevelopmental outcome (Bayley III)

Timepoints:
For outcomes 1 - 5: At 28 days and 36 weeks post conceptual age
For outcome 6: At 18 months corrected for gestational age

Completion date01/05/2013

Eligibility

Participant type(s)Patient
Age groupNeonate
SexAll
Target sample size at registration150
Key inclusion criteriaAll infants (both males ane females) born less than 29 weeks gestation and weighing <1,200 grams born at Liverpool Women's Hospital (LWH) will be eligible. All infants meeting these criteria born outside LWH will be eligible if transfer takes place to LWH within 48 hours.
Key exclusion criteria1. Infants born in poor condition in the first 72 hours and are unlikely to survive the first week after birth
2. Infants diagnosed with major congenital and chromosomal abnormalities know to affect head growth or gastrointestinal function
Date of first enrolment01/06/2009
Date of final enrolment01/05/2013

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

Lead Research Nurse
Liverpool
L8 7SS
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/06/2013 Yes No
Results article results 01/01/2014 Yes No
Results article results 01/05/2015 Yes No
Results article 10/11/2023 27/11/2023 Yes No
Protocol article protocol 10/06/2011 Yes No
HRA research summary 28/06/2023 No No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes

Editorial Notes

27/11/2023: Publication reference added.