9). g. sweating, fever, shivering, headache, skin rashes, dyspnoea, bronchospasm) should be cause for immediate discontinuation of the infusion. OLICLINOMEL N4-550E, N7-1000E, and N8-800 have been used in 286 patients in four (4) clinical trials.
Three (3) studies evaluated the ease of use, the safety, and the nutritional efficiency of the product. Two of the 3 studies were open-label, non-comparative studies in patients undergoing gastrointestinal surgery for gastric cancer.
In these trials, a total of 36 patients received up to 40 mL/kg/d over 5 days in OLICLINOMEL N4-550E study (N = 20), and up to 36 mL/kg/d over 5 days in OLICLINOMEL N7-1000E study (N = 16). , postsurgical fasting, severe malnutrition, enteral intake insufficient or forbidden) associated with cardiac, respiratory, gastrointestinal, metabolic, nervous system, infectious, renal, and neoplastic diseases.
The last study was a randomized, open-label, active controlled trial, to assess the safety and efficacy of OLICLINOMEL N4-550E in 226 patients admitted to a surgical service. 3% underwent surgery (most were abdominal surgery for gastrointestinal disease).
The study treatments were intended to provide 25 kcal/kg/day over 5 to 14 days. The pooled data from clinical trials and the postmarketing experience indicate the following adverse drug reactions (ADRs) related to OLICLINOMEL: System Organ Class (SOC) Preferred MedDRA Term Frequencya Hypersensitivity Uncommonb IMMUNE SYSTEM DISORDERS Bronchospasm (as manifestation of hypersensitivity) Not knownc INJURY, POISONING AND PROCEDURAL COMPLICATIONS Fat overload syndrome Not knownc NERVOUS SYSTEM DISORDERS Tremor Not knownc GASTROINTESTINAL DISORDERS Diarrhoea Vomiting Nausea Not knownc Not knownc Not knownc SKIN AND SUBCUTANEOUS TISSUE DISORDERS Erythema* Hyperhidrosis Not knownc Not knownc MUSCULOSKELETAL, CONNECTIVE TISSUE AND BONE DISORDERS Pain in extremity Muscle spasm Not knownc Not knownc GENERAL DISORDERS AND ADMINISTRATION SITE CONDITIONS Infusion site oedema / swellingd Infusion site paind Infusion site extravasation Infusion site reaction Pyrexia Infusion site vesiclesd Malaise Chills Catheter site phlebitisd Localized oedemad Peripheral oedemad Feeling hotd Inflammation Infusion site necrosis/ ulcer* Not knownc Not knownc Not knownc Not knownc Not knownc Not knownc Not knownc Not knownc Not knownc Not knownc Not knownc Not knownc Not knownc Not knownc a: Frequency is defined as very common (≥ 1/10); common (≥ 1/100 to < 1/10); uncommon (≥ 1/1000 to < 1/100): rare (≥ 1/10,000 to < 1/1000); very rare (< 1/10,000); and not known (cannot be estimated from the available data).
b: ADR reported during clinical trials.
These studies included only 286 patients c:
ADR reported during postmarketing experience with OLICLINOMEL. 4) • Blood and lymphatic system disorders (frequency not known): thrombocytopenia • Hepatobiliary disorders (frequency not known): cholestasis, hepatomegaly, jaundice • Immune system disorders (frequency not known): hypersensitivity • Investigations (frequency not known): gamma-glutamyltransferase increased, hepatic enzyme increased (including aspartate aminotransferase increased, alanine aminotransferase increased, transaminases increased), blood triglycerides increased, blood alkaline phosphatase increased, blood bilirubin increased • Renal and urinary disorders (frequency not known): azotemia Description of selected adverse reactions • Fat Overload Syndrome Fat overload syndrome has been reported with the administration of OLICLINOMEL and/or similar products.
g. overdose and/or infusion rate higher than recommended; however, the signs and symptoms of this syndrome may also occur at the start of an infusion when the product is administered according to instructions. The reduced or limited ability to metabolize the lipids contained in OLICLINOMEL, accompanied by prolonged plasma clearance may result in a "fat overload syndrome".
g. coma), requiring hospitalization. The syndrome is usually reversible when the infusion of the lipid emulsion is stopped. Paediatric population Thrombocytopenia has been reported in children receiving lipid infusions. Reporting of suspected adverse reactions Reporting suspected adverse reactions after authorisation of the medicinal product is important.
It allows continued monitoring of the benefit/risk balance of the medicinal product. uk/yellowcard