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Secretin Infusion for Pain Due to Chronic Pancreatitis

Primary Purpose

Chronic Pancreatitis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Human Secretin
Sponsored by
ChiRhoClin, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Pancreatitis focused on measuring Chronic Pancreatitis

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Male or female, between the ages of 18-70 years old.
  2. Documented chronic pancreatitis as determined by CT scan, endoscopic ultrasound, MRCP and/or pancreatic function tests.
  3. If female, and not more than 1 year post-menopausal or surgically sterile, must use medically acceptable form of contraception or abstain from sexual activity during the study. Acceptable methods of birth control are: intrauterine device, implantable progesterone device, progesterone intramuscular injection, oral contraceptive (started at least one month prior to Screening Visit 1 and continuing for the duration of the trial), contraceptive patch, condoms with spermicide or abstinence.
  4. If a female of reproductive potential, receive counseling on pregnancy protection and effective contraception within 30 days prior to dosing with secretin.
  5. Negative serum pregnancy within 72 hours of secretin administration.
  6. Use of opioid analgesics for chronic pain from CP.
  7. Willing and able to sign written informed consent.

Exclusion Criteria:

  1. Male or female <18 or >70 years of age.
  2. Abnormal serum amylase and/or lipase indicative of acute pancreatitis within 30 days of study enrollment.
  3. Exhibiting signs and/or symptoms of an episode of acute pancreatitis.
  4. Severe cardiac disease (stable or unstable angina, congestive heart failure, uncontrolled arrhythmias, implantable defibrillator, severe valvular disease, etc).
  5. Severe pulmonary disease (COPD, severe asthma, interstitial lung disease, etc).
  6. Severe renal disease (history of acute or chronic renal failure, dialysis dependent, baseline creatinine >2.0 mg/dL).
  7. Previous adverse drug event to intravenous secretin.
  8. Ongoing illicit drug use or abuse.
  9. Ongoing moderate or severe alcohol use defined as greater than 8 oz beer, 8 oz wine and/or 1 oz liquor /day.
  10. Acute pancreatitis as defined by the Atlanta Classification definition (refer to Table 1) within the previous two months or symptoms consistent with ongoing acute pancreatitis.
  11. Prior pancreatic surgery.
  12. Pregnant women, nursing mothers, or women of childbearing potential not employing appropriate contraception.
  13. Use of medication that can potentially cause pancreatitis, such as metronidazole, tetracycline, sulfonamides within 30 days prior to Visit 1.
  14. Any medical condition which, in the judgment of the investigator, renders participation in this study medically inadvisable.
  15. Participation in an investigational clinical study for a drug or medical device within 30 days prior to Visit 1.
  16. Unwilling or unable to give written, informed consent.

Sites / Locations

  • Dartmouth Hitchcock Medical Center

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

human secretin

Arm Description

intravenous secretin administration in escalating doses three times daily for three days. After each infusion (1 to 3 hours), at Day 7 after infusion, and at Day 30 after infusion.

Outcomes

Primary Outcome Measures

VAS Score at Baseline, Days 1, 2, 3, 4, 7, 30.
10 point visual analog scale. 0= no pain. 10= worst possible pain. Days 1, 2, 3 were infusion days that included 5 VAS scores each day.
Opiate Use at Baseline, Days 4 and 30.
Daily opiate use (oral morphine equivalent).
Quality of Life at Baseline, Day 4 and Day 30.
Sf-36 ranges from 0 to 151. Higher scores indicating worse outcomes.

Secondary Outcome Measures

Number of Participants With Serious Adverse Events.
VAS Score at Each Administered Dose.
10 point scare from 0-10 with higher scores meaning higher levels of pain. VAS score assessed after each dose was summarized over Days 1, 2, and 3.

Full Information

First Posted
December 22, 2010
Last Updated
March 8, 2016
Sponsor
ChiRhoClin, Inc.
Collaborators
Dartmouth-Hitchcock Medical Center
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1. Study Identification

Unique Protocol Identification Number
NCT01265875
Brief Title
Secretin Infusion for Pain Due to Chronic Pancreatitis
Official Title
Secretin Infusion for Pain Due to Chronic Pancreatitis
Study Type
Interventional

2. Study Status

Record Verification Date
March 2016
Overall Recruitment Status
Completed
Study Start Date
December 2010 (undefined)
Primary Completion Date
December 2011 (Actual)
Study Completion Date
April 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ChiRhoClin, Inc.
Collaborators
Dartmouth-Hitchcock Medical Center

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
To determine if intravenous secretin administration in escalating doses three times daily for three days will improve the pain from CP at the time of infusion, after each infusion (1 to 3 hours), at Day 7 after infusion, and at Day 30 after infusion. To validate the safety of intravenous secretin administration at the dosage indicated in this study.
Detailed Description
12 patients will be enrolled in this study. Patients will be only those treated at Dartmouth-Hitchcock Medical Center for the diagnosis of CP. The diagnosis of CP will be made by the PI based on standard clinical, radiographic and/or biochemical criteria. Patients must be taking prescribed opioid analgesics for the specific treatment of CP at the time of study enrollment. Only patients between the ages of 18-70 and capable of providing informed consent will be considered eligible for the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Pancreatitis
Keywords
Chronic Pancreatitis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
12 (Actual)

8. Arms, Groups, and Interventions

Arm Title
human secretin
Arm Type
Other
Arm Description
intravenous secretin administration in escalating doses three times daily for three days. After each infusion (1 to 3 hours), at Day 7 after infusion, and at Day 30 after infusion.
Intervention Type
Drug
Intervention Name(s)
Human Secretin
Other Intervention Name(s)
ChiRhoStim
Intervention Description
Dose Escalation
Primary Outcome Measure Information:
Title
VAS Score at Baseline, Days 1, 2, 3, 4, 7, 30.
Description
10 point visual analog scale. 0= no pain. 10= worst possible pain. Days 1, 2, 3 were infusion days that included 5 VAS scores each day.
Time Frame
Baseline, Days 1, 2, 3, 4, 7, 30.
Title
Opiate Use at Baseline, Days 4 and 30.
Description
Daily opiate use (oral morphine equivalent).
Time Frame
Baseline, Day 4, Day 30.
Title
Quality of Life at Baseline, Day 4 and Day 30.
Description
Sf-36 ranges from 0 to 151. Higher scores indicating worse outcomes.
Time Frame
Baseline, Day 4, Day 30.
Secondary Outcome Measure Information:
Title
Number of Participants With Serious Adverse Events.
Time Frame
30 Days
Title
VAS Score at Each Administered Dose.
Description
10 point scare from 0-10 with higher scores meaning higher levels of pain. VAS score assessed after each dose was summarized over Days 1, 2, and 3.
Time Frame
Days 1, 2, and 3.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female, between the ages of 18-70 years old. Documented chronic pancreatitis as determined by CT scan, endoscopic ultrasound, MRCP and/or pancreatic function tests. If female, and not more than 1 year post-menopausal or surgically sterile, must use medically acceptable form of contraception or abstain from sexual activity during the study. Acceptable methods of birth control are: intrauterine device, implantable progesterone device, progesterone intramuscular injection, oral contraceptive (started at least one month prior to Screening Visit 1 and continuing for the duration of the trial), contraceptive patch, condoms with spermicide or abstinence. If a female of reproductive potential, receive counseling on pregnancy protection and effective contraception within 30 days prior to dosing with secretin. Negative serum pregnancy within 72 hours of secretin administration. Use of opioid analgesics for chronic pain from CP. Willing and able to sign written informed consent. Exclusion Criteria: Male or female <18 or >70 years of age. Abnormal serum amylase and/or lipase indicative of acute pancreatitis within 30 days of study enrollment. Exhibiting signs and/or symptoms of an episode of acute pancreatitis. Severe cardiac disease (stable or unstable angina, congestive heart failure, uncontrolled arrhythmias, implantable defibrillator, severe valvular disease, etc). Severe pulmonary disease (COPD, severe asthma, interstitial lung disease, etc). Severe renal disease (history of acute or chronic renal failure, dialysis dependent, baseline creatinine >2.0 mg/dL). Previous adverse drug event to intravenous secretin. Ongoing illicit drug use or abuse. Ongoing moderate or severe alcohol use defined as greater than 8 oz beer, 8 oz wine and/or 1 oz liquor /day. Acute pancreatitis as defined by the Atlanta Classification definition (refer to Table 1) within the previous two months or symptoms consistent with ongoing acute pancreatitis. Prior pancreatic surgery. Pregnant women, nursing mothers, or women of childbearing potential not employing appropriate contraception. Use of medication that can potentially cause pancreatitis, such as metronidazole, tetracycline, sulfonamides within 30 days prior to Visit 1. Any medical condition which, in the judgment of the investigator, renders participation in this study medically inadvisable. Participation in an investigational clinical study for a drug or medical device within 30 days prior to Visit 1. Unwilling or unable to give written, informed consent.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Timothy B Gardner, M.D.
Organizational Affiliation
Dartmouth-Hitchcock Medical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Dartmouth Hitchcock Medical Center
City
Lebanon
State/Province
New Hampshire
ZIP/Postal Code
03756
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
23548879
Citation
Levenick JM, Andrews CL, Purich ED, Gordon SR, Gardner TB. A phase II trial of human secretin infusion for refractory type B pain in chronic pancreatitis. Pancreas. 2013 May;42(4):596-600. doi: 10.1097/MPA.0b013e318273f3ec. Erratum In: Pancreas. 2016 May-Jun;45(5):e23. Dosage error in article text.
Results Reference
derived

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Secretin Infusion for Pain Due to Chronic Pancreatitis

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