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Oral Losartan in Prevention of Post-ERCP Paancreatitis

Primary Purpose

Post-ERCP Acute Pancreatitis

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
oral losatan
Sponsored by
Ain Shams University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Post-ERCP Acute Pancreatitis

Eligibility Criteria

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

Inclusion Criteria:

  • Any adult patient indicated for ERCP
  • Patients with obstructive jaundice.
  • Patients with dilated intra-hepatic or extra-hepatic bile ducts due to malignant or benign lesions.

Exclusion Criteria:

  • Patients refusing to undergo the procedure or signing the informed consent
  • Patients with clinically evident acute pancreatitis before the procedure
  • Patients with previous endoscopic or surgical sphincterotomy
  • Patients with current use of losartan
  • Patients who are allergic or hypersensitive to losartan or hydro soluble contrast solutions
  • Patients receiving NSAIDS within a week prior to assessment
  • Patients with severe co-morbid conditions as cardiovascular disease, renal failure or decompensated liver cirrhosis.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    No Intervention

    Arm Label

    patients received the oral losartan

    patients didn't receive the oral losartan

    Arm Description

    50 patients with obstructive jaundice indicated for ERCP and received oral losartan 1 hour before ERCP as a prophylaxis of post-ERCP pancreatitis

    50 patients with obstructive jaundice indicated for ERCP and didn't receive any prophylactic drugs

    Outcomes

    Primary Outcome Measures

    Number of participants with development of acute pancreatitis
    Number of participants with development of abdominal pain and elevated serum amylase and/or lipase

    Secondary Outcome Measures

    Full Information

    First Posted
    August 3, 2019
    Last Updated
    August 8, 2019
    Sponsor
    Ain Shams University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04049734
    Brief Title
    Oral Losartan in Prevention of Post-ERCP Paancreatitis
    Official Title
    Evaluation of Oral Losartan in the Prevention of Post-ERCP Pancreatitis
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    August 2019
    Overall Recruitment Status
    Completed
    Study Start Date
    January 2015 (Actual)
    Primary Completion Date
    January 2017 (Actual)
    Study Completion Date
    March 2017 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Ain Shams University

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Oral losartan given in the dose of 50 mg one hour before ERCP was studied in the prevention of post ERCP pancreatitis in 50 patients indicated for ERCP in comparison with another 50 patients underwent ERCP without receiving oral losartan.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Post-ERCP Acute Pancreatitis

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 1
    Interventional Study Model
    Parallel Assignment
    Masking
    Participant
    Allocation
    Randomized
    Enrollment
    100 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    patients received the oral losartan
    Arm Type
    Active Comparator
    Arm Description
    50 patients with obstructive jaundice indicated for ERCP and received oral losartan 1 hour before ERCP as a prophylaxis of post-ERCP pancreatitis
    Arm Title
    patients didn't receive the oral losartan
    Arm Type
    No Intervention
    Arm Description
    50 patients with obstructive jaundice indicated for ERCP and didn't receive any prophylactic drugs
    Intervention Type
    Drug
    Intervention Name(s)
    oral losatan
    Intervention Description
    50 mg of oral losartan one hour before the ERCP once
    Primary Outcome Measure Information:
    Title
    Number of participants with development of acute pancreatitis
    Description
    Number of participants with development of abdominal pain and elevated serum amylase and/or lipase
    Time Frame
    24 hours

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Any adult patient indicated for ERCP Patients with obstructive jaundice. Patients with dilated intra-hepatic or extra-hepatic bile ducts due to malignant or benign lesions. Exclusion Criteria: Patients refusing to undergo the procedure or signing the informed consent Patients with clinically evident acute pancreatitis before the procedure Patients with previous endoscopic or surgical sphincterotomy Patients with current use of losartan Patients who are allergic or hypersensitive to losartan or hydro soluble contrast solutions Patients receiving NSAIDS within a week prior to assessment Patients with severe co-morbid conditions as cardiovascular disease, renal failure or decompensated liver cirrhosis.

    12. IPD Sharing Statement

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    Oral Losartan in Prevention of Post-ERCP Paancreatitis

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