Gentamicin in Preventing Post Endoscopic Retrograde Cholangiopancreatography (ERCP) Cholangitis in Non-calculus Stenting
Primary Purpose
Cholangitis
Status
Completed
Phase
Not Applicable
Locations
Iran, Islamic Republic of
Study Type
Interventional
Intervention
gentamicin
Placebo
Sponsored by
About this trial
This is an interventional prevention trial for Cholangitis focused on measuring Cholangitis; Cholangiopancreatography, Endoscopic Retrograde; stents; cholestasis
Eligibility Criteria
Inclusion Criteria:
- Patients with non-calculus biliary obstruction who need palliative treatment
Exclusion Criteria:
- Fever (> 37.8 Celsius)
- Leukocytosis (WBC > 10,000 /mm3)
- Not candidate for surgical cure of obstruction
Sites / Locations
- TUMS Digestive Disease Research Center
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Placebo Comparator
Arm Label
gentamicin
Placebo
Arm Description
adding 10mg gentamicin to every 10 ml of contrast media
Identical placebo
Outcomes
Primary Outcome Measures
Number of Participants With Cholangitis
After Endoscopic Retrograde CholangioPancreatography (ERCP) in 3 following days we check all participants for syptoms of cholangitis (fever, chills, right upper qudrant (RUQ) pain, leukocytosis) and ruling out other diagnoses than cholangitis
Secondary Outcome Measures
Full Information
NCT ID
NCT01148693
First Posted
June 19, 2010
Last Updated
September 18, 2011
Sponsor
Tehran University of Medical Sciences
1. Study Identification
Unique Protocol Identification Number
NCT01148693
Brief Title
Gentamicin in Preventing Post Endoscopic Retrograde Cholangiopancreatography (ERCP) Cholangitis in Non-calculus Stenting
Official Title
Comparing Addition of Gentamicin vs. Placebo in Preventing Post ERCP Cholangitis in Non-calculus Stenting
Study Type
Interventional
2. Study Status
Record Verification Date
July 2011
Overall Recruitment Status
Completed
Study Start Date
December 2009 (undefined)
Primary Completion Date
December 2010 (Actual)
Study Completion Date
December 2010 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Tehran University of Medical Sciences
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Cholangitis is the most prevalent infectious complication of ERCP. Stenting of biliary strictures and stenosis is one of important risk factors for post-ERCP cholangitis. Adding antibiotics to contrast media has proposed in some studies for prevention of cholangitis but remains controversial. In this study we compare effect of adding gentamicin versus placebo in preventing cholangitis in patients who undergone endoscopic stenting for non-calculus strictures and stenosis.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cholangitis
Keywords
Cholangitis; Cholangiopancreatography, Endoscopic Retrograde; stents; cholestasis
7. Study Design
Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
114 (Actual)
8. Arms, Groups, and Interventions
Arm Title
gentamicin
Arm Type
Active Comparator
Arm Description
adding 10mg gentamicin to every 10 ml of contrast media
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Identical placebo
Intervention Type
Drug
Intervention Name(s)
gentamicin
Other Intervention Name(s)
Brand name: Gentamicin
Intervention Description
10mg per 10ml of contrast media
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Distilled water
Primary Outcome Measure Information:
Title
Number of Participants With Cholangitis
Description
After Endoscopic Retrograde CholangioPancreatography (ERCP) in 3 following days we check all participants for syptoms of cholangitis (fever, chills, right upper qudrant (RUQ) pain, leukocytosis) and ruling out other diagnoses than cholangitis
Time Frame
72 hours
10. Eligibility
Sex
All
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patients with non-calculus biliary obstruction who need palliative treatment
Exclusion Criteria:
Fever (> 37.8 Celsius)
Leukocytosis (WBC > 10,000 /mm3)
Not candidate for surgical cure of obstruction
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Rasoul Sotudemanesh, MD
Organizational Affiliation
Tehran Medical University of Medical Science associate professor
Official's Role
Study Chair
Facility Information:
Facility Name
TUMS Digestive Disease Research Center
City
Tehran
ZIP/Postal Code
1411713135
Country
Iran, Islamic Republic of
12. IPD Sharing Statement
Citations:
PubMed Identifier
23081843
Citation
Norouzi A, Khatibian M, Afroogh R, Chaharmahali M, Sotoudehmanesh R. The effect of adding gentamicin to contrast media for prevention of cholangitis after biliary stenting for non-calculous biliary obstruction, a randomized controlled trial. Indian J Gastroenterol. 2013 Jan;32(1):18-21. doi: 10.1007/s12664-012-0208-y. Epub 2012 Oct 19.
Results Reference
derived
Learn more about this trial
Gentamicin in Preventing Post Endoscopic Retrograde Cholangiopancreatography (ERCP) Cholangitis in Non-calculus Stenting
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