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Prevention of Acute Pancreatitis After Endoscopic Interventions

Primary Purpose

Cholangiolitis, Acute Pancreatitis

Status
Unknown status
Phase
Phase 1
Locations
Belarus
Study Type
Interventional
Intervention
Meksibel
Sponsored by
Vitebsk State Medical University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Cholangiolitis focused on measuring Cholangiolithiasis, endoscopic, acute pancreatitis, cholangiography

Eligibility Criteria

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

Inclusion Criteria:

  1. Patients with cholangiolithiasis.
  2. Patients with benign formations of the bile ducts.
  3. Patients with malignant formations of the bile ducts.
  4. Patients with extrahepatic bile duct cysts.
  5. Patients with biliary hypertension of unknown etiology.
  6. Patients with cholangitis.
  7. Patients with extrahepatic bile duct strictures.
  8. Patients suffering from oncopathology of the head of the pancreas, complicated by obstructive jaundice.
  9. Patients with malignant pathology of the pancreas.
  10. Patients with benign pancreatic pathology.

Exclusion Criteria:

  1. ASA scale> III (severe concomitant cardiovascular pathology)
  2. Severe pathology of the respiratory system.
  3. Acute period of myocardial infarction.
  4. Acute period of cerebral infarction.

Sites / Locations

  • VSMU

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Arm Label

Meksibel

Indometacin

Meloksicam

Oktride

Arm Description

Intravenous 0.1 30 minutes before the procedure and 0.1 once a day for 3 days after the procedure

Into the rectum 1 hour before the procedure and 1 candle 1 time a day for 3 days after the procedure

Intravenous 15 mg 30 minutes before the procedure and 15 mg once a day for 3 days after the procedure

Intravenous 3 ml 30 minutes before the procedure and 3 ml once a day for 3 days after the procedure

Outcomes

Primary Outcome Measures

Change in the level of inflammation and pain, assessment of severity according to the Ranson scale and Krasnogorov at 1 week
Summ points 0 - pancreatitis, 1 - mild pancreatitis, 2 - severe pancreatitis

Secondary Outcome Measures

Full Information

First Posted
October 24, 2020
Last Updated
November 17, 2020
Sponsor
Vitebsk State Medical University
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1. Study Identification

Unique Protocol Identification Number
NCT04608760
Brief Title
Prevention of Acute Pancreatitis After Endoscopic Interventions
Official Title
Prevention of Acute Pancreatitis After Endoscopic Interventions
Study Type
Interventional

2. Study Status

Record Verification Date
November 2020
Overall Recruitment Status
Unknown status
Study Start Date
August 1, 2020 (Actual)
Primary Completion Date
January 1, 2021 (Anticipated)
Study Completion Date
August 1, 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Vitebsk State Medical University

4. Oversight

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

5. Study Description

Brief Summary
The aim of the study is to develop a method for the prevention of acute pancreatitis after minimally invasive interventions of the bile ducts using a drug regimen.
Detailed Description
A prospective, randomized, single-center study is planned to identify the most effective drug regimen in order to prevent the development of acute pancreatitis after transpapillary interventions of the bile ducts.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cholangiolitis, Acute Pancreatitis
Keywords
Cholangiolithiasis, endoscopic, acute pancreatitis, cholangiography

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
90 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Meksibel
Arm Type
Active Comparator
Arm Description
Intravenous 0.1 30 minutes before the procedure and 0.1 once a day for 3 days after the procedure
Arm Title
Indometacin
Arm Type
Active Comparator
Arm Description
Into the rectum 1 hour before the procedure and 1 candle 1 time a day for 3 days after the procedure
Arm Title
Meloksicam
Arm Type
Active Comparator
Arm Description
Intravenous 15 mg 30 minutes before the procedure and 15 mg once a day for 3 days after the procedure
Arm Title
Oktride
Arm Type
Active Comparator
Arm Description
Intravenous 3 ml 30 minutes before the procedure and 3 ml once a day for 3 days after the procedure
Intervention Type
Drug
Intervention Name(s)
Meksibel
Intervention Description
2 ml solution
Primary Outcome Measure Information:
Title
Change in the level of inflammation and pain, assessment of severity according to the Ranson scale and Krasnogorov at 1 week
Description
Summ points 0 - pancreatitis, 1 - mild pancreatitis, 2 - severe pancreatitis
Time Frame
1 week

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients with cholangiolithiasis. Patients with benign formations of the bile ducts. Patients with malignant formations of the bile ducts. Patients with extrahepatic bile duct cysts. Patients with biliary hypertension of unknown etiology. Patients with cholangitis. Patients with extrahepatic bile duct strictures. Patients suffering from oncopathology of the head of the pancreas, complicated by obstructive jaundice. Patients with malignant pathology of the pancreas. Patients with benign pancreatic pathology. Exclusion Criteria: ASA scale> III (severe concomitant cardiovascular pathology) Severe pathology of the respiratory system. Acute period of myocardial infarction. Acute period of cerebral infarction.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yury Arlouski, MD, PhD
Organizational Affiliation
Vitebsk State Medical University
Official's Role
Study Chair
Facility Information:
Facility Name
VSMU
City
Vitebsk
ZIP/Postal Code
210009
Country
Belarus

12. IPD Sharing Statement

Learn more about this trial

Prevention of Acute Pancreatitis After Endoscopic Interventions

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