Prophylactic Pancreatic Stent for the Prevention of Post Operative Pancreatic Fistula
Primary Purpose
Pancreatic Fistula
Status
Unknown status
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
Prophylactic pancreatic stent
Sponsored by
About this trial
This is an interventional prevention trial for Pancreatic Fistula
Eligibility Criteria
Inclusion Criteria:
- All patients scheduled for elective segmental pancreatectomy
Exclusion Criteria:
- Subjects for whom ERCP procedures are contraindicated
- If female, pregnant based on a positive hCG serum or an in vitro diagnostic test result or breast-feeding
- Age less than 18 year
- Emergency surgery
- Previous pancreatic surgery
Sites / Locations
- Peking Union Medical College HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
No Intervention
Arm Label
Stent
No stent
Arm Description
Prophylactic pancreatic stent before segmental pancreatic surgery
No prophylactic stent before surgery
Outcomes
Primary Outcome Measures
Postoperative pancreatic fistula
Grade B and C
Secondary Outcome Measures
Severity of pancreatic fistula
Grade B POPF requires changes in clinical management, such as persistent drainage, partial or total parenteral nutrition, antibiotics, enteral nutrition, somatostatin analogs, and/or minimal invasive drainage. Grade C POPF requires major changes in management, such as admission to an intensive care unit, reoperation, and/or an extended hospital stay.
Length of stay
Length of hospital stay
Full Information
NCT ID
NCT03822676
First Posted
January 28, 2019
Last Updated
January 28, 2019
Sponsor
Peking Union Medical College Hospital
1. Study Identification
Unique Protocol Identification Number
NCT03822676
Brief Title
Prophylactic Pancreatic Stent for the Prevention of Post Operative Pancreatic Fistula
Official Title
Prophylactic Pancreatic Stent for the Prevention of Post Operative Pancreatic Fistula Before Segmental Pancreatectomy
Study Type
Interventional
2. Study Status
Record Verification Date
January 2019
Overall Recruitment Status
Unknown status
Study Start Date
January 22, 2019 (Actual)
Primary Completion Date
December 2021 (Anticipated)
Study Completion Date
May 2022 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Peking Union Medical College Hospital
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Postoperative pancreatic fistula (POPF) remains one of the most harmful complications after pancreatic resection. Some studies have indicated that endoscopic pancreatic stenting was effective in the treatment of POPF. However, the results of prospective RCTs for the prophylactic effect of pancreatic stent insertion against POPF were controversial. This single center prospective randomized trial was designed to compare the outcome after segmental pancreatectomy with prophylactic drainage stent versus no stent.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pancreatic Fistula
7. Study Design
Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
38 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Stent
Arm Type
Experimental
Arm Description
Prophylactic pancreatic stent before segmental pancreatic surgery
Arm Title
No stent
Arm Type
No Intervention
Arm Description
No prophylactic stent before surgery
Intervention Type
Device
Intervention Name(s)
Prophylactic pancreatic stent
Intervention Description
Prophylactic pancreatic stent before segmental pancreatic surgery
Primary Outcome Measure Information:
Title
Postoperative pancreatic fistula
Description
Grade B and C
Time Frame
from postoperative day 3 to 30
Secondary Outcome Measure Information:
Title
Severity of pancreatic fistula
Description
Grade B POPF requires changes in clinical management, such as persistent drainage, partial or total parenteral nutrition, antibiotics, enteral nutrition, somatostatin analogs, and/or minimal invasive drainage. Grade C POPF requires major changes in management, such as admission to an intensive care unit, reoperation, and/or an extended hospital stay.
Time Frame
from postoperative day 3 to 30
Title
Length of stay
Description
Length of hospital stay
Time Frame
from postoperative day 1 to discharge
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
All patients scheduled for elective segmental pancreatectomy
Exclusion Criteria:
Subjects for whom ERCP procedures are contraindicated
If female, pregnant based on a positive hCG serum or an in vitro diagnostic test result or breast-feeding
Age less than 18 year
Emergency surgery
Previous pancreatic surgery
Facility Information:
Facility Name
Peking Union Medical College Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100730
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Aiming Yang, M.D.
Phone
+86-10-69151593
Email
yangaiming@medmail.com.cn
First Name & Middle Initial & Last Name & Degree
Yunlu Feng, M.D.
12. IPD Sharing Statement
Learn more about this trial
Prophylactic Pancreatic Stent for the Prevention of Post Operative Pancreatic Fistula
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