UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000000952
Receipt number R000001133
Scientific Title A preventive effect of pancreatic duct stenting to decrease the rate of pancreatic fistula after pancreaticojejunostomy following pancreatoduodenectomy
Date of disclosure of the study information 2007/12/20
Last modified on 2013/08/01 18:28:37

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Basic information

Public title

A preventive effect of pancreatic duct stenting to decrease the rate of pancreatic fistula after pancreaticojejunostomy following pancreatoduodenectomy

Acronym

A preventive effect of pancreatic duct stenting to decrease the rate of pancreatic fistula after pancreaticojejunostomy

Scientific Title

A preventive effect of pancreatic duct stenting to decrease the rate of pancreatic fistula after pancreaticojejunostomy following pancreatoduodenectomy

Scientific Title:Acronym

A preventive effect of pancreatic duct stenting to decrease the rate of pancreatic fistula after pancreaticojejunostomy

Region

Japan


Condition

Condition

pancreatoduodenectomy for pancreatic head cancer, bile duct cancer, cancer of the Vater's papilla, gallbladder cancer, pancreatic head tumor (Intraductal papillary-mucinous neoplasm, endocrine tumor, other pancreatic tumor), chronic pancreatitis

Classification by specialty

Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To invstigate the preventive effect of pancreatic duct stenting to decrease the pancreatic fistula after pancreaticojejunostomy following pancreatoduodenectomy

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Phase II,III


Assessment

Primary outcomes

Rate and severity of pancreatic fistula

Key secondary outcomes

postoperative morbidity rate, postoperative hospital stay, hospital mortality rate


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

NO

Institution consideration

Institution is considered as a block.

Blocking

YES

Concealment

Numbered container method


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Stented group

Interventions/Control_2

Nonstented group

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1)all adult patient who are anticipate to undergo pancreatoduodenectomy
2)reconstruction feasible for pancreaticojejunostomy
3) written informed consent

Key exclusion criteria

1)requiring total pancreatectomy
2)unfeasible for pancreaticojejunostomy
3)past history for pancreatectomy
4)other unfeasible factors to study safety, approved attending surgeon
5)pregnancy

Target sample size

60


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Unno Michiaki

Organization

Tohoku University Hospital

Division name

Hepato-Biliary Pancreatic surgery

Zip code


Address

1-1, Seiryo-machi, Aoba-ku, Sendai, 980-8574, Japan

TEL

022-717-7205

Email



Public contact

Name of contact person

1st name
Middle name
Last name Motoi Fuyuhiko

Organization

Tohoku University Hospital

Division name

Hepato-Biliary Pancreatic surgery

Zip code


Address

1-1, Seiryo-machi, Aoba-ku, Sendai, 980-8574, Japan

TEL

022-717-7205

Homepage URL


Email

fmotoi@surg1.med.tohoku.ac.jp


Sponsor or person

Institute

Department of surgery, Tohoku University

Institute

Department

Personal name



Funding Source

Organization

None (self-funding)

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2007 Year 12 Month 20 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

http://onlinelibrary.wiley.com/

Number of participants that the trial has enrolled


Results

The rate of clinically relevant POPF was significantly lower in the stented group than in the non-stented group: three of 47 (6 per cent) versus ten of 46 (22 per cent) (P = 0.040). Among patients with a dilated duct, rates of POPF were similar in both groups. Among patients with a non-dilated duct, clinically relevant POPF was significantly less common in the stented group than the non-stented group: two of 21 (10 per cent) versus eight of 20 (40 per cent) (P = 0.033).
Univariable analysis identified body mass index (BMI), pancreatic cancer, pancreatic texture, pancreatic duct size and duct stenting as risk factors related to clinically relevant POPF. Multivariable analysis taking these five factors into account identified high BMI (risk ratio (RR) 11.4; P = 0.009), non-dilated duct (RR 5.33; P = 0.047) and no stent (RR 10.4; P = 0.004) as significant risk factors.

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2007 Year 11 Month 30 Day

Date of IRB


Anticipated trial start date

2007 Year 12 Month 01 Day

Last follow-up date

2010 Year 07 Month 01 Day

Date of closure to data entry

2010 Year 08 Month 01 Day

Date trial data considered complete

2010 Year 09 Month 01 Day

Date analysis concluded

2010 Year 10 Month 01 Day


Other

Other related information



Management information

Registered date

2007 Year 12 Month 20 Day

Last modified on

2013 Year 08 Month 01 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000001133


Research Plan
Registered date File name
2016/06/15 Br J 2012 Motoi F.xlsx

Research case data specifications
Registered date File name

Research case data
Registered date File name