UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000003020
Receipt number R000003665
Scientific Title Establishment of pancreatic exocrine function assaay usin real time 13C breath test.
Date of disclosure of the study information 2010/01/13
Last modified on 2010/01/13 09:38:33

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Establishment of pancreatic exocrine function assaay usin real time 13C breath test.

Acronym

Establishment of pancreatic exocrine function assaay usin real time 13C breath test.

Scientific Title

Establishment of pancreatic exocrine function assaay usin real time 13C breath test.

Scientific Title:Acronym

Establishment of pancreatic exocrine function assaay usin real time 13C breath test.

Region

Japan


Condition

Condition

Chronic pancreatitis, state after pancreatectomy

Classification by specialty

Hepato-biliary-pancreatic medicine Hepato-biliary-pancreatic surgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Pancreas secretes digestive enzymes including amylase, lipase and trypsin according to the diet intake. Simultaneously, it secretes insulin, glucagon, gastrin and other hormones to help motility, blood sugar levels to organize total body nutrition. Human cannot live without its exocrine and endocrine function. If the endocrine function is impaired, diabetic condition is rationally treated by insulin by measuring blood glucose level. Exocrine function assessment, however, is only possible using classical fecal fat measurement, fecal chymotripsin or elastase I concentration or pancreatic functional diagnostic test. These assays are cumbersome and requires 24 hrs fecal collection or uurine collection. 13C is stable, non-radioactive isotope that can be incorporated into various compounds. We can measure the metabolism of such 13C incorporated compounds by measuring expiratory output of 13CO2. Most frequently used assay is expiratory 13C assay for Helicobacter pylori. The patients intakes the reagent and inflates the bag 15-20 min later to see if HP exists or eradicated.
It is already known that 13C incorporated fatty acids and amino acids are digested by pancreatic enzymes and finally metabolized to expiratory 13CO2. The measurement of expiratory 13CO2 is know to be useful as a pancreatic function assay (Swart GR, Digestion 1997; 8: 415-420, Nakamura H, Surgery 2009; 145:168-175). Breath ID is a realtime expiratory 13CO2 moniter, that is used in clinical situation in the Europe and United States not only for HP assay but also for measurement of liver function, pancreatic fuction and gastric emptying.
This research is aimed to establish the measurement of pancreatic fuction especially for chronic pancreatits and state after pancreatectomy using Breath ID and 13C incorporated fatty acids and amino acids, resulting in a better patient management.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Expiratory 13CO2 concentration curve within 3 hours after oral intake of the reagents.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Dose comparison

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

4

Purpose of intervention

Prevention

Type of intervention

Food

Interventions/Control_1

Expiratory 13CO2 measurement after oral intake of 13C incorporated fatty acids and amino acids in healthy volunteers.

Interventions/Control_2

Expiratory 13CO2 measurement after oral intake of 13C incorporated fatty acids and amino acids in patients after total pancreatectomy.

Interventions/Control_3

Expiratory 13CO2 measurement after oral intake of 13C incorporated fatty acids and amino acids in patients after pancreatico duodenectomy.

Interventions/Control_4

Expiratory 13CO2 measurement after oral intake of 13C incorporated fatty acids and amino acids in patients with chronic pancreatits.

Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

80 years-old >

Gender

Male and Female

Key inclusion criteria

Two Healthy volunteers, two patients after total pancreatectomy, two patients after pancreaticoduodenectomy, two patients with chronic pancreatitis.
Each participants should be in good health condition, not have active inflammation and available at out patients basis.
Basic blood test are within normal range or within the three times of upper limit.
Agreed to participate this trial with written informed consent.

Key exclusion criteria

One who has active malignancy or active inflammation.
Pregnat woman.
One who cannot eat.
One who cannot tolerate maximun three hours relaxed position with permission of rest for lavatories ad lib.

Target sample size

8


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Shinichi Egawa

Organization

Tohoku University Graduate School of Medicine

Division name

Dept. of Gastroenterological Surgery

Zip code


Address

1-1 Seiryo Aoba, Sendai, 980-8574, JAPAN

TEL

022-717-7205

Email



Public contact

Name of contact person

1st name
Middle name
Last name Shinichi Egawa

Organization

Tohoku University Graduate School of Medicine

Division name

Gastroenterological Surgery

Zip code


Address

1-1 Seiryo Aoba, Sendai, 980-8574, JAPAN

TEL

022-717-7205

Homepage URL


Email



Sponsor or person

Institute

Tohoku University Hospital

Institute

Department

Personal name



Funding Source

Organization

Ministry of Health, Labour and Welfare, JAPAN

Organization

Division

Category of Funding Organization

Nationality of Funding Organization

JAPAN


Other related organizations

Co-sponsor


Name of secondary funder(s)

Ministry of Science, Education, Culture, Sports, Science and Technology, JAPAN.


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

東北大学病院(宮城県) Tohoku University Hospital


Other administrative information

Date of disclosure of the study information

2010 Year 01 Month 13 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


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

Open public recruiting

Date of protocol fixation

2009 Year 11 Month 01 Day

Date of IRB


Anticipated trial start date

2010 Year 01 Month 01 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2010 Year 01 Month 13 Day

Last modified on

2010 Year 01 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003665


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name