UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000004658
Receipt number R000005549
Scientific Title A randomized trial of low-dose rectal diclofenac for prevention of post endoscopic retrograde cholangiopancreatography pancreatitis
Date of disclosure of the study information 2010/12/02
Last modified on 2014/12/09 10:54:48

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Basic information

Public title

A randomized trial of low-dose rectal diclofenac for prevention of post endoscopic retrograde cholangiopancreatography pancreatitis

Acronym

A randomized trial of rectal diclofenac for prevention of post ERCP pancreatitis

Scientific Title

A randomized trial of low-dose rectal diclofenac for prevention of post endoscopic retrograde cholangiopancreatography pancreatitis

Scientific Title:Acronym

A randomized trial of rectal diclofenac for prevention of post ERCP pancreatitis

Region

Japan


Condition

Condition

Post-ERCP pancreatitis

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

In a meta-analysis of four randomized controlled trials (Elmunzer et al. Gut 2008), rectal non-steroidal anti-inflammatory drugs (NSAIDs) were found to be effective for preventing post-ERCP pancreatitis (PEP). The rectal NSAID dosage used in these trials was 100 mg of diclofenac or indomethacin; higher than the normal dosage used in Japan. Therefore, we conducted a prospective randomized controlled trial to evaluate the efficacy of low dose rectal NSAIDs for prevention of PEP.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The occurrence of PEP as defined by the criteria of Cotton as the development of abdominal pain and elevation of serum amylase level greater than three times the upper normal limit within 24 hours after ERCP

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit


Blinding

Single blind -investigator(s) and assessor(s) are blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Medicine

Interventions/Control_1

Diclofenac group is administered with 50 mg of rectal diclofenac 30 min before ERCP with saline infusion (for patients weighing less than 50 kg, the dose of diclofenac was reduced to 25 mg).

Interventions/Control_2

Control group is administered with saline infusion only.

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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients who are planned ERCP.

Key exclusion criteria

Patients with acute or chronic pancreatitis.
Patients with a history of endoscopic sphincterotomy.
Patients who are diagnosed peptic ulcer disease.
Patients with a history of aspirin-induced asthma.
Patients with rectal diseases.
Patients who are treated with triamterene.
Pregnant and breast-feeding women.
Patients who had taken NSAIDs during preceding week.
Patients with a history of hypersensitivity to NSAIDs.
Patients with a severe renal dysfunction.

Target sample size

230


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Seiji Kawazoe

Organization

Saga Prefectural Hospital KOSEIKAN

Division name

Hepatobiliary and Pancreatic Medicine

Zip code


Address

1-12-9, Mizugae, Saga-shi, Saga

TEL


Email



Public contact

Name of contact person

1st name
Middle name
Last name Taiga Otsuka

Organization

Saga Prefectural Hospital KOSEIKAN

Division name

Hepatobiliary and Pancreatic Medicine

Zip code


Address

1-12-9, Mizugae, Saga-shi, Saga

TEL


Homepage URL


Email



Sponsor or person

Institute

Saga Prefectural Hospital KOSEIKAN

Institute

Department

Personal name



Funding Source

Organization

None.

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



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

2010 Year 12 Month 02 Day


Related information

URL releasing protocol


Publication of results

Published


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

Completed

Date of protocol fixation

2009 Year 01 Month 30 Day

Date of IRB


Anticipated trial start date

2009 Year 03 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 12 Month 02 Day

Last modified on

2014 Year 12 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005549


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name