UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000017106
Receipt number R000019844
Scientific Title Low-dose rectal NSAIDs for prevention of post-ERCP pancreatitis -randomized controlled multicenter study- : Loren study
Date of disclosure of the study information 2015/05/01
Last modified on 2019/04/25 03:20:26

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Basic information

Public title

Low-dose rectal NSAIDs for prevention of post-ERCP pancreatitis -randomized controlled multicenter study- : Loren study

Acronym

Loren study

Scientific Title

Low-dose rectal NSAIDs for prevention of post-ERCP pancreatitis -randomized controlled multicenter study- : Loren study

Scientific Title:Acronym

Loren study

Region

Japan


Condition

Condition

Pancreaticobiliary disease

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Pancreatitis remains the most common complication of ERCP, occurring after 1% to 15% of procedures. Severe pancreatitis occurs in 0.1% to 1.0% of patients in unselected prospective series. It is reported that rectal NSAIDs significantly reduced the incidence of Post-ERCP pancreatitis. However, the rectal NSAID dose used in these trials was 100 mg of diclofenac or indomethacin, which is higher than the normal single dose used in Japan. We conducted a prospective randomized controlled trial to evaluate the efficacy of low-dose rectal NSAIDs for the prevention of Post-ERCP pancreatitis.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

The incidence of Post-ERCP pancreatitis

Key secondary outcomes

The incidence of Hyperamylasemia
The incidence of abdominal pain after ERCP
Cost effectiveness


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -participants are blinded

Control

No treatment

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as a block.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

4

Purpose of intervention

Prevention

Type of intervention

Medicine

Interventions/Control_1

May 2015-March 2019
Post-ERCP pancreatitis low risk
Diclofenac non-administration

Interventions/Control_2

May 2015-March 2019
Post-ERCP pancreatitis low risk
Low dose diclofenac administration

Interventions/Control_3

May 2015-March 2019
Post-ERCP pancreatitis high risk
Diclofenac non-administration

Interventions/Control_4

May 2015-March 2019
Post-ERCP pancreatitis high risk
Low dose diclofenac administration

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

The patient who needs ERCP.
Possible of endoscopic approach.
Normal stomach or Billroth I reconstruction stomach.
Non previous EST in patients who planned biliary treatment.
The patient who does not cause pancreatitis.
The patient who does not use the NSAIDs within 24 hours.
Main pancreatic duct < 4mm.

Key exclusion criteria

Endoscopic papillectomy.
The patient who was inserted EPS or ENPD.
CCr<60ml/min.
Systolic blood pressure < 100mmHg before ERCP.
Active peptic ulcer.
Rectal ulcer or Rectal cancer.
Aspirin-induced asthma.
NSAIDs allergy.
Triamterene oral administration.
Sever cardiovascular disease.
During pregnancy or lactating.
Patients not to consent.
ECOG Performance Status 4.
The patient who admitted that it was inappropriate though the chief physician carried out the examination.

Target sample size

500


Research contact person

Name of lead principal investigator

1st name Hirotoshi
Middle name
Last name Iwano

Organization

Shibetsu City Hospital

Division name

Gastroenterology

Zip code

095-0048

Address

3029-1, Higashi 11-5, Shibetsu-shi, Hokkaido

TEL

0165-23-2166

Email

iwanohi6104@gmail.com


Public contact

Name of contact person

1st name Hirotoshi
Middle name
Last name Iwano

Organization

Shibetsu City Hospital

Division name

Gastroenterology

Zip code

095-0048

Address

3029-1, Higashi 11-5, Shibetsu-shi, Hokkaido

TEL

0165-23-2166

Homepage URL


Email

iwanohi6104@gmail.com


Sponsor or person

Institute

SKY study group

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

Shibetsu City Hospital IRB

Address

3029-1, Higashi 11-5, Shibetsu-shi, Hokkaido

Tel

0165-23-2166

Email

byouinsohmuka@city.shibetsu.lg.jp


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

久留米大学病院(福岡県)、九州医療センター(福岡県)、徳山中央病院(山口県)、埼玉医科大学国際医療センター(埼玉県)、済生会川内病院(鹿児島県)、鹿児島大学病院(鹿児島県)


Other administrative information

Date of disclosure of the study information

2015 Year 05 Month 01 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

Terminated

Date of protocol fixation

2015 Year 03 Month 16 Day

Date of IRB

2015 Year 04 Month 01 Day

Anticipated trial start date

2015 Year 05 Month 01 Day

Last follow-up date

2019 Year 03 Month 31 Day

Date of closure to data entry

2019 Year 03 Month 31 Day

Date trial data considered complete

2019 Year 04 Month 30 Day

Date analysis concluded

2019 Year 10 Month 31 Day


Other

Other related information



Management information

Registered date

2015 Year 04 Month 11 Day

Last modified on

2019 Year 04 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000019844


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name