UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000018537
Receipt number R000019873
Scientific Title Benefit of immediate oral intake of low-fat solid diet in non severe pancreatitis
Date of disclosure of the study information 2015/08/04
Last modified on 2020/05/28 13:30:08

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Basic information

Public title

Benefit of immediate oral intake of low-fat solid diet in non severe pancreatitis

Acronym

Benefit of immediate oral intake of low-fat solid diet in non severe pancreatitis

Scientific Title

Benefit of immediate oral intake of low-fat solid diet in non severe pancreatitis

Scientific Title:Acronym

Benefit of immediate oral intake of low-fat solid diet in non severe pancreatitis

Region

Japan


Condition

Condition

Non severe acute pancreatitis

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To assess the efficacy and the safety of immediate oral intake of low-fat solid diet in non severe acute pancreatitis

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The number of days until the pancreatitis has recovered

Key secondary outcomes

length of hospital stay; hospitalization rate due to pancreatitis recurrence within three months after hospital discharge; number of days until the recurrence hospitalization; relapse rate of abdominal pain or abdominal symptoms during hospitalization period after meal initiation; proportion which mild acute pancreatitis became severe acute pancreatitis; dropout rate; reduction rate of serum levels of amylase, P-amylase, lipase and CRP; cost of hospital treatment


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Food

Interventions/Control_1

Gradually increase the amount of fat of diet after fasting with no food and drink

Interventions/Control_2

Permit oral intake of low-fat solid diet immediatly

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

16 years-old <=

Age-upper limit

95 years-old >=

Gender

Male and Female

Key inclusion criteria

The patients who diagnosed acute pancreatitis

Requires 2 of the following 3 features
1.upper abdominal pain of acute onset often radiating through to the back
2.serum amylase or lipase activity greater than 3 times the upper limit of normal
3.findings on cross sectional abdominal imaging consistent with acute pancreatitis.

Key exclusion criteria

1)Patients who diagnosed severe acute pancreatitis
2)Modified Marshall scoring system>=2
3)Patients who have a complication of cholangitis
4)Traumatic pancreatitis
5)Pancreatitis due to malignancy
6)Patients who are not able to eat solid food due to reduction of swallowing function
7)Patients who are not able to eat solid food due to consciousness disturbance
8)Patients with paralytic ileus
9)Patients who regularly take medicine for pain with chronic pancreatitis
10)Patients who did not subscribe in this study

Target sample size

26


Research contact person

Name of lead principal investigator

1st name Takanori
Middle name
Last name Kanai

Organization

Keio University School of Medicine

Division name

Division of Gastroenterology and Hepatology, Department of Internal Medicine

Zip code

160-8582

Address

35 Shinanomachi, Shinjuku-ku, Tokyo

TEL

03-5363-3790

Email

takagast@z2.keio.jp


Public contact

Name of contact person

1st name Masayasu
Middle name
Last name Horibe

Organization

Keio University School of Medicine

Division name

Division of Gastroenterology and Hepatology, Department of Internal Medicine

Zip code

160-8582

Address

35 Shinanomachi, Shinjuku-ku, Tokyo

TEL

03-5363-3790

Homepage URL


Email

aries24sirius@yahoo.co.jp


Sponsor or person

Institute

Keio University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Keio University Grant-in-Aid for Encouragement of Young Medical Scientists

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee, Keio University School of Medicine

Address

35 Shinanomachi, Shinjuku-ku, Tokyo

Tel

03-5363-3611

Email

med-rinri-jimu@adst.keio.ac.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

慶應義塾大学病院(東京都)Keio University Hospital(Tokyo)


Other administrative information

Date of disclosure of the study information

2015 Year 08 Month 04 Day


Related information

URL releasing protocol

http://www.keio-med.jp/gastro/pancreatitis-cohort/post-6.html

Publication of results

Published


Result

URL related to results and publications

http://www.keio-med.jp/gastro/pancreatitis-cohort/post-6.html

Number of participants that the trial has enrolled

26

Results

The immediate feeding group (mean recovery days: 2.0 +- 1.0) recovered significantly earlier (mean difference in recovery days: 6.3; 95% confidence interval [CI]: 4.8-7.9, p < 0.001) than the standard food group (mean recovery days: 8.3 +- 2.3).

Results date posted

2020 Year 05 Month 28 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

mild acute pancreatitis

Participant flow

The patients in the immediate feeding group were permitted oral intake of low-fat (15 g/day) solid food (Figure A.1) immediately after diagnosis (within 1 day after diagnosis).

The patients in the standard group were given a gradually increasing amount of dietary fat following a fast in accordance with the Japanese guidelines

Adverse events

The immediate feeding group showed a lower rate of progression to severe AP (immediate feeding group, 0%; standard food group, 15.3%; p = 0.48).

Outcome measures

recovery days

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2015 Year 06 Month 18 Day

Date of IRB

2015 Year 05 Month 25 Day

Anticipated trial start date

2015 Year 08 Month 04 Day

Last follow-up date

2019 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2015 Year 08 Month 04 Day

Last modified on

2020 Year 05 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000019873


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name