UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000032402
Receipt number R000036954
Scientific Title The impact of pancreatic duct stent in pancreatic fistula following pancreaticoduodenectomy;retrospective large observational study by Japan-Korean project
Date of disclosure of the study information 2018/04/30
Last modified on 2021/01/07 09:41:46

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Basic information

Public title

The impact of pancreatic duct stent in pancreatic fistula following pancreaticoduodenectomy;retrospective large observational study by Japan-Korean project

Acronym

The impact of pancreatic duct stent in pancreatic fistula after pancreaticoduodenectomy

Scientific Title

The impact of pancreatic duct stent in pancreatic fistula following pancreaticoduodenectomy;retrospective large observational study by Japan-Korean project

Scientific Title:Acronym

The impact of pancreatic duct stent in pancreatic fistula after pancreaticoduodenectomy

Region

Japan Asia(except Japan)


Condition

Condition

patients who underwent pancreaticoduodenectomy for periampullary lesion

Classification by specialty

Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The aim of this multicenter large cohort study was to clarify which pancreatic stent is more effective between internal stent and external stent to reduce clinically relevant pancreatic fistula after pancreaticoduodenectomy (PD).

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

The incidence of pancreatic fistula classified by the International Study Group of Pancreatic Fistula(ISGPF) between internal stent and external stent

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1)Disease of pancreatic head or periampullary lesions to require pancreaticoduodenectomy
2) Age: 20 years or older

Key exclusion criteria

patients who are unfit for this study as determined by the attending physician

Target sample size

3000


Research contact person

Name of lead principal investigator

1st name Manabu
Middle name
Last name Kawai

Organization

Wakayama Medical University

Division name

Second Department of Surgery

Zip code

641-8510

Address

811-1 Kimiidera, Wakayama, Japan, 641-8510

TEL

073-441-0613

Email

kawai@wakayama-med.ac.jp


Public contact

Name of contact person

1st name Manabu
Middle name
Last name Kawai

Organization

Second Department of Surgery, Wakayama Medical University

Division name

Second Department of Surgery

Zip code

641-8510

Address

811-1 Kimiidera, Wakayama, Japan, 641-8510

TEL

0734410613

Homepage URL


Email

kawai@wakayama-med.ac.jp


Sponsor or person

Institute

Second Department of Surgery, Wakayama Medical University

Institute

Department

Personal name



Funding Source

Organization

Japanese Society of Hepato-Biliary-Pancreatic Surgery

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

Wakayama Medical University

Address

811-1 Kimiidera, Wakayama, Japan, 641-8510

Tel

073-447-2300

Email

wa-rinri@wakayama-med.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



Other administrative information

Date of disclosure of the study information

2018 Year 04 Month 30 Day


Related information

URL releasing protocol

https://wakayama-med-2ndsurg.jp/news/

Publication of results

Published


Result

URL related to results and publications

https://wakayama-med-2ndsurg.jp/news/

Number of participants that the trial has enrolled

3149

Results

clinically relevant pancreatic fistula occurred in more patients in the external stents group (280 patients, 28.7%) than in patients in the internal stents group (126 patients, 12.9%) (OR 2.713 [95% CI, 2.139e3.455]; P < 0.001).

Results date posted

2021 Year 01 Month 07 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

3149 patients who underwent PD at 20 institutions in Japan and Korea between 2007 and 2013.

Participant flow

End of follow-up

Adverse events

none

Outcome measures

The primary endpoint was the incidence of clinically relevant pancreatic fistula

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2015 Year 02 Month 09 Day

Date of IRB

2015 Year 02 Month 09 Day

Anticipated trial start date

2015 Year 02 Month 09 Day

Last follow-up date

2018 Year 07 Month 30 Day

Date of closure to data entry

2018 Year 10 Month 30 Day

Date trial data considered complete

2020 Year 03 Month 31 Day

Date analysis concluded

2020 Year 03 Month 31 Day


Other

Other related information

Between 2007 and 2013, 3,149 patients (internal stent and external stent) who underwent PD at 20 institutions in Japan and Korea are reviewed. Propensity score matched analysis is used to minimize bias from nonrandomized treatment assignment. The primary endpoint was the incidence of clinically relevant pancreatic fistula based on the International Study Group on Pancreatic Fistula criteria.


Management information

Registered date

2018 Year 04 Month 27 Day

Last modified on

2021 Year 01 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000036954


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name