NCT01321060

Brief Summary

Acute fluid collections is common in patients with severe acute pancreatitis (SAP). But the treatment for this is controversial. In this study, the investigators aim to evaluate the different effects of three different treatment protocols which is repeated aspiration, continuous catheter drainage and conservative treatment. The investigators suppose repeated aspiration could not only solve acute fluid collections, but also lower the rate of pancreatic infection.

Trial Health

55
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Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
87

participants targeted

Target at P50-P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2011

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

March 22, 2011

Completed
1 day until next milestone

First Posted

Study publicly available on registry

March 23, 2011

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2012

Completed
Last Updated

June 19, 2012

Status Verified

January 1, 2011

Enrollment Period

1.9 years

First QC Date

March 22, 2011

Last Update Submit

June 16, 2012

Conditions

Keywords

severe acute pancreatitisacute fluid collectioncatheter drainagerepeated aspiration

Outcome Measures

Primary Outcomes (2)

  • pancreatic infection

    28 days

  • mortality

    28 days

Secondary Outcomes (7)

  • inflammation parameters

    28 days

  • intra abdominal pressure

    28 days

  • complications

    28 days

  • ICU duration

    day one until discharge

  • hospital duration

    day one until discharge

  • +2 more secondary outcomes

Study Arms (3)

Conservative treatment

ACTIVE COMPARATOR

Conservative treatment group with only drugs.

Drug: Conservative treatment

Continuous catheter drainage

EXPERIMENTAL

Once the diameter of the fluid collection is more than 6cm, continuous catheter drainage will be applied.

Procedure: Catheter drainage

Repeated aspiration

EXPERIMENTAL

Once the diameter of the fluid collection is more than 6cm, aspiration is applied and draw the tube out immediately after aspiration.

Procedure: Aspiration

Interventions

AspirationPROCEDURE
Repeated aspiration
Continuous catheter drainage

Including antibiotics,somatostatin, proton pump inhibitors and sufficient fluid resuscitation

Conservative treatment

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Symptoms and signs of acute pancreatitis according to Atlanta criteria and if pancreatic or/and peripancreatic fluid collections were confirmed by ultrasound and computed tomography examination
  • CT density \< 30Hu
  • Within 7 days from the onset of the disease
  • Available approach for percutaneous penetrate

You may not qualify if:

  • Pregnant pancreatitis
  • Receiving surgery or aspiration before;need of early surgery
  • Infected fluid collection

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Department of SICU, Research Institute of General Surgery Jinling Hospital,

Nanjing, Jiangsu, 210002, China

RECRUITING

MeSH Terms

Conditions

Pancreatitis

Interventions

Conservative Treatment

Condition Hierarchy (Ancestors)

Pancreatic DiseasesDigestive System Diseases

Intervention Hierarchy (Ancestors)

Therapeutics

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Director of surgical ICU

Study Record Dates

First Submitted

March 22, 2011

First Posted

March 23, 2011

Study Start

January 1, 2011

Primary Completion

December 1, 2012

Last Updated

June 19, 2012

Record last verified: 2011-01

Locations