Impact of Prophylactic Octreotide to Pancreatic Exocrine Secretion
1 other identifier
interventional
282
1 country
1
Brief Summary
This study aims to examine whether octreotide has an effect on inhibition of the exocrine secretion fo the pancreas, which might lower the rate of postoperative pancreatic fistula after pancreatoduodenectomy. Patients who will undergo pancreatoduodenectomy for periampullary tumors were enrolled. The patients were randomly assigned to intervention (use of octreotide) or placebo groups. Octreotide was injected subcutaneously every 8 hours for 7 days. Every patients will undergo pancreaticojejunostomy with external stent for remnant pancreas management. The pancreatic juice is drained through the external stent by negative pressure and amounted. Primary endpoint was the amount of pancreatic juice for each postoperative day. Secondary endpoint was the rate of pancreatic fistula.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jan 2014
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2014
CompletedFirst Submitted
Initial submission to the registry
September 28, 2016
CompletedFirst Posted
Study publicly available on registry
September 30, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2018
CompletedSeptember 30, 2016
September 1, 2016
4.4 years
September 28, 2016
September 28, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Amount of pancreatic secretion
1 day
Secondary Outcomes (1)
Rate of pancreatic fistula
1 day
Study Arms (2)
octreotide
EXPERIMENTALAfter pancreatoduodenectomy, octreotide was injected to patients every 8 hours subcutaneously for 7 days
Placebo
PLACEBO COMPARATORAfter pancreatoduodenectomy, normal saline was injected to patients every 8 hours subcutaneously for 7 days
Interventions
After pancreatoduodenectomy, octreotide was injected to patients every 8 hours subcutaneously for 7 days
After pancreatoduodenectomy, normal saline was injected to patients every 8 hours subcutaneously for 7 days
Eligibility Criteria
You may qualify if:
- Patients who will undergo pancreatoduodenectomy for periampullary tumors
You may not qualify if:
- Patients with preoperative pancreatitis
- Patients who did not undergo pancreatoduodenectomy
- Patients who underwent bypass surgery or total pancreatectomy
- Patients who injection of octreotide less than 5 days
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
the Catholic University of Korea St. Vincent's Hospital
Suwon, 16247, South Korea
Related Publications (3)
Bauer W, Briner U, Doepfner W, Haller R, Huguenin R, Marbach P, Petcher TJ, Pless. SMS 201-995: a very potent and selective octapeptide analogue of somatostatin with prolonged action. Life Sci. 1982 Sep 13;31(11):1133-40. doi: 10.1016/0024-3205(82)90087-x.
PMID: 6128648BACKGROUNDBuchler M, Friess H, Klempa I, Hermanek P, Sulkowski U, Becker H, Schafmayer A, Baca I, Lorenz D, Meister R, et al. Role of octreotide in the prevention of postoperative complications following pancreatic resection. Am J Surg. 1992 Jan;163(1):125-30; discussion 130-1. doi: 10.1016/0002-9610(92)90264-r.
PMID: 1733360BACKGROUNDDi Carlo V, Chiesa R, Pontiroli AE, Carlucci M, Staudacher C, Zerbi A, Cristallo M, Braga M, Pozza G. Pancreatoduodenectomy with occlusion of the residual stump by Neoprene injection. World J Surg. 1989 Jan-Feb;13(1):105-10; discussion 110-1. doi: 10.1007/BF01671167.
PMID: 2543144BACKGROUND
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Dong Do You, MD, PhD
The Catholic University of Korea
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associated Professor
Study Record Dates
First Submitted
September 28, 2016
First Posted
September 30, 2016
Study Start
January 1, 2014
Primary Completion
June 1, 2018
Study Completion
July 1, 2018
Last Updated
September 30, 2016
Record last verified: 2016-09