Efficacy and Safety of Lanreotide Versus Placebo for Treatment of Patients With Digestive Fistulae

NCT ID: NCT00729313

Last Updated: 2019-03-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

111 participants

Study Classification

INTERVENTIONAL

Study Start Date

2000-04-30

Study Completion Date

2005-04-30

Brief Summary

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The purpose of the protocol, is to determine whether lanreotide 30 mg is effective in the treatment of patients with digestive fistulae.

Detailed Description

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The purpose of this study is to determine whether lanreotide 30mg compared to placebo is effective on the evolution of drainage volume of digestive fistulae in the 72 hours following the beginning of treatment and on the spontaneous closure time of digestive fistulae.

Conditions

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Digestive Fistulae

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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1

Drug: Lanreotide 30 mg microparticle formulation

One intra-muscular injection.

A (maximum) 60 day "treatment" period (6 intra-muscular injections of lanreotide 30 mg microparticle formulation every 10 days): according to the patient's treatment response at 72h

For non-responders patients lanreotide will be stopped.

Group Type EXPERIMENTAL

Lanreotide microparticles

Intervention Type DRUG

2

One intra-muscular injection.

A (maximum) 60 day "treatment" period (6 intra-muscular injections of placebo every 10 days): according to the patient's treatment response at 72h.

Non-responder patients having received placebo on the first injection should receive an open-labelled lanreotide treatment.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Interventions

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Lanreotide microparticles

Intervention Type DRUG

Placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patient with pancreatic, duodenal, or small intestine fistula
* Patient with simple, externalised fistula
* Patient with fistula for which a medical conservative treatment is considered
* Patient with:
* for pancreatic fistulae: a mean drainage volume more than or equal to 100 ml/24h over 48 hours or more than or equal to 50 ml / 24h over 3 days and a concentration of amylase in the drainage fluid 3 times higher than in the serum over at least 2 or 3 consecutive days respectively,
* for duodenal and small intestine fistulae: a mean drainage volume more than or equal to 100ml/24h over 2 days

Exclusion Criteria

* Patient expected to require a surgical treatment of the fistula during the study
* Patient having uncontrolled intra-abdominal sepsis; Crohn's disease; radiotherapy lesions of the small bowel; a mesenteric vascular insufficiency; a fistula localised in cancer-infiltrated areas; a distal obstruction; an exposed fistula of the small intestine; or intra-abdominal foreign bodies.
* Patient receiving long-term corticotherapy
* Patient having received any somatostatin analogue as curative treatment of the fistula or any PRF somatostatin analogue within the previous month.
* Patient having previously undergone a transplant
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ipsen

INDUSTRY

Sponsor Role lead

Responsible Party

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Ipsen

Principal Investigators

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Ipsen Medical Director

Role: STUDY_DIRECTOR

Ipsen

Locations

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Hôpital Nord

Amiens, , France

Site Status

CHU J. Minjoz

Besançon, , France

Site Status

Hôpital Avicenne

Bobigny, , France

Site Status

Hôpital de la Cavale Blanche

Brest, , France

Site Status

Hôpital Louis Mourier

Colombes, , France

Site Status

Hôpital Henri Mondor

Créteil, , France

Site Status

Hôpital A. Michallon

Grenoble, , France

Site Status

CHU de Bicêtre

Le Kremlin-Bicêtre, , France

Site Status

Hôpital Edouard Herriot

Lyon, , France

Site Status

Hotel Dieu

Lyon, , France

Site Status

Hôpital Nord

Marseille, , France

Site Status

Hôpital Lariboisière

Paris, , France

Site Status

Groupe Hospitalier Pitié-Salpêtrière

Paris, , France

Site Status

Hôpital Pontchaillou

Rennes, , France

Site Status

Hôpital de Hautepierre

Strasbourg, , France

Site Status

Hôpital Trousseau

Tours, , France

Site Status

Hôpital de Brabois

Vandœuvre-lès-Nancy, , France

Site Status

Institute of Surgery n.a. A.V. Vishnevsky

Moscow, , Russia

Site Status

National Research Centre of Surgery

Moscow, , Russia

Site Status

Countries

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France Russia

References

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Gayral F, Campion JP, Regimbeau JM, Blumberg J, Maisonobe P, Topart P, Wind P; Lanreotide Digestive Fistula. Randomized, placebo-controlled, double-blind study of the efficacy of lanreotide 30 mg PR in the treatment of pancreatic and enterocutaneous fistulae. Ann Surg. 2009 Dec;250(6):872-7. doi: 10.1097/sla.0b013e3181b2489f.

Reference Type RESULT
PMID: 19953707 (View on PubMed)

Other Identifiers

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E-54-52030-053

Identifier Type: -

Identifier Source: org_study_id

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