Drotaverine Hydrochloride Versus Hyoscine-N-butylbromide for Duodenal Antimotility During Endoscopic Retrograde Cholangiopancreatography (ERCP)

NCT ID: NCT00731198

Last Updated: 2010-09-08

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

650 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-08-31

Study Completion Date

2009-07-31

Brief Summary

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The aim of the present study was to evaluate the use of drotaverine hydrochloride versus hyoscine-N-butylbromide in reducing duodenal motility during diagnostic and therapeutic ERCP.

Detailed Description

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ERCP is an important endoscopic technique in the diagnosis and treatment of pancreatic and biliary diseases. Duodenal peristalsis can make cannulation of the papilla and the necessary therapeutic procedures difficult. Intravenous hyoscine-N-butylbromide is often used during ERCP to inhibit duodenal motility and enhance cannulation in China. However, the pharmaceutical agent is occasionally associated with serious complications such as cardiovascular events or anaphylactic shock. Hyoscine-N-butylbromide may also affect the ocular, urinary, and salivary systems.

Drotaverine hydrochloride is an analogue of papaverine with smooth muscle relaxant properties. It is a non-anticholinergic antispasmodic, which selectively inhibits phosphodiesterase IV and is accompanied by a mild calcium channel-blocking effect. Adverse effects with drotaverine hydrochloride, such as hypotension, vertigo, nausea, and palpitation, are mostly mild. It can be supposed that intravenous drotaverine hydrochloride might be a feasible antimotility alternative to intravenous hyoscine-N-butylbromide in ERCP. But there is no clear evidence to recommend the use of drotaverine hydrochloride as an antispasmodic during ERCP.

The aim of the present study was to evaluate the use of drotaverine hydrochloride versus hyoscine-N-butylbromide in reducing duodenal motility during diagnostic and therapeutic ERCP. The effects of drotaverine hydrochloride on facilitative cannulation and its adverse effects were also compared to hyoscine-N-butylbromide.

Conditions

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ERCP Pancreatic Diseases Bile Duct Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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1

Drotaverine hydrochloride

Group Type EXPERIMENTAL

Drotaverine hydrochloride

Intervention Type DRUG

Drotaverine hydrochloride 40mg was administered intravenously 15 minutes before ERCP

2

Hyoscine-N-butylbromide

Group Type ACTIVE_COMPARATOR

Hyoscine-N-butylbromide

Intervention Type DRUG

Hyoscine-N-butylbromide 20mg was administered intravenously 15 minutes before ERCP.

Interventions

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Drotaverine hydrochloride

Drotaverine hydrochloride 40mg was administered intravenously 15 minutes before ERCP

Intervention Type DRUG

Hyoscine-N-butylbromide

Hyoscine-N-butylbromide 20mg was administered intravenously 15 minutes before ERCP.

Intervention Type DRUG

Other Intervention Names

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No-spa Scopolamine Butylbromide

Eligibility Criteria

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Inclusion Criteria

* All patients undergoing ERCP above the age of 18 years

Exclusion Criteria

* Patient with Billroth II gastrectomy
* Known previous sphincterotomy
* Active acute pancreatitis before ERCP
* Ongoing acute cholangitis before ERCP
* Hypotension (systolic blood pressure \< 100 mmHg)
* Second-degree and third-degree atrioventricular block
* Heart failure
* Glaucoma
* Obstructive uropathy
* Impaired renal function (serum creatinine \> 133μmol/L)
* Pregnant or breastfeeding women
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Changhai Hospital

OTHER

Sponsor Role lead

Responsible Party

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Changhai Hospital, Second Military Medical University

Principal Investigators

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Zhaoshen Li, MD

Role: PRINCIPAL_INVESTIGATOR

Changhai Hospital

Locations

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Fujian Provincial Hospital

Fuzhou, , China

Site Status

The First People's Hospital of Hangzhou

Hangzhou, , China

Site Status

Heilongjiang Provincial Hospital

Harbin, , China

Site Status

Changhai Hospital, Second Military Medical University

Shanghai, , China

Site Status

Countries

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China

Other Identifiers

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Changhai-080615

Identifier Type: -

Identifier Source: org_study_id