A Study of Serial Magnetic Resonance Cholangiopancreatography (MRCP) Following Morphine-neostigmine and Secretin Provocation in Healthy Volunteers
NCT01134848 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 10
Last updated 2010-06-02
Summary
The sphincter of Oddi is a circular band of muscle which controls the flow of pancreatic juices and bile into the small intestine. Abnormal function of the Sphincter of Oddi, known as Sphincter of Oddi dysfunction (SOD), can lead to recurrent episodes of abdominal pain. Making a diagnosis of SOD is difficult and is currently achieved using an invasive pressure test. This pressure test is associated with some adverse effects including inflammation of the pancreas gland. We are investigating an alternative test in which medication is given to provoke spasm of the sphincter. Following provocation, blood can be sampled to detect changes in blood composition and changes in sphincter anatomy can be evaluated using specialized imaging techniques.
Our aim is to study and compare the effects of two provocation medications (morphine-prostigmine and secretin) on biliary and pancreatic ductal anatomy, using dynamic serial MRCP in healthy volunteers.
Our hypothesis is that morphine-neostigmine provocation results in greater changes in biliary and pancreatic ductal anatomy when assessed using dynamic serial MRCP.
Conditions
- Sphincter of Oddi Dysfunction
Interventions
- DRUG
-
Morphine
10mg IM
- DRUG
-
Neostigmine
1mg IM
- DRUG
-
0.9% saline
0.1 ml/kg
- DRUG
-
Secretin
1 unit/kg IV
- DRUG
-
0.9% saline
1ml IM
Sponsors & Collaborators
-
University of Nottingham
lead OTHER
Principal Investigators
-
Dileep Lobo, MBBS DM FRCS · University of Nottingham
-
Abeed Chowdhury, MB ChB BSc MRCS · University of Nottingham
Study Design
- Allocation
- RANDOMIZED
- Purpose
- DIAGNOSTIC
- Masking
- TRIPLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2009-01-31
- Primary Completion
- 2010-02-28
- Completion
- 2010-02-28
Countries
- United Kingdom
Study Locations
Related Clinical Trials
-
Randomized Controlled Study for Analyzing Clinical Benefit of Pain Focused Sedation With Combination of Fentanyl and Propofol During Endoscopic Retrograde Cholangiopancreatography (ERCP)
NCT01840371 · Status: COMPLETED · Phase: NA
- Endoscopic Retrograde Cholangiopancreatography
-
Ketofol Versus Propofol in Urgent ERCP for Acute Cholangitis
NCT04997967 · Status: UNKNOWN · Phase: PHASE4
- Conscious Sedation Failure During Procedure
-
Evaluating the Safety and Efficacy of Ondansetron in the Prevention of Post Endoscopic Retrograde Cholangiopancreatography Pancreatitis
NCT06861010 · Status: RECRUITING · Phase: PHASE3
- Pancreatic Diseases
-
Aggressive Intravenous Hydration With or Without Indometacin to Prevent Pancreatitis After Pancreatic Extracorporeal Shock Wave Lithotripsy
NCT07202559 · Status: NOT_YET_RECRUITING · Phase: NA
- Pancreatitis, Chronic
- Pancreatitis, Acute
- Pancreatic Duct Stones
-
Aggressive Hydration With Lactated Ringer's Solution Versus Plasma Solution for the Prevention of Post ERCP Pancreatitis
NCT05832047 · Status: COMPLETED · Phase: PHASE4
- Pancreatic Disease
More Related Trials
-
Outcome of Carbon Dioxide Versus Air Insufflations During Endoscopic Retrograde Cholangiopancreatography (ERCP)
NCT01321203 ·Status: COMPLETED
-
Trial of Aggressive Hydration Versus Rectal Indomethacin for Prevention of Post-ERCP Pancreatitis
NCT03629600 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Evaluation of Safety & Efficacy of Synbiotic on the Incidence and Recurrence of Spontaneous Bacterial Peritonitis (SBP) in Cirrhotics
NCT00947336 ·Status: COMPLETED ·Phase: PHASE3
-
Ketamine- Propofol Versus Pethidine- Propofol in ERCP
NCT02651792 ·Status: COMPLETED ·Phase: PHASE2
-
IV Fluids and Post-ERCP Pancreatitis
NCT05211206 ·Status: RECRUITING
-
Microaspiration in ERCP
NCT04831489 ·Status: UNKNOWN
-
Electronic Neurocognitive Tools in Screening for Mental Capability in Patients Undergoing Liver Surgery
NCT03678441 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Gabapentin to Improve Patient Tolerance in Endoscopic Retrograde Cholangiopancreatography (ERCP)
NCT01143766 ·Status: COMPLETED ·Phase: NA
-
Point of Care Ultrasound for Diagnosis of Abdominal Free Air
NCT03719872 ·Status: COMPLETED
-
Temporary Application of Abdominal Jackson-Pratt Drain to Reduce Pain After Laparoscopic Surgery in Gynecology
NCT03440086 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Sedation for Endoscopic Procedures
NCT05038917 ·Status: UNKNOWN
-
Efficacy and Safety Profiles of Combination Sedation Propofol With Midazolam and Meperidine.
NCT01709422 ·Status: COMPLETED ·Phase: PHASE4
-
Cold Water Irrigation Therapy as an Adjunct to Indomethacin for Post-Endoscopic Retrograde Cholangiopancreatography(ERCP) Pancreatitis
NCT07330284 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Single Port Insufflation RCT
NCT06990750 ·Status: COMPLETED ·Phase: NA
-
Enhanced Recovery After Cardiac Surgery
NCT03859102 ·Status: UNKNOWN ·Phase: NA
-
Evaluation of Ketamine as Sedative Agent in Endoscopic Retrograde Cholangiopancreatography (ERCP)
NCT04490031 ·Status: RECRUITING ·Phase: PHASE4
-
Comparison of Different Ratio of Ketofol (6:1 vs. 4:1) for Sedation in Endoscopic Retrograde Cholangiopancreatography (ERCP)
NCT04029831 ·Status: COMPLETED ·Phase: NA
-
Patient Positioning and Airway Management During ERCP
NCT02850887 ·Status: COMPLETED ·Phase: NA
-
Pharmacological Prophylaxis of Post- Endoscopic Retrograde Cholangiopancreatography (ERCP) Pancreatitis
NCT03708458 ·Status: UNKNOWN ·Phase: PHASE4
-
Evaluation of the Incidence of Myocardial Damage Following Upper and Lower Gastrointestinal Endoscopy in High-risk Patients
NCT07179549 ·Status: NOT_YET_RECRUITING
-
Does Capnography Prevent Hypoxemia During Endoscopic Retrograde Cholangiopancreatography and Endoscopic Ultrasound?
NCT00675415 ·Status: COMPLETED ·Phase: NA
-
Box Breathing for Anxiety, Pain and Nausea in ERCP Patients
NCT07328477 ·Status: RECRUITING ·Phase: NA
-
Cocktail Sedation Containing Propofol Versus Conventional Sedation for Endoscopic Retrograde Cholangiopancreatography (ERCP)
NCT01540084 ·Status: COMPLETED ·Phase: PHASE4
-
Ketamine-midazolam as a Sedative Agent in Endoscopic Retrograde Cholangiopancreatography.
NCT06111872 ·Status: COMPLETED ·Phase: PHASE2
-
Dexmedetomidine Versus Placebo in Endoscopic Retrograde Cholangiopancreatography (ERCP) Sedation
NCT01070680 ·Status: COMPLETED ·Phase: PHASE4