Early Treatment With Dexamethasone in Mild Acute Pancreatitis

NCT ID: NCT01247961

Last Updated: 2016-12-12

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

WITHDRAWN

Clinical Phase

PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

2010-11-30

Study Completion Date

2011-06-30

Brief Summary

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This pilot trial will evaluate the following in patients with acute pancreatitis:

1. Safety profile of early treatment with intravenous dexamethasone
2. Impact of dexamethasone on systemic inflammation in patients with acute pancreatitis
3. Provide preliminary data on potential impact of early treatment with steroids on clinical outcomes

Detailed Description

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Conditions

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Patients With Acute Pancreatitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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10 mg intravenous dexamethasone

Subjects randomized to intervention arm will receive single dose of 10 mg intravenous dexamethasone.

Group Type EXPERIMENTAL

Dexamethasone acetate

Intervention Type DRUG

10 mg intravenous given as single administration with optional repeat dose after 36 hours.

Placebo

Equal volume of normal saline administered as a single intravenous dose at enrollment.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Normal saline

Interventions

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Dexamethasone acetate

10 mg intravenous given as single administration with optional repeat dose after 36 hours.

Intervention Type DRUG

Placebo

Normal saline

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age\>=18 years
* Diagnosis of acute pancreatitis confirmed by at least 2 of the following:

1. Typical epigastric abdominal pain
2. Elevation amylase/lipase \>3 times upper limit normal and/or
3. Confirmatory findings on cross-sectional imaging
* Enrollment within 8 hours of presentation

Exclusion Criteria

* Class II or greater NYHA heart failure
* Oxygen dependent COPD
* Chronic kidney disease\>stage 2
* Cirrhosis
* Existing necrosis on abdominal CT
* Organ dysfunction prior to enrollment
* Sepsis
* Acute respiratory distress syndrome
* Malignancy not in remission for at least 5 years
* Active drug use
* Known allergy to dexamethasone
* Altered mental status
* Insulin-requiring diabetes
* Abdominal surgery within 60 days
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Brigham and Women's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Bechien Wu, MD, MPH

Physician, Center for Pancreatic Disease

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Bechien U Wu, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

Center for Pancreatic Disease, Brigham and Women's Hospital

Locations

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Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

Countries

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United States

Other Identifiers

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2010P-002192

Identifier Type: -

Identifier Source: org_study_id