Role of Octreotide in Preventing Pancreatic Fistula After Pancreaticoduodenectomy (PD) in Patients With Soft Pancreas

NCT ID: NCT01301222

Last Updated: 2015-02-24

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

PHASE4

Total Enrollment

110 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-09-30

Study Completion Date

2015-02-28

Brief Summary

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This randomized controlled trial (RCT) aims at assessing the influence of octreotide on pancreatic fistula or complications following pancreatoduodenectomy in patients with soft pancreas. Previously reported trials have included all types of pancreatic resections and have include all types of pancreas and have shown no clearcut benefit of octreotide after pancreaticoduodenectomy (PD). Soft pancreas and normal sized duct are the risk factors for fistula following PD. This study's focus is on this select group of patients and aims to assess the role of octreotide in patients with soft pancreas.

Detailed Description

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Study design: Prospective open labeled randomized trial. AIM: Study aims at assessing the influence of octreotide on pancreatic fistula or complications following pancreatoduodenectomy in patients with soft pancreas.

Conditions

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Pancreatic Fistula

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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octreotide

octreotide arm 100mcg for 5 days. control has no octreotide

Group Type EXPERIMENTAL

Inj. Octreotide

Intervention Type DRUG

100 mcg subcutaneously for 5 days

Interventions

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Inj. Octreotide

100 mcg subcutaneously for 5 days

Intervention Type DRUG

Other Intervention Names

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Inj Octride

Eligibility Criteria

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Inclusion Criteria

* soft pancreas, no dilated duct

Exclusion Criteria

* age \> 75 years old
* documented chronic pancreatitis
* previous pancreatic surgery
* previous gastric surgery vagotomy
* documented pancreatic duct dilatation
Minimum Eligible Age

25 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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PVS Memorial Hospital

OTHER

Sponsor Role lead

Responsible Party

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Dr Prakash K

Chief GI Surgeon

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Prakash Kurumboor, MS,MCh

Role: PRINCIPAL_INVESTIGATOR

GI Surgeon,PVS Memorial Hospital,Kochi, Kerala,India

Locations

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PVS Memorial Hospital

Kochi, Kerala, India

Site Status

Countries

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India

References

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Vanounou T, Pratt WB, Callery MP, Vollmer CM Jr. Selective administration of prophylactic octreotide during pancreaticoduodenectomy: a clinical and cost-benefit analysis in low- and high-risk glands. J Am Coll Surg. 2007 Oct;205(4):546-57. doi: 10.1016/j.jamcollsurg.2007.05.011. Epub 2007 Aug 23.

Reference Type BACKGROUND
PMID: 17903728 (View on PubMed)

Yeo CJ, Cameron JL, Lillemoe KD, Sauter PK, Coleman J, Sohn TA, Campbell KA, Choti MA. Does prophylactic octreotide decrease the rates of pancreatic fistula and other complications after pancreaticoduodenectomy? Results of a prospective randomized placebo-controlled trial. Ann Surg. 2000 Sep;232(3):419-29. doi: 10.1097/00000658-200009000-00014.

Reference Type BACKGROUND
PMID: 10973392 (View on PubMed)

Suc B, Msika S, Piccinini M, Fourtanier G, Hay JM, Flamant Y, Fingerhut A, Fagniez PL, Chipponi J; French Associations for Surgical Research. Octreotide in the prevention of intra-abdominal complications following elective pancreatic resection: a prospective, multicenter randomized controlled trial. Arch Surg. 2004 Mar;139(3):288-94; discussion 295. doi: 10.1001/archsurg.139.3.288.

Reference Type BACKGROUND
PMID: 15006886 (View on PubMed)

Kurumboor P, Palaniswami KN, Pramil K, George D, Ponnambathayil S, Varma D, Aikot S. Octreotide Does Not Prevent Pancreatic Fistula Following Pancreatoduodenectomy in Patients with Soft Pancreas and Non-dilated Duct: A Prospective Randomized Controlled Trial. J Gastrointest Surg. 2015 Nov;19(11):2038-44. doi: 10.1007/s11605-015-2925-x. Epub 2015 Aug 25.

Reference Type DERIVED
PMID: 26302879 (View on PubMed)

Other Identifiers

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PVSMHEC

Identifier Type: -

Identifier Source: org_study_id

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