Pentoxifylline Treatment in Acute Pancreatitis (AP)

NCT ID: NCT02487225

Last Updated: 2019-01-23

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

83 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-05-31

Study Completion Date

2017-10-31

Brief Summary

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The purpose of this study was to determine the effects (good and bad) of giving a drug called pentoxifylline to patients with acute pancreatitis.

Detailed Description

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Participants were randomized to either the treatment group (Pentoxifylline medication) or the control group (Placebo).

Participant took a pill orally, starting from the time of admission. Participants received a total of 9 doses over the three days of hospitalization (72 hours).

Research blood draws were done at baseline and on 5 successive days or until the time of discharge, whichever occured earlier. The study gathered clinical follow up information up to 4 months following hospitalization regarding the diagnosis of acute pancreatitis.

Conditions

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Acute Pancreatitis (AP) Gallstone Pancreatitis Alcoholic Pancreatitis Trauma Acute Pancreatitis Hypertriglyceridemia Acute Pancreatitis Idiopathic (Unknown) Acute Pancreatitis Medication Induced Acute Pancreatitis Cancer Acute Pancreatitis Miscellaneous (i.e. Acute on Chronic 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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Pentoxifylline

Pentoxifylline, 400 mg, 3 times daily by mouth from time of enrollment until 72 hours from enrollment. Subjects to receive up to a maximum of 9 doses.

Group Type EXPERIMENTAL

Pentoxifylline

Intervention Type DRUG

Pentoxifylline is a competitive nonselective phosphodiesterase inhibitor which raises intracellular cyclic adenosine monophosphate (cAMP), activates protein kinase A (PKA), inhibits Tumor Necrosis Factor (TNF) and leukotriene synthesis, and reduces inflammation and innate immunity. In addition, pentoxifylline improves red blood cell deformability (known as a haemorrheologic effect), reduces blood viscosity and decreases the potential for platelet aggregation and thrombus formation.Pentoxifylline is also an antagonist at adenosine 2 receptors

Placebo

Placebo 3 times daily by mouth from time of enrollment until 72 hours from enrollment. Subjects to receive up to a maximum of 9 doses.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

A harmless pill that has no therapeutic effect, used as a control in testing of investigational drug

Interventions

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Pentoxifylline

Pentoxifylline is a competitive nonselective phosphodiesterase inhibitor which raises intracellular cyclic adenosine monophosphate (cAMP), activates protein kinase A (PKA), inhibits Tumor Necrosis Factor (TNF) and leukotriene synthesis, and reduces inflammation and innate immunity. In addition, pentoxifylline improves red blood cell deformability (known as a haemorrheologic effect), reduces blood viscosity and decreases the potential for platelet aggregation and thrombus formation.Pentoxifylline is also an antagonist at adenosine 2 receptors

Intervention Type DRUG

Placebo

A harmless pill that has no therapeutic effect, used as a control in testing of investigational drug

Intervention Type DRUG

Other Intervention Names

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Trental Pentox Pentoxil Flexital

Eligibility Criteria

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Inclusion Criteria

* Enrollment within 72 hours of diagnosis of acute pancreatitis (AP)
* Ability to give informed consent or a Legal Adult Representative (LAR) able to give informed consent for subject when needed as defined buy LAR use guidelines.
* Adult subjects of age ≥18 years.

Exclusion Criteria

* Moderate or severe congestive heart failure
* History of seizure disorders or demyelinating disease
* Nursing mothers
* Pregnancy
* History of prior tuberculosis or risk factors for tuberculosis
* Evidence of non- corticosteroid immunosuppression (such as malignancy, chronic renal failure, chemotherapy within 60 days, and HIV)
* Evidence of active hemorrhage
* Paralytic ileus with severe nausea and vomiting
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

NIH

Sponsor Role collaborator

Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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Santhi Swaroop Vege, M.D.

PI

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Santhi Swaroop Vege, MD

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Locations

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Mayo Clinic in Rochester

Rochester, Minnesota, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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1R21DK101889-01A1

Identifier Type: NIH

Identifier Source: secondary_id

View Link

15-001710

Identifier Type: -

Identifier Source: org_study_id

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