Pancreatitis - Microbiome As Predictor of Severity

NCT ID: NCT04777812

Last Updated: 2024-04-30

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

NA

Total Enrollment

424 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-02-17

Study Completion Date

2024-02-23

Brief Summary

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This study is a multicentric prospective study initiated and coordinated from the University Medical Centre Goettingen. The study aims to evaluate the orointestinal microbiome as a potential biomarker for the course, severity and outcome of patients with acute pancreatitis.

Detailed Description

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This prospective translational study aims to evaluate the orointestinal microbiome as a potential biomarker for the course, severity and outcome of patients with acute pancreatitis. From each patient one buccal and rectal swab is collected within 72 h after hospital admission. Microbial composition will be determined by 16S and metagenomics Oxford Nanopore Sequencing (ONT) and correlated with the revised Atlanta classification as the primary endpoint. Secondary endpoints are the correlation of microbiome signatures with the length of hospital stay, numbers of interventions and mortality. To this end, alpha and beta diversity of microbiota are determined and compared between mild, moderately severe and severe acute pancreatitis.

Conditions

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Acute Pancreatitis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Interventions

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Rectal and buccal swabs

The oral and intestinal flora is collected from buccal and rectal swabs.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

Patients with acute pancreatitis (2 out of 3 following diagnostic criteria: lipase \>3x of upper limit, abdominal pain, and imaging modalities (computed tomography, magnetic resonance imaging or ultrasound).

\< 72 hours after hospital admission.

Exclusion Criteria

Pregnant women Patients \< 18 years; Patients who are incapable of giving consent
Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Department of Medicine II, University Hospital Rostock

UNKNOWN

Sponsor Role collaborator

Medical Department II, Division of Gastroenterology, University Hospital of Leipzig

UNKNOWN

Sponsor Role collaborator

Department of Medicine II, University Hospital, LMU Munich

UNKNOWN

Sponsor Role collaborator

Department of Medicine I, University Hospital of Halle

UNKNOWN

Sponsor Role collaborator

Department of Medicine A, University Medicine Greifswald

UNKNOWN

Sponsor Role collaborator

Department of Medicine II, University Hospital rechts der Isar, Technical University Munich

UNKNOWN

Sponsor Role collaborator

Department of Medical Bioinformatics, University Medical Center Göttingen

UNKNOWN

Sponsor Role collaborator

Department if Medical Statistics, University Medical Center Göttingen

UNKNOWN

Sponsor Role collaborator

University Medical Center Goettingen

OTHER

Sponsor Role lead

Responsible Party

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Albrecht Neesse

Prof. Dr. Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University Medical Centre Göttingen

Göttingen, , Germany

Site Status

Countries

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Germany

References

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Ammer-Herrmenau C, Pfisterer N, Weingarten MF, Neesse A. The microbiome in pancreatic diseases: Recent advances and future perspectives. United European Gastroenterol J. 2020 Oct;8(8):878-885. doi: 10.1177/2050640620944720. Epub 2020 Jul 23.

Reference Type BACKGROUND
PMID: 32703080 (View on PubMed)

Ammer-Herrmenau C, Antweiler KL, Asendorf T, Beyer G, Buchholz SM, Cameron S, Capurso G, Damm M, Dang L, Frost F, Gomes A, Hamm J, Henker R, Hoffmeister A, Meinhardt C, Nawacki L, Nunes V, Panyko A, Pardo C, Phillip V, Pukitis A, Rasch S, Riekstina D, Rinja E, Ruiz-Rebollo ML, Sirtl S, Weingarten M, Sandru V, Woitalla J, Ellenrieder V, Neesse A. Gut microbiota predicts severity and reveals novel metabolic signatures in acute pancreatitis. Gut. 2024 Feb 23;73(3):485-495. doi: 10.1136/gutjnl-2023-330987.

Reference Type BACKGROUND
PMID: 38129103 (View on PubMed)

Ammer-Herrmenau C, Asendorf T, Beyer G, Buchholz SM, Cameron S, Damm M, Frost F, Henker R, Jaster R, Phillip V, Placzek M, Ratei C, Sirtl S, van den Berg T, Weingarten MJ, Woitalla J, Mayerle J, Ellenrieder V, Neesse A. Study protocol P-MAPS: microbiome as predictor of severity in acute pancreatitis-a prospective multicentre translational study. BMC Gastroenterol. 2021 Jul 31;21(1):304. doi: 10.1186/s12876-021-01885-4.

Reference Type DERIVED
PMID: 34332533 (View on PubMed)

Other Identifiers

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P-MAPS_02794

Identifier Type: -

Identifier Source: org_study_id

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