Determinants of Depression and Its Impact on Quality of Life in Patients With Chronic Pancreatitis

NCT ID: NCT04867304

Last Updated: 2021-04-30

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

Total Enrollment

625 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-02-01

Study Completion Date

2020-01-31

Brief Summary

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Chronic pancreatitis (CP) is associated with recurrent intractable abdominal pain, pancreatic exocrine insufficiency and endocrine dysfunction. Very few studies had evaluated the quality of life in CP, and even a fewer have assessed the mental status in these patients.

In the current study, we proposed to evaluate the the relationship between pain, quality of life and depression status in two large independent cohorts of patients with CP. We also proposed to evaluate the brain metabolites in the right and left anterior cingulate cortex, basal ganglia, hippocampus and prefrontal cortex using magnetic resonance spectroscopy. We further proposed to evaluate the pasta metabolites and look for associations with the mental state. Finally, we proposed to evaluate how CP related education of the patients could impact on their mental status and response to interventions on pain.

Detailed Description

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Conditions

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Chronic Pancreatitis Depression Quality of Life Chronic Pain

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Healthy controls

Individuals without any known illnesses and normal labs./USG w/a. This group was used to compare baseline depression, magnetic resonance spectroscopy and plasma metabolites.

No interventions assigned to this group

Chronic pancreatitis without depression

This group contains patients with CP who does not have depression based on the Beck Depression inventory.

Patient education about chronic pancreatitis.

Intervention Type OTHER

Patients in the second cohort were educated about their disease phenotype in a structured and personalised manner that included their disease course, symptoms, imaging, treatment option and possible long-term outcomes and prognosis. This was followed by answering all the queries of the patient and their caregivers.

The patients were advised to visit the Pancreas clinic after 3-months for re-evaluation of the clinical, psychological and metabolic parameters.

Chronic pancreatitis with depression

This group contains patients with CP who has depression based on the Beck Depression inventory.

Patient education about chronic pancreatitis.

Intervention Type OTHER

Patients in the second cohort were educated about their disease phenotype in a structured and personalised manner that included their disease course, symptoms, imaging, treatment option and possible long-term outcomes and prognosis. This was followed by answering all the queries of the patient and their caregivers.

The patients were advised to visit the Pancreas clinic after 3-months for re-evaluation of the clinical, psychological and metabolic parameters.

Interventions

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Patient education about chronic pancreatitis.

Patients in the second cohort were educated about their disease phenotype in a structured and personalised manner that included their disease course, symptoms, imaging, treatment option and possible long-term outcomes and prognosis. This was followed by answering all the queries of the patient and their caregivers.

The patients were advised to visit the Pancreas clinic after 3-months for re-evaluation of the clinical, psychological and metabolic parameters.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age 18-60yrs
* Both genders
* Documented CP for at least 3 years
* Capable and willing to provide informed consent

Exclusion Criteria

* Acute exacerbation of pancreatitis
* Pancreatic malignancy
* On anti-depressant and antipsychotic medications
* Concomitant psychiatric illness (other than depression)
* Pancreatic malignancy
* Major co-morbidities
* Pregnancy and lactation
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Asian Institute of Gastroenterology, India

OTHER

Sponsor Role lead

Responsible Party

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Rupjyoti Talukdar

Director, Pancreas Clinic; Head, Pancreas Research Group

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Asian Institute of Gastroenterology

Hyderabad, Andhra Pradesh, India

Site Status

Countries

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India

Other Identifiers

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AIG-DEPCP-01

Identifier Type: -

Identifier Source: org_study_id