Short-term Intravenous Fluids for Prevention of Post-ERCP Pancreatitis (STRIPE)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Contact
Study Contact
- Name: Nauzer Forbes, MD, MSc
- Phone Number: 403-880-8508
- Email: nauzer.forbes@ucalgary.ca
Study Locations
-
-
Alberta
-
Calgary, Alberta, Canada, T1Y 6J4
- Recruiting
- Peter Lougheed Centre
-
Contact:
- Nauzer Forbes, MD
- Phone Number: 403-880-8508
- Email: nauzer.forbes@ucalgary.ca
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- age 18-75 years (due to higher likelihood of undiagnosed cardiac disease or renal insufficiency in patients >75 years of age)
- ability to give informed consent
- native major papillary anatomy
- ability and willingness to obtain bloodwork the day after ERCP
Exclusion Criteria:
- prior ERCP with sphincterotomy and/or sphincteroplasty
- confirmed or suspected cholangitis or sepsis
- confirmed pancreatitis, hyperlipasemia, or hyperamylasemia within the preceding 7 days
- NYHA Class II or greater heart failure
- active pulmonary edema
- myocardial infarction or ischemia within the preceding 3 months
- renal insufficiency with CrCl < 40 mL/minute
- CPT Class B or C cirrhosis and/or end-stage liver disease
- room air oxygen saturation <90% or requirement of home O2
- hypernatremia with Na+ ≥ 150 mEq/L or Na+ <130 mEq/L
- uncontrolled hypertension or hypotension
- pregnant status
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Ringer's lactate 2500 cc IV
|
Intravenous Ringer's lactate
|
|
Experimental: Ringer's lactate 2000 cc IV
|
Intravenous Ringer's lactate
|
|
Experimental: Ringer's lactate 1500 cc IV
|
Intravenous Ringer's lactate
|
|
Experimental: Ringer's lactate 1000 cc IV
|
Intravenous Ringer's lactate
|
|
Active Comparator: Ringer's lactate 500 cc IV
|
Intravenous Ringer's lactate
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Serum amylase
Time Frame: 24 hours
|
24 hours
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Pancreatitis
Time Frame: 7 days
|
Abdominal pain characteristic of pancreatitis occurring after ERCP resulting in admission of (or prolongation of admission by) at least 2 nights, with one or more of: (1) amylase and/or lipase > 3 times the upper limit of normal when measured at least the day after ERCP and/or (2) imaging findings characteristic of pancreatitis.
|
7 days
|
|
Bleeding
Time Frame: 30 days
|
Hematemesis, melena, or hematochezia (other than blood on toilet paper) resulting in one or more of the following: (1) hemoglobin drop > 2g and/or a need for transfusion, (2) a procedure performed for evaluation of suspected bleeding, and/or (3) emergency department visit and/or admission to hospital and/or prolongation of existing admission by at least one night.
|
30 days
|
|
Cholangitis
Time Frame: 14 days
|
Presentation that includes all of the following: (1) temperature < 36.0°C or > 38.0°C or white blood cell count < 4,000/L or > 10,000/L and (2) increase in bilirubin, alkaline phosphatase, or transaminases compared to pre-procedure, or, if previously normal, a rise in any parameter to > 1.5 times the upper limit of normal, and (3) emergency department visit and/or admission to hospital and/or prolongation of existing admission by at least one night.
|
14 days
|
|
Cardiorespiratory adverse event
Time Frame: 7 days
|
Cardiorespiratory signs and/or symptoms related to a non-gastrointestinal organ system, or sedation- or drug-related reaction occurring during or after ERCP.
The event must (1) result in an unplanned emergency department visit, hospital admission, or prolongation of existing admission by at least one night and/or (2) prevent completion of the planned procedure and/or (3) result in death.
|
7 days
|
|
Serum lipase
Time Frame: 24 hours
|
24 hours
|
|
|
Electrolytes
Time Frame: 24 hours
|
24 hours
|
|
|
Creatinine
Time Frame: 24 hours
|
24 hours
|
|
|
Brain natriuretic peptide
Time Frame: 24 hours
|
24 hours
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- REB23-0625
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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