- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02487225
Pentoxifylline Treatment in Acute Pancreatitis (AP) (AP)
Pentoxifylline Treatment in Acute Pancreatitis: A Double-Blind Placebo - Controlled Randomized Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
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.
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
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Minnesota
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Rochester, Minnesota, United States, 55905
- Mayo Clinic in Rochester
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
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
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: 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.
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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
Other Names:
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Placebo Comparator: 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.
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A harmless pill that has no therapeutic effect, used as a control in testing of investigational drug
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in C-reactive Protein (C-RP) From Admission Baseline at One Week.
Time Frame: Admission (baseline), day 5
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C-reactive protein is a substance produced by the liver in response to inflammation.
Normal C-RP levels are below 3.0 mg/L.Units: mg/L
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Admission (baseline), day 5
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Change in Tumor Necrosis Factor-alpha (TNF-a) Levels From Admission Baseline at One Week.
Time Frame: Admission (baseline), day 5
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Tumor Necrosis Factor Alpha is a cell signaling protein (cytokine) involved in systemic inflammation and is one of the cytokines that make up the acute phase reaction.
TNF is important to the body because it helps regulate the response of the immune system to a foreign object, especially to the present cancerous tumor.
It promotes inflammation, produces other cells used in the inflammatory response, and can help cells heal.
The normal range is 5 to 27.2 pg/ml.Units: pg/ml
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Admission (baseline), day 5
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Change in Interleukin-6 (IL-6) Levels From Admission Baseline at One Week.
Time Frame: Admission (baseline), day 5
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Interleukin-6 (IL-6) may be used to help evaluate a person who has a condition associated with inflammation, such as lupus or rheumatoid arthritis, or with infection, such as sepsis.
It may also be used in the evaluation of diabetes or cardiovascular disease.
IL-6 is a cytokine, a protein produced by immune cells that acts on other cells to help regulate and/or promote an immune response.
It also stimulates the production of acute phase reactants, proteins that increase in the blood with conditions that cause inflammation or tissue injury.
Circulating IL-6 can be found in the blood of normal individuals in the 1 pg/mL range, with slight elevations during the menstrual cycle, modest elevations in certain cancers (melanoma) (10 pg/mL), and large elevations after surgery (30-430 pg/mL).Units: pg/ml
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Admission (baseline), day 5
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Change in Interleukin-8 (IL-8) Levels From Admission Baseline at One Week.
Time Frame: Admission (baseline), day 5
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IL-8 is a chemotactic factor that attracts neutrophils, basophils, and T-cells, but not monocytes.
It is also involved in neutrophil activation.
It is released from several cell types in response to an inflammatory stimulus.
Units: pg/mL
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Admission (baseline), day 5
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Santhi Swaroop Vege, MD, Mayo Clinic
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Chemically-Induced Disorders
- Digestive System Diseases
- Metabolic Diseases
- Alcohol-Related Disorders
- Substance-Related Disorders
- Pathological Conditions, Anatomical
- Lipid Metabolism Disorders
- Gallbladder Diseases
- Biliary Tract Diseases
- Hyperlipidemias
- Dyslipidemias
- Pancreatic Diseases
- Calculi
- Cholelithiasis
- Cholecystolithiasis
- Alcohol-Induced Disorders
- Pancreatitis
- Hypertriglyceridemia
- Pancreatitis, Chronic
- Gallstones
- Pancreatitis, Alcoholic
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Vasodilator Agents
- Enzyme Inhibitors
- Platelet Aggregation Inhibitors
- Protective Agents
- Antioxidants
- Phosphodiesterase Inhibitors
- Free Radical Scavengers
- Radiation-Protective Agents
- Pentoxifylline
Other Study ID Numbers
- 15-001710
- 1R21DK101889-01A1 (U.S. NIH Grant/Contract)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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