- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04931069
Correlation Between Complications After Pancreaticoduodenectomy and Microbiota (COMPAMIC)
September 18, 2023 updated by: University Hospital, Toulouse
Correlation Between Complications After Pancreaticoduodenectomy and Biliary, Pancreatic, Blood, Oral, Intestinal and Fecal Microbiota
Pancreaticoduodenectomy is the most performed pancreatic surgery for malignant or premalignant tumors of the region of the head of the pancreas.
Its post-operative morbidity is very high, over 40%.
There is very little data on the impact of microbiota on complications after pancreatic surgery.
The purpose of this research is to study the correlation between the microbiota (fecal, blood, oral, biliary, pancreatic and intestinal microbiota) and the postoperative complications in patients who undergo pancreaticoduodenectomy.
Study Overview
Status
Active, not recruiting
Conditions
Intervention / Treatment
Detailed Description
After pancreaticoduodenectomy, the post-operative complications can be surgical (pancreatic fistula, gastroparesis) but also infectious, digestive (diarrhea) and lead to malnutrition.
They are responsible for prolonged post-operative hospitalizations, impaired quality of life of patients and induce a delay in the implementation of adjuvant chemotherapy, or even an impossibility to achieve it.
The absence of adjuvant chemotherapy adversely affects the prognosis of patients, by increasing the rate of recurrence and decreased survival.
There is therefore a real oncological benefit in finding solutions to reduce the number and severity of these complications.
A change in post-operative microbiota composition has been shown to play a role in the development of post-surgical anastomotic fistulas in colorectal cancer.
Despite their importance, there is very little data on the impact of microbiota on complications after pancreatic surgery.
We postulate that microbiota variations could have an impact on early and late post-operative complications after pancreaticoduodenectomy.
Any patient hospitalized at the Toulouse University Hospital with an indication of a pancreaticoduodenectomy will be offered to participate in this study.
Microbiota analysis will be carried out on different samples: blood, stool and saliva samples will be collected during the surgery, between J5 and J10 (post-operative during hospitalization) and at 3 and 6 months after the surgery.
Bile, pancreatic and intestinal mucosa samples will only be collected during the surgery.
Complications will be collected throughout this study.
This study will not create any additional constraints on patient management.
The follow-up period will be 6 months.
This follow-up period will be fixed for all patients included.
The microbiota analyses will be centrally determined during the study.
Study Type
Interventional
Enrollment (Actual)
40
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
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Toulouse, France, 31059
- CHU de Toulouse
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Patient hospitalized at the Toulouse University Hospital with an indication of a pancreaticoduodenectomy
- Patient aged over 18 years old
- Patient having given his written consent
- Patient with social insurance coverage
Exclusion Criteria:
- Patient for whom the pancreaticoduodenectomy was not realized (exploratory laparotomy or other surgery)
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Microbiota analysis
Mircobiota analysis on blood, stool and saliva and bile, pancreatic and intestinal mucosa samples
|
Microbiota analysis will be carried out on different samples: blood, stool and saliva samples will be collected during the surgery, between 5 and 10 days after surgery and at 3 and 6 months after the surgery.
Bile, pancreatic and intestinal mucosa samples will only be collected during the surgery.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Analysis of the microbiota
Time Frame: within 90 days after surgery
|
the analysis of the microbiota on the per-operative samples (fecal, blood, oral, biliary, pancreatic and intestinal) in patients undergoing pancreaticoduodenectomy according to the occurrence of early post-operative complications (≤ 90 days)
|
within 90 days after surgery
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Charlotte MAULAT, MD, University Hospital, Toulouse
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
August 6, 2021
Primary Completion (Estimated)
December 1, 2023
Study Completion (Estimated)
December 31, 2023
Study Registration Dates
First Submitted
June 11, 2021
First Submitted That Met QC Criteria
June 11, 2021
First Posted (Actual)
June 18, 2021
Study Record Updates
Last Update Posted (Actual)
September 21, 2023
Last Update Submitted That Met QC Criteria
September 18, 2023
Last Verified
September 1, 2023
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- RC31/21/0004
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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