- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05669573
Safety of 6 Hours Feeding After Extracorporeal Shock Wave Lithotripsy of Pancreatic Stone (SHEEL)
May 22, 2023 updated by: Zhaoshen Li, Changhai Hospital
Safety of 6 Hours Feeding After Extracorporeal Shock Wave Lithotripsy of Pancreatic Stone: a Multicentre, Open-label, Randomized, Controlled Trial
The purpose of this study is to evaluate the safety of eating 6 hours after Extracorporeal Shock Wave Lithotripsy (ESWL).
At present, ESWL and Endoscopic Retrograde Cholangiopancreatography (ERCP) are the routine ways to treat pancreatic duct stones.
For large stones (diameter > 5mm) , ESWL often needs to be performed many times.
In clinical practice, fasting for 24 hours after surgery is often used, but long-term fasting brings strong discomfort to patients.
However, the consensus for initiation timing of oral nutrition has not yet been established after ESWL.
Thus, we design this trial to evaluate the safety of early feeding based on 6 hours parameter instead of the consensus definition.
Study Overview
Status
Not yet recruiting
Conditions
Intervention / Treatment
Detailed Description
In recent years, studies have shown that early recovery of enteral nutrition has significant benefits for patients.
Early recovery of oral feeding and drinking as well as early oral supplementary nutrition after surgery can promote the recovery of intestinal motor function, help maintain intestinal mucosal function, prevent postoperative flora disorder and diarrhea, shorten postoperative hospital stay, and improve postoperative anxiety of patients.This study mainly evaluated the safety of feeding 6 hours after ESWL, including the risk of post-ESWL pancreatitis and other adverse events, as well as the length of hospital stay, medical expenses, pain, etc.
This research conclusion is helpful to provide more scientific and reasonable fasting time for patients after ESWL, improve patient comfort, reduce the risk of adverse events, shorten hospital stay, save medical expenses, and guide clinical practice.
Study Type
Interventional
Enrollment (Anticipated)
216
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 Contact
- Name: Liang-hao Hu, MD
- Phone Number: +86-13817593520
- Email: ianghao-hu@smmu.edu.cn
Study Contact Backup
- Name: Zhao-shen Li, MD
- Phone Number: +86-13901960921
- Email: zhaoshen-li@hotmail.com
Study Locations
-
-
-
Shanghai, China, 200433
- Changhai Hospital
-
Principal Investigator:
- Fan Wang
-
Principal Investigator:
- Dan Wang
-
Principal Investigator:
- Teng Wang
-
Contact:
- Zhao-shen Li, MD
- Phone Number: +86-13901960921
- Email: zhaoshen-li@hotmail.com
-
Contact:
- Liang-hao Hu, MD
- Phone Number: +86-13817593520
- Email: lianghao-hu@smmu.edu.cn
-
-
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 to 70 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Patients with chronic pancreatitis who completed ESWL.
Exclusion Criteria:
- Readmitted to the hospital during enrollment of the study;
- Cannot eat or rely on jejunal nutrition tube to give total parenteral nutrition for various reasons;
- With acute pancreatitis, perforation, infection, bleeding, steinstrasse and other complications and other serious clinical adverse events within 6 hours after ESWL;
- Suspected or confirmed malignancy
- Pancreatic ascites;
- Coagulation dysfunction;
- Taking chemotherapy drugs and immunosuppressants for a long time;
- Acute pancreatitis exacerbation or acute exacerbation of chronic pancreatitis (including biliary pancreatitis);
- Pregnant or breastfeeding women;
- Patients who refused to participate in the study.
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: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Early feeding group
Patients in the early diet group started oral intake 6 hours after ESWL of the day of procedure with a soft diet comprised 200 mL with 170 kilocalories.
Observe closely until 24h, and then continue to fasting until the next ESWL/ERCP or change the diet to the general diet according to the actual clinical needs.
|
Patients in the early diet group started oral intake 6 hours after ESWL of the day of procedure with a soft diet comprised 200 mL with 170 kilocalories.
|
Active Comparator: Standard fasting group
Patients in the standard fasting group were fasted for 24 hours after the first ESWL operation, and close observation during this fasting period.
After 24 hours, according to the actual clinical needs, continue to fast until the next ESWL/ERCP operation, or change the diet to a general diet.
|
Patients in the standard fasting group were fasted for 24 hours after the first ESWL operation, and close observation during this fasting period.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
the incidence of post-ESWL pancreatitis
Time Frame: within 24 hours after ESWL
|
A diagnosis of post-ESWL pancreatitis was thus made if two of three of the following criteria were met, in accordance with the revised Atlanta international consensus: pain consistent with pancreatitis; amylase or lipase of at least three times the upper normal limit within 24 h of the procedure; or characteristic findings on imaging.
|
within 24 hours after ESWL
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
the severity of post-ESWL pancreatitis
Time Frame: within 24 hours after ESWL
|
stratified as mild, moderate, or severe, mainly on the basis of length of hospitalisation and need for invasive treatment
|
within 24 hours after ESWL
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the incidence of other post-ESWL complications
Time Frame: within 24 hours after ESWL
|
Other post ESWL complications includes bleeding, infection, steinstrasse, and perforation.
|
within 24 hours after ESWL
|
the transient adverse events
Time Frame: within 24 hours after ESWL
|
Transient adverse events were defined as transient injuries caused by shock waves that required no medical intervention and did not prolong hospitalisation, including asymptomatic hyperamylasaemia, haematuria, and acute gastrointestinal mucosal injury (eg, haematemesis, melena, or haematochezia) caused by ESWL.
|
within 24 hours after ESWL
|
abdominal pain relief rate
Time Frame: within 24 hours after ESWL
|
Use the Visual Analogue Scale (VAS).
VAS can be calculated ranging from 0 (no pain) to 10 (severe pain).
|
within 24 hours after ESWL
|
hunger relief rate
Time Frame: within 24 hours after ESWL
|
Use the Visual Analogue Scale (VAS).
VAS can be calculated ranging from 0 (not hungry at all) to 10 (hungriest possible).
|
within 24 hours after ESWL
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Liang-hao Hu, MD, Changhai Hospital
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
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 (Anticipated)
May 24, 2023
Primary Completion (Anticipated)
August 31, 2023
Study Completion (Anticipated)
August 31, 2023
Study Registration Dates
First Submitted
December 20, 2022
First Submitted That Met QC Criteria
December 20, 2022
First Posted (Actual)
January 3, 2023
Study Record Updates
Last Update Posted (Actual)
May 24, 2023
Last Update Submitted That Met QC Criteria
May 22, 2023
Last Verified
May 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- SHEEL202210
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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