Unique ID issued by UMIN | UMIN000017106 |
---|---|
Receipt number | R000019844 |
Scientific Title | Low-dose rectal NSAIDs for prevention of post-ERCP pancreatitis -randomized controlled multicenter study- : Loren study |
Date of disclosure of the study information | 2015/05/01 |
Last modified on | 2019/04/25 03:20:26 |
Low-dose rectal NSAIDs for prevention of post-ERCP pancreatitis -randomized controlled multicenter study- : Loren study
Loren study
Low-dose rectal NSAIDs for prevention of post-ERCP pancreatitis -randomized controlled multicenter study- : Loren study
Loren study
Japan |
Pancreaticobiliary disease
Hepato-biliary-pancreatic medicine |
Others
NO
Pancreatitis remains the most common complication of ERCP, occurring after 1% to 15% of procedures. Severe pancreatitis occurs in 0.1% to 1.0% of patients in unselected prospective series. It is reported that rectal NSAIDs significantly reduced the incidence of Post-ERCP pancreatitis. However, the rectal NSAID dose used in these trials was 100 mg of diclofenac or indomethacin, which is higher than the normal single dose used in Japan. We conducted a prospective randomized controlled trial to evaluate the efficacy of low-dose rectal NSAIDs for the prevention of Post-ERCP pancreatitis.
Efficacy
Confirmatory
Pragmatic
Not applicable
The incidence of Post-ERCP pancreatitis
The incidence of Hyperamylasemia
The incidence of abdominal pain after ERCP
Cost effectiveness
Interventional
Parallel
Randomized
Individual
Single blind -participants are blinded
No treatment
YES
YES
Institution is considered as a block.
YES
Central registration
4
Prevention
Medicine |
May 2015-March 2019
Post-ERCP pancreatitis low risk
Diclofenac non-administration
May 2015-March 2019
Post-ERCP pancreatitis low risk
Low dose diclofenac administration
May 2015-March 2019
Post-ERCP pancreatitis high risk
Diclofenac non-administration
May 2015-March 2019
Post-ERCP pancreatitis high risk
Low dose diclofenac administration
20 | years-old | <= |
80 | years-old | > |
Male and Female
The patient who needs ERCP.
Possible of endoscopic approach.
Normal stomach or Billroth I reconstruction stomach.
Non previous EST in patients who planned biliary treatment.
The patient who does not cause pancreatitis.
The patient who does not use the NSAIDs within 24 hours.
Main pancreatic duct < 4mm.
Endoscopic papillectomy.
The patient who was inserted EPS or ENPD.
CCr<60ml/min.
Systolic blood pressure < 100mmHg before ERCP.
Active peptic ulcer.
Rectal ulcer or Rectal cancer.
Aspirin-induced asthma.
NSAIDs allergy.
Triamterene oral administration.
Sever cardiovascular disease.
During pregnancy or lactating.
Patients not to consent.
ECOG Performance Status 4.
The patient who admitted that it was inappropriate though the chief physician carried out the examination.
500
1st name | Hirotoshi |
Middle name | |
Last name | Iwano |
Shibetsu City Hospital
Gastroenterology
095-0048
3029-1, Higashi 11-5, Shibetsu-shi, Hokkaido
0165-23-2166
iwanohi6104@gmail.com
1st name | Hirotoshi |
Middle name | |
Last name | Iwano |
Shibetsu City Hospital
Gastroenterology
095-0048
3029-1, Higashi 11-5, Shibetsu-shi, Hokkaido
0165-23-2166
iwanohi6104@gmail.com
SKY study group
None
Self funding
Shibetsu City Hospital IRB
3029-1, Higashi 11-5, Shibetsu-shi, Hokkaido
0165-23-2166
byouinsohmuka@city.shibetsu.lg.jp
NO
久留米大学病院(福岡県)、九州医療センター(福岡県)、徳山中央病院(山口県)、埼玉医科大学国際医療センター(埼玉県)、済生会川内病院(鹿児島県)、鹿児島大学病院(鹿児島県)
2015 | Year | 05 | Month | 01 | Day |
Unpublished
Terminated
2015 | Year | 03 | Month | 16 | Day |
2015 | Year | 04 | Month | 01 | Day |
2015 | Year | 05 | Month | 01 | Day |
2019 | Year | 03 | Month | 31 | Day |
2019 | Year | 03 | Month | 31 | Day |
2019 | Year | 04 | Month | 30 | Day |
2019 | Year | 10 | Month | 31 | Day |
2015 | Year | 04 | Month | 11 | Day |
2019 | Year | 04 | Month | 25 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000019844