UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000050720
Receipt number R000057787
Scientific Title Impact of intestinal dysbiosis in acute pancreatitis: a multicenter prospective observational study
Date of disclosure of the study information 2023/04/01
Last modified on 2024/01/18 20:31:40

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Basic information

Public title

Impact of intestinal dysbiosis in acute pancreatitis

Acronym

Impact of intestinal dysbiosis in acute pancreatitis

Scientific Title

Impact of intestinal dysbiosis in acute pancreatitis: a multicenter prospective observational study

Scientific Title:Acronym

Impact of intestinal dysbiosis in acute pancreatitis: a multicenter prospective observational study

Region

Japan


Condition

Condition

acute pancreatitis

Classification by specialty

Hepato-biliary-pancreatic medicine Emergency medicine Intensive care medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To improve the mortality rate of acute pancreatitis with high frequency of infectious complications, it is warranted to elucidate the pathophysiology and develop new treatment strategies. As it has been reported that dysbiosis, an imbalance of the intestinal microbiota in critically ill patients, contributes to poor outcomes, controlling the disruption of intestinal homeostasis could be promising tactics for infectious complications in acute pancreatitis. In this study, we aim to determine the sequential changes in intestinal microbiota using 16s RNA metagenomics and metabolomics in patients with in acute pancreatitis.

Basic objectives2

Others

Basic objectives -Others

To improve the mortality rate of acute pancreatitis with high frequency of infectious complications, it is warranted to elucidate the pathophysiology and develop new treatment strategies. As it has been reported that dysbiosis, an imbalance of the intestinal microbiota in critically ill patients, contributes to poor outcomes, controlling the disruption of intestinal homeostasis could be promising tactics for infectious complications in acute pancreatitis. In this study, we aim to determine the sequential changes in intestinal microbiota using 16s RNA metagenomics and metabolomics in patients with in acute pancreatitis.

Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Changes in various parameters of the intestinal microbiota, protein concentration in stool, and metabolite concentration

Key secondary outcomes

Relationship between each parameter and short- and long-term prognosis
Correlation of each parameter with treatment details and clinical course during ICU stay
Correlation between the amount of diarrhea and alpha-diversity parameters, protein concentration in each stool, and metabolite concentration
Cluster analysis in patients with acute pancreatitis
Development of artificial intelligence to predict patients' outcomes using collected clinical data and radiological information


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Adults (18 years of age or older)
Patients diagnosed with acute pancreatitis using the Ministry of Health, Labour and Welfare's criteria for acute pancreatitis severity
Patients newly admitted to the hospitals of the participating institution and expected to hospitalization for 48 hours or longer

Key exclusion criteria

Patients with inflammatory bowel disease
Patients with diarrhea prior to admission
Patients who have received antimicrobial agents for more than 1 week in the 2 months prior to admission
Patients who are judged to be inappropriate as research subjects by the principal investigator.

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Taka-aki
Middle name
Last name Nakada

Organization

Chiba University Hospital

Division name

Emergency and Critical Care Medicine

Zip code

260-8677

Address

1-8-1 Inohana, Chuo, Chiba 260-8677, Japan

TEL

4042227171

Email

taka.nakada@nifty.com


Public contact

Name of contact person

1st name Takehiko
Middle name
Last name Oami

Organization

Chiba University Hospital

Division name

Emergency and Critical Care Medicine

Zip code

260-8677

Address

1-8-1 Inohana, Chuo, Chiba 260-8677, Japan

TEL

4042227171

Homepage URL


Email

seveneleven711thanks39@msn.com


Sponsor or person

Institute

Chiba University Hospital
Emergency and Critical Care Medicine
1-8-1 Inohana, Chuo, Chiba 260-8677, Japan

Institute

Department

Personal name



Funding Source

Organization

Takeda Science Foundation

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization



Other related organizations

Co-sponsor

RIKEN Center for Life Science Technologies, RIKEN Institute of Physical and Chemical Research.

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Chiba University Hospital

Address

1-8-1 Inohana, Chuo, Chiba 260-8677, Japan

Tel

4042227171

Email

prc-jim@chiba-u.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

千葉大学医学部附属病院、東千葉メディカルセンター、君津中央病院、慶応義塾大学医学部附属病院


Other administrative information

Date of disclosure of the study information

2023 Year 04 Month 01 Day


Related information

URL releasing protocol

https://www.medrxiv.org/content/10.1101/2023.03.30.23287938v1

Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2022 Year 09 Month 28 Day

Date of IRB

2022 Year 11 Month 18 Day

Anticipated trial start date

2024 Year 01 Month 01 Day

Last follow-up date

2025 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Protocol registered in medRxiv (https://www.medrxiv.org/).


Management information

Registered date

2023 Year 03 Month 30 Day

Last modified on

2024 Year 01 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000057787


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name