UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056504
Receipt number R000064499
Scientific Title MUlticenterS of randomized ControL study Early and adequate protein administration for severe acute pancreatitis
Date of disclosure of the study information 2024/12/20
Last modified on 2025/04/16 14:43:38

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Basic information

Public title

MUlticenterS of randomized ControL study Early and adequate protein administration for severe acute pancreatitis

Acronym

Muscle study

Scientific Title

MUlticenterS of randomized ControL study Early and adequate protein administration for severe acute pancreatitis

Scientific Title:Acronym

Muscle study

Region

Japan


Condition

Condition

Acute pancreatitis

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose is to test whether early administration of adequate protein is beneficial in patients with severe acute pancreatitis.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

modified pancreatitis activity scoring system (PASS) (Day14)

Key secondary outcomes

modified PASS (Day 4, 7, 10), PASS (Day 4, 7, 10, 14), mortality (at discharge, 1 year), SOFA (Day 14), Barthel Index (Day 28) EQ-5D-5L (Day 28) CRP (Day 14), Alb (Day 14), lymphocyte count (Day 14), phosphorus (Day 14), prealbumin (Day 14), skeletal muscle index at the level of the third lumbar spine by CT (Day 14) mortality due to pancreatitis during hospitalization, severe acute pancreatitis based on the revised Atlanta classification, infected pancreatic necrosis, WON, drainage or necrosectomy for infected pancreatic necrosis, survival discharge days, cost, time from diagnosis to cure of pancreatitis, days in intensive care unit etc, number of days to start oral intake, use and duration of ventilator use, use and duration of dialysis use, use and duration of cardioactive drugs use, new diabetes and insulin use, candida infection, invasive procedure, adverse events (through Day 14)


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Dose comparison

Stratification

YES

Dynamic allocation

NO

Institution consideration

Institution is considered as a block.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine Food

Interventions/Control_1

Target doses of protein should be at least 1.2 g/kg on Day 4 and 1.8 g/kg on Days 10-14.

Interventions/Control_2

Target doses of protein are less than 0.6 g/kg on Day 4 and less than 0.9 g/kg on Days 10-14.

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

100 years-old >

Gender

Male and Female

Key inclusion criteria

1. Diagnosis of pancreatitis: Persistent abdominal pain associated with pancreatitis. Blood lipase (upper limit of normal: 53 IU/L) or amylase (upper limit of normal: 121 IU/L) is elevated more than 3 times the upper limit of normal; CT, MRI, or ultrasound shows abnormal findings associated with pancreatitis. Patients who meet two of the three criteria (including acute exacerbation of chronic pancreatitis)
2. Patients who require admission to a critical care unit (ICU, HCU, emergency, critical care center, etc.) or,have BISAP 3 or higher.
3. SOFA less than 10 points

Key exclusion criteria

1) Patients who are deemed by their physician to be ineligible for nutritional therapy
2) Patients who are deemed unsuitable for this study by their physician (e.g., history of self-discharge)
3) Patients who are not expected to survive longer than one week by the physician
4) Patients who are judged by the physician to be inadequate for adequate protein administration (e.g., concurrent fulminant hepatitis)
5) Patients who do not consent to the study

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Eisuke
Middle name
Last name Iwasaki

Organization

Keio University School of Medicine

Division name

Division of Gastroenterology and Hepatology, Department of Internal Medicine

Zip code

1608582

Address

35 Shinanomachi, Shinjuku-ku, Tokyo

TEL

0353633790

Email

iwaiwa2007@gmail.com


Public contact

Name of contact person

1st name Masayasu
Middle name
Last name Horibe

Organization

Keio University School of Medicine

Division name

Division of Gastroenterology and Hepatology, Department of Internal Medicine

Zip code

1608582

Address

35 Shinanomachi, Shinjuku-ku, Tokyo

TEL

0353633790

Homepage URL


Email

masayasu.horibe@gmail.com


Sponsor or person

Institute

Keio University School of Medicine
Division of Gastroenterology and Hepatology, Department of Internal Medicine
Eisuke Iwasaki

Institute

Department

Personal name



Funding Source

Organization

The Japanese Society of Intensive Care Medicine

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee, Keio University School of Medicine

Address

35 Shinanomachi, Shinjuku-ku, Tokyo

Tel

35 Shinanomachi, Shinjuku-ku, Tokyo

Email

med-rinri-jimu@adst.keio.ac.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



Other administrative information

Date of disclosure of the study information

2024 Year 12 Month 20 Day


Related information

URL releasing protocol


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

Open public recruiting

Date of protocol fixation

2024 Year 11 Month 27 Day

Date of IRB

2024 Year 12 Month 20 Day

Anticipated trial start date

2025 Year 01 Month 06 Day

Last follow-up date

2030 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2024 Year 12 Month 19 Day

Last modified on

2025 Year 04 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064499