| 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 |
MUlticenterS of randomized ControL study Early and adequate protein administration for severe acute pancreatitis
Muscle study
MUlticenterS of randomized ControL study Early and adequate protein administration for severe acute pancreatitis
Muscle study
| Japan |
Acute pancreatitis
| Hepato-biliary-pancreatic medicine |
Others
NO
The purpose is to test whether early administration of adequate protein is beneficial in patients with severe acute pancreatitis.
Efficacy
Exploratory
modified pancreatitis activity scoring system (PASS) (Day14)
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)
Interventional
Parallel
Randomized
Individual
Open -but assessor(s) are blinded
Dose comparison
YES
NO
Institution is considered as a block.
YES
Central registration
2
Treatment
| Medicine | Food |
Target doses of protein should be at least 1.2 g/kg on Day 4 and 1.8 g/kg on Days 10-14.
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.
| 18 | years-old | <= |
| 100 | years-old | > |
Male and Female
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
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
60
| 1st name | Eisuke |
| Middle name | |
| Last name | Iwasaki |
Keio University School of Medicine
Division of Gastroenterology and Hepatology, Department of Internal Medicine
1608582
35 Shinanomachi, Shinjuku-ku, Tokyo
0353633790
iwaiwa2007@gmail.com
| 1st name | Masayasu |
| Middle name | |
| Last name | Horibe |
Keio University School of Medicine
Division of Gastroenterology and Hepatology, Department of Internal Medicine
1608582
35 Shinanomachi, Shinjuku-ku, Tokyo
0353633790
masayasu.horibe@gmail.com
Keio University School of Medicine
Division of Gastroenterology and Hepatology, Department of Internal Medicine
Eisuke Iwasaki
The Japanese Society of Intensive Care Medicine
Other
Ethics Committee, Keio University School of Medicine
35 Shinanomachi, Shinjuku-ku, Tokyo
35 Shinanomachi, Shinjuku-ku, Tokyo
med-rinri-jimu@adst.keio.ac.jp
NO
| 2024 | Year | 12 | Month | 20 | Day |
Unpublished
Open public recruiting
| 2024 | Year | 11 | Month | 27 | Day |
| 2024 | Year | 12 | Month | 20 | Day |
| 2025 | Year | 01 | Month | 06 | Day |
| 2030 | Year | 03 | Month | 31 | Day |
| 2024 | Year | 12 | Month | 19 | Day |
| 2025 | Year | 04 | Month | 16 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064499