Diabetes RElated to Acute Pancreatitis and Its Mechanisms

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-75
SponsorMilton S. Hershey Medical Center

About this trial

The overriding objective of DREAM is to conduct a prospective longitudinal (36 months) observational clinical study to investigate the incidence, etiology, and pathophysiology of diabetes mellitus (DM) following acute pancreatitis (AP).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Diagnosis of acute pancreatitis (AP) 0-90 days prior to enrollment date

Participant fully understands and is able to participate in all aspects of the study, including providing informed consent, completion of case report forms (CRFs), telephone interviews, metabolic testing, and planned longitudinal follow-ups

Disqualifiers

Diagnosis of definite chronic pancreatitis (CP) at enrollment based on either of the following criteria met by computed tomography (CT) scan (including non-contrast enhanced) or Magnetic resonance Imaging (MRI) or Magnetic Resonance Cholangiopancreatography (MRCP): (a) Parenchymal or ductal calcifications on CT scan (after excluding the possibility that calcifications are vascular); (b) Intraductal filling defects suggestive of calcifications on MRI and/or MRCP

Potential participants with post-endoscopic retrograde cholangiopancreatography (post- ERCP) AP who are hospitalized for <48 hours.

Prior (i.e., before enrollment) direct endoscopic necrosectomy of the pancreas or percutaneous necrosectomy or drainage of necrotic collection(s). Participants who require this during follow-up will remain in the study

Pancreatic tumors, including ductal adenocarcinoma, neuroendocrine tumors, and metastasis

Trial population

Patients hospitalized for acute pancreatitis

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

diabetes mellitus (DM) following a qualifying episode of acute pancreatitis (AP)

time to onset of DM during the 36-month longitudinal follow-up period

Time frame
any time during the 36-month longitudinal follow-up period

Secondary outcomes

1

PROMIS Global Health

Patient Reported Outcomes Measurement Information System (PROMIS) Global Health, converted to a t-score with a mean of 50 and a standard deviation of 10

Time frame
months 3, 12, 24, and 36
2

PROMIS Pain Intensity

Patient Reported Outcomes Measurement Information System (PROMIS) Pain Intensity, measured on an 11-point scale from 0 (no pain ) to 10 (worst pain imaginable)

Time frame
months 3, 12, 24, and 36
3

PROMIS-29 Physical Function

PROMIS-29 Physical Function, converted to a t-score with a mean of 50 and a standard deviation of 10

Time frame
months 3, 12, 24, and 36
4

PROMIS-29 Anxiety

PROMIS-29 Anxiety, converted to a t-score with a mean of 50 and a standard deviation of 10

Time frame
months 3, 12, 24, and 36

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Milton S. Hershey Medical Center

Lead sponsor

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Collaborator

Benaroya Research Institute

Collaborator

Cedars-Sinai Medical Center

Collaborator

University of Southern California

Collaborator

Indiana University

Collaborator

Johns Hopkins University

Collaborator

Ohio State University

Collaborator

Stanford University

Collaborator

University of Florida

Collaborator

AdventHealth

Collaborator

University of Illinois at Chicago

Collaborator

Northwestern University

Collaborator

University of Minnesota

Collaborator

University of Pittsburgh

Collaborator