About this trial
In this multicenter, double blinded, placebo-controlled, 1:1 parallel group RCT, we propose to evaluate the impact of pancreatic exocrine replacement therapy on patients with acute necrotizing pancreatitis (ANP). We will include patients of 18-60yrs age and both genders with \>50% pancreatic parenchymal necrosis and \>10% loss of body weight.
The primary outcome measure is change in BMI at 3 months after enrolment. The intervention will include pancreatic enzyme consisting of 25000 IU of lipase and similar appearing placebo.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients diagnosed with AP according to the Revised Atlanta Classification diagnostic criteria
Index episode of acute pancreatitis with at least 50% pancreatic parenchymal necrosis and greater than at least 10% loss of pre pancreatitis body weight at the time of screening
Within 28 days of onset of disease
Age 18-60 years
Disqualifiers
Underlying chronic pancreatitis
Recurrent acute pancreatitis
Pancreatic cancer
Patients being discharged with NJ tubes
Trial design
Parallel
Treatments tested in this trial
Pancreatic Enzyme Replacement Therapy
DrugEnteric coated pancreatic enzyme preparation
Placebo
DrugSimilar appearing glucose capsules
Treatment groups
Trial outcomes
Primary outcomes
Change in Body Mass Index (BMI)
BMI will be measured at baseline and again at 3 months follow-up, with the difference between the two time points used to assess the effect of the intervention on patients' weight status.
Secondary outcomes
1. Change in Quality of Life
Quality of life will be assessed by the Short Form (SF)-36 tool. The lowest score in this tool is 0 and the highest score is 100, a higher score indicating better quality of life.
Change in pancreatic exocrine function
Exocrine function will be assessed by the Fecal elastase test.
Change in nutritional status: Anthropometry
Skin fold thickness over the triceps muscle at the mid arm level.
Change in nutritional status: Anthropometry
Mid-arm circumference
Locations
Sponsors and contacts
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