Pancreatic Enzyme Replacement in Acute Necrotizing Pancreatitis

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18-60
SponsorAsian Institute of Gastroenterology, India

About this trial

In this multicenter, double blinded, placebo-controlled, 1:1 parallel group RCT, the investigators propose to evaluate the impact of pancreatic exocrine replacement therapy on patients with acute necrotizing pancreatitis (ANP). The investigators will include patients of 18-60yrs age and both genders with \>50% pancreatic parenchymal necrosis and at least 5% loss of body weight.

The primary outcome measure is percent change in body weight at 3 months after enrolment. The intervention will include pancreatic enzyme consisting of 25000 IU of lipase and similar appearing placebo.

Eligibility criteria

Qualifiers

Patients diagnosed with AP according to the Revised Atlanta Classification diagnostic criteria

Index episode of acute pancreatitis with more than 50% pancreatic parenchymal necrosis and at least 5% loss of pre pancreatitis body weight at the time of screening

Within 6 weeks of onset of disease

Able to take food orally

Disqualifiers

Underlying chronic pancreatitis

Recurrent acute pancreatitis

Pancreatic cancer

Patients being discharged with NJ tubes

Trial design

Treatments tested in this trial

  • Pancreatic enzyme capsules
  • Placebo

Treatment groups

140 Participants
are divided into 2 treatment groups