Prevention of complications after endoscopic retrograde cholangio-pancreaticography using the antihypertensive drug Cozaar®

ISRCTN ISRCTN61320108
DOI https://doi.org/10.1186/ISRCTN61320108
EudraCT/CTIS number 2005-004545-34
Secondary identifying numbers N/A
Submission date
13/11/2009
Registration date
04/01/2010
Last edited
19/05/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Digestive System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Mats Lindblad
Scientific

Upper Gastrointestinal Research Group (UGIR)
Karolinska Institutet
Norra Stationsgatan 67
Stockholm
171 76
Sweden

Phone +46 (0)8 517 711 43
Email mats.lindblad@karolinska.se

Study information

Study designTriple blinded randomised placebo-controlled multicentre study
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleA randomised controlled trial of the angiotensin II receptor blocker losartan (Cozaar®) in the prevention of hyperenzymemia after endoscopic retrograde cholangio-pancreaticography (ERCP)
Study objectivesAngiotensin II receptor type 1 blocker prevents post-endoscopic retrograde cholangio-pancreaticography (ERCP) pancreatitis.
Ethics approval(s)Regional Ethical Committee in Stockholm approved on the 12th January 2005 (ref: 2005/1278-31/2)
Health condition(s) or problem(s) studiedPost-endoscopic retrograde cholangio-pancreaticography pancreatitis
InterventionPatients are randomised to placebo or 50 mg losartan (Cozaar®) given orally one hour before ERCP. The interventions are given once only; planned follow up is 24 hours.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Losartan (Cozaar®)
Primary outcome measureHyperenzymemia (amylase and or lipase) 24 hours after ERCP
Secondary outcome measures1. Pancreatitis after ERCP defined as abdominal pain persisting more than 24 hours after ERCP and hyperenzymemia defined as three times the upper normal limit
2. Pain measured by the visual analogue scale (VAS) (0 = no pain, 10 = unbearable pain) pre-ERCP and 24 hours after ERCP
Overall study start date01/04/2006
Completion date31/10/2008

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants80
Key inclusion criteria1. Patients above 18 years of age, either sex
2. ERCP indicated for diagnostic or therapeutic reasons
3. Informed consent
Key exclusion criteria1. Previous ERCP within one year
2. Current elevation of pancreatic amylase and lipase
3. Ongoing acute or chronic pancreatitis
4. Current use of any angiotensin I converting enzyme (ACE) inhibitor or angiotensin II type 1 receptor blocker
5. Bilateral renal artery stenosis or unilateral in case of a single kidney
6. Known hypersensitivity to angiotensin II type 1 receptor blockers
7. Pregnancy
8. Breastfeeding
9. Predefined severe disease (e.g. ongoing sepsis, disseminated intravascular coagulopathy, acute circulatory collapse, severe dehydration, hypovolaemia, severe renal insufficiency or severe liver failure)
Date of first enrolment01/04/2006
Date of final enrolment31/10/2008

Locations

Countries of recruitment

  • Sweden

Study participating centre

Upper Gastrointestinal Research Group (UGIR)
Stockholm
171 76
Sweden

Sponsor information

Karolinska Institutet (Sweden)
Research organisation

c/o Jesper Lagergren
Upper Gastrointestinal Research Group (UGIR)
Norra Stationsgatan 67
Stockholm
171 76
Sweden

Phone +46 (0)8 517 760 12
Email jesper.lagergren@ki.se
Website http://ki.se/ki/jsp/polopoly.jsp?d=130&l=sv
ROR logo "ROR" https://ror.org/056d84691

Funders

Funder type

Research organisation

Swedish Society of Medicine (Sweden)

No information available

Lisa and Johan Grönberg Foundation (Sweden)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing planNot provided at time of registration

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Basic results 05/02/2021 19/05/2022 No No

Editorial Notes

19/05/2022: EU Clinical Trials Register results added.