Pancreatitis of biliary origin: Optimal timiNg CHOlecystectomy (PONCHO) trial
ISRCTN | ISRCTN72764151 |
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DOI | https://doi.org/10.1186/ISRCTN72764151 |
Secondary identifying numbers | N/A |
- Submission date
- 26/05/2010
- Registration date
- 29/06/2010
- Last edited
- 16/10/2015
- 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
Prof H G Gooszen
Scientific
Scientific
Dutch Pancreatitis Study Group
Department of Surgery
Radboud University Nijmegen Medical Centre
HP 690
PO Box 9101
Nijmegen
6500HB
Netherlands
Phone | +31 (0)243 655764 / 66458 |
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H.Gooszen@ok.umcn.nl |
Study information
Study design | Multicentre randomised controlled parallel group superiority trial |
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Primary study design | Interventional |
Secondary study design | Randomised controlled trial |
Study setting(s) | Hospital |
Study type | Treatment |
Participant information sheet | Not available in web format, please use contact details below to request a patient information sheet |
Scientific title | Pancreatitis of biliary origin: Optimal timiNg CHOlecystectomy (PONCHO) trial. A randomised controlled multicentre trial of the Dutch Pancreatitis Study Group. |
Study acronym | PONCHO |
Study objectives | Current hypothesis as of 24/04/2012 We hypothesise that early timing of laparoscopic cholecystectomy (ELC) would reduce recurrent biliary pancreatitis or other complications of gall-stone disease in patients with mild biliary pancreatitis. Study conducted in accordance with the principles of the Declaration of Helsinki and in accordance with the Medical Research Involving Human Subjects Act (WMO). Previous hypothesis We hypothesise that early timing of laparoscopic cholecystectomy (ELC) would prevent recurrent biliary pancreatitis or other complications of gall-stone disease in patients with mild biliary pancreatitis. Study conducted in accordance with the principles of the Declaration of Helsinki. |
Ethics approval(s) | Approved by the Arnhem-Nijmegen Regional Committee on Research Involving Human Subjects (Commissie Mensgebonden Onderzoek [CMO] regio Arnhem-Nijmegen). The study protocol will also be approved by all participating hospitals. |
Health condition(s) or problem(s) studied | Mild biliary pancreatitis |
Intervention | 1. Intervention group: Laparoscopic cholecystectomy within 72 hours after randomisation (ELC). 2. Control group: Laparoscopic cholecystectomy 25-30 days after randomization (ILC). Patients are randomised when the treating physician feels the patient can be discharged within 1-2 days and all signs of acute disease have resolved. |
Intervention type | Other |
Primary outcome measure | Current primary outcome as of 24/04/2012 Composite endpoint: Unplanned re-admission for biliary events (recurrent biliary pancreatitis, acute cholecystitis, choledocholithiasis mandating ERCP, biliary colics) and mortality Previous primary outcome Composite endpoint: Unplanned re-admission for biliary events (recurrent biliary pancreatitis, acute cholecystitis, choledocholithiasis mandating ERCP, biliary colics) |
Secondary outcome measures | 1. Individual components of the primary endpoint 2. Number of biliary colics after randomisation 3. Length of hospital stay 4. Operation difficulty (VAS) 5. Duration 6. Complications and conversion rate of laparoscopic cholecystectomy 7. Costs per primary endpoint avoided 8. Quality adjusted life year (QALY) gained 9. Mortality 10. Patient satisfaction |
Overall study start date | 01/01/2011 |
Completion date | 01/07/2013 |
Eligibility
Participant type(s) | Patient |
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Age group | Adult |
Lower age limit | 18 Years |
Sex | Both |
Target number of participants | 266 |
Key inclusion criteria | Current inclusion criteria as of 24/04/2012 1. Age 18 years or older 2. Mild (non-severe) biliary pancreatitis; no pancreatic necrosis and/or peripancreatic collections and no persistent (>48hr) organ failure 3. First episode of acute pancreatitis 4. Written and oral informed consent (obtained prior to randomisation) Previous inclusion criteria 1. Age 18 years or older 2. Mild (non-severe) biliary pancreatitis, without sterile pancreatic necrosis and/or peripancreatic collections. 3. Written and oral informed consent (obtained prior to randomisation) |
Key exclusion criteria | Curent exclusion criteria as of 24/04/2012 1. Patients <18 years 2. Patients >75 years with ASA III 3. ASA IV and V patients 4. Patients with ongoing alcohol abuse or chronic pancreatitis 5. Pregnancy Previous exclusion criteria 1. Patients <18 years 2. Patients >75 years with ASA III 3. ASA IV and V patients 4. Patients with history of alcohol abuse or chronic pancreatitis 5. Mild pancreatitis with sterile pancreatic necrosis and/or peripancreatic collections 6. Severe pancreatitis: persistent (>48hrs) organ failure or necrotizing pancreatitis |
Date of first enrolment | 01/01/2011 |
Date of final enrolment | 01/07/2013 |
Locations
Countries of recruitment
- Netherlands
Study participating centre
Dutch Pancreatitis Study Group
Nijmegen
6500HB
Netherlands
6500HB
Netherlands
Sponsor information
Radboud University Nijmegen Medical Centre (Netherlands)
Hospital/treatment centre
Hospital/treatment centre
Dutch Pancreatitis Study Group
Department of Surgery
HP 557
PO Box 9101
Mobile: +31 (0)617401029
Nijmegen
6500HB
Netherlands
Website | http://www.pancreatitis.nl |
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https://ror.org/05wg1m734 |
Funders
Funder type
Hospital/treatment centre
Radboud University Nijmegen Medical Centre (Netherlands) - internal funding
No information available
Results and Publications
Intention to publish date | |
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Individual participant data (IPD) Intention to share | No |
IPD sharing plan summary | Not provided at time of registration |
Publication and dissemination plan | Not provided at time of registration |
IPD sharing plan |
Study outputs
Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
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Protocol article | protocol | 26/11/2012 | Yes | No | |
Results article | results | 26/09/2015 | Yes | No |
Editorial Notes
16/10/2015: Publication reference added.