Probiotic prophylaxis in patients with predicted severe acute pancreatitis: placebo-controlled randomised clinical trial. Dutch Acute Pancreatitis Study Group

ISRCTN ISRCTN38327949
DOI https://doi.org/10.1186/ISRCTN38327949
Secondary identifying numbers 03/169
Submission date
31/05/2004
Registration date
14/07/2004
Last edited
27/04/2009
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

Study website

Contact information

Prof H G Gooszen
Scientific

UMC Utrecht
Department of Surgery
HP G04.228
Heidelberglaan 100
Utrecht
3584 CX
Netherlands

Phone +31 (0)30 250 8074
Email h.gooszen@chir.azu.nl

Study information

Study designMulticentre placebo controlled randomised trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific title
Study acronymPROPATRIA
Study objectivesInfectious complications are the major cause of death in acute pancreatitis. Small bowel bacterial overgrowth and subsequent bacterial translocation are held responsible for the vast majority of these infections. Goal of this study is to determine whether selected probiotics are capable of preventing infectious complications without the disadvantages of antibiotic prophylaxis; antibiotic resistance and fungal overgrowth.
Ethics approval(s)This study is conducted in accordance with the principles of the Declaration of Helsinki and 'good clinical practice' guidelines. The independent ethics committee of all 15 participating hospitals approved the final protocol. Oral and written informed consent in form is obtained from the patient before inclusion in the trial.
Health condition(s) or problem(s) studiedAcute pancreatitis
InterventionPatients are randomly assigned to receive either live multispecies probiotics (6 strains, Ecologic 641) or placebo for 4 weeks by nasojejunal tube. Treatment is started within 72 hours after onset of abdominal pain.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Probiotics
Primary outcome measureTotal number of infectious complications.
Secondary outcome measures1. Costs
2. Hospital stay
3. Intesive care unit (ICU) stay
4. Mortality
5. Morbidity
Overall study start date01/03/2004
Completion date01/12/2006

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants200
Key inclusion criteriaPatients of all Dutch University Hospitals and major non-University Hospitals who are admitted with predicted severe acute pancreatitis.

Added Feb 2008:
1. Age equal to or above 18 years
2. First episode of acute pancreatitis
3. Written and oral informed consent
Key exclusion criteriaAdded Feb 2008:
1. Post-ERCP pancreatitis
2. Malignancy
3. Infection/sepsis caused by a second disease
4. Intra-operative diagnosis
5. Immunocompromised patients
6. Use of probiotics during admission
Date of first enrolment01/03/2004
Date of final enrolment01/12/2006

Locations

Countries of recruitment

  • Netherlands

Study participating centre

UMC Utrecht
Utrecht
3584 CX
Netherlands

Sponsor information

University Medical Centre Utrecht (UMCU) (Netherlands)
University/education

c/o Prof. dr. H.G. Gooszen
Department of Surgery
HP G04.228
Heidelberglaan 100
Utrecht
3584 CX
Netherlands

Phone +31 (0)30 250 8074
Email h.gooszen@chir.azu.nl
Website http://www.umcutrecht.nl/zorg/
ROR logo "ROR" https://ror.org/04pp8hn57

Funders

Funder type

Government

Senter (Netherlands) - http://www.senter.nl, an agency of the Ministry of Economic Affairs

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 plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 29/09/2004 Yes No
Results article results 23/02/2008 Yes No