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Phase 3 N=54 Randomized Double-blind Treatment

A Study to Investigate the Effect of Delayed Release Pancrelipase on Maldigestion in Patients With Exocrine Pancreatic Insufficiency Due to Chronic Pancreatitis and Pancreatectomy

Chronic Pancreatitis · Pancreatectomy · Pancreatic Exocrine Insufficiency

Enrolled (actual)
54
Serious AEs
6.8%
Results posted
Sep 2009
Primary outcome: Primary: Change of Coefficient of Fat Absorption (CFA) (%) Between Baseline and End of Double-blind (DB) Period. — 31.93; 8.72 Percentage — p=<0.0001

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Pancrelipase delayed release capsule (Drug); Placebo Comparator (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Solvay Pharmaceuticals
Primary completion
Aug 2008

Outcome Measures

OutcomeResultp-value
PRIMARY
Change of Coefficient of Fat Absorption (CFA) (%) Between Baseline and End of Double-blind (DB) Period.
31.93; 8.72 <0.0001 sig
SECONDARY
Change of Coefficient of Nitrogen Absorption (CNA) (%) Between Baseline and End of Double-blind (DB) Period.
35.23; 8.85 0.0002 sig
SECONDARY
Change From Baseline of Stool Fat (g) Between Baseline and End of Double-blind (DB) Period.
-147.08; -34.62 <0.0001 sig
SECONDARY
Change From Baseline of Stool Nitrogen (g) Between Baseline and End of Double-blind (DB) Period.
-17.55; -5.87 <0.0001 sig
SECONDARY
Change of Stool Frequency Between Baseline and End of Double-blind (DB) Period
-0.55; 0.20 0.005 sig
SECONDARY
Abdominal Pain at the End of the Double-blind Period.
12; 8; 7; 12; 4; 7
SECONDARY
Stool Consistency at the End of the Double-blind Period
0; 0; 11; 5; 12; 20
SECONDARY
Flatulence at the End of Double-blind Period
6; 0; 13; 15; 4; 12

Summary

This study assessed the effect of pancrelipase delayed release capsules on fat and nitrogen absorption in subjects with PEI due to Chronic Pancreatitis and Pancreatectomy. There was a run-in with a 5-day of single-blind placebo treatment, followed by a 7-day Double-blind period and a 6-month Open-Label Follow-up.

Eligibility Criteria

Inclusion Criteria

Pancreatic exocrine insufficiency has to be proven (in medical history) by the following criteria:

  • Direct or indirect pancreatic function test (except stool fat excretion) or Clinical signs of severe steatorrhoea that resolved upon administration of pancreatic supplementation.
  • Total stool fat > 40 g over 4 days (using Van De Kamer method)
  • Proven chronic pancreatitis
  • Females of child-bearing potential must agree to continue using a medically acceptable method of birth control

Exclusion Criteria

  • Ileus or acute abdomen
  • Any type of malignancy involving the digestive tract in the last 5 years
  • Presence of pseudo-pancreatic cyst ≥ 4
  • Continued excessive intake of alcohol or drug abuse
  • Known infection with HIV
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00414908). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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